Sub-grantees of the Partnership for Advocacy in child and family Health At Scale (PACFaH@Scale) across the country are partnering with the National Primary Healthcare Development Agency (NPHCDA) and the Nigerian Governors’ Forum (NGF) and other partners to conduct assessment of Primary Healthcare Centers (PHCs) in the 36 states of the Federation and the Federal Capital Territory (FCT), and to develop a national Primary Healthcare Under One Roof Policy (PHCUOR) scorecard 5 for Nigeria.
According to the Deputy Director in the NPHCDA, Mr. Adeniyi Ekesola, the level of implementation of the PHCUOR policy is monitored through a national scorecard assessment exercise covering all thirty-six states and the FCT.
‘’The Scorecard assessment is an annual exercise to continuously review the progress made in the implementation of PHCUOR policy, a key component of the National Health Act 2014, in every State and the FCT. The annual assessment measures the progress made on the nine pillars towards achieving the full implementation of PHCUOR policy.’’ He said
He added that the scorecard 5 followed successful conduct of the scorecard 4 In May/June 2018. The analysis and results of the Scorecard 4 Assessment, according to him have been shared with all 36 States Primary Healthcare Development Agencies (SPHCBs) and the federal capital territory healthcare development agency ( FCTPHCB), as well as other major stakeholders at different forums to enable them make informed decisions to improve the level of implementation of PHCUOR and PHC services in general.
‘’Arising from the above, NPHCDA and partners will conduct the Scorecard 5 Assessment in the second, third and fourth weeks of September 2019 in three consecutive phases and with the following expected outcomes.’’ He added
Expected Outcomes
The expected outcomes of the assessment exercise are:

• To identify areas of strengths, best practices, gaps and challenges in each state
• To make recommendations to guide States and partners in targeting support for improvement
• To produce a scorecard as an advocacy tool for engaging policymakers including State Governors as well as other PHCUOR actors in all States to improve political commitment and funding for effective Primary Health Care (PHC) implementation to enhance the rapid achievement of Universal Health Coverage (UHC)
• To develop, print and disseminate a report that provides a guide for States and the FCT to request technical support from NPHCDA and partners to improve their performanceThe Scorecard 5 Assessment in every State will be carried out by a team of officers led by a Lead Assessor from Abuja, one NPHCDA State Coordinator and officer(s) from our partners. The assessment will cover the State Ministry of Health, the State PHC Board, three selected LG Health Authorities (LGHAs) and one PHC Centre in each of the three selected LGHAs in the State.
  PAS sub-grantees are part of the assessors that are currently working in the 8 states where the project is being implemented.
  A 2-day training supported by the PAS project was earlier carried out at the PAS training center for all the assessors from the 36 states and the FCT prior to the commencement of the national exercise on the 23rd of September 2019.