Development assistance for health has increased every year between 2000 and 2010, particularly for HIV/AIDS, tuberculosis, and malaria, to reach US$26ยท66 billion in 2010. The continued global economic crisis means that increased externalfinancing from traditional donors is likely to dwindle in the near term. Hence, innovative project implementation strategies must be deployed to sustain the gains made in global health and to achieve the health MDG Initiatives especially with the emerging burden from non-communicable diseases.


SHI is adept in designing and implementing performance-based financing programsthat achieve health impact, improve quality, strengthen health systems, and are effective at all levels of a health system.

SHI has the Capacity to deliver Performance Based Financing at various levels.



Our Performance-based financing strategies align donor initiatives with the Nigerian National frameworks such that Ministries, Departments and Agencies of government recognize health performance-based financing as part of a strong international movement towards more results-based and client-oriented public finance models inspired by the new public management model.

Learning from countries such as Burundi and Rwanda, were adopting performance-based financing led to a complete reconsideration of roles and functions in the health system. Our innovative reform packages will address the problems of low responsiveness, poor efficiency and inequity in the public health system.

The lessons learnt from these mechanisms will also be used to develop and expand innovative financing from international sources to address health needs in low-income and middle-income countries like Nigeria with the concomitant advantage of providing a level playing field for public, private-for-profit and not-for-profit facilities with enhances pluralistic growth of the health sector.