09/04/2026
The first day of the Capacity Strengthening Workshop on Public Financing for Non-Communicable Diseases (NCDs) and the Implementation of NCDs National Multisectoral Action Plan (MSAP), held on April 8, 2026, focused on establishing the urgency of the NCD crisis in Nigeria and identifying the systemic gaps in how these diseases are funded.
• Participation: The workshop saw attendance from 14 Ministries, 13 agencies, the National Assembly, and various development partners.
• A "First" for Nigeria: The event was recognized as one of the country's first dedicated workshop focusing specifically on public financing for NCDs.
Technical Insights: Burden and Financing Gaps
• Rising Trends: Technical presentations highlighted cardiovascular diseases, diabetes, and cancers are driving a significant financial burden on households.
• The "6% Gap": Despite recent increases, NCD funding accounts for only about 6% of the total health budget, which is disproportionately low compared to the actual disease burden.
• Systemic Bottlenecks: A Capacity Needs Assessment across 27 MDAs revealed low budget alignment with the NCD Multi-sectoral Action Plan (MSAP), poor fund release, and a lack of transparent financial tracking systems.
Advocacy and Implementation Strategies
• Political Economy Analysis (PEA): Professor Emmanuel Alhassan (GHAI) emphasized that advocacy must move beyond "appropriation". Success depends on understanding power dynamics to ensure actual fund releases and cash-backing.
• Tracking Tools: To improve accountability, the workshop introduced the NCD Budget Tracker to enhance transparency in how funds are managed across sectors.
• Sectoral Roadmaps: Participants engaged in group work to develop actionable roadmaps for 2026, aiming to optimize budget performance within their respective MDAs.
Key Takeaways
• Budget ex*****on is just as critical as budget allocation; simply having a line item is not enough.
• Effective NCD response requires multisectoral collaboration across finance, education, and agriculture, rather than viewing it solely as a health ministry issue.
The day concluded with a call to translate these technical discussions into actionable outcomes to improve NCD financing and patient results in Nigeria.