Nigeria

We work with state governments to strengthen health delivery and expand essential services across some of Nigeria’s most challenging contexts.

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more children vaccinated

57%

more children vaccinated

Kano State health teams expanded outreach sessions by 124%, driving a significant increase in children vaccinated across 15 target areas.

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health facilities with more essential medicines and equipment

76%

health facilities with more essential medicines and equipment

Sokoto State's performance management framework drove targeted fixes across its primary healthcare facilities, lifting delivery room functionality from 53% to 65% in eight months.

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increase in women using modern contraception

125%

increase in women using modern contraception

Sokoto State public health leaders more than doubled family planning adoption in just eight months.

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Spotlight Impact

The Government of Sokoto State used a data-driven approach to increasing family planning, driving a 24% increase in modern contraception uptake to over 52,000 women and a 33% surge in first-time users in just six months.
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Our Insights

How Zamfara overcame the odds to boost child immunisation
How Zamfara overcame the odds to boost child immunisation

September 30, 2026

3 min read

Delivering vaccines in Nigeria’s Zamfara State means racing against both time and terrain. When seasonal rains turn dirt roads into rivers, or securit…

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How Sokoto is transforming routine immunisation from the ground up
How Sokoto is transforming routine immunisation from the ground up

August 19, 2026

3 min read

Understanding why routine vaccination stalled in northern Nigeria requires a look at what happens on the back roads of Sokoto. Failure is rarely a cas…

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Facing the uncomfortable truth for mothers in Nigeria
Facing the uncomfortable truth for mothers in Nigeria

April 9, 2026

3 min read

In late 2025, a senior health official in Sokoto was shown a series of photos from a local health clinic. He saw a rusted delivery bed and a room with…

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When being near a clinic isn’t enough
When being near a clinic isn’t enough

March 10, 2026

3 min read

In July 2025, a senior public health leader in Kano, Nigeria, sat before a screen flashing red. The data revealed an uncomfortable truth: two urban ar…

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Reaching children living with HIV in Nigeria
Reaching children living with HIV in Nigeria

February 3, 2026

4 min read

Children and adolescents living with HIV in Nigeria face a six- to eight-fold higher risk of developing cervical cancer. Protecting them against HPV –…

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The best innovation isn’t always tech. Often, it’s human.
The best innovation isn’t always tech. Often, it’s human.

August 28, 2025

2 min read

It makes sense to associate innovation with technology. But in the toughest settings, the most creative solutions are those that empower, recognise, a…

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Reaching children in security-compromised areas of Nigeria
Reaching children in security-compromised areas of Nigeria

August 20, 2025

3 min read

Last month in Zamfara, Nigeria, a vaccinator prepared to visit a remote village, where most children had never received a single vaccine. Local contac…

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Doing big things, fast: how scaling with urgency drives breakthroughs
Doing big things, fast: how scaling with urgency drives breakthroughs

July 18, 2025

3 min read

In March 2020, the world locked down overnight. No pilots. No randomised controlled trials. Just bold action in the face of uncertainty. Because the s…

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Delivery is a skill. And it can be learned.
Delivery is a skill. And it can be learned.

July 10, 2025

3 min read

In March 2024, Ethiopia launched its first single-dose HPV vaccine campaign. This was a huge first step for preventing cervical cancer in the country.…

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Too much data, too little insight: what governments need to improve health outcomes
Too much data, too little insight: what governments need to improve health outcomes

June 26, 2025

4 min read

In 2022, Dr. Azra Pechuho, Minister of Health in Sindh, Pakistan, reviewed data suggesting maternal health facilities across the province were functio…

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Building political commitment to deliver, sustain and scale change
Building political commitment to deliver, sustain and scale change

June 6, 2025

4 min read

Adversity doesn’t stop leaders. It reveals them. When systems are strained and budgets tight, political commitment makes the difference between well-i…

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Solutions to deliver more HPV vaccines to girls
Solutions to deliver more HPV vaccines to girls

July 11, 2024

2 min read

Even where the demand for HPV vaccines is high, opportunities are being missed to vaccinate girls. But there are ways to ensure girls receive the vacc…

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Increasing the demand for HPV vaccines
Increasing the demand for HPV vaccines

July 10, 2024

2 min read

Only one in eight girls globally are vaccinated against HPV. There are various ways to raise the demand. A single vaccination can protect girls a…

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Increasing demand for immunisation
Increasing demand for immunisation

December 2, 2022

3 min read

Hesitancy around vaccination is a growing challenge across the world. Our most recent data from Africa shows 72% of individuals expressing hesitation…

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Mitigating learning losses after Covid-19
Mitigating learning losses after Covid-19

June 8, 2021

2 min read

Even before the Covid-19 pandemic, nine out of ten children in Sub-Saharan Africa were unable to read and understand a simple text by the age of ten.…

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Our People

Folake Oni

Folake Oni

Project Director | Nigeria

Dr. Folake Oni is a Project Director for Nigeria, leading complex, high-impact initiatives in collaboration with governments, donors, and development partners. Prior to…

Salamatu Yunusa Yaradua

Salamatu Yunusa Yaradua

Project Director | Nigeria and Malawi

Salamatu Yunusa Yaradua is a Project Director at Acasus based in Abuja, leading the organisation’s work across Nigeria and Malawi. Her role centres on partnering with…

Syed Akber

Syed Akber

Project Director | Nigeria, Chad, and DRC

Syed Akber is Project Director at Acasus, where he leads teams delivering large-scale public health and education reform. His work centres on primary health care,…

WHAT WE DO

Our Work

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

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