Borno State

Borno State (Home of Peace)

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Where We Are

Borno State was created from the Northeastern State with the capital in Maiduguri in 1976. With a growth rate of about 3.0%, the current population in the State is estimated at about 4.5 million (2006 census). The population of children under five years of age is estimated at about 907,224 (20% of the total population). The State shares borders with Cameroon and Chad to the East, and Niger Republic to the North. Borno State has 27 Local Government Areas (LGAs). The State belongs to a zone with one of the worst mortality indices in the country. Infant Mortality stands at 109/1000LB while under five Mortality is 222/1000LB. Maternal Mortality ratio is taken as 545/100000LB . Within the Health Sector, the state has 32 General Hospitals, 1 Specialized hospital and 1 fully equipped hospital with a combined bed capacity of 3430 beds [name and type of level of care].

The University of Maiduguri Teaching Hospital has 1000-bed capacity, the Neuropsychiatry Hospital,100-bed capacity and the Police Hospital, 30 bed capacity. There are about 449 PHC facilities owned by LGAs consisting of Primary Health Centre (48), and Health Clinics (140), Dispensaries and Health Posts (195) and Maternal & Child Clinics (34). In addition, there are 36 private health clinics, and three Missionary/NGO owned clinics. (State Strategic Health Development Plan (2010-2015)).

Quality of Care (QoC) initiative was launched in the state in 2022 and has expanded to 121 healthcare facilities.

BORNO Map

Health Facilities in Borno State

436

Health Facilities *

388

Public 
Facilities

48

Private 
Facilities

379

Primary 
Facilities

55

Secondary 
Facilities

2

Tertiary 
Facilities

QoC Facilities

9

Learning Sites
(Initial)

9

QoC
Sites

Others

122

BHCPF Sites **

21

LGAs **

122

Wards **

Data Sources: 

Nigerian Health Facility Registry

** National Primary Health Care Development Agency (NPHCDA)

Facts and Achievements

  • In 2022, the Quality of Care (QoC) initiative was launched in the Borno state with the aim of improving Reproductive, Maternal Newborn, Child Health, Adolescent and Elderly Health plus Nutrition (RMNCAEH+N) healthcare standards.
  • A thorough baseline assessment was conducted, revealing that the 19 indicator stood at less than 30%, indicating room for improvement.
  • The governance structure of QoC operates at the state level, with State Level Technical Working Group (TWG) overseeing the coordination of entities LGA Health Authority.
  • Since its inception, the initiative has expanded its reach to encompass 121 healthcare facilities, enabling a broader impact on the state.
  • QoC has received invaluable support from partners such as IRC, UNICEF, WHO, who share the vision of advancing quality care in the state.
  • The state commenced operationalization of  the Basic Health Care provision under (BHCPF) in 2021
  • So far 441  Health facilities in the states , out of the target  121 receive quarterly funds disbursed as Direct Facility Financing, through the BHCPF.
  • Quality Assessment (QA) of the health facilities (HFs) was conducted in the previous quarter  to track progress across 10 priority areas , ensuring judicious use of the health facility funds.
  • A score card is generated following each quarterly Quality Assessment (QA).
  • The progress of QoC is closely monitored through the tracking of 30 different indicators, ensuring continuous improvement in healthcare outcomes.
  • To distill the essence of QoC’s impact into a concise format, a scorecard has been developed, focusing on three critical indicators: Maternal health, New born health, and data management.
  • Since 2022, the Quality Improvement (QI) teams has played a vital role in implementing strategic goals and driving positive change within the QoC framework.

Success Stories

Success Stories (1)

Commitment by current administration has led to prompt release of PHC MoU Fund by the State Governor. Furthermore, the Honorable Commissioner for Health (HCH) and Permanent Secretary (PS) do regularly participate in all meetings and validation of data at the Emergency Operation Center (EOC). In addition, the Executive Director (ED) leads all partners’ program intervention ensuring that the state takes ownership. So far, 60 midwives were engaged, trained and were posted to Basic Health Care Provision Fund (BHCPF) health facility. Through the BHCPF support, monthly payment of 558 Community Health Influencers & Promoters Services (CHIPs) agents and 92 supervisors are paid in the state. Quarterly Direct Facility Funding (DFF) disbursement to 121 BHCPF Health facilities for Quarter 1,2,3 and 4, 2022 and Quarter 1 and 2 in 2023 was successfully completed and 27 LGAs BHCPF desk officers were identified and trained.

~ Individual/Group Narrator

Success Stories (2)

The state has identified 27 LGAs BHCPF desk officers who have been trained on quality improvement. In addition, all the 121 BHCPF Health facility Quarter 2, 2023 Business plan have been submitted. The 2022 Annual quality improvement plan has been distributed to all 121 HFs across 21 LGAs with health facility PHC data validation conducted monthly in all health facilities (HFs),

~ Individual/Group Narrator

Voices from the Field

Score Cards

INDICATORS

DEFINITION

Q3 2022

Q4 2022

Q1 2023

Q2 2023

Total number of maternal deaths across learning sites in the State

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Total number of neonatal deaths in learning sites in the State

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Total number of U5 deaths in learning sites in the State

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Total number of stillbirths at learning sites (disaggregated – fresh/macerated)

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Total number of facility reporting experience of care

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Borno State Specific Data And Information

Lessons Learnt From Borno State QI Implementation

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Title Of The Report Will Appear Here

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Borno State Related Events

Gallery

Take A Tour On Happenings And Events Carried Out For Quality Of Care In Borno State

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