Kebbi State

Established in 1991, Kebbi State, with a population of 3,238,628 according to the 2006 census, comprises 21 Local Government Areas (LGAs) and 225 political wards organized across four Emirate Councils: Argungu Emirate, Gwandu Emirate, Yauri Emirate, and Zuru Emirate. The state’s health infrastructure includes one tertiary hospital, 32 secondary health facilities, 124 Primary Health Care (PHC) centers, and 584 clinics.

However, the healthcare system faces significant challenges due to an expanding population, decaying physical facilities, outdated equipment, and a shortage of skilled health professionals. Coordination issues among stakeholders and a lack of data further hinder evidence-based planning, policy formulation, resource allocation, and health system management.

Kebbi State grapples with a high maternal mortality rate, where approximately one mother dies in every one hundred births, often occurring at home without proper care. The under-5 mortality rate and adult mortality rates are also above average, exacerbated by increasing poverty and economic challenges. In response, the Quality of Care (QoC) initiative was launched in 2018 to enhance Reproductive, Maternal, Newborn, Child, Adolescent, and Elderly Health plus Nutrition (RMNCAEH+N) standards. Starting with 18 learning sites, the QoC initiative has expanded to 106 sites in 2021 and, as of January 2023, includes an additional 54 facilities, focusing on global network MNH indicators and the use of Partograph. In total, Kebbi State now boasts 160 QoC sites, comprising 106 advanced sites and 54 new sites.