Restructuring and repositioning the Jigawa State Ministry of Health – Nigeria
Health Partners International supported the State Ministry of Health (SMOH) in Jigawa, Nigeria, to look at options for restructuring and repositioning itself following the establishment of a new district health system. This is known locally as the ‘gunduma’ health system.
As a result:
an integrated and decentralised health system has been established
responsibility for all aspects of service delivery has transferred to the Gunduma Management Team.
This process created the need for the ministry to reposition itself, taking on a stewardship role, with considerably more focus on policy development, macro-planning, regulation and sector financing.
We facilitated a process whereby key stakeholders within the SMOH, the gunduma and related ministries and departments considered a number of different restructuring options to decide which fitted best in the Jigawa context.
Building consensus around the need to reposition the ministry has been the first step in what is likely to be a long process of change.