Every child in Northern Nigeria deserves to reach age five.
ICSA works with governments, communities and partners across Kaduna, Kano, Katsina, Kebbi and Sokoto to secure sustainable financing for PHCs operations, control malaria, protect mothers and newborns, and bring integrated primary health care to the last mile.
One dollar per child, every year, in every budget keeps PHCs running optimally.
Vaccines are increasingly paid for by Nigerian governments. ICSA advocates for a protected budget line for PHCs operations, worth at least USD 1 per under-five child in every state and LGA, and publishes what is released against what was promised.
Promises made in public, kept in public.
145 Local Health Accountability and Advocacy Teams, one in each local government area, score their facilities every month and sit across the table from the officials who can act. Every commitment is tracked here until it is verified or escalated.
Between two visits, Gwandu Marafa got a road, a borehole and staff housing.
What the LHAAT in Gwandu LGA, Kebbi State, found when it went back to a health facility it had visited before. Health workers, mothers, ward heads and officials tell the story of child survival in their own words, in stories collected by LHAAT community reporters.
A vaccine is only as good as the cold chain that carries it.
Emvolio mobile vaccine refrigerators, the CommCare digital reporting app and a public Power BI dashboard work together so that conditions in every supported health facility can be seen in real time, and a child’s first clinic visit is never wasted.
What the numbers say so far
Cumulative figures for April to October 2026 from the ICSA Project Dashboard (51 LGAs assessed · 2,481 facilities), as at 21 October 2026. Explore the full report on the ICSA Dashboard →
Four strategic priorities, one outcome: children who survive and thrive
Sustainable subnational financing
Increased, protected domestic investment in child survival and primary health care at state and LGA level.
Policy reform for integrated service delivery
Integrated PHC plans, a stronger health workforce through task-shifting, task-sharing and incentives, and functional technical working groups.
Community-led demand & accountability
Community platforms, traditional leaders and LHAATs driving demand and holding services to account.
Last-mile delivery
Dashboards, Emvolio, CommCare and learning clinics that reach children in hard-to-reach communities.
Progress, state by state
The health of our mothers and children is the health of Rigachikun. We will continue to tell our women to go for antenatal and postnatal. If anything is missing at the clinic, inform us and we will take it to the facility.
The Sarki of RigachikunTraditional leader, Igabi LGA, Kaduna State · at a meeting with the LHAAT team, 20 July 2026
News & announcements
Led by C-WINS, delivered together
Working with government institutions, community leaders, civil society, development partners and the private sector.
C-WINS
Centre for Well-Being and Integrated Nutrition Solutions · Kano and National level
NANA Girls and Women Empowerment Initiative
Community engagement and locally grounded implementation · Kebbi and Sokoto
ACOMIN
Civil Society in Malaria Control, Immunization and Nutrition · Kaduna and Katsina