How we work

Advocacy, community engagement and practical support, in three phases

ICSA combines national and subnational advocacy with community engagement and practical service-delivery support. Its implementation approach is organised around three phases, each building on the last.

Phase 1 · May to October 2026

Start-up and baseline

Establishing project systems, developing advocacy briefs, conducting baseline activities and forming Local Health Advocacy and Accountability Teams (LHAATs) in 50 local government areas.

Men and women seated outdoors in a community consultation meeting in Kaduna, some holding pens and papers
Kaduna · community consultation. Photo: mk_photoz / Pexels
A large outdoor community gathering in Kaduna in traditional dress
Kaduna · community gathering. Photo: mk_photoz / Pexels
Phase 2 · July 2026 to December 2027

Full rollout

Expanding integrated service-delivery approaches, strengthening digital tools, engaging corporate social responsibility partners, and supporting community-led advocacy and accountability.

Phase 3 · January to November 2027

Institutionalisation and exit

Promoting sustainability planning, documenting lessons, and identifying approaches that can be institutionalised and scaled to sustain results beyond the project period.

A health worker with a stethoscope examines a patient at an outdoor community clinic in Kaduna
Kaduna · community health outreach. Photo: mk_photoz / Pexels
Health workers talk with village children during a community health visit in Gombe
Gombe · community health visit. Photo: Adamu Galadima / Pexels (illustrative)
Across every phase

Evidence, dashboards and learning

Performance dashboards for every state, structured learning clinics and quarterly reviews keep advocacy grounded in data, and make sure what is learned at the last mile shapes policy at the top.

From evidence to a kept promise

How a commitment moves

1

Evidence gathered

A LHAAT scorecard flags a gap at a facility.

2

Commitment secured

At the monthly review, the responsible office commits to act by a named date.

3

Published

Commitment, owner and due date appear on the tracker within 48 hours.

4

Verified or escalated

The LHAAT verifies delivery, or the issue is escalated to the state with public notice.