What we do & Recent Projects

  1. Design and implementation of household, community and facility surveys

We design and implement surveys at appropriate levels of analysis. In doing this, we believe that the effectiveness of any policy or program depends crucially on the quality of the evidence and appropriateness of the framework and assumptions on which its implementation is based. Therefore we exert considerable efforts at the conceptual, design and survey stages of our research, and impose stringent quality control and consistency criteria in data validation.

  1. Feasibility Studies of Programs and Interventions

We provide analysis of potential economic, financial and social benefits and costs of programs and interventions. This includes mapping and analyzing the status and behavior of intended beneficiaries of interventions, and using the information to estimate the value (or willingness-to-pay) of the interventions to beneficiaries. This is compared with the evaluated costs of the interventions. In addition, the analysis identifies efficient institutional design or arrangement needed for sustainability of the intervention and assesses the existing institutions in relation to the efficient design.

  1. Design and costing of healthcare benefits packages

We estimate and analyze the resource requirements, both direct and indirect, to the provision of defined healthcare packages. We implement primary surveys to collect all relevant data to the delivery of the services, and employ procedures that incorporate potential challenges associated with the institutional environment such as wastages and leakages.

  1. Cost-Benefit and Cost-Effectiveness Analysis of Projects and Interventions

We evaluate and translate into monetary terms all program costs, including environmental, social and other impacts of the program, and compare these with program benefits. We also conduct the least-cost analysis to identify the most cost-effective strategies and mechanisms for achieving program objectives.

  1. Operations research services, Impact assessment and program evaluation

We develop monitoring and evaluation frameworks for program implementation, conduct implementation research, institute regular/periodic assessments and evaluations both to measure impact and to inform course correction, and deploy appropriate management information systems in the process.

  1. Evaluation of sustainability of development programs

We evaluate the sustainability of development programs along the dimensions of programmatic sustainability, technical sustainability, financial sustainability and community participation and ownership.

  1. Economic and financial modeling of public programs

We undertake expanded feasibility assessment of programs by estimating the economic and financial implications by modeling different scenarios of uptake of the proposed services and different mechanisms of delivery, and estimating the associated levels of expenditure over a medium-to-long term horizon. The affordability question is subsequently addressed by estimating the anticipated flow of resource into the program and drawing the financial implications of the gaps and analyzing options to address them.

  1. Analysis of fiscal space for implementation of public goods programs

We conduct these studies to provide policymakers and stakeholders the financial implications of proposed public programs and the capacity of government to address or absorb them. We identify resources that can be dedicated to the programs given extant laws and institutions, estimate the resource gaps and proffer options for financing the gaps to policymakers for deliberations.

  1. Estimation of health accounts at national and state levels

Health accounts are indispensable to health financing policy. We provide technical support to federal and state ministries of health in resource tracking and estimation of health expenditures from all participants in the health system.

  1. Research-to-policy engagement

We translate evidence derived from rigorous research findings into policy briefs and other dissemination materials that are friendly to all stakeholders. We organize dissemination meetings and dialogues to present the findings to stakeholders and interested members of the public including the academia. The public events provide inputs into further and continuous engagement on the policy issues.

  1. Capacity Building Services

We provide capability-building services in health economics based on the foundations of competitive and efficient health systems and evaluation of existing systems in relation of the efficient systems; and support development of competencies in health systems, health financing and health technology evaluation. We also offer capacity building in monitoring and evaluation.


1 Save the Children, Nigeria Conducted a study of Positive Deviance factors in Routine Immunization in Northern Nigeria and a Cost-Benefit Analysis of the National Health Bill to aid Presidential Assent.
2 EU Prime/ National Primary Healthcare Development Agency (NPHCDA) Conducted a study to determine the cost of a fully immunized child in Nigeria and to develop cost projections for routine immunization at federal, EU-PRIME focal states and LGA levels.
3 PEPFAR Nigeria/ NACA /Result for Development (R4D) Institute Washington DC This project involves design of simplified expenditure tracking template for HIV/AIDS and integration with District Health Information System (DHIS). The focus of the project was to facilitate joint annual review of HIV/AIDS by the counterparties.
4 Oxford Programme Management (OPM), London The objective of the evaluation was to determine the impact of Working to Improve Nutrition in Northern Nigeria (WINNN) and to generate important research on key existing evidence gaps in proffering solutions to undernutrition in northern Nigeria
5 USAID Health Finance and Governance Project, Nigeria Fiscal Space Analysis for Implementation of State Health Insurance Schemes and Estimation of Household Healthcare Expenditure for Health Resource Tracking in Lagos, Cross River, Akwa Ibom, Sokoto and Bauchi States
6 USAID Health Population and Nutrition Program, Nigeria Studies on Public Health Sector Economic and Financial Management in Bauchi and Sokoto States
7 World Health Organization (WHO) Public Sector Budgeting and Human Resources for Health in Bauchi and Cross River States
8 International Finance Corporation (IFC)/World Bank Economic and Financial Modeling of the Proposed State Health Insurance Schemes (SHIS) in Nigeria
9 DFID/PATHS2 Estimation of Lagos State Health Accounts  2013
10 Management Sciences for Health Feasibility Studies On Community Based Insurance Scheme and Health Facility Assessment
11 National Health Insurance Scheme (NHIS) Development of Business Plan to Achieve Universal Health Coverage in Nigeria; Feasibility studies on Vulnerable Group Social Health Insurance Feasibility in 8 States of Nigeria; and Feasibility Studies on Community-Based Insurance Scheme in 36 States of the Federation and FCT
12 WHO/Global Fund/ Federal Ministry of Health Estimation of National Health Accounts for 36 States of the Federation and FCT for the period 2010-2014
13 Vesta Healthcare Partners UK Limited/Accenture, Nigeria Modelling and simulation to address salient questions about pathways to financing universal health coverage in Nigeria