EXECUTIVE BRIEF Ebonyi State IMPACT Healthcare Transformation Portfolio — Prepared for Gubernatorial Review
World Bank Supported Health System Strengthening

About IMPACT Project

Immunization Plus and Malaria Progress by Accelerating Coverage and Transforming Services (IMPACT) in Ebonyi State, Nigeria.

Official Background

A Strategic Health Partnership for Ebonyi State

The Immunization Plus and Malaria Progress by Accelerating Coverage and Transforming Services (IMPACT) Project is a five-year health system strengthening initiative supported by the World Bank. Implemented in Ebonyi State, Nigeria, the project supports the Government's effort to improve routine immunization, strengthen malaria prevention and treatment, revitalize Primary Health Care (PHC) systems, upgrade health worker capacity, and ensure high-quality healthcare delivery.

The project aligns strictly with National and State health priorities, directly contributing to reducing mortality among children under 5 and women of reproductive age, while promoting healthy living and wellbeing for the Ebonyi populace across all 13 LGAs.

Implemented in close partnership with the Ebonyi State Ministry of Health, Ebonyi State Primary Health Care Development Agency (EBSPHCDA), Local Government Health Authorities, 164 Primary Health Care Centers, Community Leaders, Ward Development Committees (WDCs), and Development Partners including WHO and UNICEF.

Revitalized PHC in Ebonyi

Statewide Scale

13 LGAs • 164 Supported PHCs • 353 Health Staff Absorbed into State Civil Service.

Systemic Innovation

Decentralized Facility Financing & Grassroots Governance

Empowering primary healthcare facilities with direct financial autonomy, participatory Ward Development Committees, and evidence-based decision making.

Direct DFF Financing

Direct fund disbursements into the bank accounts of 164 BHCPF facilities empowered local Officers-in-Charge and committees to address immediate facility needs, procure essential drugs, and maintain uninterrupted clinical workflows.

Traditional & WDC Leadership

Engaged traditional rulers (including HRH Eze Oketa, HRH Eze Charles Nkpuma, HRH Godwin Akpandu) and 164 Ward Development Committees to secure community ownership, combat vaccine hesitancy, and promote facility deliveries.

Environmental & Social Safeguards

Mainstreamed infection control across all 164 PHCs: 500 colour-coded waste bins, safe biohazard disposal, PPE equipment, and 164 Grievance Complaint Boxes ensuring citizen voice and rapid redress.

Specific Project Objectives

Key strategic objectives guiding the IMPACT Project implementation in Ebonyi State.

1

Strengthen Routine Immunization

Expand outreach sessions, eliminate zero-dose children in hard-to-reach riverine and border areas, and ensure vaccine cold-chain security.

2

Improve Malaria Control & Treatment

Procure and distribute Sulfadoxine-Pyrimethamine (SP) for IPT3, deploy rapid diagnostic test kits (MRDT), and ensure prompt ACT therapy for under-5s.

3

Revitalize Primary Healthcare Facilities

Revitalize 25 model PHCs and renovate 145 facilities with solar lighting, clean motorized water boreholes, staff quarters, and patient sanitary amenities.

4

Advance Diagnostic Capacity

Procure, install, and operationalize 2 MRI scanners and 1 modern CT scanner at the Ebonyi State Diagnostics Center, Oferekpe, backed by dedicated solar power.

5

Capacity Building & Workforce Retention

Train over 600 healthcare workers and achieve civil service absorption for 353 Skilled Birth Attendants and adhoc health personnel.

6

Health Data Digitalization

Distribute 164 laptops with data allowances to 164 PHCs, driving DHIS-2 reporting completeness to 97.13% and timeliness to 96.58%.

Our Project Leadership

Meet the Team Behind IMPACT Ebonyi

Our dedicated multidisciplinary team of 12 healthcare specialists, technical engineers, and project leaders driving sustainable health transformation across Ebonyi State.

NWOFOKE IFEANYI E
Project Management Unit

NWOFOKE IFEANYI E

IMPACT Project Manager

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EZE ROSELINE
Project Management Unit

EZE ROSELINE

IMPACT Deputy Project Manager

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UTARA MARIA
Finance & Accounts

UTARA MARIA

IMPACT Project Accountant

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OMOHA BARTHOLOMEW. S
Procurement Unit

OMOHA BARTHOLOMEW. S

IMPACT Procurement Officer

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ABAH ALFRED
Logistics & Operations

ABAH ALFRED

IMPACT Project Logistics Officer

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IBEH MARYJANE
Monitoring & Evaluation

IBEH MARYJANE

IMPACT Monitoring and Evaluation Officer

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KALU OGBONNAYA
Case Management

KALU OGBONNAYA

IMPACT Case Manager Immunization

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OWO FREDRICK
Internal Audit

OWO FREDRICK

IMPACT Project Internal Auditor

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ONU AMA OKORO
Finance & Accounts

ONU AMA OKORO

IMPACT Assistant Project Accountant

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OGBAGA OBINNA
SBCC & Communications

OGBAGA OBINNA

IMPACT Social and Behaviour Change Communication Officer

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SUNDAY NWONU
Environmental Safeguards

SUNDAY NWONU

IMPACT Environmental Safeguard Officer

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NKWUDA EMMANUEL
Social Safeguards

NKWUDA EMMANUEL

IMPACT Social Safeguard Officer

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