This study analyzes public service delivery in primary health care in two states in Nigeria, Lagos and Kogi, to understand how budgeted allocations translate into actual service delivery, and to begin a process of exploring innovative institutional solutions to improving public accountability in the country. It focuses on three broad issues:

1. The flow of resources allocated in public budgets to the front-line service delivery agency, that is, the primary health care facilities
2. Analysis of provider behavior and provider incentives in shaping outcomes at the health facility level, and
3. The role of local governments and community participation in determining outcomes in public primary health care service delivery.

Related publications:

• Decentralized Delivery of Primary Health Services in Nigeria: Survey Evidence from the States of Lagos and Kogi, Africa Region Human Development Working Paper Number 70, June 2004
• Local Government Accountability for Health Service Delivery in Nigeria, Stuti Khemani, Journal of African Economies