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Simon Health Initiative Report Launch

Public Finance Management & Health

The Effect of Budget Failures on The Health of Citizens and General Well-Being in Africa.

Thursday March 12th, 2026 | 11am

Entrepreneurship and Skills Development Center, University of Lagos

Professor Adebisi Sunday
Director Entrepreneurship and Skills Development Center
Dr Cole Adeife
Consultant Deramtologist, Losuth
Iyanuoluwa Bolarinwa
Founder, Simon Health Initiative (SHIAFRICA)
Dr Olusina Ajidahun
Cofounder, PRIV Health

Strengthening Health Systems Through Accountability

We turn research into reform by empowering citizens,
strengthening institutions, and shaping evidence-based policy across Africa.

SHIAfrica is a civil society organization focused on strengthening health systems through research, policy engagement, and community accountability.

We work at the intersection of health, governance, and accessibility to ensure public institutions deliver equitable and transparent services to all communities across Africa.

What Is SHIAfrica?

SHIAfrica is a civil society organization focused on strengthening health systems through research, policy engagement, and community accountability.

We work at the intersection of health, governance, and accessibility to ensure public institutions deliver equitable and transparent services to all communities across Africa.

Our Impact at a Glance

Each Initiative is guided by evidence, accountability, and long-term systems change.

Ongoing Initiatives

5+

Policy engagements and advocacy actions

100+

Partner organizations and institutions

10+

Thousands of community members reached through programs

5000+

Core Pillars
Health

We promote equitable access to quality healthcare by supporting community-driven initiatives, research-informed interventions, and system-level reforms that improve service delivery.

Accountability

We strengthen transparency and governance by amplifying citizen voices, promoting independent monitoring, and advancing policies that hold institutions responsible for results.

Accessibility

We advocate for inclusive systems that remove structural barriers and ensure health services are reachable, affordable, and equitable for vulnerable populations.

Advocacy

Expand access to essential services by reducing geographic, financial, and social barriers to healthcare for vulnerable populations.

Ongoing Initiatives

Focused initiatives delivering measurable impact across communities.
Access to essential health and social services is a fundamental component of individual well-being and community development. Yet many people across Africa continue to
3 min read
March 7, 2026
Accountability is essential for building a healthcare system that people can trust. In many parts of Africa, challenges such as limited oversight, inefficient resource
3 min read
March 7, 2026
Access to reliable primary healthcare remains a major challenge in many African communities. For millions of people, especially women and children, basic health services
3 min read
March 7, 2026

Research and Publications

Evidence from communities and health systems to guide better care.

.Public Finance Management (PFM) is the foundation of the modern system of governance, which entails the mechanisms by which governments seek, distribute, and use

Policy Analysis

Expert insights shaping conversations on health governance, accountability, and accessibility.

Abstract Access to essential health services is a fundamental pillar of effective healthcare systems and a core objective of universal health coverage. However, millions
Abstract Community-based primary care models play a critical role in improving access to healthcare, particularly in underserved and rural communities. These models bring essential
Abstract Transparent and accountable public health financing is essential for building effective healthcare systems and improving population health outcomes. In many low- and middle-income

Blog Insights

Commentary, research updates, and reflections on health system reform across Africa.

What is “Stress at Work”? Stress at work is more than just a bad day; it is a state of mental and physical strain
3 min read
March 8, 2026
Lassa fever is a dangerous virus spread by rats that attacks the body’s blood vessels and often causes uncontrolled bleeding from the nose, mouth,
3 min read
March 4, 2026

Testimonials

Stories and reflections from beneficiaries, partners, and supporters impacted by our work.

Dr. Musa Abdullahi
Medical Officer

After SHIAfrica’s facility scorecard project was introduced in our district, patient waiting times dropped by about 30% within six months. The feedback sessions helped our clinic reorganize staff schedules and improve triage.

Garki Primary Health Centre
Abuja, Nigeria
Aisha Bello
Community Health Advocate

Using SHIAfrica’s accountability toolkit, our community health committee documented stock-outs across five clinics and submitted reports to the local authority. Essential medicine availability improved in three facilities within one quarter.

Wuse Community Health Committee
Abuja, Nigeria
Rosemary Carter
Program Manager

Through SHIAfrica’s access mapping project, we identified underserved wards and worked with partners to open two outreach clinics. The number of women receiving antenatal care in these areas increased by an estimated 40% within eight months.

Northern Women’s Health Initiative
Zaria, Nigeria
Daniel Okoye
Health Policy Analyst

SHIAfrica’s policy briefings helped our team integrate citizen feedback into our 2024 maternal health plan. We now hold quarterly public forums, and attendance has increased from fewer than 20 participants to over 80.

Anambra State Ministry of Health
Awka, Nigeria

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Quick Answers About SHIAfrica

Find clear, concise answers about our work, impact, and how you can support our mission.

We focus on health system strengthening through research, policy advocacy, and citizen engagement.

You can support our work by donating, partnering with us, or subscribing to our newsletter.

Yes. We support community monitoring initiatives and policy engagement programs across multiple regions.

Visit our Contact page to submit a partnership inquiry.

All reports and policy briefs are available in our Research section.