Despite some progress in Nigeria’s immunization program, the country still struggles with low coverage, achieving only 57%, far below the Global Vaccine Action Plan target of 80%. Moreover, Nigeria accounts for the highest number of zero-dose children in Africa, highlighting the need for urgent intervention to improve immunization rates.

The Learning Agenda on HRH/SBA solutions was initiated to address critical gaps in Nigeria's Human Resources for Health (HRH), especially at the primary healthcare (PHC) level. Nigeria faces a significant HRH crisis, with shortages, inequitable distribution of healthcare workers, and poor retention of skilled birth attendants (SBAs). These challenges contribute to high maternal and infant mortality rates, undermining the healthcare system’s ability to deliver quality services.