In Nigeria, DISC Phase 1.0 revealed that donor-driven demand generation (DG) models, while effective in contributing up to 60% of self-injection uptake, were unsustainable once external funding ended. In response, DISC 2.0 was designed to embed DG within existing government structures, integrate with PHC services, and shift leadership to state and local actors for equitable and sustainable access.
This began with landscaping DG resources, followed by co-creation workshops with state and LGA health stakeholders. LGA teams led the selection and recruitment of IPC Agents, training, community orientations, and male engagement sessions. Facility providers conducted clinic events. LGA health teams were tasked with monitoring and reporting. DG activities were capped below 25% of supported health facilities for sustainability.
Between November 2024 and October 2025, LGA teams recruited 80% of IPCAs from existing structures (up from 20% in DISC 1.0), who monitored over 1,800 IPC sessions, 950 outreaches, and 2,900 clinic events. The IPCAs conducted community orientation sessions in 108 LGAs and 133 male engagement sessions in 70 LGAs. IPC mobilization days dropped from 8 to 2–4. Eight states developed integrated flipcharts; seven IVR messages were developed and translated; and adopted 1.0 jingles were promoted on community radios.
DISC 2.0 is demonstrating a viable pathway for SBCC programs by leveraging existing structures, transferring leadership to public sector actors, and reducing costs. Community-based sessions advanced trust and inclusivity, while capping DG activities promoted sustainability. The project looks forward to further strengthening national/state DG structures and system integration for continued momentum.
In Nigeria, DISC Phase 1.0 revealed that donor-driven demand generation (DG) models, while effective in contributing up to 60% of self-injection uptake, were unsustainable once external funding ended. In response, DISC 2.0 was designed to embed DG within existing government structures, integrate with PHC services, and shift leadership to state and local actors for equitable and sustainable access.
This began with landscaping DG resources, followed by co-creation workshops with state and LGA health stakeholders. LGA teams led the selection and recruitment of IPC Agents, training, community orientations, and male engagement sessions. Facility providers conducted clinic events. LGA health teams were tasked with monitoring and reporting. DG activities were capped below 25% of supported health facilities for sustainability.
Between November 2024 and October 2025, LGA teams recruited 80% of IPCAs from existing structures (up from 20% in DISC 1.0), who monitored over 1,800 IPC sessions, 950 outreaches, and 2,900 clinic events. The IPCAs conducted community orientation sessions in 108 LGAs and 133 male engagement sessions in 70 LGAs. IPC mobilization days dropped from 8 to 2–4. Eight states developed integrated flipcharts; seven IVR messages were developed and translated; and adopted 1.0 jingles were promoted on community radios.
DISC 2.0 is demonstrating a viable pathway for SBCC programs by leveraging existing structures, transferring leadership to public sector actors, and reducing costs. Community-based sessions advanced trust and inclusivity, while capping DG activities promoted sustainability. The project looks forward to further strengthening national/state DG structures and system integration for continued momentum.
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