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Ongoing

PINNS 3.0: Partnership for Improving Nigeria Nutrition Systems

The third phase of CS-SUNN's flagship programme drives multiple micronutrient supplement (MMS) scale-up, deepens domestic accountability for nutrition spending, and extends Nigeria's model to Kenya, Tanzania and Ethiopia.

Why it matters

Anaemia in pregnancy is a governance problem as much as a health one

Proven interventions such as MMS only reach women when they are written into guidelines, funded in state budgets and delivered through public facilities. PINNS 3.0 works on all three.

4.6 million pregnant women in Nigeria living with anaemia Source: CS-SUNN Knowledge Series, 2026
Results

What has changed since 2025

MMS in national ANC guidelineA dedicated nutrition chapter now sits in Nigeria's antenatal care guideline.
Free MMS in KanoKano committed to free MMS in every public facility, guided by Nigeria's first state MMS roadmap (2025–2029).
₦400m more for Kaduna's CNFA fresh 2025 commitment to the Child Nutrition Fund for all 23 local government areas.
6 Kaduna MDAscommitted by the Head of Service to set up dedicated nutrition departments.
5 months' maternity leaveNasarawa's public service rules updated to 112 working days.
Costed annual plans2025 and 2026 nutrition Annual Operational Plans developed with focal states.
Lagos nutrition budgetA historic increase in Lagos State's domestic nutrition allocation.
East Africa alliancesGovernance and advocacy support for SUN CSAs in Kenya, Tanzania and Ethiopia.
Source: PINNS 3.0 Impact at a Glance and Knowledge Extraction Report, June 2026
How we worked

Evidence, champions and follow-up

  1. State-specific data creates urgency with policymakers at pre-budget meetings.
  2. Breakfast meetings and advocacy visits in the same week secure commitments from Commissioners and Permanent Secretaries.
  3. Budget tagging and scorecards let governments track nutrition spending after donor funding ends.
  4. South-South learning carries what works in Nigeria to alliances in East Africa.
What we learned
MMS is the next governance frontier.Guidelines, roadmaps and funded procurement must move together.
Nigeria leads regional learning.Systems built over three PINNS phases transfer to other SUN alliances.
Budget tagging creates accountability.States can account for nutrition investment independently of donors.

Knowledge products from this project

All resources

Where this project worked

BauchiKadunaKanoLagosNasarawaNiger
October 2021 to January 2025 · Gates Foundation (INV-035368)

PINNS 2.0: Partnership for Improved Nigerian Nutrition System

Nutrition budgets rose in all five states; 27 State Houses formed nutrition committees.

View project page 2018 to 2021 · Gates Foundation (INV-009867)

PINNS 1.0: Partnership for Improving Nigeria Nutrition Systems

Nutrition policies, costed plans and the first dedicated budget lines in five focal states.

View project page

Talk to the PINNS team

For partnership, data requests or media enquiries about this programme.

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