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| Evidence · Communities · Action |
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In this edition
Health in Motion
Five stories, from the last mile to the global stage
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Dear Reader,
What does it take to build a health system that works when people need it most? In this edition, we explore stories of communities speaking up, countries working across borders, Nigeria strengthening local health manufacturing, and health systems responding to emergencies. From the last mile to the global stage, these stories show how everyday actions can contribute to stronger, more responsive health systems.
We invite you to read, reflect and share these stories with others who care about improving health outcomes. Each story offers a lesson, a question or an opportunity to think differently about how we can build a healthier, more resilient Nigeria and Africa. We hope you enjoy this edition and join the conversation.
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Dr Mahmud Mustafa Zubairu
Head of Mission, C-WINS
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From the Head of Mission’s Desk
Keeping Health Systems in Focus
Health systems are tested not only by the scale of the challenges they face, but by how effectively they respond to the needs of the people they serve. In this edition, we reflect on a number of developments across Nigeria and Africa that point to an important direction for public health: stronger systems, greater local ownership and solutions that are designed around people.
The conversations at the 81st United Nations General Assembly reinforced the importance of preparedness, resilient health systems, sustainable financing, primary health care, community participation and equitable access to essential health products. For Nigeria, these priorities provide an opportunity to strengthen the foundations of health security by investing in systems that can prevent, detect and respond to health threats before they become emergencies.
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| Latest from C-WINS & the Health Sector |
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Global leaders at the UNGA81 High-level Meeting on Pandemic Prevention, Preparedness and Response. Photo credit: UN Photo/Mark Garten.
01 | From the Global Stage
From UNGA 81 to Nigeria: Turning Global Health Commitments into Stronger Systems
Preparedness cannot be switched on when an outbreak begins. It must be built into the everyday health system.
The Second High-Level Meeting on Pandemic Prevention, Preparedness and Response (25 September 2026) called for stronger surveillance, resilient health systems, equitable access to vaccines and medicines, sustainable financing, community participation and a One Health approach. For Nigeria, these are not distant global priorities.
| Nigeria in numbers |
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40%
Surveillance readiness score, half the 80% scored for laboratory capacity
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2.1M
Zero-dose children; about 2.8 million missed the measles vaccine
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>75%
Of health spending is paid out-of-pocket by households
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Sources: WHO 2024 IHR assessment; UNICEF 2024 analysis; African Health Observatory Platform.
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5
states, one emerging model of community ownership
Kaduna · Kano · Katsina · Kebbi · Sokoto
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02 | From the Last Mile
When Communities Ask, Health Systems Respond
The LHAATs changing last-mile health care
Change does not always begin with a new building, a new policy or a new programme. Sometimes, it begins with a community leader walking into a primary health care centre, asking a difficult question and refusing to leave the issue there.
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03 | Made in Nigeria
A New Generation of Mosquito Nets Is Now Being Produced Locally
Nigeria has commenced local production of next-generation dual-active ingredient insecticide-treated mosquito nets, marking a new step in the country’s effort to build domestic capacity for essential health products.
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Photo credit: Health Textiles Nigeria
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04 | Across Borders
One Border. Two Countries. One Goal.
Nigeria and Niger work together to keep children protected
At the Nigeria-Niger border, a national boundary does not necessarily define where people live, work or seek services. Nigeria and Niger are responding by making immunisation and disease surveillance a shared responsibility.
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05 | Emergency Response
When a Crash Happens, Every Second Counts
Rethinking emergency response in Africa
A vehicle loses control. A collision occurs. A life changes. Within minutes, what began as a transport incident becomes a public-health emergency requiring trained responders, timely communication, safe extraction, first aid, blood, trauma care and a functioning referral system.
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Quote of the Week
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The measure of our leadership will not be what we pledged in New York. It will be whether the woman in labour tonight sees the morning.
Dr Tedros Adhanom Ghebreyesus
Director-General, World Health Organization
UNGA81 Side Event, New York
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October
28
2026
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Coming Up
ICSA Biweekly Learning Series
Equipping frontline health workers with practical knowledge on essential health topics to strengthen service delivery at the last mile.
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Centre for Well-Being & Integrated Nutrition Solutions (C-WINS)
www.c-wins.org · info@c-wins.org
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