National Health Facility Survey 2016

The National Health Facility Survey (NHFS) 2016 builds on the service delivery indicator (SDI) surveys developed by the World Bank and on the Service Availability and Readiness (SARA1) developed by the World Health Organization (WHO). The objectives of this year‟s NHFS and subsequent NHFS‟s are to: 1) provide insights for managers so they can take specific actions to strengthen the health care system; 2) provide robust, independent, objective, and frequent data by which to track progress in improving the quality of health care in Nigeria; 3) make available information by which to benchmark the performance of States; and 4) provide the quality of care scores needed under Disbursement Linked Indicator (DLI) 2 of the Saving One Million Lives (SOML) Program for Results (PforR) which rewards States for improving the quality of care and health services provided at primary health care level. The 2016 NHFS provides the baseline against which to measure progress on DLI 2 in subsequent years.

Name of data collection activity

National Health Facility Survey

Year(s) of Implementation




Frequency of implementation


Geographical Coverage


States Implemented

Abia, Adamawa, Anambra, Akwa Ibom, Bauchi, Bayelsa, Benue, Borno, Cross River, Delta, Ebonyi, Enugu, Edo, Ekiti, Gombo, Imo, Jigawa, Kaduna, Kano, Katsina, Kebbi, Kogi, Kwara, Lagos, Nasarawa, Niger, Ogun, Ondo, Osun, Oyo, Plateau, Rivers, Sokoto, Taraba, Yobe, Zamfara, FCT

Program Area

Health Services

Target group/Population of Interest

Health workers

Population unit

Health facilities

Type of data collection activity


Sample size

3300 health facilities

Sampling procedure

The survey used a stratified simple random sampling technique to select the health facilities. All health facilities were disaggregated first by facility ownership (public and private), while public facilities were further disaggregated by facility type (health posts, health centers and hospitals). There was no further disaggregation of private health facilities by type because their classification is not as standardized as public facilities.
The random selection of Primary Health Facilities (PHFs) in each State, power calculations and facility replacement approach were finalized by the Bank‟s NHFS team. The sampling frame included all public PHFs and Secondary Health Facilities (SHFs) as well as private for profit and non-for-profit facilities in each State. The sampling design was such that six HP, 68 PHCs, 10 Private Health Facilities and six SHFs were randomly selected in each State adding up to 90 and bringing the total sample size to 3,300 for all 36 States and the FCT. The survey design incorporated the finite population correction during sample size determination and data analysis. All point estimates presented in this report are weighted. Sampling weights were created at the state, regional and national level and used for data analysis at each level respectively.

Data collection period

August 2016 – November 2016

Data collection tool


Implementing organization

  • Federal Ministry of Health, Nigeria

Collaborating organization

  • World Bank

Funding agency

  • Global Fund for AIDS, TB and Malaria (GFATM)
  • The World Bank
  • The Bill and Melinda Gates Foundation

Name of Contact Person

Ibrahim Kanna

Email Address of Contact Person

Webpage of data project/activity