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Thematic Area 05

Public Health Accountability

Public health systems only work for communities when the money that funds them is traceable and the people who depend on them are watching.

CODE's health accountability work spans pandemic response, primary healthcare financing, and vaccine distribution, consistently asking the same question: did the resources allocated for people's health actually reach them? When the answer is no, we document it, report it, and organise around it until something changes.

We do not deliver health services. We make sure the institutions responsible for delivering them cannot hide when they fail.

By the Numbers

A decade of health accountability.

90

Health Centres Monitored

Primary Health Care Centres monitored across 15 states for COVID-19 vaccine readiness.

7

African Countries

Covered under the COVID-19 Transparency and Accountability Project.

1

Minister Discharged

Labour Minister discharged in Malawi following an FTM-triggered public audit.

19

Officials Arrested

Arrested in Malawi for alleged COVID-19 fund corruption.

1 MoU

Signed with NPHCDA

For expanded national health facility monitoring in Nigeria.

Featured Projects

Five signature programmes powering health accountability across Nigeria and Africa.

Project 01

COVID-19 Transparency & Accountability Project (CTAP)

Donor:Conrad N. Hilton Foundation & Skoll Foundation Duration:2021 to 2022

CODE tracked, monitored, and verified COVID-19 intervention fund spending across seven African countries, Cameroon, Gambia, Kenya, Malawi, Liberia, Nigeria, and Zimbabwe, driving real-time accountability for pandemic resources at a moment when oversight was most needed and least available. In Malawi, Follow The Money tracking directly triggered a public audit that led to the discharge of the Labour Minister and the arrest of 19 officials for alleged COVID-19 fund corruption. Across all seven countries, CODE tracked vaccine distribution and health messaging, and identified a finding that shifted the regional conversation on vaccine hesitancy, resistance stemmed not from lack of knowledge but from weak health governance and poor community trust, a policy insight that reached national governments and international health actors.

Project 02

Track-BHCPF, Tracking BHCPF, NCDC Gateway Funds for Health Security

Donor:Resolve to Save Lives Duration:February to July 2026

A focused accountability initiative tracking Basic Health Care Provision Fund disbursements at federal and state levels through the NCDC Gateway under BHCPF 2.0. The project strengthens accountability for primary healthcare financing in Nigeria and monitors how health security funds are accessed and utilised at the community level.

Project 03

Monitoring Primary Health Care Centres for COVID-19 Vaccine Readiness

Duration:2021

CODE assessed 90 Primary Health Care Centres across 15 Nigerian states, evaluating their readiness to host and administer COVID-19 vaccines. The report was submitted to the Vice President of the Federal Republic of Nigeria and the Director General of the NPHCDA, directly informing policy and leading to an MoU between CODE and NPHCDA for expanded monitoring of health facilities and programmes across the country.

Project 04

Promoting Transparency & Accountability in COVID-19 Intervention Funds

Donor:Oxfam Duration:April to July 2020

Strengthened Follow The Money champions on the iFollowTheMoney platform for evidence-based tracking and monitoring of health projects and COVID-19 intervention funds within communities, building the grassroots monitoring infrastructure that later scaled into CTAP.

Project 05

Strengthening State Capacities and Women's Participation in COVID-19 Response

Donor:UN Women Duration:2021

CODE promoted women's participation in Kaduna State's COVID-19 response and peacebuilding initiatives, engaging the Ministry of Health, Education, Gender Unit, Kaduna State Police Command, and the Emir of Zazzau to strengthen women's inclusion in response and recovery structures.

This work contributes to our SDG commitments

SDG 3

SDG 3

Good Health & Wellbeing

SDG 6

SDG 6

Clean Water & Sanitation

SDG 10

SDG 10

Reduced Inequalities

SDG 16

SDG 16

Peace & Justice

Hold health systems accountable, together.

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