In a study published in Health Security, Resolve to Save Lives and partners introduce a tool for assessing subnational health security in Nigeria that evaluates state-level capacities under the International Health Regulations (2005) (IHR). With input from public health leaders and legal experts, the team used a legislative evaluation to determine feasible IHR activities within state legal frameworks to inform the tool, which was then piloted in Kano, Enugu and Kebbi states. Using 35 indicators across 14 technical areas, the tool identifies gaps in capacities and opportunities for improvement planning at the subnational level. This approach offers a model for strengthening preparedness in federated systems and geographically diverse countries.
