Safety and Antimicrobial Resistance of Mass Administration of Azithromycin among Children aged 1–11 months in Nigeria (SARMAAN) Q1 White Paper

This white paper positions trust at the core of government strategy on child survival. It shows how citizens’ belief in state competence, clarity about what is being offered and why, and genuine household buy-in can accelerate progress on under-five mortality, or stall it.

Moving beyond generic calls for “sensitisation”, it offers a governance lens on trust: which institutions must be credible, which narratives must be consistent, and how states can design feedback loops that build confidence over time. For senior civil servants and political principals, the paper provides a rigorous, evidence-led case for integrating trust-building into planning, budgeting and performance management, not as a campaign add-on, but as a core governance function.