In collaboration with the Federal Ministry of Health and Women for Health (W4H), MNCH2 supported the state to develop and harmonise the Zamfara State Health Strategic Development Plan II (ZSHSDP II) 2017-2021. The ZSHSDP11 was finalised on the 12th of October 2017. The 2018 State Annual Operational Plan for the health sector is linked with ZSHSDP 11. MNCH2 and SMOH involved key stakeholders such as Honourable Commissioner of Health, Permanent Secretaries, Ministries of Health, Finance, Budget & Economic Planning, Executive Secretary, State Primary Health Board, Secretary, Hospital Service Management Board (HSMB), Directors of Planning, Research & Statistics, Public Health, Pharmaceutical Services, Director of Budget (SMoBEP) and implementing partners-Save the Children and Women for Health(W4H) in developing the document. The plan is expected to serve as a guideline for stakeholders (Donors/MDAs) who have contributed and continue to contribute to health in the state. MNCH2 in collaboration with Federal Ministry of Health provided technical support in reviewing, developing and validating these proposes.