With funding from the Bill and Melinda Gates Foundation (the Gates Foundation) via the Global White Ribbon Alliance, in 2015 WRA Nigeria began a three-year campaign in three local government areas of Niger State—Chanchaga, Lapai, and Wushishi—to increase citizen-led accountability for maternal, newborn, and child health. WRA Nigeria received a three-year reinvestment from the Gates Foundation in 2018, which included expanding activities to an additional three local government areas: Agwara, Mariga, and Bosso. The campaign is multi-pronged, and specific activities have changed over time as WRA Nigeria has adapted to address challenges and updated strategic priorities. Broadly, the campaign seeks to build government support for improving maternal and primary health care quality, to enable citizens to monitor governmental follow-through on its responses (i.e., to move from response to responsiveness) and to undertake related advocacy, and to institutionalize accountability processes within governmental efforts to improve maternal and primary health care quality.