#MP2013 Presentation by the Minister of Health.


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#MP2013 Presentation by the Minister of Health.

  2. 2. +
  3. 3. +His Excellency,Arc. Mohammed Namadi Sambo, GCONVice President, Federal Republic of Nigeria
  4. 4. +Prof. C. O. Onyebuchi ChukwuMinister of HealthFederal Republic of Nigeria
  5. 5. +Dr. Muhammad Ali PateMinister of State for HealthFederal Republic of Nigeria
  6. 6. +Mrs. F. B. A. BamidelePermanent Secretary, HealthFederal Republic of Nigeria
  7. 7. +Presentation Outline• Mandate of the Ministry– Vision– Mission• Mr. President’s Transformation Agenda in theHealth Sector• Achievements• Our Performance Contract• Conclusion
  8. 8. +Mandate of the Ministry Toformulate, disseminate, promote, implement,monitor and evaluate health policies of theFederal Government of Nigeria. Using the National Council on Health (NCH), theMinistry leads States and Local Governments, thePrivate Sector and Civil Society Organisations informulating health policies. It is the coordinatingbody of the Federal Government on issues ofhealth. The Honourable Minister of Health is the Chairmanof NCH
  9. 9. +Vision and Mission StatementTo develop and implement policies thatstrengthen the national health system foreffective, efficient, accessible and affordable delivery ofhealth services in partnership with other stakeholders.A world-class government institution thatensures a healthy NigeriaVISIONMISSION
  10. 10. +Core Values of Federal Ministry ofHealth Excellence Competence Integrity Diligence Innovation Accountability Equity Teamwork
  11. 11. +The Transformation Agenda in the Health Sector. Improved health outcomes in the country are critical tothe achievement of our national vision of being one ofthe twenty foremost industrialised nations by the year2020 and the Transformation Agenda of Mr. President Mr. President, Dr. Goodluck Ebele Jonathan GCFR, hasmade health one of his priorities: the Minster of Healthand the Minister of State for Health are members of theNational Economic Management Team (NEMT). The National Strategic Health Development Plan (2010-2015) approved by the FEC in December 2010 isaligned with National Vision 20:2020 and is theroadmap for Mr. President’s Transformation Agenda inthe Health Sector.
  12. 12. +STRUCTURE OF THE MINISTRY The Ministry provides oversight for the three tiersof national health delivery system in general buthas specific control over departments andagencies under it. There are eight (8) Departments, five (5)Agencies/Research Institutes, twenty (20)Teaching Hospitals, twenty three (23) FederalMedical Centres, fourteen (14) SpecialistHospitals/Centres, fourteen (14) HealthProfessional Regulatory Bodies, and seventeen(17) Health Professional Training Institutions.
  13. 13. +Our Activities The activities of Federal Ministry of Health and itsagencies from 29th May, 2011 to date are guidedby a number of instruments which include theconstitution of the Federal Republic ofNigeria, 1999, the National HealthPolicy, Nigerian Vision 20:2020, the 1st NationalImplementation Plan of Vision 20:2020, theNational Strategic Health Development Plan(NSHDP), annual budgetaryappropriations, international declarations andcommitments and the Action Push Agenda.
  14. 14. + NSHDP and ACTION PUSH AgendaEight NSHDP PriorityAreasSix Pillars of theAction Push AgendaSix core Values of theAction Push AgendaLeadership andGovernance for HealthAction AccountabilityHealth Service Delivery Continuity ConsistencyHuman Resources forHealthTeamwork TransparencyFinancing for Health Innovation IntegrityNational HealthManagement InformationSystemOutreach OrderPartnerships for Health Networking NigeriaCommunity Participationand OwnershipResearch for Health
  15. 15. + RECENT INITIATIVES FOR TRANSFORMINGTHE HEALTH SECTOR• Millennium DevelopmentGoals• Refurbishing /modernization offederal tertiary hospitalsProject• The National Strategic HealthDevelopment Plan• The Action Push Agenda• Midwives Service Scheme• Introduction of new vaccines• SURE-P Health Programme• Saving One Million LivesInitiative• Community Based SocialHealth Insurance Reintroduction of overseascomponent of the Residencytraining abroad New technologies for fightingcounterfeit medical products Nigeria Centre for DiseaseControl National Oral Health Policy National Drug distributionPolicy and Guidelines National Pharmaco-VigillancePolicy Performance Contracts
  16. 16. +ACHIEVEMENTS/SUCCESS STORIESThese are categorized based on the eight priorityareas of the National Strategic Health DevelopmentPlan:• Leadership and Governance• Health Service Delivery• Human Resources for Health• Financing for Health• Health Management Information System• Partnership for Health• Community Participation and Ownership• Research for Health
  17. 17. + LEADERSHIP AND GOVERNANCE Mr. President is Co-Chairing the UN Commission on LifeSaving Commodities for Women and Children’s Health The federal health budget is based on NSHDP; The 2012 Appropriation is based on the NSHDP; Completion of the 2010 and 2011 Joint Annual Review(JAR) respectively; Stoppage of use of conventional syringes and change toauto-disable syringes by all Federal Tertiary Institutions, The Federal Executive Council (FEC) approved theNational Policy on Oral Health; and Membership of WHO, PMNCH
  18. 18. + International Positions in Health First VP 64th WHA Chairman 60th WHO RCA Chairman ECOWAS Ministers of Health,2011 Chairman Conference of AU Ministers of Health2013-2015.Board Positions Occupied by Nigeria WHO Executive Board Partnership for Maternal and Child Health The Global Fund to fight HIV/AIDS,Tuberculosis and MalariaLEADERSHIP AND GOVERNANCE
  19. 19. +The Federal government has put in place Policies andGuidelines for improved health care delivery: National Oral Health Policy and Appointment ofSenate President as National Champion andeminent personalities as State Ambassadors on OralHealth National Pharmacovigilance Policy National Drug Distribution Policy and Guidelines Neglected Tropical Diseases Master PlanLEADERSHIP AND GOVERNANCE
  20. 20. +The Ministry is also working with the relevant agencies to enact/review the following legislations: National Health Bill Anti-Tobacco Bill NAFDAC Act National Health Insurance Scheme Act Nigeria championed the 65th WHA resolution onSubstandard/Spurious/Falsely Labelled/Falsified/ CounterfeitMedical ProductsLEADERSHIP AND GOVERNANCE
  21. 21. + Other notable achievements include Nigeria sponsored WHO resolution on counterfeitdrugs which was adopted at the 65th WHA Completion of the work of the PresidentialCommittee on a harmonious working relationship inthe Health Sector and presentation of its Report toFEC
  22. 22. + Re-introduction of the Overseas component of theResidency Training Programme and Overseasrefresher courses for our young consultants and otherhealth professionals in different specialties. Sixty (60)resident doctors and young consultants benefittedfrom this programme in 2012 Conducted 2 National Council on Health Meetings and2 pre-NCH meetingsOther notable achievements include:
  23. 23. +  Clinical Governance: institutionalized the clinicalgovernance system within the Federal Tertiary HealthFacilities so that patients receive qualitative healthcare services Revitalistion of SERVICOM at the FMOH and all ourParastatals to improve quality of service Signing of Performance Contract with FMOH Headsof Departments and Agencies as a follow up to thePerformance Contract we signed with Mr. President.This occasion took place on 9th October, 2012.
  24. 24. +2. HEALTH SERVICE DELIVERY Infrastructural Development; Medical Services Disease Control; Maternal, Newborn and Child Health Elimination of Sub Standard, Fake and CounterfeitDrugs; Strategies to reduce outward medical tourism
  25. 25. + INFRASTRUCTURAL DEVELOPMENT Rehabilitation and equipping of Obafemi AwolowoUniversity Teaching Hospital, Ile-Ife and the Universityof Benin Teaching Hospital are completed, andawaiting Presidential commissioning, while NnamdiAzikwe University Teaching Hospital and theUniversity of Calabar Teaching Hospital have reachedsignificant stages of completion (80%). Establishment of National Trauma Centres in theUniversity of Abuja Teaching Hospital and the NationalHospital Abuja. Both are nearing completion
  26. 26. + INFRASTRUCTURAL DEVELOPMENT• Federal Staff Hospital, Jabi, Abuja - The Ministry in collaborationwith the Chinese Government completed and equipped thepermanent site for the Federal Staff Hospital in Abuja. The hospitalwas commissioned by the President on 28th January, 2013.• NIPRD main administrative and laboratory building completed• Acquired property t o house the administrative headquarters of theMedical Laboratory Science Council of Nigeria and the NigeriaCentre for Disease Control respectively Commissioned various projects in Federal Tertiary Hospitals acrossthe country and other completed projects awaiting commissioning. Completion of the Public Health Quality Assurance/Reagent ControlLaboratory of the Medical Laboratory Science Council of Nigeria(located in Yaba Lagos and awaiting commissioning)
  27. 27. + Pre-commissioning visit toFederal Staff HospitalThe VP who represented Mr. Presidentcommissioning the Permanent Site,Federal Staff Hospital, Abuja
  28. 28. +Other Commissioned Projects Federal Neuro Psychiatric Hospital, Kaduna(Commissioned a new Male Medical Ward,New Female Medical Ward, Laboratory Block,Child and Adolescent building, reconstructedFemale Ward, Medical Library andOccupational Therapy Complex). Federal Neuro Psychiatric Hospital, Calabar(Commissioned the new Medical Block andthe rehabilitated Occupational Therapy Unit). Federal Medical Centre, Makurdi ( Projectscompleted and awaiting commissioning (Intensive Care Centre, Laboratory Block, Male& Female Surgical Wards, Laboratory Block atOutreach Centre, Male and Female Wards atOutreach Centre and Assorted MedicalTheatre Equipment). Federal Medical Centre, Gombe(Expanded and equipped Accident andEmergency unit, completed theconstruction of Sickel Cell Centre and theMale Oncology Ward. The opening of a dedicated ward forhaematology and haemato-oncology andthe introduction of CCTV assistedmonitoring in the burns and plasticsurgery intensive care unit at theUniversity of Benin Teaching Hospital. New Respiratory Intensive Care Unit(Avian Flu and other viral diseases) atUniversity of Abuja Teaching Hospital,Gwagwalada.
  29. 29. + Abubakar Tafawa BalewaUniversity Teaching HospitalCommissioned Admin.Block, ATBUTH, BauchiSpecial Baby Intensive CareUnit, ATBUTH, Bauchi.
  30. 30. +University College Hospital, Ibadan(Commissioned New Cardiac Unit)HMH inspecting newly installed equipment atthe CAT-Lab, UCH, Ibadan.Newly installed equipment at the CAT-Lab, UCH, Ibadan.
  31. 31. +Federal Medical Centre, Azare(Commissioned Oxygen plant, Dialysis Unit and the Medical Record Block).Dialysis Unit at FMC Azare.Medical Records Block at FMCAzare.Oxygen Plant at FMCAzare.
  33. 33. + Commissioned Projects in Federal Tertiary Hospitals in 2012UUTH Intensive Care Unit UUTH Orthopaedic Ward
  34. 34. +Ongoing projects NCDC referencelaboratory, Gaduwa (nearingcompletion) National Diagnostic Centre –land acquired and designcommissioned Ongoing FGN HospitalsModernization Programme UCTH, Calabar NAUTH, Nnewi Trauma Centres National Hospital, Abuja UATH, Gwagwalada, AbujaThese ongoing projects are atdifferent stages of completion
  38. 38. + New admin and lab complex at NIPRD
  39. 39. +OTHER NOTABLE MILESTONES• All equipment for someHospitals that were atthe Port have all beenreleased for installationand improvement ofservice delivery in theHospitals.• The Federal MedicalCentre, Abakaliki wasupgraded to the statusof a Teaching Hospital.• Inauguration of aMinisterial Committee forunlocking of the privatesector potentials for theestablishment of worldclass specialist hospitals andhigh-end diagnostic centresin each of the six geo-political zones of thecountry.
  40. 40. + Stem Cell Transplant forSickle Cell Disease– InJanuary, 2012, the Universityof Benin Teaching Hospitalrecorded a break-through inthe infusion of stem cellsinto sickle cell anaemiapatient Establishment of GeriatricUnits in Federal TertiaryHospitals- NCH has directedall Tertiary and SecondaryHealth Facilities to establisha Geriatric unit. The GeriatricCentre of the UniversityCollege Hospital, Ibadan hasbeen commissioned.Milestones from May 29th , 2011-dateMEDICAL SERVICES
  41. 41. +The following centres have the capability todo renal transplantation◦ Obafemi Awolowo University TeachingHospital◦ Ife, Aminu Kano University TeachingHospital Kano◦ University College Hospital, Ibadan,◦ University of Maiduguri TeachingHospital Maiduguri,◦ Lagos University Teaching Hospital,◦ University of Ilorin Teaching Hospitaland◦ St Nicholas Hospital, Lagos (Private)These centrescarried outkidneytransplant in2012MEDICAL SERVICES
  42. 42. +Open Heart Surgery: the Centre of Excellence for HeartDisease at the University of Enugu Teaching hospital has beenrefurbished. The centre has now resumed open heart surgery after 8 years.Microsurgery of the brain is also now being conducted at FMCUmuahia.Commenced laparoscopic surgery at the FederalMedical Centre, Gombe. Full laparoscopic services at the Obafemi Awolowo University TeachingHospital Ile Ife.Total knee and hip replacement at NationalOrthopaedic Hospitals in Enugu and Igbobi, Lagos as well as FMCYenagoa and the University of Benin Teaching Hospital.MEDICAL SERVICES
  43. 43. +Brain Tumor Excision at FMC Umuahia
  44. 44. +MEDICAL SERVICESCancer ControlIn 2012, the Ministry continued to ensure that Nigerians gotscreened for the common cancers such as cancer of the breast,cervix, and prostrate by establishing the following new centres formass cancer screening: Federal Medical Centre, Gusau. University of Port-Harcourt Teaching Hospital, Port-Harcourt. National Obstetric Fistula Centre, Abakaliki. Federal Medical Centre, Keffi Federal Medical Centre, EbutaMetta Abubakar Tafawa Balewa Teaching Hospital Bauchi
  45. 45. + Take over of regional/state VVF centres at Abakaliki, EbonyiState (2011), Katsina, Katsina State (later 2013) and Ningi,Bauchi State (2014) At the National Obstetric Fistula Centre Abakaliki we have: Carried out 1,722 VVF repairs screened 3,800 people for cervical cancer within one year; Treated those with pre-malignant lesions by cryosurgery andfollowed up; and screened 280 men for prostate cancer Those suspected to have malignancy are referred Supplied Orthopanthomogram to six (6) dental centres Supplied dental equipment to Primary Health Care Centresattached to tertiary hospitalsOther Medical Services
  46. 46. + Entered into bulk purchase agreement with PAHF onAuto-disable syringes. Procured and distributed 12 nos. ambulances to ourFederal Tertiary Hospitals Procured and distributed 80 blood banks to bothprivate and public health facilities in the country. Procured chelating agents for the treatment of 400victims of lead poisoning in Zamfara Six (6) special sickle cell treatment cetnresestablished at FMC Gombe, FMC Keffi, Federalteaching Hospital Abakaliki, FMC Ebute-Metta, FMCBirnin Kebbi and FMC YenagoaOther Medical Services
  47. 47. +Polio EradicationMr. President doubled the funding ofPolio Eradication activities to 4.7billion Naira.• The Presidential Taskforce on PolioEradication was constituted andinaugurated under theChairmanship of the HonourableMinister of State for Health.• A new robust Polio Eradicationemergency plan was developed withan accountability framework.• All State Governors and the Ministerof FCT have re-committed to theAbuja commitment and in the lastone year have actively andpersonally led the quarterlySupplementary Immunization Days(SIDs) in their respective states.The Vice President witnessing thedecoration of the HMH by the RotaryInternational President, Sakuji Tanakaas second level major donor.DISEASE CONTROL
  49. 49. +
  50. 50. + Control of Cerebro Spinal Meningitis (CSM):The country introduced the new CSM vaccine, MenAfricwhich confers protection for at least 10 years as against 3years with the previous vaccines. Control of Yellow Fever- New Security-featuredInternational Certificate of Vaccination and Prophylaxis(ICVP, popularly known as Yellow Card) has beenintroduced. Mass Yellow Fever campaign scheduled for 2013 Introduction of Pentavalent vaccines (DPT, HB, Hib). Thiswill help protect against Childhood Pneumonia &Hepatitis B.DISEASE CONTROL
  51. 51. +Current Routine Immunisation performance 16 States: (Kogi, Kwara, Nasarawa, Kaduna, Sokoto, Zamfara,Anambra, Enugu, Imo, Akwa Ibom, Cross Rivers, Delta, Ekiti, Ondo,Osun & Oyo States) achieved the Target of 78% DPT3 coverage inApril 2013 compared to NO State for the same month in 2012. 33 States performed better in April 2013 compared to same period2012. 7 States (17%)States conducted > 80% of their planned FixedSessions and only 3 States (8%) conducted > 80% of plannedOutreach Sessions in April 2013. Nationally the number of Un-immunized children has reduced by49% in April 2013 as compared to April 2012. 30 (81% of) States achieved > 20% reduction in the number ofun-immunized children in April 2013.DISEASE CONTROL
  52. 52. +Coverage for all antigens are calculated using birth cohort & women of child bearing age groupPenta3 Coverage in Phase 1 &2 States=76%Routine Immunization PerformanceApr 2013 ....7Above 80 %< 50 %50 -79.99%Non-Penta StatesKey: CoverageHib3 Coverage in Phase 1&2 States=76%
  53. 53. +HIV/AIDS , TB and Malaria Control• Signed theImplementation Plan forthe FrameworkPartnership with theUnited StatesGovernment.Commenced thedecentralization of ARTservices to the primaryhealth care level.• Commissioned of the newTesting and TreatmentCentre for Multi-DrugResistant Tuberculosis (MDR-TB) in Lagos.• Roll Back Malaria –Additional 28,826,786million LLINs distributedbringing the total to 58million nets.• 2010 Malaria IndicatorSurvey Report Launched anddisseminatedDISEASE CONTROL
  54. 54. +HIV/AIDS , TB and Malaria Control• An MoU was also entered intowith local manufacturers ofautodisable syringes for thebulk purchase of the syringes.• The Ministry in October, 2012directed all Federal tertiaryhospitals to discontinue theuse of conventional syringesand commence the use ofautodisable syringes• Work in progress on the draftPresident’s EmergencyResponse Plan (PERP) forAIDS.• Preparation for Abuja +12Summit onHIV/AIDS, TB, Malaria andother related infections.• Memorandum on theIntegrated Test Treat , Cureand Larviciding Projectpresented to FEC.DISEASE CONTROL
  55. 55. + Successful conduct of a mid-term evaluation ofthe 2010-2015 National Strategic plan for TB andLeprosy Control in April 2013.Procurement of second line anti-TB drugs The WHO elimination target of less than 1caseper 10,000 population has been achieved at thenational level and in all Zones.DISEASE CONTROL
  56. 56. +Guinea worm Eradication – For more than 4years , there has been no case of Guinea worminfestation. The International CertificationTeam that will evaluate Nigeria before beingcertified GWD-free country will visit us fromJune, 24th to 13th July, 2013.DISEASE CONTROL
  57. 57. +Establishment of the Nigeria Centre for DiseaseControl (NCDC).Commissioning of the new Respiratory IntensiveCare Unit (Avian Flu and other viral diseases) atUniversity of Abuja Teaching Hospital,Gwagwalada.DISEASE CONTROL
  58. 58. +Respiratory Intensive Care Unit, Gwagwalada
  59. 59. + Improvement in some of the health indices [Under5 mortality for 2011 is 141/1000 (Lancet 2011) asagainst 157/1000 in 2008 , Maternal Mortality ratiohas reduced from 545/100,000 live births in 2008to 487/100,000 in 2011 (Lancet 2011)] Membership of Scale Up Nutrition (SUN) National Nutrition Summit (Feb. 25, 2012) Procurement and free distribution of FamilyPlanning Commodities.MATERNAL NEWBORN AND CHILDHEALTH
  60. 60. +• The development andimplementation of theIntegrated Maternal New bornand child health Strategy withthe following interventionsimplemented:– ensuring Skilled Birth Attendantat health facilities through theMidwives Service Scheme– inclusion of emergency obstetricdrugs namely Magnesiumsulphate and Misoprostol in theessential drug list, and– the procurement and distributionof the drugs.Improvement in access to FamilyPlanning Commodities:◦ Signed a MOU with UNFPA for 3years, 2012-2014 on Govtcounterpart contribution of $3mper annum◦ Additional commitment of $8.3mfor Reproductive and MNCHcommodities under the SURE-P/MCH.◦ Task shifting for Community HealthExtension workers to provideinjectable contraceptivecommodity.◦ Distribution of free contraceptivecommodities at Public sectorhealth facilities. This has led toincreased uptake.MATERNAL NEWBORN AND CHILDHEALTH
  61. 61. +SURE-P and the Saving One Million LivesInitiative Under the Subsidy ReinvestmentProgramme , Human resource forHealth has been increased andjobs created by recruiting 3,960health care workers to provideMNCH services in 500 SURE-Psupported primary health care(PHC) centres spread across the 36states and FCT.These health care workers comprise: 929 midwives; 1,783 community healthextension workers (CHEWs); and 1,248 female village healthworkers Completed a Conditional CashTransfer (CCT) Proof of ConceptPhase and State of ReadinessAssessment for the follow-up PilotProgramme Commenced communication andadvocacy activities towards ensuringa Sustainability Plan to preserve thegains of the SURE-P MCHProgramme. Initiated the supply of essentialdrugs, health commodities andmedical equipments to all 625SURE-P supported primary andsecondary health facilities.
  62. 62. +The conditional cash transfer pilot has kicked off in 5 PHC facilitiesin FCT and will expand to 8 other States in June.▪ Inauguration of State CCTSteering Committees in all other8 pilot States▪ Enrolment of Programmebeneficiaries in the other 8 pilotstates-Anabmbra, Bauchi, Bayelsa, Ebonyi, Kaduna, Niger, Ogun, Zamfara▪ Monthly cash transfer days in eachCCT Pilot State▪ The CCT pilot programme was launched at DeideiComprehensive Health Centre, Bwari AreaCouncil, Abuja on 13th May, 2013.▪ An inaugural cash transfer day was conducted forthe women who had been registered since enrolmentbegan on 15th of April 2013.▪ Of a total of 261 eligible beneficiaries, 172 (66%)attended and received their cash transfers (total₦206,900 disbursed)▪ The CCT pilot programme is now operational in all5 FCT facilities and the PIU will conduct the next cashtransfer days in each facility in June 2013.▪ Data from the first month’s enrolment in Deidei CHCsuggest very high uptake (an increase of 37.4% inANC attendance and 15.3% in facility deliveries),compared to baseline data.CCT pilot launch overview 3 months from now…
  63. 63. + SURE-P MCH OUTCOMES AS AT FEBRUARY 2013Total ANCVisitsNew ANCVisitsDeliveries bySBAsFP NewAcceptorsNo attendingFP ClinicsNo ofPostnatalChecksApril to Sept 2012 140503 51807 16695 11176 26292 25870Oct to feb 2013 154133 61623 18285 14987 29190 26338Core MNCH Indicators - Comparison with Baseline in SUREP MCH Facilities
  64. 64. Maternal mortality has dropped by more than 50 percent in MSSFacilities from 2009 to 2012.Trends in Facility Based Maternal Mortality Rates per 100,000 Live Births789586457369July -Dec 2009 July-Dec 2010 July-Dec 2011 July-Dec 2012
  66. 66. + Elimination of Substandard, Fake andCounterfeit Drugs Deployment of ICT for detection of fake andCounterfeit drugs (TRUSCAN and text messagingtechnique). WHO accreditation of local pharmaceutical industriesfor drug production Introduction of the text messaging technique for theauthentication of drugs. The upgrading of the standards and capacities oflocal drug manufacturing facilities like “Juhel” inAnambra State and “May & Baker” in Ogun State is alsoa major achievement. This has resulted in a decreasefrom 16.5% to 7.5% of the incidence of fake drugs inNigeria NAFDAC has put in place an e-registration processthat has hastened applications for registration.
  68. 68. +Presentation of Report of WHO Pre-qualification Assessment of SixLocal Pharmaceutical Companies
  69. 69. + Strategies to Reduce OutwardMedical Tourism Ministerial Committee on unlocking the Private Sector Potential forth establishment of World Class Hospitals and high-end diagnosticcentres in each of the six geo-political zones. Improved specialist training Budgeting for Overseas Residency Programme Modernisation/Refurbishment of Federal Tertiary Hospitals Acknowledgement and deliberate encouragement of private healthsector leading to the upsurge in the number of private healthfacilities providing wolrd-class services in the areas of cancerscreening, general medical check-up and diagnostics, endoscopicservices, laser surgery, etc
  70. 70. +3. HUMAN RESOURCES FOR HEALTH The Midwives Services Scheme (MSS) has continued to growwith 3305 midwives and 946 CHEWS being deployed to 1000health facilities. This project has received recognitioninternationally The total numner of health workers trained/recruited in boththe MSS and SURE-P now stand at 10,103 comprising of 4200midwives, 2903 CHEWS and 3000 Village Health Workers Reintroduction of the overseas component of the ResidencyTraining Programme; Capacity Building in Emergency Preparedness ( e.g Training inIsrael, Training in Abuja by the International Committee of theRed Cross, Training organised by AFRICOM in Lagos, 2nd ATLScourse organised by Emergency Response Limited, Principles ofOperative Orthopaedics organised by AO).e
  71. 71. +First Lady Dame Patience Jonathan Unveiling MSS Bill BoardCommunication
  72. 72. + National Stakeholders Conference on Trauma andEmergency Response Committee on training of Paramedics in Nigeriaestablished First National Conference on Human Resources forHealth. Registration and training of Medical Physicists inNigeria for the first time ever Revised Curriculum for Undergraduate Medical andDental Education. Committee on the training of Herbal Practitionersin Medical Schools inaugurated.
  73. 73. + Committee on training of Complimentary andAlternative Medicine Practitioners constituted Accreditation of new Faculties of Pharmacy. CDC-Mentoring Laboratory towards NationalAccreditation ( MELTNA) Task-shifting: trained CHEWs may now administerinjectable contraceptives New curriculum for the training of CommunityMidwives Development of Global Health Players Programme
  74. 74. +Other notable Milestones• The Medical LaboratoryScience Council of Nigeriagot a grant from CDC forthe training of MedicalLaboratory Assessors andMentors to strengthenNigeria’s LaboratoryQuality ManagementSystems using theWHO/CDC/ASLM/SPLITAtools, ISO 15189 Standardsand CLSI Guidelines.FMoH incollaboration withIAEA commencedthe residency trainingof Medical Physicistsat Usmanu Dan FodioUniversity TeachingHospital Sokoto in2012.
  75. 75. + 4. FINANCING FOR HEALTH Community Based Social Health Insurance Programme aswell as Voluntary Contributor Social Health InsuranceProgramme. Revision of capitation, service fees and benefits ICT platform for NHIS initiated. Design is 85% completed National Conference on Health Financing. Preparation for the Presidential Summit on Universalhealth Coverage Up scaling of the NHIS-MDG/MCH Project. Work in progress on Social Health Insurance for theHandicapped and Prisoners respectively
  76. 76. +Flag-off of the Community Based Social HealthInsurance ProgrammeHEALTH INSURANCEHEALTH INSURANCE
  77. 77. +Flag-off of the Community Based Social Health InsuranceProgramme and also evidence of Community Participation andOwnership
  78. 78. + 5. HEALTH MANAGEMENT INFORMATION SYSTEM• The National Health Management Information System wasstrengthened through the migration of the DHIS 1.4 untothe DHIS 2.0 which is web based which allows for real timedata entry and access from any part of the world.• The Federal Ministry of Health in 2012 distributed completecomputer system to 173 local governments to ensure realtime data reporting. More Local governments will benefitfrom this programme in 2013• The National HIV/AIDS Call Centre was commissioned inApril, 2012 by the First Lady to provide HIV/AIDSinformation, guidance and counselling to callers.
  79. 79. + 6. PARTNERSHIP FOR HEALTH Signing of MoUs With Austrian Government on Partnership in Public Health With Remi Babalola Foundation Centre on Human Resources for Health With UNFPA on Procurement, Supply and Distribution of Contraceptivesunder Mr. President’s initiative for free contraceptives in Nigeria With General Electric (GE) for the establishment of private world classspecialist hospitals and diagnostic centres under PPP arrangement. Signing MOU with Health Professionals in Diaspora With Federal Ministries of Women Affairs and Social Development andFinance Approval of NIPRD as Regional Hub of the African Network for Diagnosticsand Innovations (ANDI) Regular meetings of Health partners Coordination Committee anddevelopment of template for mutual accountability Regular meetings of the Inter-agency Coordinating Committee
  80. 80. + Resuscitation of Biovaccines limited , a joint venture betweenFGN and Mayer and Baker on Yellow fever vaccines Admission of NCDC into the International Association ofNational Public Health Institutions (IANPHI) Adoption of PHCs by Federal Tertiary Hospitals Partnership with Office of the First Lady on various healthissues Partnership with Bank Of Industry (BOI)- offers credit facilitiesto local pharmaceutical industry Partnership with ECOWAS Bank for International Developmentto support our local pharmaceutical industry
  81. 81. + Town Hall meeting by the Minister of Health in 2011 in GediLGA in Adamawa State. Town Hall meeting by the Minister of Health in 2012 atEbonyi LGA in Ebonyi State where over 4000 womenparticipated. The 2013 will be in Benue. Town Hall Meeting on HIV/AIDS by the First Lady inNyanya, FCT. Resuscitation of the Ward Development Committees. Recruitment of Village Health Workers7. Community Participation and Ownership
  82. 82. +Town Hall Meeting during the MNCH week in Gedi LGA, Adamawa State
  84. 84. +8. RESEARCH FOR HEALTH Health research in Nigeria is beingchampioned by the Nigeria Institute ofMedical Research (NIMR), NationalInstitute for Pharmaceutical Researchand Development (NIPRD), as well asFederal Tertiary Health Institutions andother non-government hospitals andorganisations Social production of NIPRISAN byNIPRD. Support for research on Violence andInjury Prevention and SurveillanceProgramme in Nigeria Support for research on the HiddenEpidemic of Death and Disease causedby Smokeless Tobacco and CigaretteUse in Nigeria. Inauguration of Committee ofChairmen of Ethics Committeecovering all federal tertiary healthinstitutions. In 2012 alone, National HealthResearch Ethics Committeereviewed nearly 100 researchprotocols including those for twoclinical trial studies. Development of Clinical TrialsRegistry – started in 2012 and isbeing finalised for registration as aWHO affiliated registry Provision of diagnostic and healthresearch services to about 3000members of the public by NIPRD. Determination of prevalence ofhepatitis and its clinical impact onpersons on HAART in NIPRD GOPD Development of monographs on 30Nigerian medicinal plants
  85. 85. +SurveysNIMR has also conducted the followingsurveys:Malaria vector study on insecticideresistanceCholera epidemic study;Non communicable diseases study inLagosNeglected tropical diseases study; andHIV/AIDS study
  86. 86. + Surveys Global Adult Tobacco Survey (GATS) completed and awaitingPresidential approval. This is part of our commitment to Zero Tolerancefor Tobacco Nationwide prevalence survey of TB - in the 36 states and FCT iscurrently ongoing. This is the first attempt at documenting the actualburden of TB. National HIV/AIDS & Reproductive Health Survey – This is conductedevery five years to provide data on behavioural aspects of HIV/AIDS aswell as general information on reproductive health. National Antenatal Sero-Prevalence Survey – This is an importantsurvey that provides us with progress data on our efforts to reduce andhalt the spread of HIV/AIDS. 2013 National Demographic and Health Survey being conducted incollaboration with the National Population Commission Household and Health Facility Surveys across the country beingconducted in collaboration with National Bureau of Statistics
  88. 88. Key DeliverableBaselinePlannedTargetActualAchievementRemarks2011(December)2012(December)2012(December)1Improved Quality Health CarePrevalence of Counterfeit and fake drugs incirculation (%)19.6% 17% 18.2%% reduction in post-operative infection rates 43 45 -AdministrativedataWaiting time for patients (From registration to firstcontact with a Doctor) (mins)30 25 25Administrativedata from KeffiFMCIncrease Access to HealthcareHealth Insurance Coverage 6% 8% 7.5%Administrativedata fromNHISPercentage of LGAs having at least one FGsupported ART refill site (%)36 40 48
  89. 89. Key DeliverableBaselinePlannedTargetActualAchievementRemarks2011(December)2012(December)2012(December)Provision of Policy, Regulatory andAdministrative ServicesMaximum time required for MTB threshold fromcontract approval to signing at FMOH10 workingdays8 workingdays8 workingdaysAdministrativedataNumber of interventions to enforce regulations 20 25 25Increased Access to Basic ServicesPolio eradication: Increase population immunityagainst Wild Polio Virus (WPV1 and 3) measuredby non polio AFP zero dose (%)Estimated20% in HRSless than10% zerodose-Polio eradication: at least 80% of wards reach 90percent coverage during IPDsless than 5080% or morereach 90%coverage86Administrativedata fromNPHCDA
  90. 90. Key DeliverableBaselineTarget Achievement2011(December)2012(December)2012(December)Routine immunization: Percentage coverage formeasles vaccine67 75 78.2Maternal and Child Health: Increase in totalfocused ANC attendance in MSS sites828,922at least 10percentincreaseover 20111,044,863(26%increase)Maternal and Child Health: Increase in pregnantwomen with births attended by skilled healthworker in MSS sites110,028at least 10percentincreaseover 2011141,929(29%increase)Life Saving Commodities: Percentage ofsupported PHC facilities that report more than 1month stock out of essential life-savingcommoditiesAssessmentongoing10%reductionfrombaseline-
  91. 91. Key DeliverableBaselinePlannedTargetActualAchievementRemarks2011(December)2012(December)2012(December)Improved Quality of Health CarePHC Quality: Percentage ofMSS/SURE-P supported PHCs thathave initiated at least one qualityimprovement programme e.g use ofcheck listsAssessmenton-going40% 100%Application ofintegrated supportivesupervision in all thesites applied as totalquality assurancestrategyFTHI Clinical Governance: Percentageof FTHIs with quality improvement/clinical governance programmes inplaceNone 25% 25%Unlocking the Private Sector ’ sMarket PotentialRevive Private Sector Health Alliance InactiveFunctionalPSHA-
  92. 92. + CONCLUSIONIn conclusion, I wish to state that Mr. President’sTransformation Agenda in the Health Sector is effectivelybeing implemented and on course.Two cardinal enablers that will make a quantum difference are: i). A National Health Act which will define the Health Systemand provide governance structures for accountability, and 2). Universal Health Coverage entailing compulsory healthinsurance and improving geographical access to health.These will anchor the total transformation of the healthsector.I thank all our development partners and other stakeholdersin health for their collaboration and support in our strive toprovide quality and affordable health care to all Nigerians.
  93. 93. +I thank you foryour attention.