ACHIEVEMENTS IN THE HEALTH SECTOR PRESENTATION BY HONOURBALE MINISTER OF HEALTH PROF. C. O. ONYEBUCHI CHUKWU

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ACHIEVEMENTS IN THE HEALTH SECTOR PRESENTATION BY HONOURBALE MINISTER OF HEALTH PROF. C. O. ONYEBUCHI CHUKWUAT THE 2014 MINISTERIAL PRESS BRIEFING
14thOCTOBER, 2014.

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His Excellency,
Arc. Mohammed NamadiSambo, GCON
Vice President, Federal Republic of Nigeria

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Prof. C. O. Onyebuchi Chukwu
Minister of Health
Federal Republic of Nigeria

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Dr. KhaliruAlhassan
HonourableMinister of State for Health

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Vision and Mission Statement
To develop and implement policies that strengthen the national health system for effective, efficient, accessible and affordable delivery of health services in partnership with other stakeholders.
A world-class government institution that ensures a healthy Nigeria
VISION
MISSION

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Mandate of the Ministry
Toformulate,disseminate,promote, implement,monitorandevaluatehealthpoliciesoftheFederalGovernmentofNigeria.

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Core Values of Federal Ministry of Health
Excellence
Competence
Integrity
Diligence
Innovation
Accountability
Equity
Teamwork

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The Transformation Agenda in the Health Sector.
Improved health outcomes in the country are critical to the achievement of our national vision 2020 and the Transformation Agenda of Mr. President
President GoodluckEbeleJonathan GCFR, adopted health as one of his priorities: the Minster of Health and the Minister of State for Health are members of the National Economic Management Team (NEMT).
The National Strategic Health Development Plan (2010- 2015) launched in December 2010 by Mr.President is aligned to the National Vision 20:2020 and is the roadmap for Mr. President’s Transformation Agenda in the Health Sector.

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STRUCTURE OF THE MINISTRY
TheMinistryprovidesoversightforthethreetiersofthenationalhealthcaredeliverysystemingeneralbuthasspecificcontroloverdepartments,agenciesandparastatalsunderitsjurisdiction.
Thereareten(10)Departments,five(5) Agencies/ResearchInstitutions,twenty-one(21) TeachingHospitals,twentytwo(22)FederalMedicalCentres,sixteen(16)SpecialistHospitals/Centres,fourteen(14)HealthProfessionalRegulatoryBodies,andseventeen(17)HealthProfessionalTrainingInstitutions.

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NATIONAL COUNCIL ON HEALTH
The National Council on Health (NCH) is the umbrella body for health policies in the country.
The Honourable Minister of Health is the Chairman of the National Council on Health (NCH)
The Federal Ministry of Health leads States and Local Governments, the Private Sector and Civil Society Organisations in formulating health policies. It is the coordinating body of the Federal Government on issues of health.

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Activities 2011 To Date:
TheactivitiesofFederalMinistryofHealthanditsagenciesfrom29thMay,2011todateareguidedbyanumberofinstrumentswhichincludetheconstitutionoftheFederalRepublicofNigeria,1999,theNationalHealthPolicy, NationalVision20:2020,theNationalStrategicHealthDevelopmentPlan(NSHDP),ActionPushAgenda,AnnualBudgetaryAppropriations;andInternationalDeclarationsandCommitments.

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NSHDP and ACTION PUSH Agenda
Eight NSHDP Priority Areas
SixPillars of the Action Push Agenda
Six core Values of the Action Push Agenda
LeadershipandGovernance
Action
Accountability
HealthServiceDelivery
Continuity
Consistency
HumanResourcesforHealth
Teamwork
Transparency
FinancingforHealth
Innovation
Integrity
NationalHealthManagementInformationSystem
Outreach
Order
PartnershipsforHealth
Networking
Nigeria
CommunityParticipationandOwnership
Research for Health

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RECENTINITIATIVES FOR TRANSFORMING THE HEALTH SECTOR
•Millennium Development Goals
•Rehabilitation and equipping of federal tertiary hospitals Project
•The National Strategic Health Development Plan
•The Action Push Agenda
•Midwives Service Scheme
•Introduction of new vaccines
•SURE-P Health Programme
•Saving One Million Lives Initiative
•Community Based Social Health Insurance
Reintroduction of overseas component of the Residency training abroad
New technologies for fighting counterfeit medical products
Nigeria Centre for Disease Control and Prevention
Clinical Governance
Presidential Declaration on the Universal Health Coverage
Performance Contract

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ACHIEVEMENTS

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ACHIEVEMENTS/SUCCESS STORIES
These are categorized based on the eight (8) priority areas of the National Strategic Health Development Plan:
•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

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LEADERSHIP AND GOVERNANCE
Mr.Presidentistheco-chairoftheUNCommissiononLifeSavingCommoditiesforWomenandChildren’sHealth
HealthSectorAppropriationsarebasedontheNationalStrategicHealthdevelopmentPlan(NSHDP);
Completionofthe2010,2011&2012JointAnnualReviews(JAR)and2013MidTermReviewoftheNationalStrategicHealthdevelopmentPlan(NSHDP);
Stoppageofuseofconventionalsyringesandchangetoauto-disablesyringesbyallFederalTertiaryHealthInstitutions,

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International Positions in Health
First Vice President 64thWorld Health Assembly (2011)
Chairman:
-62ndWHO Regional Committee for Africa (2011),
-ECOWAS Ministers of Health,2011
-Conference of African Union (AU) Ministers of Health 2013- 2015.
-CCM Nigeria
Board Positions Occupied by Nigeria
World Health Organization (WHO) Executive Board (2012- 2014)
Partnership for Maternal and Child Health
The Global Fund to fight HIV/AIDS, Tuberculosis and Malaria
Joint Coordinating Board (JCB) of the WHO Special Programmeon Tropical Diseases Research (TDR) (2014-2017)
LEADERSHIP AND GOVERNANCE

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HEALTH POLICIES AND INSTRUMENTS UNDER PRESIDENT GOODLUCK EBELE JONATHAN
National Oral Health Policy
Institutionalizing oral health promotion and healthy living through annual celebration of National Oral Health Week
National Pharmacovigilance Policy
National Drug Distribution Policy and Guidelines
Neglected Tropical Diseases Master Plan
FEC approval of the Anti-Tobacco Bill
LEADERSHIP AND GOVERNANCE

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HEALTH POLICIES AND INSTRUMENTS UNDER PRESIDENT GOODLUCK EBELE JONATHAN
The Curriculum for National Diploma in Paramedics Technology was launched on 8thApril, 2014.
Registration and training of Medical Physicists in Nigeria for the first time ever.
Revised Curriculum for Undergraduate Medical and Dental Education.
Curriculum on Herbal Medicine Developed;
Committee on development of indigenous herbal products for promotion of exports established;
Through the Saving One Million Lives Initiative, more than 433,650lives had been saved as at December, 2013.
LEADERSHIP AND GOVERNANCE

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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
National Blood Transfusion Service Bill
Nigeria championed the 65thWHA Resolution on Substandard/Spurious/Falsely Labelled/Falsified/ Counterfeit Medical Products
LEADERSHIP AND GOVERNANCE

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Other notable achievements include
CompletionoftheworkofthePresidentialCommitteeonaHarmoniousWorkingRelationshipintheHealthSectorandpresentationofitsReporttoFEC
Re-introductionoftheOverseascomponentoftheResidencyTrainingProgrammeandOverseasrefreshercoursesforouryoungconsultantsandotherhealthprofessionalsindifferentspecialties.
InaugurationofaMinisterialCommitteeforunlockingoftheprivatesectorpotentialsfortheestablishmentofworldclassspecialisthospitalsandhigh-enddiagnosticcentresineachofthesixgeo-politicalzonesofthecountry.
AppraisaloftheResidencyTrainingProgramme.

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Clinical Governance: institutionalized the clinical governance system within the Federal Tertiary Health Facilities so that patients receive qualitative health care services
Revitalisation of SERVICOM at the FMOH and all our Parastatalsto improve quality of service
Signing of Performance Contract with FMOH Permanent Secretary, Heads of Departments and Agenciesas a follow up to the Performance Contract signed with Mr.President. This occasion took place on 9th October, 2012.
Conducted 3 National Council on Health Meetings, 2 pre-NCH meetings and 2 Emergency NCH meetings on Ebola Virus Disease outbreak.
Provided leadership to the National response to the EVD outbreak that led to a remarkable containment of the EVD in the shortest possible time.
Other notable achievements include:

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2.HEALTH SERVICE DELIVERY
Infrastructural Development;
Medical Services
Disease Control;
Maternal, Newbornand Child Health
Elimination of Sub Standard, Fake and Counterfeit Drugs;
Strategies to reduce outward medical tourism

26. +INFRASTRUCTURAL DEVELOPMENT
RehabilitationandequippingofObafemiAwolowoUniversityTeachingHospital,Ile-IfeandtheUniversityofBeninTeachingHospitalarecompleted, andawaitingPresidentialcommissioning,whileNnamdiAzikweUniversityTeachingHospitalandtheUniversityofCalabarTeachingHospitalhavereachedsignificantstagesofcompletion(90%).
EstablishmentofNationalTraumaCentresintheUniversityofAbujaTeachingHospitalandtheNationalHospitalAbuja.TheNationalTraumaCentreatUniversityofAbujaTeachingHospitalisnearingcompletion,whilethatoftheNationalHospitalhasbeencompletedandcommissionedforusebyMr. PresidentonMonday11thAugust,2014.
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INFRASTRUCTURAL DEVELOPMENT
•Federal Staff Hospital, Jabi, Abuja-The Ministry in collaboration with the Chinese Government completed and equipped the permanent site for the Federal Staff Hospital in Abuja. The hospital was commissioned by the President on 28thJanuary, 2013.
•NIPRD main administrative and laboratory building completed
•Acquired property to house the administrative headquarter of the Medical Laboratory Science Council of Nigeria which has been completed and awaiting commissioning.
•Acquired property to house the administrative headquarter of the Nigeria Centre for Disease Control respectively
Commissioned various projects in Federal Tertiary Hospitals across the country and other completed projects awaiting commissioning.
Completed, equipped and commissioned the IVD Laboratory complex in Lagos State, Nigeria for the regulation of In-vitro diagnostic test kits, equipment and reagents.

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Other Commissioned Projects
Federal NeuroPsychiatric Hospital, Kaduna (Commissioned a new Male Medical Ward, New Female Medical Ward, Laboratory Block, Child and Adolescent building, reconstructed Female Ward, Medical Library and Occupational Therapy Complex).
Federal NeuroPsychiatric Hospital, Calabar(Commissioned the new Medical Block and the rehabilitated Occupational Therapy Unit).
Federal Medical Centre, Makurdi( Projects completed and awaiting commissioning ( Intensive Care Centre, Laboratory Block, Male & Female Surgical Wards, Laboratory Block at Outreach Centre, Male and Female Wards at Outreach Centre and Assorted Medical Theatre Equipment).
Federal Teaching Hospital, Gombe(Expanded and equipped Accident and Emergency unit, completed the construction of SickelCell Centre and the Male Oncology Ward.
The opening of a dedicated ward for haematology and haemato-oncology and the introduction of CCTV assisted monitoring in the burns and plastic surgery intensive care unit at the University of Benin Teaching Hospital.
New Respiratory Intensive Care Unit (Avian Flu and other viral diseases) at University of Abuja Teaching Hospital, Gwagwalada.

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Ongoing projects
Nigeria Centre for Disease and Control (NCDC) reference laboratory, Gaduwa(nearing completion)
National Diagnostic Centre – land acquired and design commissioned
Ongoing FGN Hospitals Modernization Programme
UCTH, Calabar
NAUTH, Nnewi
Trauma Centres
UATH, Gwagwalada, Abuja
These ongoing projects are at different stages of completion

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OTHER NOTABLE MILESTONES
•All equipment for some Hospitals that were at the Port have all been released for installation and improvement of service delivery in the Hospitals.
•The Federal Medical Centre, Abakalikiand Gombewere upgraded to the status of a Teaching Hospital.
•Inauguration of a Ministerial Committee for unlocking of the private sector potentials for the establishment of world class specialist hospitals and high-end diagnostic centres in each of the six geo- political zones of the country.

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Commissioned Projects AbubakarTafawaBalewaUniversity Teaching Hospital, Bauchi

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Commissioned Projects AbubakarTafawaBalewaUniversity Teaching Hospital, Bauchi

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Commissioned Projects AbubakarTafawaBalewaUniversity Teaching Hospital, Bauchi

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Federal Medical Centre, Azare
Dental Unit at FMC Azare.
New Radiology Complex at FMC Azare.

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Federal Medical Centre, Azare
Newly renovated Male Surgical Ward at FMC Azare.
Newly constructed PaediatricClinic at FMC Azare.

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Completed, equipped and commissioned the IVD Laboratory complex in Lagos State, Nigeria for the regulation of In-vitro diagnostic test kits, equipment and reagents

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Pre-commissioning visit to Federal Staff Hospital
The VP who represented Mr. President commissioning the Permanent Site, Federal Staff Hospital, Abuja

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MEDICAL LABORATORY SCIENCE COUNCIL OF NIGERIA (MLSCN) PERMANENT HEADQUARTERS AT DURUMI-GARKI, NOW AWAITING COMMISSIONING

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Intensive Care Unit (Icu) With Monitoring Station At University Of Ilorin Teaching Hospital

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Fluoroscopy MachineAt NnamdiAzikweUniversityteachingHospital, Nnewi.

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MRI MachineAt NnamdiAzikweUniversity Teaching Hospital, Nnewi.

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NEWLY COMPLETED AND FUNCTIONAL DIALYSIS CENTRE AT THE UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR.

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FULLY EQUIPPED LIFE SUPPORT AMBULANCE AT THE UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR.

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NIGERIA CENTRE FOR DISEASE CONTROL (NCDC) IN GADUA, ABUJA

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NIGERIA CENTRE FOR DISEASE CONTROL (NCDC) IN GADUA, ABUJA

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NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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COMMISSIONING OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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COMMISSIONING OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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CHOPPER LANDING ON THE TRAUMA CENTRE HELIPAD

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INSIDE OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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INSIDE OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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INSIDE OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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INSIDE OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

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NATIONAL TRAUMA CENTRE, GWAGWALADA ABUJA

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NATIONAL TRAUMA CENTRE, GWAGWALADA ABUJA

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New admin and lab complex at NIPRD

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Commissioning of New admin and lab complex at NIPRD

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Commissioning of New admin and lab complex at NIPRD

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Commissioning of New admin and lab complex at NIPRD

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Respiratory Intensive Care Unit, Gwagwalada

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University College Hospital, Ibadan(Commissioned New Cardiac Unit)
HMH inspecting newly installed equipment at the CAT-Lab, UCH, Ibadan.
Newly installed equipment at the CAT- Lab, UCH, Ibadan.

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New Building to House the Maternity at Federal Teaching Hospital, Abakaliki, EbonyiState.

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New Amenity Block at University of UyoTeaching Hospital, Uyo, AkwaIbomState.

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New Amenity Block at University of UyoTeaching Hospital, Uyo, AkwaIbomState.

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Stem Cell Transplant for Sickle Cell Disease–In January, 2012, the University of Benin Teaching Hospital recorded a break-through in the infusion of stem cells into sickle cell anaemia patient
Establishment of Geriatric Units in Federal Tertiary Hospitals-NCH has directed all Tertiary and Secondary Health Facilities to establish a Geriatric unit. The Geriatric Centre of the University College Hospital, Ibadan has been commissioned.
Milestones from May 29th, 2011-date
MEDICAL SERVICES

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The following centreshave the capability to do renal transplantation
◦Obafemi AwolowoUniversity Teaching Hospital Ife,
◦Ahmadu Bello University Teaching Hospital, Zaria
◦AminuKano University Teaching Hospital Kano
◦University College Hospital, Ibadan,
◦University of Maiduguri Teaching Hospital Maiduguri,
◦Lagos University Teaching Hospital,
◦University of Ilorin Teaching Hospital and
◦St Nicholas Hospital, Lagos (Private)
These centres carried out kidney transplant in 2012
MEDICAL SERVICES

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Open Heart Surgery: the Centre of Excellence for Heart Disease at the University of Enugu Teaching hospital as well as University of Ilorin Teaching Hospital.
Resumption of open heart surgery after 10 years. Has so far done more than 55 open heart surgeries since 2013.
Microsurgery of the brainis also now being conducted at FMC Umuahia.
Commenced laparoscopic surgeryat the Federal Teaching Hospital, Gombe.
Full laparoscopic services at the Obafemi AwolowoUniversity Teaching Hospital Ile Ife.
Total knee and hip replacement at National Orthopaedic Hospitals in Enugu, Kano and Igbobi, Lagos as well as FMC Yenagoaand the University of Benin Teaching Hospital.
MEDICAL SERVICES

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MEDICAL SERVICES
Cancer Control
Cancer screening centres have been established for the common cancers such as cancer of the breast, cervix, and prostrate in the following centres:
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
AbubakarTafawaBalewaTeaching Hospital Bauchi

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Took over regional/state VVF centresat Abakaliki, EbonyiState (2011), Katsina, KatsinaState (2013) and Ningi, BauchiState (2014)
At the National Obstetric Fistula Centre Abakalikiwe 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 and followed up; and
screened 280 men for prostate cancer
Those suspected to have malignancy are referred
Supplied Orthopanthomogramto six (6) dental centres
Supplied dental equipment to Primary Health Care Centresattached to tertiary hospitals
Other Medical Services

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Entered into bulk purchase agreement with PAHF on Auto-disable syringes.
Procured and distributed 12 nos. ambulances to our Federal Tertiary Hospitals
Procured and distributed 80 blood banks to both private and public health facilities in the country.
Procured chelating agents for the treatment of 400 victims of lead poisoning in Zamfara
Six (6) special sickle cell treatment cetnresestablished at FMC Gombe, FMC Keffi, Federal teaching Hospital Abakaliki, FMC Ebute-Metta, FMC BirninKebbiand FMC Yenagoa
Other Medical Services

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Other notable Milestones
FMoHin collaboration with IAEA commenced the residency training of Medical Physicists at UsmanuDan FodioUniversity Teaching Hospital Sokotoin 2012.

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Brain Tumor Excision at Federal Medical Centre Umuahia

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Polio Eradication
Mr.PresidentdoubledthefundingofPolioEradicationactivitiesandothervaccinepreventablediseases.
Mr.PresidentinauguratedthePresidentialTaskforceonPolioEradication
AnewrobustPolioEradicationemergencyplanwasdevelopedwithanaccountabilityframework.
AllStateGovernorsandtheMinisterofFCThavere-committedtotheAbujacommitmentandinthelastoneyearhaveactivelyandpersonallyledthequarterlySupplementaryImmunizationDays(SIDs)intheirrespectivestates.
TheEnd-GamePolioNigeriaSummitwasheldon28thApril,2014.
The Vice President witnessing the decoration of the HMH by the Rotary International President, SakujiTanaka as second level major donor.
DISEASE CONTROL

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Nigeria Polio Summit held on 28thApril, 2014 in collaboration with Rotary International towards sustaining the End Game Strategy Tempo.

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LaunchofNationalRoutineImmunisationStrategicPlan2013- 2015inOctober,2013.
Forthefirsttimeintwodecade,theNationalImmunisationCoveragehasexceeded80%in2013.
IntroductionofnewCSMVaccine,Men-Africwhichconfersprotectionforatleast10yearsasagainst3yearswiththepreviousvaccines.Itisinits4thyearofnationally-phasedintroductionthatwillcoverallthe26meningitisstatesinthecountry.Hopefully,thatshouldbeconcludedin2014.ThisisimpactingontheunprecedentedreductionofCSM(especially, thetypeAthatconstitutemorethan80%ofallmeningitiscasesinNigeria).
DISEASE CONTROL

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Theongoing-implementationoftheoutcomesofdiagnosticsinLogistics/SupplyChainandEffectiveVaccineManagementinthecountryhasresultedinexcellentimprovementintheavailabilityofVaccinesandrelatedcommodities;whichineffectismanifestingintheupwardtrajectoryofvaccinationcoverage.
PhasedintroductionofPentavalentVaccines(DPT,HB,Hib)toincludeprotectionagainstchildhoodpneumoniain2013.PlanshavebeenconcludedtointroducePCVintheCountryinDecember,2014.
NewsecurityfeaturedInternationalCertificateofVaccinationandProphylaxis(YellowCard)introducedin2013.
DISEASE CONTROL

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ROUTINE IMMUNISATION COVERAGE:
ThenationalcumulativeDPT3containingantigencoveragewas88%.
29States(78%)ofStatesachieved>80%coverageinDPT3containingvaccineinMar.2014comparedto13states(35%)asatMar.2013.
TheNationalCumulativecoverageforBCG,Measles,YellowFever, DPT3,OPV3remainsabove80%exceptforTT2+(49%)&HepB0(67%).
66%&48%ofLGAsconducted>80%oftheirplannedFixedandOutreachsessionsrespectivelyJan.-Mar.2014.
Nationallythecountryachieved25%reductioninun-immunizedchildreninMar2014comparedtosameperiodin2013.
14(39%)Statesachieved>50%reductioninun-immunizedchildrenMar.2014comparedtosameperiodin2013.
DISEASE CONTROL

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POLIO ERADICATION
88% reduction in WPV 1 burden in Nigeria. Only 6 cases of polio in the last one year compared to 49 cases.
Improvement in the population immunity to polio from 84% to 90% within one year.
Nil cases of WPV 3 in Nigeria with no case reported in the last 23 months.
Quality of polio campaign has improved nationwide with 95% of Local Governments attaining 80% coverage compared to only 65% in 2013.
Geographic Restriction of 6 polio virus in Nigeria to only 5 LGAs in 2 States of the Federation compared to 49 cases in 9 States for the same period in 2013.

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Geographical restriction of cases and current polio disease burden, 22 September, 2014
•88%reductioninWPV1with6confirmedcasesin2Statescomparedto49casesin9Statesforthesameperiodin2013.
•23monthsofnoconfirmedWPV3. LatestonsetNovember2012.
•20confirmedvaccinederivedpoliovirus(cVDPV2)in2Statescomparedto2casesin2013forthesameperiod.
•87%reductionincirculatinggeneticclusters(1in2014comparedto8in2012)
2013
2014
W1 (n=46)
W3 (n=0)
# Infected State: 9
W1 (n=6)
W3 (n=0)
# Infected State: 2

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Marked reduction of WPV transmission during high transmission period: Monthly trend of WPV in Nigeria, 2012 -2014
High transmission season
96% reduction in cases during the high transmission period so far, with 1 case during June –September 2014 period compared with 24 cases during the same period in 2013. Latest onset on 24 July 2014.

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HIV/AIDS , TB and Malaria Control
Held Abuja +12 Summit on HIV/AIDS, TB, Malaria and other related infections and the launch of the President’s Comprehensive Response Plan (PCRP) on HIV/AIDS in July, 2013.
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DISEASE CONTROL

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HIV/AIDS
Signed the Partnership Framework for HIV/AIDS with the United States Government.
Increase in the number of Treatment centres offering ART services from 25 Federal Tertiary facilities in 2001 to over 820 Centres across the country in 2014.
Currently about 5,622 health facilities provide PMTCT services while 7,075 sites provide HCT across the country.
Coverage of HIV positive pregnant women who receive ARV to reduce MTCT increased from 26,133 (11%) to 37,868 (16%) in 2011 to 40, 465 (26 %) in 2012 and 57,871 in 2013.
DISEASE CONTROL

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MALARIA
•ProgresshasbeenmadeovertheyearsintheeliminationofMalariausingmultiplestrategieswhichincludeintegratedvectormanagement,testbeforetreatmentpolicy,intermittentpositivepreventiontreatmentinpregnantwomenandcasemanagement.
•Additional 4 million LLINs distributed bringing the total to 66.5 million nets.
•2010 Malaria Indicator Survey Report Launched and disseminated
•Memorandum on the Integrated Test, Treat , Cure and LarvicidingProject presented to FEC and sent to NEC for the buy-in of the State Governors.
DISEASE CONTROL

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2005
2010
Gradual Shift from Hyperendemicto mesoendemicepidemiologic patterns
Pƒ
PR
2-10
< 5%
≥5%-< 10%
≥10%-< 50%
>50%
Mean PfPR2-10

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DISEASE CONTROL

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Expansion of the new molecular diagnostic technology for diagnosis of DRTB and TB in PLHIV to 63 sites as at 2014
Diagnosed and provided treatment for 105,000 new TB patients and 311 Drug Resistance TB patients in 2013
Full engagement of communities in all states for TB case finding, care and support. Successfully Introduced community treatment of DRTB in 15 states.
Established 10 centres for the treatment of DR-TB at Jericho Hospital Ibadan, UCH Ibadan, Lawrence HenshawHospital, Calabar, IDH Kano, UPTH Port-Harcourt, Mainland Hospital Lagos, NTLC Training Centre Zaria, JUTH and Sacred Heart Hospital, Abeokuta to increase access to treatment for DR TB patients.
DISEASE CONTROL
TB and Leprosy Control

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Robust engagement of private sector (patent medicine vendors, community pharmacists, etcresulting in 30% of notified cases.
Achieved zero stock out of 1stline anti-TB drugs for 3 consecutive years.
Development of new road map and guidelines for improved capacity for diagnosis and treatment of TB in children.
Successful conduct of a mid-term evaluation of the 2010-2015 National Strategic plan for TB and Leprosy Control in April 2013.
Buruliulcer expansion programme that started in cross river state has been extended to 4 more states –Ogun, Oyo, Anambraand Ebonyi.
The WHO Leprosy elimination target of less than 1case per 10,000 population has been achieved at the national level and in all Zones.
DISEASE CONTROL
TB and Leprosy Control

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Establishment and strengthening of the Nigeria Centre for Disease Control and Prevention (NCDC) for effective coordination and management of outbreaks in Nigeria.
Guinea worm Eradication –In December 2013, Nigeria was certified Guinea Worm Disease free by the World Health Organization
Stroke prevention and control flagged off by Mr.President in 2013.
GoodluckOperation Restore Sight flagged off in December, 2013. A total of 3,000 free cataract surgeries carried out nationwide to date (500 in each geopolitical zone).
DISEASE CONTROL

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With the recent outbreak of the Ebola Virus Disease, the Federal Ministry of Health in collaboration with the States through the National Council on Health have adequately contain further spread of the disease. As at today, the total number of confirmed cases in Nigeria still remains 19 (15 in Lagos and 4 in Port-Harcourt), 12 cases have been discharged and 7 have died.
DISEASE CONTROL
Ebola Virus Disease Control

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The Honourable Minister of Health, Honourable Minister of State for Health, Honourable Minister of Information and the Permanent Secretary for Health during a Press Briefing on Ebola Virus Disease (EVD) held on 8 September, 2014..

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Improvement in some of the health indices:
•According to 2012 MDGs Survey Report Under 5 mortality 94/1000, Infant Mortality 61/1000, Maternal Mortality 350/100,000 as against 157/1000, 75/1000 and 545/100,000 in the NDHS of 2008 .
•Procurement and free distribution of Family Planning Commodities in all public health institutions from 2011 to date. This has led to increased uptake.
MATERNAL NEWBORN AND CHILD HEALTH

94. +
•The development and implementation of the Integrated Maternal New born and child health Strategy with the following interventions implemented:
–ensuring Skilled Birth Attendant at health facilities through the Midwives Service Scheme
–inclusion of emergency obstetric drugs namely Magnesium sulphate and Misosprostolin the essential drug list, and
–the procurement and distribution of the drugs.
Improvement in access to Family Planning Commodities:
◦Signed a 3-year MOU with UNFPA 2012-2014 on Govt counterpart contribution of $3m per annum
◦Additional commitment of $8.3m for Reproductive and MNCH commodities under the SURE-P/ MCH.
◦Task shifting for Community Health Extension workers to provide injectable contraceptive commodity and Misosprostol.
◦Local production of chlorhexidine
MATERNAL NEWBORN AND CHILD HEALTH

95. +
SURE-P and the Saving One Million Lives Initiative
Under the Subsidy Reinvestment Programme, Human Resource for Health has been increased and jobs created by recruiting 12,225 health care workers to provide MNCH services in 1,000 SURE-P supported primary health care (PHC) centresspread across the 36 states and FCT.
These health care workers comprise:
2,856 midwives;
3,675community health extension workers (CHEWs); and
5,694female village health workers
Conditional Cash Transfer (CCT) is now being implemented in 1 LGA in 18 States reaching 40,000 beneficiaries as at end of September 2014.
Communication and advocacy activities are ongoing towards ensuring a Sustainability Plan to preserve the gains of the SURE-P MCH Programme.
Continuous supply of essential drugs, health commodities and medical equipmentsto all 1000 SURE-P supported primary health facilities.
Renovation of 500 primary health care facilities and drilling of boreholes in these facilities across the country. Construction of 145 new accommodation for health care workers across the county.

96. +
The Conditional Cash Transfer (CCT) pilot kicked off in 37 PHC facilities spread across 8 states and FCT.
▪The CCT pilot programme was launched at DeideiComprehensive Health Centre, BwariArea Council, Abuja on 13th May, 2013.
As at February 2014:
-A total of 17,400 women were enrolled into the CCT Pilot -
▪The CCT pilot programme is now operational in all the 5 FCT facilities and 33 other PHC facilities spread across Anambra, Bauchi, Bayelsa, Ebonyi, Kaduna, Niger, Ogun, ZamfaraStates
▪Data from the first month’s enrolment in DeideiCHC shows very high uptake (an increase of 37.4% in ANC attendance and 15.3% in facility deliveries),compared to baseline data.
CCT pilot launch overview

97. +
Midwives Orientation Session (2013)

98. +
Midwife addressing pregnant women on maternal health (ByazhinPHC, FCT, 2013)

99. +
CCT Pilot Programme Launch in EbonyiState
(AmaezeHealth Centre, EbonyiState, October 2013)

100. LAUNCH OF THE SAVING ONE MILLION LIVES INITIATIVE BY MR. PRESIDENT

101. +Elimination of Substandard, Fake and Counterfeit Drugs
Deployment of ICT for detection of fake and Counterfeit drugs (TRUSCAN and text messaging technique).
WHO prequalification of 3 additional local pharmaceutical industries as compliant with WHO GMP for drug production bringing the total to 4.
Introduction of the text messaging technique for the authentication of drugs.
NAFDAC has put in place an e-registration process that has hastened applications for registration.
The upgrading of the standards and capacities of local drug manufacturing facilities like “Juhel”in AnambraState is also a major achievement. This has resulted in a decrease from 16.5% to 6.4% of the incidence of fake drugs in Nigeria

102. +
LAUNCH OF TRUSCAN FOR DETECTING FAKE DRUGS BY Mr. PRESIDENT, REPRESENTED BY THE HONOURABLE MINISTER OF HEALTH

103. +
Strategies to Reduce Outward Medical Tourism
Ministerial Committee on unlocking the Private Sector Potential for the establishment of World Class Specialist Hospitals and high-end diagnostic centresin each of the six geo-political zones.
Improved specialist training
Budgetingfor Overseas Residency Programme
Modernisation/Refurbishment of Federal Tertiary Hospitals
Acknowledgement and deliberate encouragement of private health sector leading to the upsurge in the number of private health facilities providing world-class services in the areas of cancer screening, general medical check-up and diagnostics, endoscopic services, laser surgery, etc

104. +
3.HUMAN RESOURCES FOR HEALTH
The Midwives Services Scheme (MSS) has continued to grow with 3305 midwives and 946 CHEWS being deployed to 1000 health facilities. This project has received recognition internationally.
The MSS, a human resource for health intervention that provides skilled birth attendants at rural underserved PHC facilities across all 36 states + FCT, operational since 2009 by NPHCDA, funded by MDG DRGs .
MSS serves as a platform for equitable PHC service delivery
PHC: Primary Health Centre (1000) to provide BEmOC
GH: General Hospital (250 Locations) for referral
Midwives: 4000 (4 per PHC) –newly qualified basic, unemployed and retired
Community Health Workers: 1000
•Attrition is a major challenge (71% of midwives and 86% of CHEWs present at deployment posts)

105. +
3.HUMAN RESOURCES FOR HEALTH
The total number of health workers trained/recruited in both the MSS and SURE-P now stand at 16,476 comprising of 6,161 midwives, 4,621 CHEWS and 5,694 Village Health Workers
Reintroduction of the overseas component of the Residency Training Programme;
Capacity Building in Emergency Preparedness ( e.gTraining in Israel, Training in Abuja by the International Committee of the Red Cross, Training organised by AFRICOM in Lagos, 2ndATLS course organised by Emergency Response Limited, Principles of Operative Orthopaedics organised by AO).

106. +
3.HUMAN RESOURCES FOR HEALTH
CommitteeontrainingofComplimentaryandAlternativeMedicinePractitionersconstituted
AccreditationofnewFacultiesofPharmacy.
CDC-MentoringLaboratoryProgrammetowardsNationalAccreditation(MELTNA)
Task-shifting:trainedCHEWsmaynowadministerinjectablecontraceptives
NewcurriculumforthetrainingofCommunityMidwives
DevelopmentofGlobalHealthPlayersProgramme
TheCurriculumforNationalDiplomainParamedicsTechnologywaslaunchedon8thApril,2014.

107. +
Launchof the Curriculum for National Diploma in Paramedics Technology held on 8thApril, 2014.

108. +
Launch of the Curriculum for National Diploma in Paramedics Technology held on 8thApril, 2014.

109. +
Cross Section of Participants during the Launchof the Curriculum for National Diploma in Paramedics Technology held on 8thApril, 2014.

110. +
4.FINANCING FOR HEALTH
LaunchingoftheCommunityBasedSocialHealthInsuranceProgrammeaswellasVoluntaryContributorSocialHealthInsuranceProgrammein2011.
Revisionofcapitation,servicefeesandbenefits
EstablishedICTplatformforNHIS
NationalConferenceonHealthFinancingin2012.
UpscalingoftheNHIS-MDG/MCHProject.
HeldPresidentialSummitonUniversalHealthCoverage(UHC)withkeyUHCdeclarationsaimedatrepositioningofNHISforimprovedhealthcoverage.
EstablishedamarketingdepartmentinNHIS
EstablishmentofuseofmobiletelephonetechnologyforenrolmentintoNHIS

111. +
Flag-off of the CommunityBased Social Health Insurance Programme and also evidence of Community Participation and Ownership

112. +
The Honourable Minister of Health, Honourable Minister of State for Health and the Permanent Secretary during the Technical Sessions of the Presidential Summit on Universal Health Coverage held from 7th–8thMarch, 2014.

113. +
Cross Section of participants during the Technical Sessions of the Presidential Summit on Universal Health Coverage held from 7th–8thMarch, 2014.

114. +
The Vice President, Honourable Minister of Health, former Ministers of Health during the Presidential Summit on Universal Health Coverage held on 10thMarch, 2014.

115. +
Panelistsduring the Presidential Summit on Universal Health Coverage held on 10thMarch, 2014.

116. +
The Vice President, Honourable Minister of Health and the Executive Governor of Ondo State during the Presidential Summit on Universal Health Coverage held on 10thMarch, 2014.

117. +
The Vice President, Honourable Minister of Health, Honourable Minister of State for Health and the Executive Governor of Ondo State touring exhibition stands during the Presidential Summit on Universal Health Coverage held on 10thMarch, 2014.

118. +
5. HEALTH MANAGEMENT INFORMATION SYSTEM
The National Health Management Information System was strengthened through the migration of the DHIS 1.4 unto the DHIS 2.0 which is web based which allows for real time data entry and access from any part of the world. This has led to improvement in data management nationwide.
The Federal Ministry of Health in 2012 distributed complete computer system to 173 local governments to ensure real time data reporting. More Local governments will benefit from this programme in 2014

119. +
6. PARTNERSHIP FOR HEALTH
Signed MoUsin the Health Sector:
With Austrian Government on Partnership in Public Health (2011)
With RemiBabalolaFoundation Centre on Human Resources for Health
With UNFPA on Procurement, Supply and Distribution of Contraceptives under Mr.President’s initiative for free contraceptives in Nigeria (2013)
With General Electric (GE) for the establishment of private world class specialist hospitals and diagnostic centres under PPP arrangement. (2013)
With Health Professionals in Diaspora: (NAPPSA, 2013), (ANPA/MANSAG, 2011 & 2012) & (NANNA/NNCAUK, 2012)
With Federal Ministries of Women Affairs and Social Development and Finance
With local manufacturers of autodispoablesyringes
Sovereign Wealth Investment Fund which aims to provide platform for financing PPP projects in the Tertiary Hospitals
Approval of NIPRD as Regional Hub of the African Network for Diagnostics and Innovations (ANDI)
Regular meetings of Health partners Coordination Committee and development of template for mutual accountability

120. +
Resuscitation of Biovaccineslimited , a joint venture between FGN and Mayer and Baker on Yellow fever vaccines
Admission of NCDC into the International Association of National 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 facilities to local pharmaceutical industry
Partnership with ECOWAS Bank for International Development to support our local pharmaceutical industry

121. +
Resuscitation of the Ward Development Committees.
Community Based Social Health Insurance launched in many states-Kogi, Enugu, Ebonyi, Katsina, Kaduna, Kwara, Anambra
Town Hall Meeting during the Child Health weeks in Adamawa, FCT, Ebonyi, etc.
7. Community Participation and Ownership

122. +
s
Town Hall Meeting during the MNCH week in Gedi LGA, Adamawa State

123. +
8. RESEARCH FOR HEALTH
Health research in Nigeria is being championed by the Nigeria Institute of Medical Research (NIMR), National Institute for Pharmaceutical Research and Development (NIPRD), as well as Federal Tertiary Health Institutions and other non-government hospitals and organisations
Constituted and inaugurated the Treatment Research Group (TRG) on Ebola Virus Disease (EVD)
Social production of NIPRISAN by NIPRD.
Support for research on Violence and Injury Prevention and Surveillance Programme in Nigeria
Support for research on the Hidden Epidemic of Death and Disease caused by Smokeless Tobacco and Cigarette Use in Nigeria.
Inauguration of Committee of Chairmen of Ethics Committees covering all federal tertiary health institutions.
Development of Clinical Trials Registry –
Determination of prevalence of hepatitis and its clinical impact on persons on HAART in NIPRD GOPD
Development of monographs on 30 Nigerian medicinal plants

124. +
Surveys
NIMR has also conducted the following surveys:
Malaria vector study on insecticide resistance
Cholera epidemic study;
Non communicable diseases study in Lagos
Neglected tropical diseases study; and
HIV/AIDS study

125. +
Surveys
GlobalAdultTobaccoSurvey(GATS)completed
ThefirstNationwideprevalencesurveyofTBcompleted.
NationalHIV/AIDS&ReproductiveHealthSurvey.
NationalAntenatalSero-PrevalenceSurvey.
2013NationalDemographicandHealthSurveyconductedincollaborationwiththeNationalPopulationCommission
HouseholdandHealthFacilitySurveysacrossthecountrybeingconductedincollaborationwithNationalBureauofStatistics

126. +
ACHIEVEMENTS AT A GLANCE

127. +
Achievements in the Health Sector
AREA
Before2011
2011-2013
Remarks
Federal Teaching Hospitals
19
21 (additional 3)
•FederalTeaching Hospital, Abakaliki
•Federal Teaching Hospital, Gombe
•AbubakarTafawaBelewaUniversity Teaching Hospital, Bauchi.
Completion of modernization ofTeaching Hospitals
10
14 (additional 4)
•University of Benin Teaching Hospital
•Obafemi AwolowoUniversity Teaching Hospital
•NnamdiAzikweUniversity Teaching Hospital
•University of CalabarTeaching Hospital
Recruitment of Health Care Workers under the SURE-P
Nil
12,100health care workers to provide MNCH
•2,500 midwives;
•3,600community health extension workers (CHEWs); and
•6,000female village health workers

128. +
Achievements in the Health Sector
AREA
Before 2011
2011-2013
Remarks
Establishmentof National Blood Transfusion Centres
7
17 (additional 10)
Calabar,Sokoto,Jalingo, Abeokuta, Ado Ekiti, Port-Harcourt,NangerePotiskum, Yobe, Enugu, Katsina, Lokoja.
Distribution of Blood Banks
Nil
80 Blood Bank Refrigerators
Distributed to both Public and Private Health Facilities in Abuja, Owerri, Ibadan, Abeokuta, Katsina, Jalingo, Enugu, Ado Ekiti, Maiduguri, Nangere, Lokoja, Sokoto
Take-over of StateVVFCentre to National Obstetric and Fistula Centre
Nil
3
National Obstetric Fistula Centre, Abakaliki, BabbarRugaFistula Centre, Katsinaand NingiFistula Centre, Bauchi.
Public Private Partnership in Federal Tertiary Institutions
Nil
More than 10
CAT-Lab in UCH, Geriatric Wards in UCH, Dialysis machines in FMC, Owerri, LUTH; CCT Scan in LUTH, Pharmacy at FSH
MoUsigned with GE, etc.

129. +
Achievements in the Health Sector
AREA
Before 2011
2013
Remarks
Resuscitation of the overseas component of the Residency Training Programme/Update courses in different specialties
Nil
25
Resident doctors and young consultants benefitted from this programme.
Infant Mortality
75
61
18.7% reduction in infantmortality
Under 5 mortality rate per 1000 live births
157
94 (MDG2012 survey)
40.9% reduction in under5 mortality
Maternal mortality ratio: deaths due to pregnancy per 100,000 live births
545
350 (MDG2012 survey)
35.8% reduction in maternal mortality

130. +
Achievements in the Health Sector
AREA
Before 2011
2011-2013
Remarks
% of population with access to ANC services provided by skilled health care personnel
61
67.7%
Incidence of counterfeit and fake drugs in circulation (%)
16.5%
6.4% (NAFDAC Field Survey)
61.2% reduction in the incidence of fake and Counterfeit drugs in circulation due to the deployment of ICT.
Waitingtimeforpatients(FromregistrationtofirstcontactwithaDoctor) (mins)
30
25
CertificationasGuineaWormdiseasefreecountrybyWHO
YES
Nigeria Certified as Guinea Worm Disease free country in December, 2013

131. +
CONCLUSION
In conclusion, I wish to state that Mr. President’s Transformation Agenda in the Health Sector is effectively being implemented and on course.
Two cardinal enablers that will make a quantum difference are:
i). A National Health Act which will define the Health System and provide governance structures for accountability, and
2). Universal Health Coverage entailing compulsory health insurance and improving geographical and financial access to health.
These will anchor the total transformation of the health sector.