The document summarizes Nigeria's 2015 federal budget allocations for maternal health. It finds that the health budget saw large cuts, including an 81.4% cut to the National Health Insurance Scheme budget and significant reductions in funding for routine immunization, polio eradication, and maternal and child health services through agencies like the National Primary Health Care Development Agency. Key lines items for maternal and child health in the SURE-P budget were also cut by over 70%. The document calls for increasing health funding to committed levels, putting essential maternal health commodities in the recurrent budget, diversifying health financing, and ensuring donor funds supplement the budget rather than serve as the main funding source.

1. 2015 Fed. Budget Allocations to
Maternal Health Budget
Esther Agbon
Budget Advocacy Advisor

2. Health’s share of 2015 PIE
95%
5%
Health Sector Share of 2015 Budget
Total Budget Total HB
N4,493,363,957,158 is the appropriated amount for the 2015 Federal budget

3. Capital vs Recurrent for Health
Recurrent
92%
Capital
8%
Capital vs Recurrent
Recurrent
Capital
The total health budget is N257,543,773,757

4. Agencies of FMOH with Direct MNCH
Roles
NHIS
NPHCDA
FMOH HQ
565,121,891
9,426,471,589
9,914,379,680.00
22,921,891
2,218,271,588
5,316,431,165
542,200,000
7,208,200,001
4,597,948,515
Agencies with Key MNCH Roles
Capital Recurrent Total Budget

5. Disappearance of MNCH Budget lines
in 2015
0
200,000,000
400,000,000
600,000,000
800,000,000
1,000,000,000
1,200,000,000
FMOH HQ MNCH Budget 2015
2015
2014

6. ROUTINE IMMUNIZ. MSS COMM HEALTH POLIO ERAD. SURE-P Polio
2014 2,156,300,000 1,441,821,640 1,000,080,000 3,650,775,386 2,500,000,000
2015 2,615,055,925 1,012,685,607 848,016.42 2,568,442,234 0
0
1
1
2
2
3
3
4
4
Allocations
Billions
NPHCDA’s Significant cuts in MNCH Services

7. 81.4% total budget cut to NHIS
Tot Budget Recurrent Capital
3,043,124,039
68,931,674
2,974,192,365
565,121,891
22,921,891
542,200,000
NHIS Budget 2014 vs 2015
2014
2015

8. Missing MNCH Budget lines in SURE-P
2015 Budget
Item 2014 2015 %Reduction in
funding
MCH 12,050,000,000 3,500,000,000 71
FMOH-Polio Erad 4,120,000,000 0
NPHCDA- Polio Erad 2,500,000,000 0
Counterpart:HIV/AI
DS (NACA)
8,000,000,000 2,000,000,000 75

9. Summary of Findings
• Per capita Fed. Health Budget spending for 160 million
Nigerian is N1,623
• MCH services and commodities experience huge budget
cuts
• Life saving MNCH commodities e.g Vaccines are provided
for in the capital Budget
• Main funding source for MCH is from MDG
• Dependence on Donors for complementary funds
• Delay in release of funds due to late passage of the budget
• Its not clear which agency will receive SURE-P funds for
MCH
• NHIS budget cut is extraordinarily huge and may be unable
to provide any service on MCH

10. Our ASK
• Increase health funding by adhering to all
Commitment – Abuja 15%, FP2012, 1% NHAct, etc
• Vaccines and essential MCH commodities should be
put in the recurrent budget
• Diversify and develop home grown innovative
financing for health
• SURE-P and MDG funds should be considered as an
additional source not main stream funding
• Early passage of the budget will reduce delays in
budget releases to MDAs

11. Acronyms
• FMOH- Federal Ministry of Health
• NHIS – National Health Insurance Scheme
• NPHCDA – National Primary Health Care
Development Agency
• SOML – Saving One Million Lives
• SUREP-P – Sunsidy Reinvestment Programme
• VVF – Vesico Vagina Fistula