2014 ministerial press briefing by the federal ministry of health

+

ACHIEVEMENTS IN THE HEALTH SECTOR

PRESENTATION BY

HONOURBALE MINISTER OF HEALTH

PROF. C. O. ONYEBUCHI CHUKWU

AT THE 2014 MINISTERIAL PRESS BRIEFING

14th OCTOBER, 2014.

+

His Excellency,Arc. Mohammed Namadi Sambo, GCON

Vice President, Federal Republic of Nigeria

+

Prof. C. O. Onyebuchi Chukwu

Minister of Health

Federal Republic of Nigeria

+

Dr. Khaliru AlhassanHonourable Minister of State for Health

+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

+Mandate of the Ministry

To formulate, disseminate, promote,

implement, monitor and evaluate health

policies of the Federal Government of

Nigeria.

+Core Values of Federal Ministry of

Health

Excellence

Competence

Integrity

Diligence

Innovation

Accountability

Equity

Teamwork

+ 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 Goodluck Ebele Jonathan 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.

+STRUCTURE OF THE MINISTRY

The Ministry provides oversight for the three tiersof the national health care delivery system ingeneral but has specific control overdepartments, agencies and parastatals under itsjurisdiction.

There are ten (10) Departments, five (5)Agencies/Research Institutions, twenty-one (21)Teaching Hospitals, twenty two (22) FederalMedical Centres, sixteen (16) SpecialistHospitals/Centres, fourteen (14) HealthProfessional Regulatory Bodies, and seventeen(17) Health Professional Training Institutions.

+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.

+Activities 2011 To Date:

The activities of Federal Ministry of Health and

its agencies from 29th May, 2011 to date are

guided by a number of instruments which

include the constitution of the Federal Republic

of Nigeria, 1999, the National Health Policy,

National Vision 20:2020, the National Strategic

Health Development Plan (NSHDP), Action Push

Agenda, Annual Budgetary Appropriations; and

International Declarations and Commitments.

+ NSHDP and ACTION PUSH AgendaEight NSHDP Priority Areas Six Pillars of the Action

Push Agenda

Six core Values of the

Action Push Agenda

Leadership and Governance Action Accountability

Health Service Delivery Continuity Consistency

Human Resources for Health Teamwork Transparency

Financing for Health Innovation Integrity

National Health Management

Information System

Outreach Order

Partnerships for Health Networking Nigeria

Community Participation and

Ownership

Research for Health

+ RECENT INITIATIVES 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

+

ACHIEVEMENTS

+ 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

+ LEADERSHIP AND GOVERNANCE

Mr. President is the co-chair of the UN Commissionon Life Saving Commodities for Women andChildren’s Health

Health Sector Appropriations are based on theNational Strategic Health development Plan(NSHDP);

Completion of the 2010, 2011 & 2012 Joint AnnualReviews (JAR) and 2013 Mid Term Review of theNational Strategic Health development Plan(NSHDP);

Stoppage of use of conventional syringes andchange to auto-disable syringes by all FederalTertiary Health Institutions,

+

International Positions in Health

First Vice President 64th World Health Assembly (2011)

Chairman:

- 62nd WHO 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

Programme on Tropical Diseases Research (TDR) (2014-2017)

LEADERSHIP AND GOVERNANCE

+

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


+

HEALTH POLICIES AND INSTRUMENTS UNDER PRESIDENT

GOODLUCK EBELE JONATHAN

The Curriculum for National Diploma in Paramedics Technology was

launched on 8th April, 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 433,650 lives had

been saved as at December, 2013.


+

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 65th WHA Resolution on

Substandard/Spurious/Falsely Labelled/Falsified/

Counterfeit Medical Products


+Other notable achievements include

Completion of the work of the Presidential Committee on a

Harmonious Working Relationship in the Health Sector and

presentation of its Report to FEC

Re-introduction of the Overseas component of the Residency

Training Programme and Overseas refresher courses for our

young consultants and other health professionals in different

specialties.

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.

Appraisal of the Residency Training Programme.

+

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 Parastatals to

improve quality of service

Signing of Performance Contract with FMOH Permanent Secretary,

Heads of Departments and Agencies as 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:

+2. HEALTH SERVICE DELIVERY

Infrastructural Development;

Medical Services

Disease Control;

Maternal, Newborn and Child Health

Elimination of Sub Standard, Fake and Counterfeit Drugs;

Strategies to reduce outward medical tourism

+ INFRASTRUCTURAL DEVELOPMENT

Rehabilitation and equipping of Obafemi AwolowoUniversity Teaching Hospital, Ile-Ife and theUniversity of Benin Teaching Hospital are completed,and awaiting Presidential commissioning, whileNnamdi Azikwe University Teaching Hospital and theUniversity of Calabar Teaching Hospital havereached significant stages of completion (90%).

Establishment of National Trauma Centres in theUniversity of Abuja Teaching Hospital and theNational Hospital Abuja. The National Trauma Centreat University of Abuja Teaching Hospital is nearingcompletion, while that of the National Hospital hasbeen completed and commissioned for use by Mr.President on Monday 11th August, 2014.

.


• 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 28th January, 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.

+Other Commissioned Projects

Federal Neuro Psychiatric 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 Neuro Psychiatric 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 Sickel Cell 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.

+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

+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, Abakaliki and Gombe were 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.

+Commissioned Projects Abubakar Tafawa Balewa University Teaching Hospital,

Bauchi

+Federal Medical Centre, Azare

Dental Unit at FMC Azare.New Radiology Complex at FMC

Azare.

+Federal Medical Centre, Azare

Newly renovated Male

Surgical Ward at FMC Azare.

Newly constructed Paediatric

Clinic at FMC Azare.

+Completed, equipped and commissioned the IVD Laboratory complex in Lagos

State, Nigeria for the regulation of In-vitro diagnostic test kits, equipment and

reagents

+Pre-commissioning visit to

Federal Staff Hospital The VP who represented Mr. President

commissioning the Permanent Site,

Federal Staff Hospital, Abuja

+ MEDICAL LABORATORY SCIENCE COUNCIL OF NIGERIA (MLSCN)

PERMANENT HEADQUARTERS AT DURUMI-GARKI, NOW AWAITING

COMMISSIONING

+

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

Teaching Hospital

+

Fluoroscopy Machine At Nnamdi Azikwe Universityteaching Hospital,

Nnewi.

+

MRI Machine At Nnamdi Azikwe University Teaching Hospital, Nnewi.

+

NEWLY COMPLETED AND FUNCTIONAL DIALYSIS CENTRE AT THE UNIVERSITY

OF CALABAR TEACHING HOSPITAL, CALABAR.

+

FULLY EQUIPPED LIFE SUPPORT AMBULANCE AT THE UNIVERSITY

OF CALABAR TEACHING HOSPITAL, CALABAR.

+

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

+

NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

+

COMMISSIONING OF THE NATIONAL TRAUMA CENTRE, NATIONAL

HOSPITAL ABUJA

+

CHOPPER LANDING ON THE TRAUMA CENTRE HELIPAD

+

INSIDE OF THE NATIONAL TRAUMA CENTRE, NATIONAL HOSPITAL ABUJA

+

NATIONAL TRAUMA CENTRE, GWAGWALADA ABUJA

+New admin and lab complex at NIPRD

+Commissioning of New admin and lab complex

at NIPRD

+

Respiratory Intensive Care Unit, Gwagwalada

+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.


New Building to House the Maternity at Federal Teaching Hospital,

Abakaliki, Ebonyi State.


New Amenity Block at University of Uyo Teaching Hospital, Uyo,

Akwa Ibom State.

+

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

+

The following centres have the capability to do renal transplantation

◦ Obafemi Awolowo University

Teaching Hospital Ife,

◦ Ahmadu Bello University Teaching

Hospital, Zaria

◦ Aminu Kano 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

+

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 brain is also now being conducted at FMC

Umuahia.

Commenced laparoscopic surgery at the Federal

Teaching Hospital, Gombe.

Full laparoscopic services at the Obafemi Awolowo University Teaching Hospital Ile Ife.

Total knee and hip replacement at National

Orthopaedic Hospitals in Enugu, Kano and Igbobi, Lagos as well as FMC Yenagoa and the University of Benin Teaching Hospital.

MEDICAL SERVICES

+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, Ebuta Metta

Abubakar Tafawa Balewa Teaching Hospital Bauchi

+

Took over regional/state VVF centres at Abakaliki, Ebonyi

State (2011), Katsina, Katsina State (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

and followed 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 Centres

attached to tertiary hospitals

Other Medical Services

+

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 cetnres

established at FMC Gombe, FMC Keffi, Federal

teaching Hospital Abakaliki, FMC Ebute-Metta, FMC

Birnin Kebbi and FMC Yenagoa

Other Medical Services

+Other notable Milestones

FMoH in collaboration with IAEA commenced the residency training of Medical Physicists at Usmanu Dan FodioUniversity Teaching Hospital Sokoto in 2012.

+ Brain Tumor Excision at Federal Medical

Centre Umuahia

+

Polio Eradication Mr. President doubled the funding of

Polio Eradication activities and other

vaccine preventable diseases.

Mr. President inaugurated the

Presidential Taskforce on Polio

Eradication

A new robust Polio Eradication

emergency plan was developed with an

accountability framework.

All State Governors and the Minister of

FCT have re-committed to the Abuja

commitment and in the last one year

have actively and personally led the

quarterly Supplementary Immunization

Days (SIDs) in their respective states.

The End-Game Polio Nigeria Summit

was held on 28th April, 2014.

The Vice President witnessing the

decoration of the HMH by the Rotary

International President, Sakuji

Tanaka as second level major donor.

DISEASE CONTROL

+

Nigeria Polio Summit held on 28th April, 2014 in collaboration with Rotary

International towards sustaining the End Game Strategy Tempo.

+

Launch of National Routine Immunisation Strategic Plan 2013-

2015 in October, 2013.

For the first time in two decade, the National Immunisation

Coverage has exceeded 80% in 2013.

Introduction of new CSM Vaccine, Men-Afric which confers

protection for at least 10 years as against 3 years with the

previous vaccines. It is in its 4th year of nationally-phased

introduction that will cover all the 26 meningitis states in the

country. Hopefully, that should be concluded in 2014. This is

impacting on the unprecedented reduction of CSM ( especially,

the type A that constitute more than 80% of all meningitis cases

in Nigeria).

DISEASE CONTROL

+

The ongoing-implementation of the outcomes of diagnostics in

Logistics/Supply Chain and Effective Vaccine Management in

the country has resulted in excellent improvement in the

availability of Vaccines and related commodities; which in effect

is manifesting in the upward trajectory of vaccination coverage.

Phased introduction of Pentavalent Vaccines (DPT, HB, Hib) to

include protection against childhood pneumonia in 2013. Plans

have been concluded to introduce PCV in the Country in

December, 2014.

New security featured International Certificate of Vaccination and

Prophylaxis (Yellow Card) introduced in 2013.

DISEASE CONTROL

+

ROUTINE IMMUNISATION COVERAGE:

The national cumulative DPT3 containing antigen coverage was

88%.

29 States (78%) of States achieved > 80% coverage in DPT3

containing vaccine in Mar. 2014 compared to 13 states (35%) as at

Mar. 2013.

The National Cumulative coverage for BCG, Measles, Yellow Fever,

DPT3, OPV3 remains above 80% except for TT2+ (49%) & HepB0

(67%).

66% & 48% of LGAs conducted > 80% of their planned Fixed and

Outreach sessions respectively Jan.-Mar. 2014.

Nationally the country achieved 25% reduction in un-immunized

children in Mar 2014 compared to same period in 2013.

14 (39%) States achieved > 50% reduction in un-immunized

children Mar. 2014 compared to same period in 2013.

DISEASE CONTROL

+ 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.

+ Geographical restriction of cases and current polio disease burden, 22 September, 2014

•88% reduction in WPV1 with 6confirmed cases in 2 Statescompared to 49 cases in 9 States forthe same period in 2013.

•23 months of no confirmed WPV3.Latest onset November 2012.

•20 confirmed vaccine derivedpoliovirus (cVDPV2) in 2 Statescompared to 2 cases in 2013 for thesame period.

•87% reduction in circulating geneticclusters (1 in 2014 compared to 8 in2012)

2013

2014

W1 (n=46)

W3 (n=0)

# Infected State: 9

W1 (n=6)

W3 (n=0)

# Infected State: 2

+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.

+

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.

.

DISEASE CONTROL

+

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

+

MALARIA• Progress has been made over the years in the

elimination of Malaria using multiple strategies whichinclude integrated vector management, test beforetreatment policy, intermittent positive preventiontreatment in pregnant women and case management.

• 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 Larviciding Project presented to FEC and sent to NEC for the buy-in of the State Governors.

DISEASE CONTROL

20002005 2010

Gradual Shift from Hyperendemic to mesoendemic

epidemiologic patterns

Pƒ PR2-10

< 5% ≥ 5%-< 10% ≥ 10%-< 50% > 50%

Mean PfPR2-10

+

DISEASE CONTROL

+

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 Henshaw Hospital,

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

+

Robust engagement of private sector (patent medicine vendors,

community pharmacists, etc resulting in 30% of notified cases.

Achieved zero stock out of 1st line 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.

Buruli ulcer expansion programme that started in cross river state has

been extended to 4 more states – Ogun, Oyo, Anambra and 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

+

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.

Goodluck Operation 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

+

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

+

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..

+

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

+

• 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 Misosprostol in 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

+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) centres spread across the 36 states and FCT.

These health care workers comprise:

2,856 midwives;

3,675 community health extension workers (CHEWs); and

5,694 female 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 equipments to 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.

+ 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 Deidei

Comprehensive Health Centre, Bwari Area 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, Zamfara States

▪ Data from the first month’s enrolment in Deidei CHC 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

+ Midwives Orientation Session (2013)

+ Midwife addressing pregnant women on maternal

health (Byazhin PHC, FCT, 2013)

+ CCT Pilot Programme Launch in Ebonyi State

(Amaeze Health Centre, Ebonyi State, October 2013)

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

+ 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 Anambra State 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

+ LAUNCH OF TRUSCAN FOR DETECTING FAKE DRUGS BY

Mr. PRESIDENT, REPRESENTED BY THE HONOURABLE

MINISTER OF HEALTH

+ 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 centres 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

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

+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)


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.g Training in Israel, Training in Abuja by the International Committee of the Red Cross, Training organised by AFRICOM in Lagos, 2nd ATLS course organised by Emergency Response Limited, Principles of Operative Orthopaedics organised by AO).


Committee on training of Complimentary and AlternativeMedicine Practitioners constituted

Accreditation of new Faculties of Pharmacy.

CDC-Mentoring Laboratory Programme towards NationalAccreditation ( MELTNA)

Task-shifting: trained CHEWs may now administer injectablecontraceptives

New curriculum for the training of Community Midwives

Development of Global Health Players Programme

The Curriculum for National Diploma in ParamedicsTechnology was launched on 8th April, 2014.

+

Launch of the Curriculum for National Diploma in Paramedics Technology held on 8th April, 2014.

+

Cross Section of Participants during the Launch of the Curriculum for National Diploma in Paramedics Technology held on 8th April, 2014.

+ 4. FINANCING FOR HEALTH

Launching of the Community Based Social Health InsuranceProgramme as well as Voluntary Contributor Social Health InsuranceProgramme in 2011.

Revision of capitation, service fees and benefits

Established ICT platform for NHIS

National Conference on Health Financing in 2012.

Up scaling of the NHIS-MDG/MCH Project.

Held Presidential Summit on Universal Health Coverage (UHC) withkey UHC declarations aimed at repositioning of NHIS for improvedhealth coverage.

Established a marketing department in NHIS

Establishment of use of mobile telephone technology for enrolmentinto NHIS

+

Flag-off of the Community Based Social Health Insurance Programme and also evidence of Community Participation and Ownership

+

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 – 8th March, 2014.

+

Cross Section of participants during the Technical Sessions of the Presidential Summit on Universal Health Coverage held from 7th – 8th

March, 2014.

+

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

+

Panelists during the Presidential Summit on Universal Health Coverage held on 10th March, 2014.

+

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

+

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 10th March, 2014.

+ 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

+ 6. PARTNERSHIP FOR HEALTH

Signed MoUs in the Health Sector:

With Austrian Government on Partnership in Public Health (2011)

With Remi Babalola Foundation 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 autodispoable syringes

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

+ Resuscitation of Biovaccines limited , 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

+

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

+ s

Town Hall Meeting during the MNCH week in Gedi LGA, Adamawa State

+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

+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

+ Surveys

Global Adult Tobacco Survey (GATS) completed

The first Nationwide prevalence survey of TB completed .

National HIV/AIDS & Reproductive Health Survey .

National Antenatal Sero-Prevalence Survey.

2013 National Demographic and Health Survey conducted in

collaboration with the National Population Commission

Household and Health Facility Surveys across the country being

conducted in collaboration with National Bureau of Statistics

+

ACHIEVEMENTS

AT A GLANCE

+ Achievements in the Health Sector

AREA Before

2011

2011-2013 Remarks

Federal Teaching

Hospitals

19 21 (additional

3)

• Federal Teaching Hospital, Abakaliki

• Federal Teaching Hospital, Gombe

• Abubakar Tafawa Belewa University

Teaching Hospital, Bauchi.

Completion of

modernization of

Teaching Hospitals

10 14 (additional

4)

• University of Benin Teaching

Hospital

• Obafemi Awolowo University

Teaching Hospital

• Nnamdi Azikwe University Teaching

Hospital

• University of Calabar Teaching

Hospital

Recruitment of

Health Care Workers

under the SURE-P

Nil 12,100 health

care workers

to provide

MNCH

• 2,500 midwives;• 3,600 community health

extension workers (CHEWs); and

• 6,000 female village health workers

+Achievements in the Health Sector

AREA Before

2011

2011-2013 Remarks

Establishment of

National Blood

Transfusion Centres

7 17 (additional

10)

Calabar, Sokoto, Jalingo, Abeokuta, Ado

Ekiti, Port-Harcourt, Nangere Potiskum,

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 State

VVF Centre to

National Obstetric

and Fistula Centre

Nil 3 National Obstetric Fistula Centre,

Abakaliki, Babbar Ruga Fistula Centre,

Katsina and Ningi Fistula 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

MoU signed with GE, etc.


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 infant mortality

Under 5 mortality

rate per 1000 live

births

157 94 (MDG

2012 survey)40.9% reduction in under 5

mortality

Maternal mortality

ratio: deaths due to

pregnancy per

100,000 live births

545 350 (MDG

2012 survey)35.8% reduction in maternal

mortality


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.

Waiting time for

patients (From

registration to first

contact with a Doctor)

(mins)

30 25

Certification as Guinea

Worm disease free

country by WHO

YES

Nigeria Certified as Guinea

Worm Disease free country in

December, 2013

+ 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.

2014 ministerial press briefing by the federal ministry of health

Government & Nonprofit