1. Millennium Development Goals and Health in Nigeria
Dr Andrew L Mbewe
Child and Adolescent Health
World Health Organization.

2. Outline What is Health? Health Related MDGs
Status of Health Related MDGs in Nigeria
Addressing the Challenges
Policy, Strategic and Planning Level.
Implementing the Policies, Strategies and plans.
Federal, State, LGA and Communities.
UN, Civil Society and Health

3. “Health is a state of complete physical, mental and social wellbeing and not merely the absence of Disease or infirmity” World Health Organization

4. Health Related MDGs GOAL 1: Eradicate extreme poverty and Hunger
GOAL 2: Achieve universal primary education
GOAL 3: Promote gender equality and empower women
GOAL 4: Reduce Child Mortality
GOAL 5: Improve Maternal Health
GOAL 6: Combat HIV/AIDS, Malaria and other diseases
GOAL 7: Ensure environmental sustainability.
GOAL 8: Develop a global partnerships for development.

5. GOAL 1: Eradicate extreme poverty and Hunger
Sub-Saharan Africa
Reduce extreme poverty
Very High poverty
Productive and decent employment
Very Large Deficit in decent work
Reduce hunger by half
Very high hunger
Nigeria
13 percent of babies are exclusively breast fed throughout the first six months.
41 percent of Nigerian Children are stunted ( Short for age)
14 percent are wasted (Thin for their height)
23 percent are underweight* MDG indicator

6. GOAL 2: Achieve universal primary education
Sub-Saharan Africa
Universal Primary schooling
Moderate enrolment
Nigeria
62.1 percent: Net attendance ratio in primary school.
98.5 percent: Percentage of pupils starting grade 1 who reach grade 5.
69.4 percent: Literacy rate of year olds.
Ref: NDHS 2008

7. GOAL 3: Promote gender equality and empower women
Sub-Sahara Africa
Equal Girls’ Enrolment in primary school
Close to parity
Women’s Share of Paid Employment
Medium Share
Women’s Equal Representation in National Parliaments
Moderate representation
Nigeria
Ratio of girls to boys in primary, secondary and tertiary education- na
83.5 percent: Respondents who attended secondary school or higher or who can read a whole sentence
Ref: NDHS 2008

8. GOAL 4: Reduce Child Mortality
Sub-Saharan Africa
Reduce a mortality of under-five year-olds by two thirds.
High Mortality
Nigeria
157/1000 live births: Under five mortality Rate (Target: 77)
75/1000 live births: Infant Mortality Rate.
41.4 percent: One year old children immunized against measles.

9. GOAL 5: Improve Maternal Health
Sub-Saharan Africa
Nigeria
Reduce Maternal Mortality by three quarters
Very High Mortality
Access to reproductive health
Low Access
545 /100,000 live births: Maternal Mortality Ratio
38.9 percent: Percentage of births attended by skilled health personnel
14.6 percentage: Contraceptive Rate( Any contraceptive Method, currently married women and men age years).

10. Nigeria

11. GOAL 6: Combat HIV/AIDS, Malaria and other diseases
Sub-Saharan Africa
Halt and begin to reverse the spread of HIV/AIDS.
High Incidence
Halt and reverse spread of tuberculosis
High Mortality
Nigeria
40.8 percent: Condom use at last higher risk sex: Youth years
23.9 percent: Population years with comprehensive knowledge of HIV/AIDS
1.2 : Ratio of school attendance of orphans to school attendance of non-orphans aged years
5.5 Percent: children U5 sleeping under ITN
33.2 percent: Children with fever appropriately treated with anti-malarials

12. HIV/AIDS Services Coverage
People living with AIDS: 3.34 million (ANC 2010)
-Universal Access Target of 80% coverage by 2015
ART : people accessing in 446 sites
PMTCT: women accessing 670 sites
HCT : adults receiving HTC services in 1070 sites.
Ref : FMOH

13. Tuberculosis Case detection has increased.
Treatment success rate has improved 82%, Target 85%.
Challenges:
HIV/TB interaction
Emergency of MDR
New Advances
New Rapid Test, can obtain results in 2 hours.
National prevalence survey- Magnitude

15. GOAL 7: Ensure environmental sustainability.
Sub-Saharan Africa
Reverse loss of forests.
Medium forest cover.
Halve proportion of population without improved drinking water.
Low Coverage.
Halve the population without sanitation.
Very Low Coverage.
Improve the lives of slum dwellers.
Very high proportion of slum dwellers
Nigeria
55.8 percent: Population using improved drinking water source, urban and rural
31.2 percent: Population using improved sanitation facility, urban and rural
*** Common conditions transmitted by oral fecal route: Polio, Cholera, Worm Infestation.

16. GOAL 8: Develop a global partnerships for development.
Sub-Saharan Africa
Internet Users
Low Usage.
Nigeria
PMNCH: Partnership for Maternal, Newborn, Child Health.

17. Addressing the Challenges
Despite some improvement, the coverage of key MNCH interventions is still very low.
The MDG 2011 report provides a reminder on the work ahead….MDGs are like far distant mountains.
Nigeria has Federal, State Strategic Health and Development Plans.
UN Agencies must individually and severally assist FMOH&SMOH to implement, supervise, monitor and evaluate the plans.
The UN agencies- In collaboration with stakeholders- must mobilize resource for themselves and also for the FMOH and SMOHs to implement the state and LGA plans- example Civil Society, UNH4 and UNDAF

18. Working Together -for health-