#mp2013 presentation of the senior special assistant to the president on the mdgs

Millennium Development Goals: Pu3ng People First 1

The Mid-‐Term Report by

Dr. Precious Kalamba Gbeneol

B. Med. Sci. (Pharmacology), MBBS, MPH, FWACP, FMCFM.

Senior Special Assistant to the President on the MDGs

June 21st 2013

The Millennium Development Goals


1.  Introduction

2.  The Conditional Grants Scheme and Social Safety Nets Programme"

"3.  Interventions by DRGs-funded MDAs

4.  Progress across the MDG indicators""5.  Conclusion"

Outline


Introduction: The 8 Millennium Development Goals

Eradicate Extreme Poverty and Hunger

Achieve Universal Primary Education

Promote Gender Equality and Empower Women

Reduce Child Mortality

Improve Maternal Health

Combat HIV/AIDS, Malaria and other Diseases

Ensure Environmental Sustainability

Develop a Global Partnership for Development


MDGs/DRGs Appropriations Profile


Total Dollar AppropriaEon Across Time

$0

$100

$200

$300

$400

$500

$600

$700

$800

$900

$1,000

2006 2007 2008 2009 2010 2011 2012

Total, (Dollars, Millions)

Year

2006 -‐ 2012 DRG AppropriaNon Totals in Dollars


MDGs/DRGs Capital SupplementaNon AppropriaNons Across 2006-‐2012: Line Chart

0

5

10

15

20

25

30

35

40

45

50

2006 2007 2008 2009 2010 2011 2012

Billions

CondiNonal Grants Scheme

Monitoring & EvaluaNon

Quick win

CommunicaNons

Special PresidenNal IntervenNons

MDGs Special Projects

Consultancies and Short-‐term surveys

Support to UNDP Millennium Campaign


MDGs/DRGs Sector AppropriaNons Across 2006-‐2012: Line Chart

0

5

10

15

20

25

30

2006 2007 2008 2009 2010 2011 2012

Billions EducaNon

Health

Youth Development

Women Affairs

Agriculture

Water Resources

Social Safety Nets

Lands, Housing & Urban Development

Environment

Power

Works

FCT

Defence

Police

Capacity Building

Science and Technology

Petroleum


The MDGs CondiNonal Grants Scheme


5,532 projects completed across 113 LGAs.

2,690 projects completed across 36 states.

6,200 projects ongoing across 148 LGAs.

1,203 projects ongoing across 11 states.

CGS Headline Progress, Last 2 Years:


CGS targets those with the greatest need. To ensure this the following has been carried out:

1.   Poverty Mapping 2.   Baseline Facility Inventory 3.   Needs Assessment

•  Example: Needs Assessment Results: $78 per capita per year -‐ to aeain the MDGs by 2015 in EducaEon, Health, Agriculture and Water & SanitaEon sectors.

•  It has been esEmated that for Nigeria to a^ain the MDGs by 2015, there is an annual funding gap of of around N1.3 trillion across the country.

Planning and TargeEng of Investment


EkiE South-‐West Overview from Baseline


LocaEon of FaciliEes in the LGA


DistribuEon of Health FaciliEes in the LGA


CGS 2011 Budget ImplementaEon Successes 2011 CGS ImplementaEon Successes

State Track LGA Track Total

Health FaciliEes (Constructed, Renovated, Equipped) 1,081 565 1,646

Water FaciliEes (Boreholes, Small Town Water Schemes) 2,331 2,147 4,478 CCT (Households) 20,000 19,567 39,567 Health Workers Trained -‐ 35,700 35,700

Salary for New Village Health Workers -‐

2,260 2,260

Classroom Blocks (Built or Renovated) -‐

742 742

ConstrucEon /RehabilitaEon of Health Training FaciliEes 8

-‐ 8

School exercise books, textbooks, instrucEonal materials, etc.

-‐ 1,214,271 1,214,271

School Desk, Benches, Chairs for pupils and teachers

-‐ 34,232 34,232

Referral Vehicles (Ambulances) -‐ 120 120

Teachers Quarters and Health Workers Quarters Constructed 166 34 200

VIP Latrines in Schools and Hospitals -‐

665 665


CGS 2012 Budget ImplementaEon Successes 2012 CGS ImplementaEon Successes

State Track LGA Track Total

Health FaciliEes (Constructed, Renovated, Equipped) 1,003 740 1,743

Water FaciliEes (Boreholes, Small Town Water Schemes) 1,695 2,812 4,507 CCT (Households) 56,500 -‐ 56,500 Health Workers Trained -‐ 32,730 32,730

Salary for New Village Health Workers -‐ 2,960 2,960

Classroom Blocks (Built or Renovated) -‐ 972 972

ConstrucEon /RehabilitaEon of Health Training FaciliEes 71

-‐ 71

School exercise books, textbooks, instrucEonal materials, etc. -‐ 1,590,373 1,590,373

School Desk, Benches, Chairs for pupils and teachers -‐ 44,835 44,835 Referral Vehicles (Ambulances) 20 157 177

Teachers Quarters and Health Workers Quarters Constructed 189 45 234

VIP Latrines in Schools and Hospitals -‐

871 871 Agricultural Co-‐operaEve Funding -‐ 148 148


113 LGAs à Scale up to 261 LGAs Abia Ikwuano Ohafia Obi NgwaAdamawa Song Michika LamurdeAkwa Ibom Nsit Ubium Oruk Anam MboAnambra Awka North Anambra West Orumba SouthBauchi Ganjuwa Itas/Gadau KirfiBayelsa Southern Ijaw Brass SagbamaBenue Logo Gwer West AdoBorno Kala/Balge Guzamala ShaniCross River Boki Yala OdukpaniDelta Ethiope West Ukwuani Warri South WestEbonyi Ikwo Izzi Afikpo SouthEdo Esan South East Etsako West OrhionmwonEkiti Ijero Ikole Ekiti EastEnugu Isi-‐Uzo Igbo-‐Etiti AninriFCT Kuje Abaji BwariGombe Akko Dukku BalangaImo Ngor Okpala Onuimo NwangeleJigawa Guri Sule-‐Tankarkar MigaKaduna Birnin-‐Gwari Lere KachiaKano Garun Mallam Gabasawa TakaiKatsina Kaita Mashi MusawaKebbi Bunza Augie SuruKogi Ajaokuta Omala Kabba/BunuKwara Asa Kaiama IfelodunLagos Eti-‐Osa Ibeju/Lekki IkejaNasarawa Akwanga Obi TotoNiger Lavun Munya WushishiOgun Ikenne Egbado North OdedaOndo Ile-‐Oluji Ondo East Akoko North EastOsun Ede South Odo-‐Otin Atakumosa EastOyo Ibarapa North Lagelu OriirePlateau Mikang Kanke RiyomRivers Akuku Toru Omumma KhanaSokoto Tambuwal Illela BinjiTaraba Takum Bali Karim-‐LamidoYobe Fune Yunusari KarasuwaZamfara Bukkuyum Maru Zurmi

List of Selected LGAs for participation in CGSAbia Ukwa East Isiala Ngwa South Arochukwu UmunneochiAdamawa Maiha Mubi North Fufore ShellengAkwa Ibom Ini Ibiono Ibom Esit Eket Udung UkoAnambra Ayamelun Anambra East Nnewi South DunukofiaBauchi Ningi Shira Giade ToroBayelsa Ekeremor Kolokuma/Opukumo Obalga NembeBenue Kwande Katsina Ala Guma OkpokwuBorno Chibok Danboa Gubio Mobbar DikwaCross River Biase Abi Oburu ObanlikuDelta Udu Ndokwa East Burutu BomadiEbonyi Abakaliki Ezza South Ishielu OhaozaraEdo Ovia South Esan West Etsako East Akoko-EdoEkiti Ekiti South West Oye Ekiti West EfonEnugu Nkanu East Uzo-Uwani Ezeagu Oji RiverFCT GwagwaladaGombe Yamaltu deba Shongom Kwami NafadaImo Ikeduru Obowo Isu NjabaJigawa Birniwa Ringim Maigatari KiyawaKaduna Kudan Giwa Kauru KagarkoKano Kunchi Minjibir Warawa BunkureKatsina Danmusa Dandume Zango IngawaKebbi Arewa Kalgo Ngaski SakabaKogi Igalamela/Odolu Bassa Okehi KogiKwara Ilorin East Patigi Ekiti Oke-EroLagos Apapa Epe Badagry Ajeromi-IfelodunNasarawa Awe Nasarawa Eggon Kokona NasarawaNiger Edati Katcha Rafi AgwaraOgun Ado Odo/Ota Ogun Waterside Abeokuta North Obafemi OwodeOndo Ese-Odo Akure North Ifedore OseOsun Ayedaade Ola-Oluwa Ifedayo Ife SouthOyo Ido Ogo-Oluwa Irepo IwajowaPlateau Langtang Bassa Barkin Ladi PankshinRivers Asari-Toru Ogu/Bolo Andoni DegemaSokoto Gudu Tangaza Gada TuretaTaraba Ibi Gassol Sardauna YorroYobe Nangere Geidam Tarimua JakuskoZamfara Bakura Anka Tsafe Birnin Magaji

CGS$Scale$up$of$148$LGAsCGS Scale Up to 113 LGAs


Social Safety Nets


Structure 24 States – N10Bn (50% counterpart contribuEon from States) will go to extreme poor households with children 0-‐15 years & pregnant women. •  56,500 households receive N5,000 per month for 12 months. They

will receive N100,000 and business training during the program to aid in enterprise start up.

Criteria for SelecNon Human Capacity Development Index broken down to state level and Poverty Mapping were used – •  Five poorest LGAs, five poorest wards in the LGAs with the selecEons

of the poorest households within the wards.

CCT through Electronic Payment System


North West, Sokoto State. SSAP-‐MDGs with Governor and Deputy Governor launching the CCT Scheme.


North West, Sokoto State. The launching of the CCT Scheme.


IntervenEons aimed at addressing development gaps.

Span areas: educaEon, health, water supply, small scale power supply, skills acquisiEon centers, and community

halls.

1,209 projects have been completed in 2012.



2012 Summary: Ministries, Departments, and Agencies


IntervenEons: 1.  Village health worker scheme. 2.  Community health insurance scheme. 3.  Saving 1 million lives iniEaEve. 4.  Community health extension workers. 5.  Support to NPHCDA with immunizaEon

products. 6.  Life saving commodiEes for women and

children. 7.  Midwife Service Scheme.

Health: Key Points Successes: 1.  35 Million children under 5 have received Oral

Polio Vaccine. 2.  6 Million Children under 1 vaccinated with new

pentavalent vaccine 3.  4,000 midwives and 1,020 CHEWs (Community

Health Extension Workers) recruited and deployed so far.

4.  Over 15 million people vaccinated with Cerebro Spinal MeningiEs vaccine.


IntervenEons: 1.  Annual Capacity Development of serving Public

Primary School Teachers naEonwide. 2.  Training of Head Teachers of Public Primary

Schools 3.  Gender EducaEon Programme 4.  Federal Teachers Scheme 5.  Support for Mass Literacy, Adult and Non-‐Formal

EducaEon 6.  Reform and Restructuring of Federal Inspectorate

Services (FIS) into a Quality Assurance Model 7.  Support for Nomadic EducaEon Programmes 8.  Support for the NaEonal Almajiri EducaEon

Programme 9.  Review, harmonisaEon and development of the

New Basic EducaEon Curriculum 10. Support to NaEonal Training Teachers InsEtute

EducaEon: Key Points Successes: 1.  Reduce the perennial shortage of qualified

teachers in public school -‐ salaries of 22,493 trained teachers paid up to September 2012.

2.  11 model schools are to be constructed in Benue , FCT, Kogi, Gombe, Kwara, Nasarawa and Plateau (contractors have begun work).

3.  Teachers’ Guides, prinEng and distribuEon of 75, 000 sets of the new 9-‐Year Basic EducaEon curriculum to the public schools.

4.  Classrooms constructed in 38 LGAs -‐ 54% CompleEon.


Youth Development: Key Points

Successes:

1.  15,618 MDGs advocates trained at the orientaEon camps for 2012 Batches A & B.

2.  411 corps members trained under 2011 work-‐plan were empowered. 600 corps members trained under 2012 work-‐plan.

3.  600 corps members trained under 2012 work-‐plan.


Agriculture: Key Points Successes: 1.  Feeder roads constructed to aid agricultural produce

sale. 2.  2,732 women trained for agricultural enterprise. 3.  11,000 youth trained in ten different value chains. 4.  22,500 farmers trained and linked with extension

support services. 5.  5,000 portable pesEcide sprayers procured.


Successes:

1.  Training and empowerment of women, elderly and persons with disabiliEes, through skills acquisiEons sessions.

2.  300 persons with disabiliEes empowered in Ondo, Benue and Rivers States, through the provision of sewing machines, hearing-‐aids, mobility appliances, etc.

3.  Advocacy conducted in States and LGAs for female poliEcal parEcipaEon and inclusion.

4.  Training of relevant officers in MDAs on gender-‐responsive budgeEng.

Women Affairs: Key Points


Lands, Housing & Urban Development: Key Points

Successes:

1.  Provision of 236 Boreholes and risers. 2.  ConstrucEon of 45Km of urban slum roads upgraded. 3.  ConstrucEon of 114 buildings (Classroom Blocks,

Health Centers, Community Halls, ICT Training Centers, etc.).

4.  Provision of 2397 solar street lights.


Federal Ministry of Environment: Key Points

Successes:

1.  CharacterizaEon and restoraEon of 9 Legacy Sites in the Niger Delta using Thermal DesorpEon Unit Biological Processes.

2.  Establishment of incident command and control center. 3.  Establishment of ICT center and procurement of

computers, GPS, internet and networking tools.


Current Status of the MDGs: A Comparison of the Results of the 2012 MDGs Survey (conducted by National Bureau of Statistics)

with Existing Data"


MDG 1: Eradicate Poverty and Extreme Hunger

23.10% 24.20% 27.40%

17.85%

2008 2011 2012 2015

Prevalence of Underweight Children Under Five Years of

Age

2008 2011 2012 2015 19.31%

8.26% 9.66%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

1991 2012 2015

ProporNon of the PopulaNon Suffering from Hunger


MDG 2: Universal Basic EducaEon

64.30% 65.60% 66%

100%

0%

20%

40%

60%

80%

100%

120%

2008 2011 2012 2015

Literacy Amongst 15-‐ 24 Year Old Women

62.10% 70.10% 71%

100%

0%

20%

40%

60%

80%

100%

120%

2008 2011 2012 2015

Net Aeendance RaNo in Primary School


MDG 3: Promote Gender Equality and Empower Women

76 85.4

100 100

1990 2008 2012 2015

RaNo of Girls to 100 Boys in Primary School

1990 2008 2012 2015

75 79.9

102 100

1990 2008 2012 2015

RaNo of Girls to 100 Boys in Secondary School

1990 2008 2012 2015


MDG 4: Reduce Child Mortality

157 158

94

64

0

20

40

60

80

100

120

140

160

180

2008 2011 2012 2015

Under 5 Mortality RaNo (per 1,000 Live Births)

75

97

61

30

0

20

40

60

80

100

120

2008 2011 2012 2015

Infant Mortality Rate (per 1,000 Live Births)


MDG 5: Maternal Mortality

800#

545#

350#250#

2004# 2008# 2012# 2015#

Per#100,000#live#births#

Maternal#mortality#rate#(per#100,000#live#birth)#

38.90%

48.70% 53.60%

78.75%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

2008 2011 2012 2015

Percentage of Births Aeended by Skilled Health Personnel


MDG 6: Combat HIV/AIDS, Malaria, & Other Diseases

5.50%

34.60%

100%

0%

20%

40%

60%

80%

100%

120%

2008 2012 2015

Percentage of Children Under Five Sleeping Under ITN

5.40%

4.20% 4.10% 4.10%

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

2000 2008 2012 2015

HIV Prevalence Among Pregnant Young Women Aged 15-‐24 (%)


MDG 7: Water & SanitaEon

55.80% 58.50% 57%

77%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

2008 2011 2012 2015

Percentage of populaNon using improved drinking water

source, urban and rural (de jure populaNon)

31.20% 33.70%

69.50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2008 2012 2015

Percentage of PopulaNon Using Improved SanitaNon Facility, Urban and Rural (de jure

PopulaNon)


MDG 8: Develop a Global Partnership for Development

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Debt service as a percentage export of goods and services (2000 – 2011)

0

10

20

30

40

50

60

1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Fixed Telephone lines per 100 populaEon

Cellular phone subscribers per 100 populaEon

Telephone lines per 100 populaNons

0.0

5.0

10.0

15.0

20.0

25.0

30.0

1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Internet users per 100 populaNon


North Central, Plateau State, Mikang LGA. Students sit in their renovated classroom at the Zomo Science Primary School, Zomo, Mikang LGA. In addiEon to renovaEon, MDGs also provided desks for the classrooms under the CGS to LGA Track.


North Central, Plateau State, Mikang LGA. A social studies teacher instructs her students inside one of the renovated classrooms at the Zomo Science Primary School, Zomo, Mikang LGA. Before the renovaEon the roof of the classrooms has been blown away by the wind, making it difficult for teachers and students alike to concentrate in class.


North Cenral, Niger State, Bida LGA. The 20,000-‐litre solar-‐powered borehole constructed in the Masaga B community in Bida LGA is a popular place in the evenings for children and adults alike, who all come to fetch the clean, MDGs-‐provided water. The borehole was funded under the CGS 2009 State Track Projects.


North Cenral, Niger State, Bida LGA. Girls carry water basins on their heads while a smiling boy waits for his bucket to be filled at the Masaga B solar-‐powered borehole, funded through collaboraEon between MDGs and the Niger State Government.


North West, Zamfara State, Gusau LGA. A staff member feeds the fishes at the Damba Farm Centre, Gusau. The farm was funded under the CGS to State Track.


North West, Zamfara State, Gusau LGA. ExecuEve Director of the School of Nursing and Midwifery, Alhaji Garba Bello Zurmi, stands inside the newly constructed auditorium hall with his students behind him.


North West, Kano State, Garko LGA. The Kafin Chiri water treatment plant has benefi^ed from CGS state track.


North West, Kano State, Gwarzo LGA. A medical staff a^ending to paEents at the newly expanded Gwarzo Comprehensive Hospital.


North East, Gombe State, Balanga LGA. Inside view of the female ward at the Bambam PHC. The facility is constructed by the through CGS.


North East, Gombe State, Akko LGA. Students showing appreciaEon by singing.


North East, Adamawa State, Yola South. The commercial water seller pushes the clean water he got from the solar powered borehole provided by OSSAP-‐MDGs.


North East, Adamawa State, Dakri LGA. A side view of the Clinic Staff quarters block with the MDGs Logo.


South East, Abia Stat. Ambulances to be distributed across the state, provided by OSSAP-‐MDGs.


South East, Abia State, Ikwuano LGA. Solar panels at a solar powered borehole sight provided by OSSAP-‐MDGs.


South East, Anambra State, Iyienu LGA. Student quarters at the school of midwifery provided by OSSAP-‐MDGs.


South East, Anambra State, Ebenebe LGA. A view through a secondary school provided by OSSAP-‐MDGs.


South South, Akwa Ibom State, Esien Udim LGA. Clean water provided from the solar powered borehole provided by OSSAP-‐MDGs.


South South, Akwa Ibom State, Abak LGA. Hospital beds in a primary healthcare centre provided by OSSAP-‐MDGs.


South South, Delta State, Ugbolo. Maternity ward in Ugbolo Senatorial District, provided by OSSAP-‐MDGs.


South South, Delta State, Aniocha North. A water project provided by OSSAP-‐MDGs.


South West, EkiE State, Ido Ile. Water treatment plant provided by OSSAP-‐MDGs.


South West, EkiE State, Ise Okeh. Ambulances at a health centre provided by OSSAP-‐MDGs.


South West, Lagos State, Sakpo Badagry. Staff in front of a health centre provided by OSSAP-‐MDGs.


South West, Lagos State, Ikeja LGA. A child working in a central primary school provided by OSSAP-‐MDGs.


Far ahead of the 2015 deadline, Nigeria has achieved key targets of MDGs 1, 3, and 6. We are on track to attain Goals 2, 4, 5, and 8. Efforts have been stepped up to address the challenges

hampering progress on Goal 7."

"

With less than 1,000 days to the deadline of the MDGs framework, efforts are being made to

sustain the progress that has been achieved across all of the MDGs.""

There is the need for partnerships and synergies throughout society to ensure we continue to

deliver high impact interventions to the poor and vulnerable in society."

"

I wish to thank His Excellency, Dr. Goodluck Ebele Jonathan, GCFR, President and Commander-in-Chief of the Armed Forces for his unwavering commitment to the poor and for insisting that the

DRGs be devoted entirely to interventions that affect the most disadvantaged in society."

Conclusion

Thank you for your attention!

#mp2013 presentation of the senior special assistant to the president on the mdgs

Health & Medicine