COUNTRY ACTION: SUSTAINABLE INVESTMENT

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COUNTRY ACTION SUSTAINABLE INVESTMENT

• STOP TB PARTNERSHIP FORUM
• 24TH-26TH MARCH 2004
  
• BY
• MRS NENADI USMAN
• HONOURABLE MINISTER OF STATE FOR
  FINANCE, FEDERAL
  REPUBLIC OF NIGERIA

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Introduction

• Significant advances were made in the 20th
  Century like eradication of smallpox and the
  reduction of the incidence of childhood
  immunizable and preventable diseases.
• Still there is high burden of infectious
  diseases, under-nutrition and complications of
  childbirth.
• Re-emergence of TB and the emergence of
  infectious diseases like HIV/AIDS

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Introduction cont.

• The problems have prompted global concerns
• - WHO declared TB a global emergency in 1993
• -Amsterdam Ministerial Conference to Stop TB in
  2000
• -WHA Declaration of global targets (70
  detection 85 cure of infectious TB)
• - The millennium Development Goals.
• Nigeria has contributed to this history by
  hosting the African Summit on HIV/AIDS, TB and
  other infectious diseases.
• Since TB affects the most productive age group
  with the consequences on the economy, investment
  in TB control is not just an option but a
  necessary means of spurring economic growth and
  social development.

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The Key Areas

• Improving public sector resource allocation and
  increase coverage and quality of DOTS service
  provision
• Mobilizing private sector in the DOTS expansion
  strategy implementation
• Securing additional resources from new global
  mechanisms such as the Global fund to Fight AIDS,
  Tuberculosis and Malaria (GFATM)
• Providing gender sensitive and equitable access
  to essential medicines and technology in
  collaboration with the Stop TB partnership
  (Global Drug Facility)
• Improve the institutional and human resource
  capacity of the entire health systems within the
  context of the National Reform Agenda.

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Key Areas Cont.

• Sustainable action to reduce poverty through the
  National Poverty Eradication Programme
• Tracking progress and achievement through a
  reliable Health Information System.
• Development and implementation of strategies to
  respond to the Multi-Drug Resistance Tuberculosis
  (MDR).

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Progress

• Expansion of in-country TB control partnership
• All the 36 States and FCT are implementing the
  DOTS strategy
• The case notification has increased by 33
• Treatment success of 79.7 has been recorded for
  all detected smear positive cases as at 2001
• The supervision of the programme has improved.

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WHY WE NEED SUSTAINABLE INVESTMENT FOR DOTS

• Linkage between ill- health and poverty
• Disease burden due to TB
• Need to reach the TB target of 2005 and MDGs by
  2015

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GETTING SUSTAINABLE INVESTEMENTS FOR DOTS -
sources

• A) EXTERNAL
• Global drug facility GDF
• Global fund for AIDS TB and Malaria
• Multilateral and bilateral donors
• Foundations, voluntary ORGS, NGOS
• Private donors etc

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• NATIONAL
• Adequate budgetary allocation to health at all
  levels eg. Nigerias NEEDS, SEEDS AND LEEDS
• Private sector
• Communities, etc

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MAKING EFFECTIVE AND EFFICIENT USE OF THE
INVESTMENT

• Improve the institutional and human resource
  capacity of the entire health systems within the
  context of the national reform agenda.
• Improve diagnostic capacity
• Build capacity of health workers to detect and
  treat
• Strengthen monitoring systems

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• Strengthen drug procurement system to ensure
  ready supply of TB drugs
• Invest in vaccine research and production
• Invest in advocacy and communications
• Invest in poverty reduction projects /programs

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CONCLUSION

• Priority support from all our Development
  Partners as TB, HIV/AIDS and Malaria are growing
  threats to our survival and economic development.
• Debt reduction or cancellation to make resources
  available for the health and development
  programmes.

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Thank you