Nigerias Malaria Programme

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• Nigerias Malaria Programme
• Prof. Babatunde Osotimehin
• Honourable Minister of Health
• Nigeria

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Nigeria STRATEGIC IMPORTANCE

• Population
• Total 149,107,133
• Most populous country in Africa
• At risk 144,633,916
• U5s 29,821,426
• Preg. Women 7,940,134
• GNP USD582 (2005), income unequally distributed
• U5 mortality rate 201/1000 live births (NDHS,
  2003)
• Estimated 300,000 deaths per annum

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HISTORICAL PERSPECTIVE TO MALARIA CONTROL
PROGRAMME

• 2000- Abuja Summit . African Union leaders
  resolve to address malaria.
• 2005- Roll Back Malaria (RBM) partnership was
  established.
• 2008- RBM was consolidated. Partners agreed to
  the principle of the three ones
• This has led to increased capacity for programme
  management.

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The Goal of Updated National Malaria Strategic
Plan

• The Goal of the National RBM Programme is to
  reduce the malaria burden by half by the year
  2010
• Overall Objectives
• To nationally Scale Up for Impact (SUFI)
• To sustain and consolidate these efforts in the
  context of a strengthened health system and
  create the basis for the future elimination of
  malaria in the country

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Institutional Arrangement for Malaria Control in
Nigeria Complex!!!

• NMCP
• Strategic functions

• Partners Forum
• Leverage Resources
• Technical Support
• Implement Activities

37 SMCP Operational Strategic functions
774 LGA MCP Operational functions
9,555 Wards Operational functions

• Stakeholders
• Manufacturers
• Commercial
• Consumers
• Interest Groups

Community Dev Committee
25m Households
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• Current Status of Malaria Implementation

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RBM PARTNERS

• Government of Nigeria
• The Global Fund
• The World Bank
• The UN System
• DFID
• USAID

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CONTRIBUTION OF THE GOVERNMENT OF NIGERIA

• The Nigerian Government has given high political
  commitment to the RBM partnership.
• The government has also funded the malaria
  control program from the MDG funds and debt
  relief gains.
• Government also signed a credit with the World
  Bank to fund the National Malaria Programme.

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PARTNERS CONTRIBUTION

• Partners have put financial and technical
  resources into the RBM programme
• G.F
• -provided over 4 million long lasting insecticide
  treated nets (LLIN)
• - 18 million Acetemin Based Combination
  Therapy(ACT).

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Malaria Commodities received from Government and
Partners (2006-2008)
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ACHIEVMENTS OF PARTNERSHIP Commodities
Distributed (2006-2008)
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• Attaining SUFI
• (Scaling Up for Impact)

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Commodity needs to achieve SUFI (Scaling UP for
Impact)
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Evidence of Existing Capacity to Implement
Scaling Up for Impact

• Government renewed effort to strengthen health
  system, with Primary Health Care as arrowhead
• Positioning the NMCP as well other related
  disease control programs ATM Task Force with
  Health Minister as Chair.
• Integrating the NMCP with other relevant programs
  such as Immunization, RH,
• Supporting the Country Coordination Mechanism
  (CCM) as well as RBM Partnership coordination
  process
• Public Private partnership e.g. with revised GF
  grants implementation
• Nigeria adopted the Three Ones principle

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LLINs Campaigns

• Mapping
• Operational Guidelines developed
• LLINs Coordinating Committee formed
• Work Streams formed
• Logistics
• Technical
• Demand creation
• States support teams
• Timing of campaigns for the 36 States FCT
  scheduled

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Health Systems Strengthening

• Improving utilization of ANC services
• Recruiting and training community health workers
• Community systems strengthening
• Strengthen NHMIS
• Expand HR capacity
• Improving PSM

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Other Implementation Enabling Factors

• There is steady progressive ownership,
  commitment and allocation of resources by all the
  three tiers of government, Federal, States and
  Local governments.
• RBM Partners both local and international will
  provide assistance including technical, financial
  and materials.
• Monitoring and evaluation team will ensure
  adequate programme performance framework is put
  in place to assess the achievement of the
  indicators of input, output, outcome and impact
• The behavioral change and communications team
  will mount adequate propaganda machineries that
  will ensure positive health seeking behavioral
  changes in the people

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Possibilities for significant impact in malaria
control WHY ROUND 8 AND SUBSEQUENT ROUNDS SHOULD
BE FUNDED
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• Funding Levels for Attaining SUFI

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Summary of Estimated Programmatic Financial Gap
Analysis (USD) 2009-2010
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Summary of Estimated Programmatic Financial Gap
Analysis (USD)
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Reaching SUFI

• With current resources, it will take 14 yrs to
  reach SUFI
• With current resources R8 additional
  resources
• LLINs SUFI
  2010
• ACTs SUFI
  2011
• RDTs SUFI
  2013
• IPTp SUFI
  2011
• IRS
• HSS
• BCC, ME

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AIDS, TUBERCULOSIS AND MALARIA, MODEL

• Nigeria has created a task team to work on the
  three diseases. This is to
• - Integrate the different response programmes
• Address the collective challenges
• Facilitate support to States
• Perfect the supply chain management of
  commodities.

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Conclusion

• With additional money of Rd 8, we will achieve
  SUFI quicker and save more lives with your help.
• Even in the future, there is need for predictable
  funding for sustaining the gains and move towards
  elimination and eventually eradication.