NSHDP inside pgs - Federal Ministry of Health

1 Federal Ministry of Health November 2010. national strategic Health development plan ( NSHDP ) 2010 - 2015 1. Federal Ministry of Health national strategic . Health development plan . ( NSHDP ) 2010 - 2015. November 2010. Table of Contents Preface 5 Chapter 6: Financing the NSHDP 68. Acknowledgement 7 Assessment of the available and projected funds 68. Acronyms and Abbreviations 8 Financing gap 69. Financing the plan : strategic Investment plan 70. Presidential Summit Health Declaration 10. Financial Monitoring and Economic Evaluations 76. Executive Summary 15. Chapter 1: Background 20 Chapter 7: Implementation Modalities 78. Chapter 2: Situation Analysis 24 Preamble 78.

2 Structures, Institutions and Processes 78. Health Status of the Population 24. strategic Partners 79. Health Services - Provision and Utilization 32. Health Care Financing 34. Annexes 81. Public Expenditure on Health 35. Annex 1: national Results Matrix and M&E Systems 81. Chapter 3: NSHDP Priority Areas 42 Annex 2: Cost Sheets ( Federal & State) 100. Annex 3: Methodology & Process of plan development 124. Preamble 42. Essential Package of Care 58. Chapter 4: Results Matrix and Monitoring and Evaluation 61. Results Matrix 61. Monitoring and Evaluation Systems 62. Approaches for Data Collection 62. Strategy 63. Chapter 5: Resource Requirements 64. Required human resources 64.

3 Physical/materials 65. Estimated costs of the strategic orientations 65. national strategic Health development plan ( NSHDP ) 2010 - 2015. Preface Successive Governments have strived to improve the Health status reference Health development document for all actors towards delivery of Nigerians. Through a series of national development plans and on a shared Results Framework, to which each and everyone will be annual budgets, modest progress was made, in the past. Over the held accountable for achieving the goals and targets as contained in past decade however, there have been major reversals on the gains the Results Framework. The Health plan , which was also developed of the Health sector.

4 Childhood immunization plummeted and life in tandem with the guidelines of the national Planning Commission expectancy reportedly dropped to mid 40-years. Unfortunately, the Vision 20:2020 process (including the NV20:2020 Implementation strides in the sector has been much too slow. The country is largely plan ), is the compass or reference for the Health sector Medium Term challenged in achieving the Millennium development Goals by 2015. Sector Strategy (MTSS) and annual operational plans and budgets at all levels. With the advent of a new decade, and a renewed leadership system of the Federal Ministry of Health , the Health sector is poised to reposition The development of the NSHDP involved inputs from a vast number itself to implement and institute result oriented programmes within the of people and agencies.

5 Public Health experts from the Government context of the MDG and national targets as enshrined in the national and academia took the lead in preparing evidence-based background Vision 20:2020, and a new national Health plan . studies for the work of the NSHDP Technical Working Group (TWG). in drafting a framework for the plan 's focus areas and objectives. The In an unprecedented collaborative and fully participatory national NSHDP Steering Committee provided guidance to steer the process. process, key stakeholders at all levels in the Health sector Federal , The Department of Health Planning, Research & Statistics at the States, LGAs, partners both international and domestic, civil society Federal Ministry of Health in conjunction with the NSHDP Reference organizations, etc, - have evolved a uniform national Health development Group expertly managed the process.

6 It is note-worthy that the success framework thereby putting in place the first ever truly national Health of this effort is due to the overwhelming and enthusiastic engagement plan through an associated Results (Targets/Indicators) Framework, of the nationwide contributory and consultative public meetings. that is consistent and elaborate on the Vision 20:2020 Human Capital development aspirations. This is hoped will serve as a standard The knowledge, commitment, and collaboration of these groups against which the progress from 2010 to 2015 will be measured- in combined, in the first instance, to produce the NSHDP Framework. the first instance- and beyond, as we match towards Vision 20:2020.

7 It was then formalized, for use, by the national Council on Health (the highest Health policy advisory body in Nigeria), to develop the The national strategic Health development plan (or NSHDP ) - reflects national Health plan and its Results Framework. The emerging plan shared aspiration to strengthen the national Health system and to vastly was endorsed by the national Council on Health on March 16, 2010, improve the Health status of Nigerians. The plan is the overarching during the tenure of Professor Babatunde Osotimehin as Minister of national strategic Health development plan ( NSHDP ) 2010 - 2015 5. Health . The plan was subsequently approved by the Federal Executive by this plan in meeting the aspirations of the Health component of the Council on November 10, 2010.

8 national Vision 20:2020 to achieve better Health in Nigeria. The emerging plan is more comprehensive than previous attempts. On its part, the Federal Ministry of Health is committed to the faithful There are Eight (8) Priority Areas of Focus for the national Health implementation of this national Health plan . plan , divided into goals (8); strategic objectives/programmes (33);. strategic interventions (70); and translation into various activities for implementation by different levels of stakeholders, including partners, thus making the national Health plan 2010 2015 an encyclopaedic compilation of Health investments and improvement opportunities with Professor C.

9 O. Onyebuchi Chukwu result oriented short and long term focal view addressing the noble Minister of Health ideals of the nation's Vision 20:2020. November 11, 2010. Our Health -demography suggests that we are faced with several epidemiological profiles: massive but preventable communicable infectious disease, side-by-side a growing life-style induced worsening Health conditions, with excessive mortality at younger ages, and impacting negatively on the average life expectancy of Nigerians'. average life expectancy at birth, and even at older ages. There is also a staggering Health inequalities and disparities among different groups, hence the need to take measures to eliminate these disparities.

10 So, for the first time a set of shared Health indicators in the NSHDP Results Framework are aimed to help all actors focus on the required actions to improve Health in Nigeria by strengthening the primary Health care approach. On behalf of the Federal Ministry of Health , I appreciate and congratulate all the numerous individuals, institutions, and our development partners that have worked so hard together to create this national Health plan document. But this is just the beginning of our march towards delivering, investing and financing RESULTS. to change our national Health fortune for better Health in Nigeria. I. implore us all, including our development partners, to remain guided 6 national strategic Health development plan ( NSHDP ) 2010 - 2015.