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COUNTRY ACTION: SUSTAINABLE INVESTMENT

COUNTRY ACTION: SUSTAINABLE INVESTMENT. STOP TB PARTNERSHIP FORUM 24TH-26TH MARCH 2004 BY MRS NENADI USMAN

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COUNTRY ACTION: SUSTAINABLE INVESTMENT

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  1. 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

  2. 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

  3. 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.

  4. 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.

  5. 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).

  6. 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.

  7. 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

  8. 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

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

  10. 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

  11. 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

  12. 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.

  13. Thank you

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