WHO COUNTRY COOPERATION STRATEGY 2008–2013: NIGERIA ppt

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N I ER I R IA N GE I G I A N ER N IG ER IA IG R IA N E N IG ER I A I N IGER A A N IG ER I G I N I ER A I RIAN G E WHO COUNTRY COOPERATION STRATEGY 2008-2013 WHO COUNTRY COOPERATION STRATEGY 2008–2013 NIGERIA ii AFRO Library Cataloguing-in-Publication Data Second Generation, WHO Country Cooperation Strategy, 2008-2013, Nigeria 1. Health Planning 2. Health Plan Implementation 3. Health Priorities 4. International Cooperation 5. World Health Organization ISBN: 978 929 023 1363 (NLM Classification: WA 540 HN5) © WHO Regional Office for Africa, 2009 Publications of the World Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved. Copies of this publication may be obtained from the Publication and Language Services Unit, WHO Regional Office for Africa, P.O. Box 6, Brazzaville, Republic of Congo (Tel: +47 241 39100; Fax: +47 241 39507; E-mail: afrobooks@afro.who.int). Requests for permission to reproduce or translate this publication – whether for sale or for non-commercial distribution – should be sent to the same address. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization or its Regional Office for Africa be liable for damages arising from its use. Printed in India iii CONTENTS Map of Nigeria Abbreviations Preface Executive summary Section 1 Introduction 1 Section 2 Nigeria’s health and development challenges 2 2.1 Challenges in economic performance 2 2.2 Challenges in health care 4 2.3 Health-care reform 8 Section 3 Development assistance and partnerships 10 3.1 Overall trends 10 3.2 Health sector coordination 11 Section 4 WHO corporate policy framework: global and regional directions 13 4.1 goal and mission 13 4.2 Core functions 13 4.3 Global health agenda 13 4.4 Global priority areas 14 4.5 Regional priority areas 14 4.6 Making WHO more effective at country level 15 Section 5 Current WHO cooperation 16 5.1 Resource mobilization 16 5.2 Health system strengthening 16 5.3 Scaling up priority interventions 17 5.4 Partnership and coordination 18 5.5 Office environment 19 5.6 staffing situation 19 Section 6 Strategic agenda 20 6.1 Strategic objective 1: Improve stewardship and governance for health at all levels 22 6.2 Strategic objective 2: Strengthen health systems in the context of Primary Health Care 23 6.3 Strategic objective 3: Scale up priority interventions to improve health 24 6.4 Strategic objective 4: Address the social determinants of health 24 6.5 Strategic objective 5: Improve partnership coordination and resource mobilization for health 25 Section 7 Implementing the strategic agenda 28 7.1 Country Office 28 7.2 Regional Office 29 7.3 Headquarters 29 Section 8 Monitoring and evaluation 30 Section 9 Selected references 31 Annex 1: Donor interventions in Nigeria 33 iv Map of Nigeria v ABBREVIATIONS ADB : African Development Bank AIDS : Acquired Immunodeficiency Syndrome AOW : Area of Work APOC : African Programme for Onchocerciasis Control ARI : Acute Respiratory Infection CBO : Community-based Organization CCA : Common Country Assessment CCS : Country Cooperation Strategy CHEW : Community Health Extension Worker CIDA : Canadian International Development Agency CSM : Cerebrospinal Meningitis DALE : Disability Adjusted Life Expectancy DFID : Department for International Development DOTS : Directly-Observed Treatment Short-Course DPC : Disease Prevention and Control EB : Extra-Budgetary ECP : External Cooperation and Partnership EDM : Essential Drugs and Medicines ENV : Environmental Health EPI : Expanded Programme on Immunization EPR : Emergency Preparedness and Response EU : European Union FAO : Food and Agriculture Organization of the United Nations FCT : Federal Capital Territory FTC : Free Standing Technical Cooperation FMOH : Federal Ministry of Health GAVI : Global Alliance for Vaccine and Immunization GDP : Gross Domestic Product GFATM : Global Fund to Fight AIDS, Tuberculosis and Malaria GNP : Gross National Product HHA : Harmonization for Health in Africa HDI : Human Development Index HEC : Health Economist HEAP : HIV/AIDS Emergency Action Plan HIV : Human Immunodeficiency Virus vi HPR : Health Promotion HRH : Human Resources for Health HSR : Health Sector Reform ICC : Interagency Coordinating Committee IDSS : Integrated Disease Surveillance System IHP : International Health Partnerships IMCI : Integrated Management of Childhood Illnesses IMD : Information Management and Dissemination IMR : Infant Mortality Rate IPRSP : Interim Poverty Reduction Strategy Paper JICA : Japanese International Cooperation Agency LGA : Local Government Area MDAs : Ministries, Departments and Agencies MDG : Millennium Development Goal MICS : Multiple Indicator Cluster Survey MMR : Maternal Mortality Rate MNH : Mental Health MOH : Ministry of Health MTSP : Medium Term Strategic Plan (2008-2013) of WHO NACA : National Agency for the Control of HIV/ AIDS NAFDAC : National Agency for Food and Drug Administration and Control NAPCA : National Action for Prevention and Control of AIDS NAPEP : National Poverty Eradication Programme NCD : Noncommunicable Disease NEEDS : National Economic Empowerment and Development Strategy NEPAD : New Partnership for Africa’s Development NGO : Nongovernmental Organization NHMIS : National Health Management Information System NHP : National Health Policy NID : National Immunization Day NIMR : Nigerian Institute for Medical Research NPHCDA : National Primary Health Care Development Agency NPI : National Programme on Immunization NPC : National Planning Commission NPO : National Professional Officer NUT : Nutrition PEI : Polio Eradication Initiative PHC : Primary Health Care POA : Plan of Action vii PRSP : Poverty Reduction Strategy Paper RBM : Roll Back Malaria REDUCE : Maternal Mortality Reduction Strategy RH : Reproductive Health SAP : Structural Adjustment Programme SCHEW : Senior Community Health Extension Worker SEEDS : State Economic Empowerment and Development Strategy SMOH : State Ministry of Health SO : Strategic Objective (of MTSP, 2008-2013, WHO) STI : Sexually Transmitted Infection TB : Tuberculosis UBE : Universal Basic Education UN : United Nations UNAIDS : Joint United Nations Programme on HIV/AIDS UNCT : United Nations Country Team UNDAF : United Nations Development Assistance Framework UNODCCP : United Nations Office for Drug Control and Crime Prevention UNDP : United Nations Development Programme UNFPA : United Nations Population Fund UNHCR : United Nations High Commissioner for Refugees UNICEF : United Nations Children’s Fund UNIFEM : United Nations Fund for Women USAID : United States Agency for International Development WHO : World Health Organization WTO : World Trade Organization viii ix PREFACE The WHO Country Cooperation Strategy (CCS) crystallizes the major reforms adopted by the World Health Organization with a view to intensifying its interventions in the countries. It has infused a decisive qualitative orientation into the modalities of our institution’s coordination and advocacy interventions in the African Region. Currently well established as a WHO medium-term planning tool at country level, the cooperation strategy aims at achieving greater relevance and focus in the determination of priorities, effective achievement of objectives and greater efficiency in the use of resources allocated for WHO country activities. The first generation of country cooperation strategy documents was developed through a participatory process that mobilized the three levels of the Organization, the countries and their partners. For the majority of countries, the 2004-2005 biennium was the crucial point of refocusing of WHO’s action. It enabled the countries to better plan their interventions, using a results-based approach and an improved management process that enabled the three levels of the Organization to address their actual needs. Drawing lessons from the implementation of the first generation CCS documents, the second generation documents, in harmony with the 11 th General Work Programme of WHO and the Medium-term Strategic Framework, address the country health priorities defined in their health development and poverty reduction sector plans. The CCSs are also in line with the new global health context and integrated the principles of alignment, harmonization, efficiency, as formulated in the Paris Declaration on Aid Effectiveness and in recent initiatives like the “Harmonization for Health in Africa” (HHA) and “International Health Partnership Plus” (IHP+). They also reflect the policy of decentralization implemented and which enhances the decision-making capacity of countries to improve the quality of public health programmes and interventions. Finally, the second generation CCS documents are synchronized with the United Nations development Assistance Framework (UNDAF) with a view to achieving the Millennium Development Goals. I commend the efficient and effective leadership role played by the countries in the conduct of this important exercise of developing WHO’s Country Cooperation Strategy documents, and request the entire WHO staff, particularly the WHO representatives and divisional directors, to double their efforts to ensure effective implementation of the orientations of the Country Cooperation Strategy for improved health results for the benefit of the African population. Dr Luis G. Sambo WHO Regional Director for Africa [...]... INTRODUCTION The Nigeria WHO Country Cooperation Strategy (CCS) is presented as an adaptable country- specific strategy that provides the framework of cooperation between WHO and the Federal Government of Nigeria It reflects the values, principles and corporate directions of the Organization with a view to aligning them with other UN agencies and partners working in health and development within the country. .. MAKING WHO MORE EFFECTIVE AT THE COUNTRY LEVEL The outcome of the WHO corporate strategy at country level will vary from country to country depending on country- specific contexts and health challenges By building on the WHO mandate and its comparative advantage, the six core functions of the Organization, as outlined in Section 4.2, may be adjusted to suit individual country needs 15 SECTION 5 CURRENT WHO. .. 7-Point Agenda of Nigeria It is also harmonized with the work of the United Nations and other partners in Nigeria The Country Cooperation Strategy contributes to the Nigeria UNDAF II 2009-2012 that articulates the commitment of the UN Country Team to support the efforts of the Government of Nigeria towards attaining the goals contained in the National Economic Empowerment and Development Strategy (NEEDS2)...x EXECUTIVE SUMMARY This second generation Country Cooperation Strategy for Nigeria is based on the WHO Eleventh General Programme of Work 2006-2015, the WHO Strategic Objectives of the Medium Term Strategic Plan (2008-2013), the WHO Director General’s Six Point Agenda, and Strategic orientations for WHO action in the Africa Region 2005-2009, and aligned with national priorities... broad frame, the WHO Corporate Strategy. 6 4.1 GOAL AND MISSION The mission of WHO remains “the attainment by all peoples, of the highest possible level of health” (Article 1 of WHO Constitution) The corporate strategy, the Eleventh General Programme of Work 2006-20157 and the document Strategic orientations for WHO action in the African Region 2005-20098 outline key features through which WHO intends to... shared with key stakeholders who provided useful feedback The document provides information on Nigeria s health and development challenges, development assistance, aid flow and partnerships for health development; current levels of WHO cooperation and support; and the WHO policy framework It also outlines the WHO Strategic Agenda and Strategic Objectives that will be the focus of WHO work during the period... Related Initiatives (IHP+) and Harmonization for Health in Africa This Country Cooperation Strategy is firmly based on WHO policies and strategies, the six core functions of WHO, and the Strategic Objectives of the Medium Term Strategic Plan 2008-2013 (MTSP) which form the current planning and implementation framework for WHO work at country level It is aligned with national priorities and is harmonized... responds to development challenges in Nigeria through a strategy that capitalizes on the particular ability of UN agencies, working as a team, to address key and linked aspects of governance at the federal or state level Reflecting this strategy, the UNDAF mission statement declares: “In the context of the country s international commitments, the UN Country Team will support Nigeria in its efforts to secure... (2008-2013) builds on the foundation established and implemented in the first CCS (2002-2007).1 By identifying the current challenges of the Nigerian health system, it clarifies the role of WHO in supporting national health development The second Country Cooperation Strategy for Nigeria provides direction to the Organization in preparing subsequent biennial workplans It is premised on the principles elaborated... and deliver the WHO response to national health development in Nigeria Finally, programme coordination and working across areas of work have improved tremendously There is now more effective and efficient delivery of WHO technical programmes and improved visibility of the Organization in Nigeria Drawing from technical and financial backstopping from HQ, the Regional Office and ISTs, the Country Office . RIAN G E WHO COUNTRY COOPERATION STRATEGY 2008-2013 WHO COUNTRY COOPERATION STRATEGY 2008–2013 NIGERIA ii AFRO Library Cataloguing-in-Publication Data Second Generation, WHO Country Cooperation Strategy, . 1 INTRODUCTION The Nigeria WHO Country Cooperation Strategy (CCS) is presented as an adaptable country- specific strategy that provides the framework of cooperation between WHO and the Federal Government of Nigeria. . in Nigeria. The Country Cooperation Strategy contributes to the Nigeria UNDAF II 2009-2012 that articulates the commitment of the UN Country Team to support the efforts of the Government of Nigeria