Transcript sustainable investment

COUNTRY ACTION:
SUSTAINABLE INVESTMENT
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STOP TB PARTNERSHIP FORUM
24TH-26TH MARCH 2004
BY
MRS NENADI USMAN
HONOURABLE MINISTER OF
STATE FOR FINANCE,
FEDERAL REPUBLIC OF NIGERIA
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
Introduction cont.
• The problems have prompted global concerns:
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- 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.
The Key Areas
• Improving public sector resource allocation and
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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.
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).
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.
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
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
B) NATIONAL
• Adequate budgetary allocation to health at
all levels eg. Nigeria’s NEEDS, SEEDS AND
LEEDS
• Private sector
• Communities, etc
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
•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
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.
Thank you