The PACFaH project program areas are identified as issue based campaigns around government’s poor funding in four major areas implemented through the project partners.
Adequate nutrition in the first 1000 days of the child’s life sets the stage for healthy and productive life, and reduces burden of infant and under-five morbidity and mortality. With over 11 million stunted children, Nigeria is confronted with daunting challenge of malnutrition and ranks second behind India with the highest number of stunting, with the associated risk of physical disabilities and poor learning outcomes.
Nationally, the 2013 Nigeria Demographic and Health Survey (NDHS) reported 37% stunting, 29% underweight, and 18% wasted children under five wasting increased from 14% in 2008 to 18%. While the exclusive breastfeeding rate was 17%.
The recent malnutrition study by CS-SUNN (2015) correlates with NDHS (2013) report, and confirms that rates of stunting in children 0 – 5 years in Kaduna is 57%; Nassarawa 35%; and Niger 34% respectively.
There is a nutrition-specific and nutrition-sensitive five-year costed Health sector Strategic Plan of Action on Nutrition (National Strategic Plan of Action on Nutrition – NSPAN) spanning 2014 -2019 and adopted at the 57th National council on health (NCH) meeting held in October 2014, by representatives from the 36 states of Nigeria;
The document if implemented, will by 2019 reduce stunting by 20%, low birth weight by 15%, anemia among women of reproductive age by 50%, reduce and maintain childhood wasting by 15% and increase exclusive breast feeding in the first six months by 50%.
The CS-SUNN is the Nutrition lead in the PACFaH project in Nigeria, CS-SUNN advocates for:
Improved implementation of the Maternal and Child nutrition components of the NSPAN at the national and the 3 focal states.
Increased funding of maternal and child nutrition interventions at the national, and state levels.
Mechanism for timely release of budgeted funds established.
Increased accountability of the Government of Nigeria on maternal and child nutrition issues, including fulfillment of pledges.
The PACFaH Project Has:
Enhanced the capacity of CS-SUNN, and partner CSOs to plan and implement advocacy initiatives through building effective partnerships.
According to WHO, vaccination has greatly reduced the burden of infectious diseases and immunization can save a child’s life and protect the quality of their livelihood. With adequate interventions for immunization in Nigeria, time and money expended on treating/managing vaccine preventable diseases can be avoided.
This is the current situation of immunization in Nigeria:
The 2013 NDHS shows that about 25% of children (age 12-23 months) had received all the recommended vaccinations (DPT, BCG and Polio vaccines), while 21% of eligible children received no vaccination at all.
As a lower Middle Income Country (LMIC), Nigeria will graduate from GAVI support, beginning in 2015 and will be responsible for full payment for vaccines by 2020.
GAVI graduation is calculated at 15% increase in Nigeria co-financing in 2015 and linear increase in co-financing obligation between 2015 and 2020.
For 2015, the total requirement for vaccines is $225 million, with Nigeria government making available $105 million, and GAVI making available $120 million. Going by 2014 funding level, there is an anticipated funding gap of $72 million starting 2015 and in 2017 this gap has increased to ...
There is need to increase domestic budget for RI and ensure timely release of funds for vaccines procurement and logistics.
There is need to strengthen accountability mechanism for RI in line with National Routine Immunization Strategic Plan, to ensure working groups function more effectively.
The PACFaH project advocates for; Increase in domestic budget and ensure timely release of funds for vaccines logistics.
Family planning contributes to reduce the number of times a woman is exposed to the risks. Family planning saves the lives of women and children. Available evidence indicates that if the current unmet needs for family planning are met, maternal deaths can be averted.
Family planning also helps families to space the birth of their children and have only the number of children they can conveniently care for.
In 2015, a survey was conducted by PACFaH to track allocation and releases for the 2014 family planning budget and scan for barriers to accessing family planning services at the National and in three focal states namely, Nassarawa, Kaduna and Oyo States.
Some of the key findings of the survey include:
Federal Government provided in 2014 only 1.6% of the annual per capita required for family planning.
There is no budget line for family planning at the state level, even when funds are allocated for family planning, little or nothing is released as reported by Nassarawa, Kaduna and Oyo States.
Executive, bureaucratic and legislative bottlenecks hamper allocation and release of Funds.
Family planning interventions carried out by PACFaH
1. Create budget line for family planning in State budgets.
2. Prioritize and approve fund requests for provision of essential maternal and child health services, and in particular family planning.
3. Progressively increase domestic funding of family planning services to ensure sustainability.
4. Establish social accountability mechanisms to ensure family planning budgetary allocations are released on time and expended as budgeted.
5. Recognize that family planning prevents maternal deaths with added socioeconomic and demographic benefits to the state.
Child Pneumonia and Diarrhea
Pharmaceutical Society of Nigeria (PSN) is the leading NGO supporting Nigerian Government to end Childhood Pneumonia and Diarrhea.
Childhood Pneumonia and Diarrhea Diseases are leading killers of Children under the age of 5 years. In 2013, about 1.5 million children died globally of which about 400,000, (Diarrhea- 201,368 Pneumonia: 177,212) died in Nigeria from these preventable diseases.
In 2014, of the 2.1 million Under-5 years and neonatal death in Nigeria, Pneumonia and Diarrhea diseases accounted for 14% and 9% respectively.
PSN-PACFaH has been able to achieve increased awareness and support of the new treatment guidelines in the management of childhood pneumonia using Amoxicillin DT and Diarrhea (using zinc ORS co Pack) at National and 3 PACFaH focal states.