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ensure that the states are involved in the design and implementation of the programmes.
However, it is not practicable to comment on the impact of DRG spending in 2009 on TB
and HIV/AIDS except to say that the additional infrastructure, reduced physical and
financial barriers to access to healthcare, and improved access to skilled care will certainly
affect their indices. DRGs funds were not a major player in HIV-AIDS and TB in 2009.
Only Taraba State got a budget of N30, 942,460.00 on TB related activities. Very little
information was available on the N1, 000,000,000.00 budgeted for HIV-AIDS Division
(NASCP) of the FMoH to facilitate assessment of the spending. On the other hand,
prevention and treatment of malaria are an integral part of MNCH. The massive distribution
of ITNs/LLINs improved MNCH that is an integral part of MSS and NHIS MCH means that
there should be a significant impact on malaria indices for 2009 and 2010 when they are
available.
Goal 7: There has been some improvement in the implementation of MDG projects under
Goal 7 in the 2009 budget, when compared to previous years. However, there are very few
MDG projects addressing environmental issues in the 2009 budget. This should be redressed
in future interventions. The implementation rate of 59.6% has to be improved upon if this
Goal is to be achieved by the year 2015, since much of the attention to the Goal comes from
the Federal level of government. Considering the short time left to 2015, the number of
interventions should be increased and ways should be found to facilitate the implementation
process.
Goal 8: The level of contribution of ODA towards achieving the MDGs in Nigeria is
insufficient and indeed very low in per capita terms. Nigeria needs to send a clear message
that her partners need to scale up their assistance to contribute their own quota to meet the
targets by 2015. Be that as it may, the outlook for achievement of MDG8 (particularly with
respect to debt sustainability and access to information and communication technologies) is
positive and looks set to improve further. On Goal 8, the expenditure of DRGs on MDGrelated
investments has shown that Nigeria can have a significant impact on all goals in a
relatively short time. DRGs have contributed significantly to the near-total eradication of
polio in the country, a significant drop in maternal mortality and the recruitment of 74,000
primary school teachers. However, other indicators (such as those for primary school
completion rates and access to improved water supply and sanitation) show poor trends and
deviate widely from the targets. Reversing these negative trends and accelerating progress
towards the MDG 2015 targets will require bold measures to enhance service delivery, scale
up investments, rationalise resource allocation, improve implementation coordination and
improve the quality of government spending.
There is no doubt that Nigeria‘s development partners are desirous to see poverty alleviated
in the country. The Nigerian government also understands the fundamental dilemma
surrounding foreign aid and its management, i.e. its dual purpose of serving as both foreign
policy and as a key development instrument as well as its transnational nature. This dilemma
owes its origins to the political realities in the governance structures in the donor countries to
which they must submit as well as to their desire to influence the transnational environment
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