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