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(targets). (The box on the right presents the healthrelated<br />
goals, targets and indica<strong>to</strong>rs.)<br />
The main objectives the 2009 DRG interventions<br />
were: <strong>to</strong> combat HIV/AIDS through<br />
comprehensive care services, procurement <strong>of</strong><br />
ARVs and test kits (Goal 6) handled by NASCP-<br />
FMOH; <strong>to</strong> improve access <strong>to</strong> routine<br />
immunisation through procurement and<br />
distribution <strong>of</strong> adequate quantities <strong>of</strong> potent<br />
vaccines and injection devices (Goal 4) through<br />
NPHCDA; and <strong>to</strong> improve access <strong>to</strong> maternal and<br />
child health care through the Midwifery Service<br />
Scheme including training <strong>of</strong> NYSC doc<strong>to</strong>rs on<br />
ELSS, midwives on LSS and procurement and<br />
Investments in the Health-Related Goals<br />
Table 16: 2009 Total investments in health-related MDGs<br />
The <strong>to</strong>tal investments for the three health-related<br />
MDGs in 2009 was N41, 561,921,031.89 across<br />
various MDAs (see table 1). Conditional Grant<br />
Scheme (CGS) investment, representing almost<br />
43%, is highest, followed by NPHCDA<br />
representing 33%. The least investments were<br />
identified with National Blood Transfusion<br />
Service (0.2%), Federal Ministry <strong>of</strong> Health: Health<br />
Systems Strengthening (0.7%), and Federal<br />
Ministry <strong>of</strong> Women Affairs (1.4%).<br />
distribution <strong>of</strong> midwifery and MAMA Kits (Goals<br />
4 and 5) through NPHCDA and FHD-FMOH. The<br />
interventions also intended <strong>to</strong> improve blood<br />
screening and transfusion services in various<br />
NBTS centres across the country (Goal 6) through<br />
NBTS-FMOH; and provide free primary<br />
healthcare services for children under five (Cu5)<br />
and pregnant women, as well as secondary health<br />
care services for pregnancy-related conditions <strong>to</strong><br />
the latter. The latter would be carried out using<br />
NHIS accredited public and private healthcare<br />
providers <strong>to</strong> provide the above coverage for about<br />
600,000 Cu5 and pregnant women in the<br />
additional six states <strong>of</strong> Katsina, Jigawa, Bauchi,<br />
Yobe, Ondo and Cross River.<br />
S/No MDA Amount (N) % <strong>of</strong> Health Spending<br />
1 FMOH: Health Systems Strengthening 300,000,000.00 0.70<br />
2 FMOH: HIV-AIDS Division 1,000,000,000.00 2.41<br />
3 FMOH: Family Health Division 3,000,000,000.00 7.00<br />
4 FMOH: National Blood Transfusion Service 100,000,000.00 0.24<br />
5 NPHCDA 13,767,367,062.00 33.12<br />
6 NHIS 4,000,000,000.00 9.62<br />
7 CGS 17,753,006,706.33 42.70<br />
8 Quick-Wins 1,059,233,583.00 2.55<br />
9 Federal Ministry <strong>of</strong> Women Affairs 587,313,680.00 1.41<br />
Total 41,566,921,031.89 99.75<br />
Of the N17, 753,006,706.33 that was <strong>to</strong> be spent<br />
under CGS, <strong>full</strong>y half <strong>of</strong> that was leveraged from<br />
the state governments as 50% matching grants. 17<br />
Similar <strong>to</strong> CGS arrangement, the National Health<br />
Insurance Scheme (NHIS) is supposed <strong>to</strong> leverage<br />
counterpart funds from states, but so far only two,<br />
Jigawa and Ondo States, have made counterpart<br />
17<br />
This matching grant may be underestimated as some states and<br />
LGAs would have made other contributions under the Midwifery<br />
Service Scheme (MSS) and not captured under CGS in respect <strong>to</strong>:<br />
renovation <strong>of</strong> MSS PHCs and cluster general hospitals; provision <strong>of</strong><br />
ambulances, drugs and equipment; rural posting allowance for<br />
midwives etc.<br />
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