National Key Wellbeing Advancement Arrangement (NSHDP).

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National Key Wellbeing Advancement Arrangement (NSHDP) (Routine Inoculation Stage) Dr Muhammed Lecky Executive - Dept of HPRS, FMOH Area I: Brief Foundation: Past endeavors
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National Strategic Health Development Plan (NSHDP) (Routine Immunization Platform) Dr Muhammed Lecky Director - Dept of HPRS, FMOH Expert Review Meeting, March 22-24, 2010

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Section I: Brief foundation Expert Review Meeting, March 22-24, 2010

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Background: Previous endeavors Health Sector Reform Program (HSRP) 2004-2007 was the first real activity at transforming the wellbeing framework in Nigeria. Succeeded in setting out the strategy premise for growing longer term methods – National Health Policy, National Health Bill, change in MDAs, and so on Development of a draft 10 year Strategic Health Plan Signatory to the Call by African Ministers to build financing to wellbeing area to 15% of national spending plan Signatory to the Call by African pastors of Health to utilize Ouagadougou Declaration and its execution Framework to reexamine, overhaul or create national vital wellbeing arrangements towards reinforce wellbeing frameworks taking into account the PHC approach Expert Review Meeting, March 22-24, 2010

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Post HSRP Wide discussions in transit forward post HSRP NCH 2007 (Lagos): Adopted a determination to add to a National Strategic Health Investment Plan. Audit of HSRP (2004 – 2007) Re-center from NSHIP - NSHDP Expert Review Meeting, March 22-24, 2010

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Section II - Developing the NSHD Framework and Plan …….a base up methodology Expert Review Meeting, March 22-24, 2010

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Rationale for the NSHDP To meet the test of enhancing wellbeing results against nation targets and the wellbeing related Millennium Development Goals (MDGs), especially for the poorest and most powerless populace: wellbeing administrations must be scaled-up wellbeing frameworks must be reinforced and hard-battled additions in wellbeing must be maintained and extended. This was seen to be conceivable inside of the setting of a costed National Strategic Health Development Plan. The NSHDP will serve as the premise for ONE wellbeing arrangement structure towards accomplishing: Collective Ownership; Harmonization; Alignment; Mutual Accountability M&E for Results inside of the national wellbeing frameworks Wide partner interest at Federal, States and LGA levels, comprehensive of CSOs, Development Partners & Non-State on-screen characters, and so forth. Master Review Meeting, March 22-24, 2010

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Rationale for the NSHDP Framework Consequent on the above, it was important to: … give a non specific structure to direct Federal, States and LGA wellbeing arranging procedures … expand on nation need zones and additionally different arrangements and objectives identified with wellbeing advancement in at government, States and LGA levels to demonstrate what ought to be defeated more noteworthy consistency , cooperative energy, quality and proficiency in fortifying wellbeing frameworks utilizing the PHC approach The elected and States were to adjust and utilize the system in their particular circumstance considering the advancement attempted and the endeavors that should have been be embraced for better wellbeing results Expert Review Meeting, March 22-24, 2010

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Conceptual Framework for NSHDP National Development Agenda National Health Bill National Health Policy National Strategic Health Dev. Arrangement drawn from The Framework FedSHDP SSHDP LSHDP Medium Term Sector Strategy Fed, State and LGA Ops Plans Sector Annual Plans Operational Plans Expert Review Meeting, March 22-24, 2010

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Expert Review Meeting, March 22-24, 2010

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NSHDP Process Update (12/03/10) Background Studies (Done) HSRP I Review (Done) Expert Review Meeting, March 22-24, 2010 10

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Section III: NSHDP – An Overview Expert Review Meeting, March 22-24, 2010

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NSHDP Content Preface Acknowledgment Acronyms and Abbreviations Presidential Health Summit Declaration Executive Summary Chapter 1 : Background Chapter 2 : Situation Analysis Chapter 3 : NSHDP Priority Areas Chapter 4 : Results Matrix and M&E Chapter 5 : Resource Requirements Chapter 6 : Financing the NSHDP Chapter 7 : Implementation modalities Annexure – M&E Results Matrix & Systems; Cost Sheets; and Methodology & procedures of arrangement advancement Expert Review Meeting, March 22-24, 2010

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NSHDP Priority Areas: A Snapshot Expert Review Meeting, March 22-24, 2010

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Costs of National SHDP National = State + Federal SHDPs Exchange rate: N150 = $1 Pls note, the Federal expenses do exclude scaling up of tertiary human services administrations. Master Review Meeting, March 22-24, 2010

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Cost dispersion by need zone The aggregate expenses by need region uncovered greater part of the expenses were in wellbeing administration conveyance (49%) and HR for wellbeing (42%) in the MBB based and chose state costed arrangements. Master Review Meeting, March 22-24, 2010

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Cost dissemination by National Chart of Accounts The National Chart of Accounts was ruled by expenses connected with compensation and wages (44%), materials and supplies (22%) and capital speculations (9%) Expert Review Meeting, March 22-24, 2010

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Section IV: NSHDP – Monitoring for Results Expert Review Meeting, March 22-24, 2010

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Structure of the Results framework Indicators, wellsprings of information, baselines and targets, …to track the larger\'s accomplishment objective of the NSHDP and SHDPs, ….to additionally track progress under each of the 8 need zones Expert Review Meeting, March 22-24, 2010

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Expert Review Meeting, March 22-24, 2010

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Expert Review Meeting, March 22-24, 2010

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Section V: Federal Plan and Strengthening PHC and RI

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Recall NSHDP has 8 need territories specifically: Leadership And Governance For Health Service Delivery Human Resources For Health Financing For Health National Health Information System Community Participation And Ownership Partnerships For Health Research For Health

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Health Service Delivery and PHC Goal : To renew incorporated administration conveyance towards a quality, impartial and reasonable social insurance 5 destinations :

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Key intercessions to be upheld Interventions to be bolstered are characterized in the base bundle of consideration; The Federal will keep on giving backing to PHC, RI and IPDs, crisis readiness and reaction, MCH items, NCDs and NTDs

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Minimum bundle of consideration selections

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Minimum bundle of consideration extracts

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RI Interventions Support for States to enhance effort and populace schedulable administrations for RI and different mediations Targetted backing to NPHCDA and MCH division (FMoH) to assist states with strengthenning EPI in a coordinated way List of antibodies to be upheld Measles vaccination BCG inoculation OPV vaccination DPT vaccination Pentavalent (DPT-HiB - Hepatitis b) vaccination Hib inoculation Hepatitis B vaccination Yellow fever vaccination Meningitis vaccination Expert Review Meeting, March 22-24, 2010

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Health Service Delivery and PHC The Federal Plan and by augmentation the NSHDP is centered around conveying on the Ouagadougou Declaration on PHC Seeks to fortify PHC by: Accelerating towards all inclusive scope for fundamental tend to all Nigerians; - this stresses scale up of routine vaccination Increasing physical access to medicinal services offices; Strengthening the medications and wellbeing wares acquirement and circulation framework; Strengthening referral care; and Support for the standardization of a QA framework

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Section VI: Presidential Summit and Declaration for the National Partnership for Health Expert Review Meeting, March 22-24, 2010

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The Summit: Structure Theme of the Summit : “ACCEPTING COLLECTIVE RESPONSIBILITY FOR IMPROVING OUR HEALTH IN NIGERIA”. Presidential Summit: Took place on the 10 th of Nov, 2009 as a motivation thing on the National Economic Council (NEC). It was gone before by the accompanying prep-summit specialized sessions at the ICC: An one day pre-summit specialized session called:– “High Level Forum on Health MDGs and Related Initiatives” on 5 th of Nov, 2009. An one day Special Pre-Summit Plenary on 6 th , Nov, 2009 Expert Review Meeting, March 22-24, 2010

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The Summit: Objectives T o draw in the Governors and get their dedication in on-set endeavors to meet the wellbeing needs of Nigerians To quick track the wellbeing segment reaction for the 7\'s accomplishment Point Agenda through the Health\'s usage Sector Component of Vision 20: 2020 To concede to basic issues that would further fortify the joint effort between the States and the Federal Government . T o position the States and by augmentation the L ocal governments to effectively take an interest in the conveyance of value social insurance administrations . Master Review Meeting, March 22-24, 2010

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The Summit Outcome An accord and guide on the dynamic coordinated effort and investment of the Federal and State governments in human services conveyance was come to and settled upon. A Partnership Agreement known as “ NATIONAL PARTNERSHIP ON HEALTH: DECLARATION ON MUTUAL ACCOUNTABILITY FOR IMPROVED AND MEASURABLE HEALTH RESULTS IN NIGERIA ” which reflect s key and quantifiable deliverables inside of the Health area was settled upon. The Declaration is right now being marked by all the State Governors. Master Review Meeting, March 22-24, 2010

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Summit’s Commitment to Results & Targets Reducing newborn child and under-five mortality from present levels (75/1,000 Live-Births and 157/1,000 Live-Births individually) considerably by 2015; To have diminished predominance of underweight youngsters under 5 (U 5) years old to 18% by 2015; Interrupt wild polio infection transmission by 2010 Increase rate of Children matured 12-23 months who are completely inoculated by no less than 25% every year and to have accomplished 80% by 2015 Achieve 80% of 1 year

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