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Lagos State PHCB Meets RH/FP Managers in the State

LAGOS, Nigeria– The overarching objective of the Lagos State Family Planning Costed Implementation is to increase the overall Contraceptive Prevalence Rate (CPR) from 48 per cent to 74 per cent by 2020. Achieving this target is not only an indication of Lagos State’s commitment to ensuring the achievement of the goal of the National Blueprint (36 per cent CPR), it is also a way of fore-grounding the role of Lagos State as one which sets the pace for innovation and development in the country.

 

In its bid to achieve this goal as well as provide universal coverage of quantitative and efficient primary health care centres, the Lagos state government resurrected the Primary Health Care Board, PHCB. PHCB is tasked with the responsibility of implementing health care services through community participation, intersectoral collaboration, utilize appropriate technology for health-integrated services as well as supply essential drugs and comprehensive monitoring and evaluation of the process. This is where the need to integrate healthcare providers at the local government level comes in.

 

All twenty local government areas in Lagos state have more than two-hundred and eighty-eight Primary Health Care Centres, including flagship centres which have as part of their core duties, provision of Reproductive Health and Family Planning (RH/FP) services. The idea is to take health care services into the communities in order to ease the pressure on secondary and tertiary healthcare facilities and ultimately and better serve the people at the grassroots.

 

In past months, the Lagos state PHCB has hosted RH/FP managers from the twenty LGAs in the state to meetings which aim at tackling the challenges experienced by these LGAs in the delivery of health care services especially in the area of reproductive health and family planning. These meetings which often comprise RH/FP officers from different LGAs in the state, directors and officials from the PHCB, also look into strategies on how to ensure the achievement of the state’s share of the National Blueprint goal.

 

The August edition of the monthly Family Planning (FP) Managers’ Meetings was hosted on Monday, 13th August 2018 by the Lagos State Primary Health Care Board (PHCB). In its usual fashion, it was attended by Reproductive Health/Family Planning Managers (RH/FP) and relevant Directors from the Lagos State PHCB along with the NNNGO-PAS team who provided support.

 

Data on RH/FP services carried out in PHCCs from all twenty LGAs of the state between June and July 2018 was presented and revealed that the number of women who registered with the PHCCs for antenatal care increased from 11,878 in June to 12,075 in July 2018. Of this number, there were 1, 511 deliveries in June and a decrease of 1, 328 in July. Statistics also showed that despite the gap between the number of registrations for antenatal services and delivery rate, a silver lining was the decrease in the occurrence of still-births at the PHCCs within Lagos State.

 

RH/FP managers noted the less than 10 per cent ratio of women registered for antenatal care with PHCCs to women who undergo delivery of their babies at PHCCs in the state is largely a function of the unideal health care system.  They bemoaned the dearth of adequate facilities at the PHCCs, lack of adequate community involvement which breeds ineffectiveness.

 

These challenges which pose a threat to the lives of grassroots women and their unborn children have also resorted to lack of trust in the system; on the part of the patient and their families. RH/FP managers noted that many pregnant women tend to employ the services of trusted but unskilled health caregivers or religious centres which many noted have resulted in health complications over the years. They indicated that since many grassroots women live distances away from the closest PHCCs, therefore, they often resort to undergoing home deliveries due to inability to transport themselves to the centres especially during the night when many go into labour.

 

Health care officials who manage PHCCs said, a cause for concern is the attitude of relevant authorities towards funding and provision of RH/FP consumables. Many LGAs have not received steady funding for the running of the centres while almost none of them receive imprest on RH/FP care, in recent times.

 

Barr. Ayo Adebusoye, Project Officer for NNNGO-PAS identified that the duty of Civil Society Organisations is to put pressure on stakeholders and relevant authorities, through the collective efforts of the Lagos State Advocacy Working Group, NNNGO-PAS, Pathfinder and NURHI, in order to ensure that health becomes a priority to government and adequately funded. He noted that statistics from the FP budget tracking conducted in Lagos state from January 2018 to June 2018 revealed that the Ministry of Health released forty-eight million Naira and provided FP consumables to LGAs through the Saving One Million Lives Initiative. The next step is to make enquiries into how these resources are utilized in order to advocate for more in subsequent years.  This, in his opinion, is a direction worth taking to achieve the common objective of a better health care system.

 

Oyebisi Oluseyi, Project Director of NNNGO-PAS commended the board and managers for their work while noting that it was refreshing to see such a level of commitment in the public sector. He encouraged that they be accurate in their data collection and recording in order to assist the government in identifying what requires attention and the measures to employ. This will aid the fight against maternal and infant mortality in the country while ensuring that the sustainability of resources for the coming generation is guaranteed.

NNNGO-PAS organises CSO Mapping Meeting

LAGOS, Nigeria, 29 March, 2018– The Civil Society Organizations (CSO) mapping meeting was organized by NNNGOPACFaH@Scale to address the Intermediate Outcome under the Result Tracker which states “Increased CSO coalition network to conduct technical reviews of the state’s new domestic funding schemes and to provide feasibility study updates in Niger, Kaduna, Kano and Lagos”.

The meeting which was held at the O.L.A. Conference Centre, Maryland, Lagos State was attended by 25 organisations working in the civil society space and was focused on:

 

  • Producing a directory of relevant CSOs involved in RI and FP advocacy in Lagos state
  • Carrying out a rapid organizational and capacity assessment of the CSOs
  • Obtaining verifiable information on strengths, weaknesses, opportunities and threats to programming in the areas of funding for RI an FP, especially as it relates to advocacy and budget tracking
  • Forming a basis for capacity training of CSOs on the above stated issues.

 

To achieve these objectives, a study protocol was followed from which quantitative (Questionaire) and qualitative (Interview) data were collected to conduct the study. Part of what came up at the meeting was the need to reinforce the active role organisations play, especially in health advocacy. It is key to ensuring the sustainability of health development as it necessitates the establishment of partnerships among such organisations.

Report of the study

 

Health Financing Dialogue: Enhancing Health Budget Performance and Financing Options in Lagos State

LAGOS, Nigeria, 17, May 2018–The Lagos State health Financing Dialogue was an opportunity for stakeholders in the health sector to discuss ways of ensuring timely access to the health sector budget. It was also an avenue to identify alternative sources of funding which could be harnessed to enhance the health budget performance in Lagos state.

 

The dialogue was attended by The Commissioner for Health, Lagos state, Representative of the Commissioner for Finance, the Director of Budget, Chairman of House Committee on Health, General Manager, Lagos State Health Management Agency (LASHMA), Officers from; the Ministry of Health, Primary Health Care Board, Health Service Commission, Ministry of Economic Planning and Budget, Access Bank, Journalists, LASAM members, representatives from developments partners (Save the Children, Nigeria Network of NGO-PACFaH@Scale (NNNGO-PAS), Nigerian Urban Reproductive Health Initiative (NURHI2), Development Communications (DEVCOMS), FHI 360, United Nations Population Fund (UNFPA), Clinton Health Access Initiative (CHAI), Pathfinder International, LASFADAM, Nigerian Union of Road Transport Workers (NURTW), MamaYe and Civil Society Organisations (CSOs).

 

Discussions gave way to practical strategies on how to maximise budget performance in the health sector and ways to leverage the wealth of the country to provide better healthcare services to citizens.

 

In his address, the Commissioner for health, Lagos state, Dr. Olajide Idris noted that increased health financing is key to changing the situation of the health sector in the country. He identified that the current situation of health is not novel to the government as many advocacy platforms had come up at both State and Federal levels in the last two years. He, however, noted that although more resources are being disbursed by the government into health financing, the rapidly increasing population in the country makes their effort inadequate.

 

He expressed the need for all present to recognise the government’s continued commitment to ensuring that the 3 Agencies of health carry out their duties effectively towards improving the health budget performance in the state.

 

“We have to start looking at the tangibility of health care and how to convince providers that they have to adhere to quality standards to generate a certain delivery of healthcare service” noted Dr. Olamide Okulaja, representative, Pharmaceutical Access. In his presentation titled, ‘Practical Strategies to Maximise Budget Performance in the Health Sector’, he sighted that resource mobilisation is important for the health care system to function as the government cannot pull it off alone. Pertinent to discussions about improved health funding, he said, was the need to re-evaluate the utilization of resources that are being allocated to the health sector.

 

Dr. Okulaja added that mediums through which health outcomes can be linked to tangible outputs include; Job creation, road construction, general security, interministerial collaboration, access to capital and data.

 

Dr Peju Adenusi, General Manager, LASHMA, identified that the Lagos State health scheme which was signed into law in May 2015, establishes that policies such as; Premium care at ₦40,000 annual for a family of 6, full subsidies for 5% coverage of the very poor, funds are to be handled exclusively by LASHMA, roll out of LSHS simultaneously in the 3 senatorial districts, HIAs to be engaged for the implementation of the scheme excluding provider payment function and premium subsidy for Lagos State Civil Servants.

 

She added that it is the responsibility of citizens to understand the scheme and these policies, register themselves and their family through existing community-based groups/association, ensure regular payment of premium, do not extend the protection to non-registered family members, discuss inclusion of extra family members into the scheme with health insurance agents/hospitals, make suggestions/complains known through established mechanisms, including creating awareness about the scheme by encouraging others to join.

 

One of the high points of the event was a panel discussion which revealed the need for better monitoring of the process of fund requisition, approval and release by the Ministry of health to ensure increase in the health budget performance as well the need to reduce delays informed by bureaucratic practices in order to ensure optimum utilization of available funds to improve the health outcomes of the citizens of Lagos State.

 

Other interesting outcomes included a roundtable discussion focused on ‘Lagos State Health Insurance Scheme: Domestic Financing Options for Effective RMNCAH+N Service Delivery’, the launch of a campaign calling the government to adequately fund health care in Nigeria, a grand presentation of Key healthcare Asks by LASAM and the unveiling of the #FUNDNAIJAHEALTH.

 

In closing, Barr. Ayo Adebusoye of NNNGO-PAS charged the media to amplify their voices till government responds positively to an increase in allocation for health and there is an improvement in the health budget performance.

NNNGO-PAS Policy Brief on RI Health Financing

Poor funding by governments and lack of political commitment as well as ownership at different levels resulted in the collapse of the Nigerian Primary Health Care system in the 1990s. As a result, many health facilities ceased to function or stopped providing RI services; vaccine stock outs, therefore, became commonplace. The few facilities providing RI services were not able to reach distant communities, as minimal or no outreach/mobile immunization activities were conducted.

 

Furthermore, there were no activities to sustain community demands. Other significant reasons for the continuing low coverage include lack of awareness of immunization schedule, time and place, poor attitude of the health worker and apparent stock out of vaccines at service delivery points. Today, in many states, these problems still persist.

 

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Policy Imperatives for Family Planning in Lagos State

This brief summarizes action areas for promoting a more effective approach to achieve increased overall Contraceptive Prevalence Rate (CPR) for married women in Lagos state. The brief underscores that, to achieve a CPR goal of 74% in Lagos State by 2020, there is need for sustained increase in budgetary allocation and timely release of Family Planning (FP) consumables to stakeholders in the state.

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REPORT OF 2018 SECTORWIDE CONFERENCE ON FATF-R8

On March 28, 2018, over 200 participants from across the country attended the sector-wide conference themed Implementation of AML/CFT Standards for the Non-Profit Organisations, (NPOs) Sector in Nigeria. Organised by the Nigeria Network of NGOs, in collaboration with Special Control Unit on Money Laundering, the conference focused on the need for a reform of the legal framework on AML/CFT measures, strengthening of the criminal justice system and inter-agency cooperation, funding and capacity strengthening of regulatory agencies in ways that ensures ease of regulatory compliance by all sectors.

 

 

At the end of the conference, participants affirmed their commitment towards working to address critical issues faced by NPOs in relation to compliance with the law and called on SCUML to continue its good work of engaging and partnering with stakeholders in implementing a robust AML/CFT for the country

FAFT-R8 REGIONAL WORKSHOP REPORT

The Nigeria Network of Non- Governmental Organizations (NNNGO) in collaboration with the Special Control Unit Against Money Laundering (SCUML) organised two regional workshops themed, Effective Implementation AML/CFT Requirements in the NPO Sector in Nigeria.

 

The first of the workshops was held in Lagos; Vantage Hub: Mosesola House on 19th February 2018 and gathered 67 participants from across the southern region. The second workshop, organised at Den is Hotel, Abuja on 26th February, 2018 was attended by 68 participants from the northern region.

 

In attendance were the Directors of NFIU, Mr Francis Usani and SCUML, Mr Bamanga Bello, as well as officials from the Economic and Financial Crimes Commission (EFCC), SCUML, the Nigerian Financial Intelligence Unit (NFIU) and various Civil Society Organizations (CSOs).

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INSIGHTS FROM THE CIVIL SOCIETY SECTOR ON THE PART C OF CAMA

INSIGHTS FROM THE CIVIL SOCIETY SECTOR

On the Part C of the Companies and Allied Matters Act (CAMA)

 

Three years ago, the Nigeria Network of NGOs (NNNGO) started a remarkable journey of protecting and improving the regulatory environment for the work of nonprofits across the nation.

 

As we initiated this process, we sought to engage with regulators in an effective manner within a culture of mutual trust. We sought to explore through this relationship how best we can work with regulators to improve our field of play. Through this exploration, we developed an epoch making robust partnership with the Corporate Affairs Commission (CAC) in a way that history was made and cannot be ignored when it comes to civil society-government relationship.

 

Armed with successes of our joint venture with CAC in convening a sector wide conference in 2016 and the resolve of attendees calling for the review of the Part C of CAMA including CAC’s invitation for feedback and input from the nonprofit community, we were keen to hear firsthand from organisations about the challenges they face with regards to regulations by the Commission. Thus the online and offline consultations were conceived to capture insights that can inform the review of the Part C of CAMA as the nonprofit sector advances.

 

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