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WHO COUNTRY
COOPERATION
STRATEGY
2008-2013
WHO COUNTRY
COOPERATION STRATEGY
2008–2013
NIGERIA
ii
AFRO Library Cataloguing-in-Publication Data
Second Generation, WHO Country Cooperation Strategy, 2008-2013,
Nigeria
1. Health Planning
2. Health Plan Implementation
3. Health Priorities
4. International Cooperation
5. World Health Organization
ISBN: 978 929 023 1363 (NLM Classification: WA 540 HN5)
©
WHO Regional Office for Africa, 2009
Publications of the World Health Organization enjoy copyright protection in accordance
with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved.
Copies of this publication may be obtained from the Publication and Language Services
Unit, WHO Regional Office for Africa, P.O. Box 6, Brazzaville, Republic of Congo (Tel: +47
241 39100; Fax: +47 241 39507; E-mail: afrobooks@afro.who.int). Requests for permission
to reproduce or translate this publication – whether for sale or for non-commercial distribution
– should be sent to the same address.
The designations employed and the presentation of the material in this publication do
not imply the expression of any opinion whatsoever on the part of the World Health
Organization concerning the legal status of any country, territory, city or area or of its
authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on
maps represent approximate border lines for which there may not yet be full agreement.
The mention of specific companies or of certain manufacturers’ products does not imply
that they are endorsed or recommended by the World Health Organization in preference to
others of a similar nature that are not mentioned. Errors and omissions excepted, the names
of proprietary products are distinguished by initial capital letters.
All reasonable precautions have been taken by the World Health Organization to verify
the information contained in this publication. However, the published material is being
distributed without warranty of any kind, either express or implied. The responsibility for the
interpretation and use of the material lies with the reader. In no event shall the World Health
Organization or its Regional Office for Africa be liable for damages arising from its use.
Printed in India
iii
CONTENTS
Map of Nigeria
Abbreviations
Preface
Executive summary
Section 1 Introduction 1
Section 2 Nigeria’s health and development challenges 2
2.1 Challenges in economic performance 2
2.2 Challenges in health care 4
2.3 Health-care reform 8
Section 3 Development assistance and partnerships 10
3.1 Overall trends 10
3.2 Health sector coordination 11
Section 4 WHO corporate policy framework: global and regional directions 13
4.1 goal and mission 13
4.2 Core functions 13
4.3 Global health agenda 13
4.4 Global priority areas 14
4.5 Regional priority areas 14
4.6 Making WHO more effective at country level 15
Section 5 Current WHO cooperation 16
5.1 Resource mobilization 16
5.2 Health system strengthening 16
5.3 Scaling up priority interventions 17
5.4 Partnership and coordination 18
5.5 Office environment 19
5.6 staffing situation 19
Section 6 Strategic agenda 20
6.1 Strategic objective 1: Improve stewardship and governance for
health at all levels 22
6.2 Strategic objective 2: Strengthen health systems in the context of
Primary Health Care 23
6.3 Strategic objective 3: Scale up priority interventions to improve health 24
6.4 Strategic objective 4: Address the social determinants of health 24
6.5 Strategic objective 5: Improve partnership coordination and
resource mobilization for health 25
Section 7 Implementing the strategic agenda 28
7.1 Country Office 28
7.2 Regional Office 29
7.3 Headquarters 29
Section 8 Monitoring and evaluation 30
Section 9 Selected references 31
Annex 1: Donor interventions in Nigeria 33
iv
Map of Nigeria
v
ABBREVIATIONS
ADB : African Development Bank
AIDS : Acquired Immunodeficiency Syndrome
AOW : Area of Work
APOC : African Programme for Onchocerciasis Control
ARI : Acute Respiratory Infection
CBO : Community-based Organization
CCA : Common Country Assessment
CCS : Country Cooperation Strategy
CHEW : Community Health Extension Worker
CIDA : Canadian International Development Agency
CSM : Cerebrospinal Meningitis
DALE : Disability Adjusted Life Expectancy
DFID : Department for International Development
DOTS : Directly-Observed Treatment Short-Course
DPC : Disease Prevention and Control
EB : Extra-Budgetary
ECP : External Cooperation and Partnership
EDM : Essential Drugs and Medicines
ENV : Environmental Health
EPI : Expanded Programme on Immunization
EPR : Emergency Preparedness and Response
EU : European Union
FAO : Food and Agriculture Organization of the United Nations
FCT : Federal Capital Territory
FTC : Free Standing Technical Cooperation
FMOH : Federal Ministry of Health
GAVI : Global Alliance for Vaccine and Immunization
GDP : Gross Domestic Product
GFATM : Global Fund to Fight AIDS, Tuberculosis and Malaria
GNP : Gross National Product
HHA : Harmonization for Health in Africa
HDI : Human Development Index
HEC : Health Economist
HEAP : HIV/AIDS Emergency Action Plan
HIV : Human Immunodeficiency Virus
vi
HPR : Health Promotion
HRH : Human Resources for Health
HSR : Health Sector Reform
ICC : Interagency Coordinating Committee
IDSS : Integrated Disease Surveillance System
IHP : International Health Partnerships
IMCI : Integrated Management of Childhood Illnesses
IMD : Information Management and Dissemination
IMR : Infant Mortality Rate
IPRSP : Interim Poverty Reduction Strategy Paper
JICA : Japanese International Cooperation Agency
LGA : Local Government Area
MDAs : Ministries, Departments and Agencies
MDG : Millennium Development Goal
MICS : Multiple Indicator Cluster Survey
MMR : Maternal Mortality Rate
MNH : Mental Health
MOH : Ministry of Health
MTSP : Medium Term Strategic Plan (2008-2013) of WHO
NACA : National Agency for the Control of HIV/ AIDS
NAFDAC : National Agency for Food and Drug Administration and Control
NAPCA : National Action for Prevention and Control of AIDS
NAPEP : National Poverty Eradication Programme
NCD : Noncommunicable Disease
NEEDS : National Economic Empowerment and Development Strategy
NEPAD : New Partnership for Africa’s Development
NGO : Nongovernmental Organization
NHMIS : National Health Management Information System
NHP : National Health Policy
NID : National Immunization Day
NIMR : Nigerian Institute for Medical Research
NPHCDA : National Primary Health Care Development Agency
NPI : National Programme on Immunization
NPC : National Planning Commission
NPO : National Professional Officer
NUT : Nutrition
PEI : Polio Eradication Initiative
PHC : Primary Health Care
POA : Plan of Action
vii
PRSP : Poverty Reduction Strategy Paper
RBM : Roll Back Malaria
REDUCE : Maternal Mortality Reduction Strategy
RH : Reproductive Health
SAP : Structural Adjustment Programme
SCHEW : Senior Community Health Extension Worker
SEEDS : State Economic Empowerment and Development Strategy
SMOH : State Ministry of Health
SO : Strategic Objective (of MTSP, 2008-2013, WHO)
STI : Sexually Transmitted Infection
TB : Tuberculosis
UBE : Universal Basic Education
UN : United Nations
UNAIDS : Joint United Nations Programme on HIV/AIDS
UNCT : United Nations Country Team
UNDAF : United Nations Development Assistance Framework
UNODCCP : United Nations Office for Drug Control and Crime Prevention
UNDP : United Nations Development Programme
UNFPA : United Nations Population Fund
UNHCR : United Nations High Commissioner for Refugees
UNICEF : United Nations Children’s Fund
UNIFEM : United Nations Fund for Women
USAID : United States Agency for International Development
WHO : World Health Organization
WTO : World Trade Organization
viii
ix
PREFACE
The WHO Country Cooperation Strategy (CCS) crystallizes the major reforms adopted
by the World Health Organization with a view to intensifying its interventions in the countries.
It has infused a decisive qualitative orientation into the modalities of our institution’s
coordination and advocacy interventions in the African Region. Currently well established
as a WHO medium-term planning tool at country level, the cooperation strategy aims at
achieving greater relevance and focus in the determination of priorities, effective achievement
of objectives and greater efficiency in the use of resources allocated for WHO country activities.
The first generation of country cooperation strategy documents was developed through a
participatory process that mobilized the three levels of the Organization, the countries and
their partners. For the majority of countries, the 2004-2005 biennium was the crucial point
of refocusing of WHO’s action. It enabled the countries to better plan their interventions,
using a results-based approach and an improved management process that enabled the three
levels of the Organization to address their actual needs.
Drawing lessons from the implementation of the first generation CCS documents, the
second generation documents, in harmony with the 11
th
General Work Programme of WHO
and the Medium-term Strategic Framework, address the country health priorities defined in
their health development and poverty reduction sector plans. The CCSs are also in line with
the new global health context and integrated the principles of alignment, harmonization,
efficiency, as formulated in the Paris Declaration on Aid Effectiveness and in recent initiatives
like the “Harmonization for Health in Africa” (HHA) and “International Health Partnership
Plus” (IHP+). They also reflect the policy of decentralization implemented and which enhances
the decision-making capacity of countries to improve the quality of public health programmes
and interventions.
Finally, the second generation CCS documents are synchronized with the United Nations
development Assistance Framework (UNDAF) with a view to achieving the Millennium
Development Goals.
I commend the efficient and effective leadership role played by the countries in the
conduct of this important exercise of developing WHO’s Country Cooperation Strategy
documents, and request the entire WHO staff, particularly the WHO representatives and
divisional directors, to double their efforts to ensure effective implementation of the orientations
of the Country Cooperation Strategy for improved health results for the benefit of the African
population.
Dr Luis G. Sambo
WHO Regional Director for Africa
[...]... INTRODUCTION The Nigeria WHO Country Cooperation Strategy (CCS) is presented as an adaptable country- specific strategy that provides the framework of cooperation between WHO and the Federal Government of Nigeria It reflects the values, principles and corporate directions of the Organization with a view to aligning them with other UN agencies and partners working in health and development within the country. .. MAKING WHO MORE EFFECTIVE AT THE COUNTRY LEVEL The outcome of the WHO corporate strategy at country level will vary from country to country depending on country- specific contexts and health challenges By building on the WHO mandate and its comparative advantage, the six core functions of the Organization, as outlined in Section 4.2, may be adjusted to suit individual country needs 15 SECTION 5 CURRENT WHO. .. 7-Point Agenda of Nigeria It is also harmonized with the work of the United Nations and other partners in Nigeria The Country Cooperation Strategy contributes to the Nigeria UNDAF II 2009-2012 that articulates the commitment of the UN Country Team to support the efforts of the Government of Nigeria towards attaining the goals contained in the National Economic Empowerment and Development Strategy (NEEDS2)...x EXECUTIVE SUMMARY This second generation Country Cooperation Strategy for Nigeria is based on the WHO Eleventh General Programme of Work 2006-2015, the WHO Strategic Objectives of the Medium Term Strategic Plan (2008-2013), the WHO Director General’s Six Point Agenda, and Strategic orientations for WHO action in the Africa Region 2005-2009, and aligned with national priorities... broad frame, the WHO Corporate Strategy. 6 4.1 GOAL AND MISSION The mission of WHO remains “the attainment by all peoples, of the highest possible level of health” (Article 1 of WHO Constitution) The corporate strategy, the Eleventh General Programme of Work 2006-20157 and the document Strategic orientations for WHO action in the African Region 2005-20098 outline key features through which WHO intends to... shared with key stakeholders who provided useful feedback The document provides information on Nigeria s health and development challenges, development assistance, aid flow and partnerships for health development; current levels of WHO cooperation and support; and the WHO policy framework It also outlines the WHO Strategic Agenda and Strategic Objectives that will be the focus of WHO work during the period... Related Initiatives (IHP+) and Harmonization for Health in Africa This Country Cooperation Strategy is firmly based on WHO policies and strategies, the six core functions of WHO, and the Strategic Objectives of the Medium Term Strategic Plan 2008-2013 (MTSP) which form the current planning and implementation framework for WHO work at country level It is aligned with national priorities and is harmonized... responds to development challenges in Nigeria through a strategy that capitalizes on the particular ability of UN agencies, working as a team, to address key and linked aspects of governance at the federal or state level Reflecting this strategy, the UNDAF mission statement declares: “In the context of the country s international commitments, the UN Country Team will support Nigeria in its efforts to secure... (2008-2013) builds on the foundation established and implemented in the first CCS (2002-2007).1 By identifying the current challenges of the Nigerian health system, it clarifies the role of WHO in supporting national health development The second Country Cooperation Strategy for Nigeria provides direction to the Organization in preparing subsequent biennial workplans It is premised on the principles elaborated... and deliver the WHO response to national health development in Nigeria Finally, programme coordination and working across areas of work have improved tremendously There is now more effective and efficient delivery of WHO technical programmes and improved visibility of the Organization in Nigeria Drawing from technical and financial backstopping from HQ, the Regional Office and ISTs, the Country Office . RIAN G E WHO COUNTRY COOPERATION STRATEGY 2008-2013 WHO COUNTRY COOPERATION STRATEGY 2008–2013 NIGERIA ii AFRO Library Cataloguing-in-Publication Data Second Generation, WHO Country Cooperation Strategy, . 1 INTRODUCTION The Nigeria WHO Country Cooperation Strategy (CCS) is presented as an adaptable country- specific strategy that provides the framework of cooperation between WHO and the Federal Government of Nigeria. . in Nigeria. The Country Cooperation Strategy contributes to the Nigeria UNDAF II 2009-2012 that articulates the commitment of the UN Country Team to support the efforts of the Government of Nigeria
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