2016: ‘Over 74, 000 children enrolled into Community Management of Acute Malnutrition programme in Jigawa’

COMMUNIQUÉ ISSUED AT THE END OF A ONE-DAY EXECUTIVE AND MEDIA ROUNDTABLE ON MATERNAL HEALTH ORGANIZED BY CIVIL SOCIETY LEGISLATIVE ADVOCACY CENTRE (CISLAC) WITH SUPPORT FROM THE MACARTHUR FOUNDATION, HELD AT ROYAL HOTEL, DUTSE JIGAWA STATE ON 6TH APRIL, 2017.

PREAMBLE:

Civil Society Legislative Advocacy Centre (CISLAC) organized a One-day Executive and Media Roundtable on Maternal Health. The Roundtable aimed at bringing Jigawa State’s executives, civil society and the media under one roof to brainstorm on necessary action for timely release and effective implementation of maternal and child health budget in the state for efficient intervention and maximum impacts on the citizens. The meeting drew over 20 participants representing State Primary Health Care Development Agency, Ministries of Budget and Economic Planning, Health, Education and Women Affairs, Civil Society Organizations, and the Media. After exhaustive deliberations on various thematic issues, the following observations and recommendations were made:

Observations:

  1. Jigawa State has allocated 13% (out of 15% Abuja Declaration) of its total budget to health sector in the 2017 Appropriation Act.
  2. The State Government recently engaged the services of 450 Primary Health Care workers of different cadres to be posted across Primary Health Care Centres in the state to improve accessibility to health care services.
  3. Out of 685 health facilities in the state, only 24 (12 General Hospitals and 12 PHCs) render free maternal and child health services to 878,581 under-5 and 1,020,407 women of reproductive age.

  4. The State Primary Health Care Development Agency is presently awaiting 15% allocation from the 1% Consolidated Revenue Fund for the provision and maintenance of Primary Health Care facilities, as enshrined under Section 11 (3)(c) of the National Health Act 2014.
  5. The State has received its share of $1.5million from the World Bank “Save 1Million Lives” program to address six different health indicators, of which maternal and child health is a key priority.
  6. High commercial value leverage on programmes, coverage and activities, especially by public media impedes efforts by other relevant stakeholders at raising policy and public awareness on maternal and child health in the state.
  7. Jigawa state records high level severe acute malnourished children with no fewer than 74, 000 children enrolled into the state’s Community Management of Acute Malnutrition (CMAM) programme in 2016.

Recommendations:

  1. Upholding high level corporate social responsibility by the media with prioritized attention to revitalize maternal and child health care service provision and accessibility in the state through dedicated programmes, coverage and activities.
  2. Proactive and joint advocacy by Civil Society groups for sustainable maternal health care services, giving congnisance of the existing unfavourable maternal and child health indices, to galvanise legislative and executive supports for the introduction and passage of Free MNCH.
  3. Increased collaboration among various Ministries, Departments and Agencies to define the workability for operationalisation of the state’s health care programmes and policies.
  4. Effective management and utilization of existing fund provision to the health sector to maximize maternal and child health care service delivery.
  5. Adequate supervision of health care facilities by relevant authorities to restore proper code of conducts among health workers to encourage attendance for maternal health service in the facilities.
  6. Establishing e-platform mechanism for feedback to support monitoring and evaluation system for possible improvement in maternal and child health service provision and delivery.

  7. Synergy among Ministries of Health, Education and Women Affairs for guiding and counseling of the girl child education.

Call to immediate action:

  • Project to increase accessibility to family planning contraceptives from 1% to 5%
  • Have functional Basic Health Centre in every Ward to attain Universal Health Coverage
  • Upgrade Primary Health Care facilities to Ward level
  • Provision of vehicle to improve accessibility to maternal health services
  • Increase weekly radio programmes from 1 to 4 to amplify issues on maternal and child health
  • Mainstream maternal health issues into the existing radio programme on youth

Signed:

  1. Auwal Ibrahim Musa (Rafsanjani)

Executive Director, CISLAC

  1. Adamu Muhammad Garun Gabas

Permanent Secretary, Jigawa State Ministry of Budget and Economic Planning

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