2017 budget: Kano allocates 12.6% to health

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 MAC ARTHUR FOUNDATION, HELD AT NASSARAWA GUEST HOUSE, KANO STATE ON 27TH 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 Kano 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 Ministries of Health, Planning and Budget, Women Affairs, Civil Society Organizations, and the Media. After exhaustive deliberations on various thematic issues, the following observations and recommendations were made:

Observations:

  1. The State presently records adequate Health Management Information System, which is subjected to periodic review by the instituted Maternal Death Review Committee to ensure qualitative and accurate maternal health data collection and use in policy decision.
  2. In 2017 Appropriation Act, the state has allocated 12.6% (an increase from 9.7% in 2016) of its total budget to the health sector with 180, 000,000 naira dedicated for maternal and child health.
  3. Medical students are through the state’s scholarship engaged on overseas training programmes to bridge the high patients-to-doctor ratio and boost human resources for heath in the state; and established Community Midwifery College in Gwarzo for training of young girls to augment existing skilled birth attendance.
  4. The State Government has created the State Health Contributory Scheme with an established Agency to administer the Scheme, as a palliative measure to address the emerging dwindling revenue resources from Federation Account to the health sector.
  5. The sum of 50 million naira has been provided by the State Government to UNICEF through co-funding arrangement for the procurement of Ready to Use Therapeutic Food (RUTF) to mitigate child death from malnutrition.
  6. Unfriendly attitudes of some health workers remain endemic challenges impeding adequate attendance for health care services at health facilities in the state.
  7. Migration of the state’s trained skilled health workers to other states or international community at the expense of state’s dire needs for adequate and accessible health care services hampers efforts at addressing high patients-to-doctor ratio.
  8. In recent times, the state has witnessed appreciable decrease in maternal death rate.
  9. The State Government has provided tri-cycles; and in collaboration with National Union of Road Transport Workers is addressing referral system to create timely accessibility to health facilities across the state.

Recommendations:

  1. Adequate monitoring and supervision of health care workers in the state to forestall appropriate professional codes of conduct and constructive working relations between patients and health workers.
  2. Embracing other means like social media, drama and film production in the advocacy and dissemination of maternal and child health information to ensure wider circulation and outreach.
  3. Leveraging the State Civil Service code with specific provision for civil servant to serve anywhere in the state in the dissemination of health workers to avert persistent migration of health workers to urban areas at the expense of rural counterparts.
  4. Formidable effort by the media through evidence-based advocacy and investigative journalism in demanding accountability from relevant stakeholder to sustain existing achievements and enhance judicious utilization of maternal health funding in the provision of adequate, accessible and affordable health care services.
  5. Provision of appropriate monitoring system for the procurement and dissemination of commodities with timely release of appropriated fund for maternal and child health interventions.
  6. Ensuring transparency in the utilization of health care funds through appropriate audit; and provision of proper monitoring mechanism to address stock out of essential maternal health commodities.

Signed:

  1. Auwal Ibrahim Musa (Rafsanjani)

Executive Director of CISLAC

  1. Mallam Dahiru Musa

Permenent Secretary, Kano State Ministry of Health

  1. Zuwaira Omar

CHRICED

  1. Semira W. Kuaa

Kano State Ministry of Women Affairs

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