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Commonwealth Health Partnerships 2015

For Nigeria to achieve its targets for the reduction of child mortality, which form MDG 4, Nigeria should have reduced underfive deaths per 1,000 live births to 71 and increased measles immunisation to 100 per cent when the 2015 data is analysed. In 2013 under-five mortality stood at 117 deaths per 1,000 live births and measles immunisation at 59 per cent. Although substantial progress in terms of child mortality has been made since 1990, Nigeria is unlikely to meet this target when the 2015 data is analysed. The target for measles immunisation is also unlikely to be met. The global MDG 5 target for maternal health is to reduce the number of women who die in pregnancy and childbirth by threequarters between 1990 and 2015. In Nigeria, maternal mortality should fall to 275 cases per 100,000 live births. In 2013 Nigeria had an adjusted maternal mortality ratio of 550 deaths per 100,000 live births (this figure was estimated at 630 deaths per 100,000 by UN agencies/World Bank in 2010). This target is unlikely to be met. Part of the goal also stipulates that 100 per cent of births must be attended by a skilled health professional, so this is very unlikely to have been achieved in the specified timescale. MDG 6 aims for a reduction in the prevalence of HIV, malaria and other communicable diseases. Nigeria’s prevalence of HIV was 3.2 per cent in 2012 (in the 15–49 age group). While this figure is still high, the period 2010–12 has seen a consistent and gradual decrease in the prevalence of the disease. The number of deaths from malaria in the country has seen an improvement since 2007. There has been an overall increase in estimated incidence of tuberculosis (TB) in the period 1990–2013 and a slight decrease in estimated mortality (when mortality data excludes cases comorbid with HIV) from the disease in the period 1990–2013. Consequently, Nigeria is unlikely to achieve MDG 6. For definitions, sources and explanations on the Millennium Development Goals see page 314. Universal health coverage Less than a third of health care in Nigeria (31 per cent) was government funded in 2012. The remaining 69 per cent was paid for by patients or funded by other non-governmental entities, such as private insurers, charities or employers. Total health expenditure constituted 6.1 per cent of GDP in 2012. Expenditure by government amounts to US$29 per capita. Primary health care continues to be the priority for health development in Nigeria. A 2013 study in the Journal of Public Health in Africa found that the most common barriers to people accessing primary health care were lack of essential drugs at clinics, the high cost of services and lack of facilities close enough to their homes for them to access without a long journey. Most were more likely to visit the nearest pharmacy instead. There are also major differences in the quality and provision of health care between the different states and between rural and urban areas. The Nigerian National Health Insurance Scheme, financed by employer and employee contributions, is intended to ensure that every Nigerian has access to good health care services and to protect families from the financial hardship of a large medical bill. However, only about three per cent of the population is covered by ELHANAN VENTURES LIMITED is a Limited Liability Company (LLC), registered under the Nigerian Companies and Allied Ma)ers Act of 1990 by the Corporate Affairs Commission (CAC) in 1995 with registra(on number RC 275169. Nigeria's Champion Distributors of Healthcare Equipment and Support Services Our mission Our mission is to be the best Nigerian company within the healthcare sector providing an uncompromised standard for quality in goods and services. To this end, we aim to: Understand our clients’ needs Proffer the best solu(on for clients’ services Provide compe((ve pricing for goods and services Provide (mely response and prompt delivery. Our services Our consistency in delivering the best in goods and services has affected our growth posi(vely from a modest beginning into a premier group of companies that provide excellent services in: Healthcare Services and Solu(ons Informa(on and Communica(on Technology Civil Engineering Healthcare unit Our healthcare unit specialises in the sourcing, supply and maintenance of medical equipment for laboratory, imaging, ICU, surgery and scien(fic research. CONTACT Prof. Dan Ayidu, CEO No.3 Malcom Frazer Street Plot 1753 Cadastral Zone AO4 Asokoro, Abuja FCT Nigeria Tel: +234 817 205 2114 • +234 09 290 7839 Email: info@elhanan. com Our partners www.elhanan. com


Commonwealth Health Partnerships 2015
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