UK aid to combat poor health in Nigeria

19 November 2008


Ivan Lewis flanked by the Elders of Mpape community near Abuja, surrounded by members of the Community Development & Youth Initiative HIV/AIDS projectMillions of people in Nigeria will be given free healthcare for the first time and provided with the means to protect themselves against HIV, International Development Minister Ivan Lewis announced today.

Two UK-funded schemes will deliver a wide-range of measures aimed at significantly improving life-expectancy across the country, especially for women and children.

One million children die before the age of 5 in Nigeria, whilst the number of mothers who die during pregnancy is one of the highest in the world.

Yet medical experts say the lives of almost 700,000 children could be saved every year through free healthcare, such as immunisation and basic health advice during infant years.

Announcing the new measures, Ivan Lewis said:

"Nigeria needs immediate and sustained help if it is to tackle the shocking quality of healthcare in some parts of the country.

"With 3 million people living with HIV, and 1 in 5 children dying before their fifth birthday, I share the sense of urgency among health professionals and want to underline DFID’s determination and commitment in tackling this head on.

"Our two new programmes will provide positive, sustainable change in helping ensure millions of ordinary men, women and children get the healthcare they deserve."


Fighting HIV and AIDS

Supervising Minister of the National Planning Commision, Elder Orubebe, Ivan Lewis, and the Director General of NACA, Professor OsotimehinThe new six-year HIV/AIDS project will reach 27 million young people with its safer sex message and provide 1.2 billion condoms to slash the number of new infections by 50,000 every year.

Nigeria has the second highest number of people living with HIV in the world. Over 3 million people are HIV positive and 1 million children have been orphaned by the disease.

In recent years the country has slowly started to win the war against HIV, but experts warn much more needs to be done. The Nigerian national average of HIV prevalence has gone from 5.8% in 2001, to 4.4% in 2005, to the latest figure of 3.6%.

The £100 million "Enhancing Nigeria’s Response to HIV and AIDS" programme aims to:

  • Target the most vulnerable groups in society - including women and children – and reduce discrimination towards those living with HIV
  • Support the use of accurate and reliable information to help set up new programmes, and use existing ones more effectively
  • Encourage a change in behaviour in the population, including the use of condoms as the most effective means of prevention.

Community members in Mpape perform a danceDuring his visit, Ivan Lewis visited the vibrant community of Mpape, 20 minutes from the centre of the capital Abuja. HIV is seen to be a growing problem in Mpape because of the transient nature of life there, with the majority of people working in construction or transport.

On his arrival, the Minister was warmly welcomed by community elders, who expressed their appreciation of a programme run by DFID to help fight HIV and AIDS.

Speaking to members of the 30,000-strong community, including local teenagers, about their lives, he heard how DFID has helped them through its programme, which encourages safe sex and staying faithful.

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Improving healthcare

The focus of the second scheme is on developing Nigeria's failing health system. The new £148 million initiative will install experts across Nigeria’s health service to help identify the services people most need and where money should be spent.

Known as Partnerships for Transforming Health Systems 2 (PATHS2), the scheme will help ensure:

  • Better local health services across the country, including rural clinics to support pregnant mothers and provide immunisations to children
  • More focus on preventative health support, not just treatment, to ensure people are better prepared to fight disease and illness
  • More training of staff and new incentive packages to retain doctors and nurses in the poorest areas
  • Faster and better managed flow of drugs across all states
  • Better government planning and management, ensuring that money is spent where health needs are greatest.

The scheme is expected to boost the use of health facilities by 25%, reaching 30 million people across six states. It will also provide £21 million worth of drugs and medical equipment to more than 1,500 clinics and hospitals, with a focus on maternal and child health.

It is estimated that the number of births where skilled birth attendants are present will rise from just a third to over a half, while full immunisation rates will rise from 18% to 60%, slashing infant mortality.

Around 70% of Nigerians live on less than $2 a day but have to find the money to pay for the most basic help. It is estimated that 60% of people pay for healthcare whilst the poorest and most vulnerable are priced out of the most basic support.

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