COMMUNIQUE ISSUED AT THE END OF ONE-DAY LEGISLATIVE DIALOGUE ON MATERNAL HEALTH ACCOUNTABILITY ORGANISED BY CIVIL SOCIETY LEGISLATIVE ADVOCACY CENTRE (CISLAC) WITH SUPPORT FROM MACARTHUR FOUNDATION HELD AT THE KANO STATE HOUSE OF ASSEMBLY ON 15TH NOVEMBER, 2017
CISLAC with support from MacArthur Foundation organized Legislative Dialogue on Maternal Health Accountability in Kano state. The Dialogue aims at bringing relevant legislative committees in the Assembly under one roof to brainstorm and proffer holistic recommendations on adequate, accessible, affordable and effective maternal and child health in the state, within their respective mandates. The session was chaired by the Rt. Hon. Speaker, Kano State House of Assembly, Hon. Abdullahi Atta. After exhaustive deliberations on various thematic issues, the following observations and recommendations were made:
- The State House of Assembly’s critical legislative process had brought to limelight, Health Trust Fund Act with dedicated budget line for MNCH to be funded through 5% deduction from the state’s Internally Generated Revenue (IGR), 1% Statutory Allocation of Local Government Councils, and other related donations.
- In Kano state, the challenges confronting adequate and sustainable healthcare system has been exacerbated by dwindling donors’ resources for financing health sector.
- The House has passed Private Healthcare Institution Bill into law to ensure coordination, supervision and evaluate the operational and structural capacity of private healthcare institutions in the state.
- While in 2017 Appropriation Act, the Assembly appropriated 12.6% (out of 15% benchmark) of the state’s total budget to the health sector with N180,000,000 dedicated for maternal and child health, inadequate budgetary allocation, delay in release of fund and shortage of health workers hamper effort at achieving accessible and affordable maternal and child healthcare services.
- Obsolete Primary Health Care facilities in the State are systemic challenge to effective implementation of the Primary Health Care provisions, as enshrined in the National Health Act 2014.
- In order to mitigate the shortage in healthcare providers, the House has established an ad hoc Committee to oversight medial students on the state’s scholarship scheme in oversees with recommendation that they work in the state for a minimum of 5 years on their return.
- As part of their constituency service, Representative Members in the House have been undertaking private constituency projects involving construction of healthcare centres and provision of drugs in their respective constituency.
- Kano State House of Assembly has through the appointment of Civil Society Desk Officer within the Assembly enabled space for sustainable civil society participation and contributions in the legislative processes and to further articulate issues bothering maternal and child health.
- Immediate measures by relevant authorities in harnessing and strengthening domestic resources for financing healthcare and ensuring greater accountability in fund allocation and utilization through adequate oversight.
- Adequate and persistent legislative oversight to drive accountability in release and utilization of funds to achieve the overall budgetary objectives.
- Ensuring accountability in maternal health fund utilization for maximum impact.
- Adequate human resource allocation, especially across health care facilities in the rural areas to combat the incessant maternal and child deaths from the unskilled birth services.
- Infrastructural upgrade and functional Primary Health Care system to cascade resources and actualize Primary Health Care fund provision as contains in the National Health Act.
- Provision of appropriate monitoring system for the procurement and dissemination of commodities with timely release of appropriated fund for maternal and child health interventions.
- The House shall redouble focus on oversight activities on maternal health fund release and utilization through monthly or quarterly schedule to enhance maximum impact.
- The House will direct Clerk of the House to map out appropriate schedule for the oversight.
- The House welcomes further technical support from CISLAC on the way forward for maximal impact.
- Auwal Ibrahim Musa (Rafsanjani)
Executive Director, CISLAC
- Rt. Hon. Abdullahi Atta
Honourable Speaker, Kano State House of Assembly