Globally up to three hundred and fifty eight thousand women die every year due to lack of access to timely intervention and lack of skilled medical personnel. Similarly, many children under five years of age, statistically up to eight million lose their lives to preventable health conditions such as pneumonia, diarrhea, malaria, measles etc.
The MDG 4 aims at reducing by two-thirds between 1990 and 2015, the under-five mortality rate while the MDG 5 aims at reducing by three-quarters, also between 1990 and 2015, maternal mortality ratio; and achieves, by 2015, universal access to reproductive health.
The MDGs target year 2015 is just four years away; huge amount of resources have been invested into multiple efforts at several levels to ensure that goals and targets are met within a set time frame. With target sate approaching, it has become imperative for concerned stakeholders to re-examine the policy framework within which projects and programs are implemented.
The Nigeria’s Under-five mortality rate was put at 157 deaths per 1,000 live births. This translates to about one in every six children born in Nigeria dying before their fifth birthday. The infant mortality rate was put at 75 deaths per 1,000 live births, and the neonatal mortality rate is 40 deaths per 1,000 live births. Among the zones, under-five mortality ranges from 89 deaths per 1,000 births in South West to 222 deaths per 1,000 births in North East.
The policy brief has been undertaken to assess progress made in the realization of the millennium development goals MDGs 4 and 5, evaluate achievements, identify gaps and challenges, if any, and propose possible reviews that could impact positively on policy implementation in the next four years.
This brief centers on some debilitating factors affecting the attainment of the Millennium Development Goals and explores the slow process in them. It further exposes the situation report on child health situation in Nigeria owing to poor health facilities. There is also a discourse on the interventions of the Federal Ministry of Health in 2007 on Integrated Maternal, New Born and Child Health Strategy which underscored regional discrepancies that exist.
This publication is made possible through funding by the TY Danjuma Foundation. We acknowledge the financial and moral support of the Foundation toward making this publication a reality.
We are grateful to Dr Aminu Magashi Garba for undertaking the preparation of this Policy Brief.
CISLAC is grateful to the Ministry of Women Affairs and the Office of the Special Assistant to the President on MDGs for their immense support during the course of preparing this brief.
Finally, CISLAC hopes this publication will go a long way to improve the activities of the MDGs.
Auwal Musa (Rafsanjani)
Executive Director, CISLAC