Nigeria: Our Impact

 {Photo: MSH staff}Nse (on right) with CBHI Board of Trustees Chairman, June 2015Photo: MSH staff

Nse Usoro Odo is a 56-year-old farmer who lives with his wife, a small-scale trader, and their children in Ikot Udo Idem community in Akwa Ibom State, Nigeria. He is also the village town crier and a member of the Village Development Committee (VDC). Members of the VDC are responsible for conveying knowledge and information to community members. Combined earnings for Odo and his wife are around 700 naira or N700 (less than $3.50 USD) per day.

 {Photo Credit: Atlantic Dialogues}The 2015 "Emerging Leaders" at Atlantic DialoguesPhoto Credit: Atlantic Dialogues

Adaeze Umolu landed at the Casablanca Airport in Morocco on the October 28, filled with anticipation. It was her first time in the country. As a technical advisor at MSH, Adaeze was one of 40 "emerging leaders" invited to participate in the 2015 Atlantic Dialogues, an annual gathering of 350 public- and private-sector leaders from around the Atlantic Basin. "It was an honor to have been selected," she said. "These few days were fulfilling and memorable."

{Photo Credit: Adaeze Umolu/MSH}Photo Credit: Adaeze Umolu/MSH

A town in Nigeria is using creative writing to teach girls about reproductive health. And it's working. In January 2015, Management Sciences for Health (MSH) and partners launched the "Amdo Health Club" at Government Day Secondary School in Tal, Biliri Local Government Area (LGA), in Gombe State, Nigeria. "Amdo" translates to "Love."

{Photo Credit: Gwenn Dubourthoumieu}Photo Credit: Gwenn Dubourthoumieu

In Nigeria in 2014, MSH's PLAN-Health program assisted two state governments in launching the first community-based health insurance plan to cover small-scale business owners, farmers, traders, artisans, and others. PLAN-Health is funded by PEPFAR through USAID and supports Nigeria's goal of increasing coverage from 10 to 30 percent by 2015.

 {Photo credit: Gwenn Dubourthoumieu - Niger State, Nigeria}A Minna hospital employee checks a blood sample for HIV.Photo credit: Gwenn Dubourthoumieu - Niger State, Nigeria

To increase country ownership and sustainability of laboratory services and programs, the USAID-funded Prevention Organizational Systems AIDS Care and Treatment (Pro-ACT) project, led by MSH, identified the need to develop the program leadership and management capacity of local medical laboratory associations in Nigeria. 

 {Photo credit: Gwenn Dubourthoumieu}Nigeria.Photo credit: Gwenn Dubourthoumieu

Despite Nigeria’s growing economy and significant cadre of well-trained health providers, Nigerian mothers and their newborns continue to die during and directly after childbirth at an alarming rate. According to a 2013 Demographic and Health Survey, Nigeria’s maternal mortality rate is one of the highest in the world—576 deaths for every 100,000 live births—and 37 out of every 1,000 babies die as newborns.

 {Photo credit: Samuel Edet/MSH} A large crowd observes the festivities.Photo credit: Samuel Edet/MSH

There is no way we can achieve the presidential mandate of 30 percent health coverage by 2015 without tapping into Nigeria’s informal sector. Community-Based Health Insurance (CBHI) is therefore a veritable tool to ensure wider coverage, increased ownership, and an entrenched culture of health insurance among the Nigerian public. 

{Photo credit: Jessica Charles/MSH, Nigeria.}Photo credit: Jessica Charles/MSH, Nigeria.

In Nigeria, 17.5 million children are orphans or vulnerable children; 2.5 million of these children are AIDS orphans. Although it is customary in Nigeria for extended family and community members to care for orphans and vulnerable children (OVC), the capacity and resources of these individuals and households have been overextended by the growing number of OVC and the complexity of their needs. "For me, it’s about saving a generation from HIV, and that’s exactly what we’ve been doing," says Obialunamma ("Oby") Onoh, associate director for monitoring and evaluation (M&E) of the Community-Based Support for Orphans and Vulnerable Children in Nigeria (CUBS) project. Funded by PEPFAR through USAID and led by MSH, the CUBS Project has provided care and support to children orphaned by AIDS and vulnerable children in 11 of Nigeria’s 36 states.

{Photo credit: Jessica Charles/MSH, Nigeria.}Photo credit: Jessica Charles/MSH, Nigeria.

Gender-related stereotypes, gender profiling, and inequalities between men and women reduce the impact of public health programs. In Nigeria, for example, many women are excluded from making decisions related to their families’ health and from accessing health services in their communities. These exclusions are due to patriarchal norms, often exacerbated by purdah, a religious and social practice that requires women to cover most parts of their bodies and avoid areas frequented by men.

 {Photo credit: Francis Duru/MSH.}After being widowed in 2008, CUBS helped Bridget Egesi start a pharmacy so she could earn an income to suport her five children.Photo credit: Francis Duru/MSH.

Forty-year-old Bridget Egesi has been the sole caretaker of her five children since her husband’s death in 2008. Until recently, Bridget pieced together an income by washing laundry, cleaning her neighbors’ cars, and working as a security guard.

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