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Wellbeing Foundation Africa President Elected Chair of White Ribbon Alliance Nigeria Board and Hosts Evening Reception after Annual General Meeting

March 4th, 2012 by WBF

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WBF Founder H.E Mrs. ToyinSaraki and Dr. Ado J G Muhammad NPHCDA

As a member organization of the White Ribbon Alliance for Safe Motherhood, the Wellbeing Foundation Africa under the leadership of Her Excellency Mrs. Toyin Saraki, continues to show its dedication to maternal health and successful childbirth for women in Nigeria, and inevitably—worldwide.

The 23rd of February 2012 marked the first meeting of the newly elected Board of Directors of the White Ribbon Alliance Nigeria (WRAN); and in this meeting, the Founder of the Wellbeing Foundation Africa—Her Excellency Mrs. Toyin Saraki, was elected chair of the board. Her Excellency expressed excitement regarding the opportunity to work with leaders and organisations from around the country who are working towards the same goal of saving the lives of women and children in Nigeria, stating, “This is a journey I started over 20 years ago which led to the establishment of the Wellbeing Foundation Africa.” To date, the Wellbeing Foundation Africa has impacted the lives of over two hundred thousand women and children through the distribution of the WBFA IMNCH Personal Health Records© nationwide which will ensure efficient delivery, evaluation and monitoring of sustainable, effective public health strategies in maternal newborn and child health. Read the rest of this entry »

“A Common Challenge Requires a Common Purpose”

February 15th, 2012 by WBF

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My thanks to Fashion 4 Development (Evie and Franca), the United Nation’s and Ambassador Cesare Maria Ragaglini for the honor of being invited to this momentous occasion, in welcoming the fashion industry to the Every Woman Every Child effort.

In May 2011 when the UN Secretary General Ban Ki Moon visited Nigeria, he spoke of the importance of partnership between government, business and civil society, saying ‘when they are united in a tripartite partnership, we can make it’.

I too believe that a common challenge requires a common purpose and it is for that reason that I have embraced the Secretary General’s Call To Action for Maternal Newborn and Child Heath within my Wellbeing Foundation Africa’s Countdown to 2015 Millennium Development Goal Campaign.

To amplify this, The Wellbeing Foundation and I strive to be a catalyst for the Every Woman Every Child effort in Africa to save the lives of 16million women and children globally.  My own personal experience is a testimony to the fact that while there are no socio-economic boundaries reducing the universal challenges hampering the achievement of safe motherhood for all women in Africa, an empowered and educated woman is a health-seeking woman, for herself, her family and her community.  We therefore must connect with women themselves and empower them to effect the change necessary for better outcomes.

On this journey that I’ve been on for over 20 years, the fashion industry has a unique role to play because of:

1. Obvious connection women have to fashion, which present a great opportunity to utilize this channel to communicate with us and thereby mobilize efforts.

2. In Africa women are very much at the forefront of the fashion industry from the young lady creating jewelry in her bedroom to the market women trading traditional fabricsat bustling markets, and the emerging sophistication of contemporary fashion houses particularly in Nigeria. Fashion is an avenue to empower women and enable us to provide socio-economic freedom, which we know has an impact on women and their children’s wellbeing.

I welcome Fashion 4 Development’s commitment to this most important effort of our time and stand ready to partner to create synergies in order to save and improve the lives and wellbeing of every woman and every child.

Wellbeing Foundation Africa Founder Congratulates Thisday Award Recipients

February 14th, 2012 by WBF

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H.E Mrs ToyinSaraki, Founder-President of The Wellbeing Foundation Africa and Advisory Board Member of Cherie Blair’s Africa Justice Foundation (AJF), has congratulated the 55 Women of Distinction honoured at the 17th Annual Thisday Awards Event held in Lagos on February 13th 2012.

Speaking from New York where the notable humanitarian and advocate had attended the formal ceremony to receive the highly valued Fashion 4 Development Commitment to the United Nations Every Woman Every Child Effort from Goodwill Ambassador and Vogue Italia Editor-in-Chief Franca Sozzani, Mrs Saraki said that the recognition of the awardees exemplifies the fact that women are successfully leading increasingly influential roles in all facets of society, including business, politics, entrepreneurship, public policy and social development.

“I am so encouraged to see that Nigerian women are engaging at the highest levels of distinction in business, politics and leadership in the 21st century. We have indeed come a long way. The honourees have persevered and excelled in their chosen fields of endeavour and are worthy of double honour, not only because of what they have achieved, but because as women in a world dominated by men, it often takes twice as much time and effort as their male counterparts to attain great heights.”

Mrs Saraki, the former First Lady of Kwara State, congratulated her fellow former colleagues, Their Excellencies Erelu Angela Adebayo of Ekiti State, Chief Mrs. EkiIgbinedion of Edo State and Distinguished Senator Zainab Kure of Niger State and also Kwara’s very own indigenous daughter Hajiya Bola Shagaya a foremost business woman, for their  respective contributions to humanity, particularly in the lives of women and children, while she warmly welcomed the keynote speakers, Cherie Blair QC of the Cherie Blair Foundation for Women and Africa Justice Foundation and Former American President Bill Clinton of the Clinton Global Initiative, in recognition of their sincere dedication towards development in Africa.

The WBF Africa President finally commended Thisday Newspaper and its Publisher, Prince Nduka Obaigbena for the organisation’s stellar role in inspiring effective media focus upon civil society issues, saying “Thisday continues to provide leadership in the media through innovation, creativity and uncommon intelligence, adding transformational texture to our national experience.”

H.E Mrs ToyinSaraki is in New York in her capacity as the leader of the Nigeria Multi-Sector Engagement in support on the United Nations Secretary General’s Every Woman Every Child Effort, which was launched in Nigeria by The Wellbeing Foundation Africa in July 2011.

Yomi Owope, Communications Director, The Wellbeing Foundation Africa. 13-02-2012

 

Evidence Shows that Childbirth Complications Linked to Female Genital Mutilation

February 6th, 2012 by WBF

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Ahead of the International Day for Zero Tolerance to Female Genital Mutilation marked yearly on February 6th, a review of the evidence by the Wellbeing Foundation Africa Countdown to 2015 MDG Campaign shows that the prevalence of female genital mutilation (FGM) in Nigeria continues to pose great risks for millions of women, young girls and their infants during and after birth.

The practice of Female Genital Mutilation (FGM) is founded in traditional beliefs about female chastity, initiation into womanhood and even the mistaken belief that it helps delivery of babies. UNICEF estimates that there are 115 to 130 million circumcised women worldwide. In African countries, more than 90 million girls and women over the age of 10 years are estimated to have undergone FGM, and around 3 million girls are at risk of undergoing the procedure each year. Nigeria in the past had the highest absolute number of cases of FGM in the world, accounting for about one quarter of the total number of circumcised women. But advocacy, sensitisation and legislation have driven down the numbers in recent years. Nevertheless the practice continues unchecked in many parts of the country, with Oyo and Ebonyi States recording as high as 83% prevalence as recently as 2008.

In the statement in commemoration of this year’s FGM Day, the Foundation affirmed that the risk of dying during childbirth increases greatly for both the mother and the infant if the mother has been genitally mutilated, and that interventions on maternal mortality often do not adequately address the problem of female genital mutilation.

“The World Health Organisation FGM obstetric outcome journal 2010 (a collaborative prospective study in six African countries) has established that women with FGM are significantly more likely than those without FGM to have adverse obstetric outcomes, with a significant number having obstructed labour, postpartum haemorrhage and extended hospital stay. Also, FGM is estimated to lead to extra one or two perinatal deaths per hundred deliveries. It is therefore very essential that FGM is not ignored when addressing the problem of maternal mortality in Africa.”

The weight of evidence has informed the foundation’s position that FGM of any type “is a violation of the human rights of women and girls, with proven psychosexual consequences. It is known to cause blood-borne diseases and infection, including painful menstruation and infertility. The risks are evident in the huge number of trauma cases we witness each year, and its eradication calls for urgent attention from all concerned to put a stop to this painful and gruesome practice.”

The Foundation therefore called on government and all stakeholders in maternal, newborn and child health to pay greater attention to FGM and enforce the corrective measures embarked upon in the past few years in addressing practice.
“Advocacy and sensitization programs must continue and legislations at the federal and state levels outlawing all forms of FGM should be enforced; other gaps that aid in the perpetration of the practice in Africa should be addressed as part of a holistic approach to women’s and children’s health,” the Foundation said.

 

World AIDS Day: The Wellbeing Foundation Adopts the “Getting to Zero” Campaign Theme

December 1st, 2011 by WBF

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With more than 34 million people living with HIV and over 22 million of that number in Africa, the Wellbeing Foundation has adopted the global “Getting to Zero” mission of the World AIDS Campaign ahead of World AIDS Day today. With a direct and forthright theme, the campaign states that by 2015, the world should have, Zero AIDS Related Deaths, Zero New Infections and Zero Discrimination.

The Wellbeing Foundation runs The Positive Lifeline Initiative, a regular care and support program under which people living with HIV/AIDS receive medical and financial support, nutritional and vitamin supplements, including counseling and follow up. The Foundation also works at the front-lines, developing programs for the Prevention of Mother-to-Child Transmission of HIV, making the main focus of its HIV Programs preventive, rather than palliative.

WBF has noted that while unprecedented global attention and intervention efforts have slowed the rate of new HIV infections and made significant difference to the prevalence of the disease in some countries and regions, the total number of people living with HIV continues to rise.

The Wellbeing Foundation has therefore joined the global voice calling for Governments to do the right thing and live up to the financial pledges they have made, otherwise the “Getting to Zero” mission will not happen by 2015 and millions of people will continue to die.

“The 2010 Global AIDS Report by UNAIDS shows that treatment scale-up is beginning to deliver results, both in averting AIDS-related deaths (an estimated 2.5 million since 1995) and in halting  new infections (at their lowest levels since 1997). This is therefore the time for us to increase our efforts to achieve universal access to treatment and build momentum towards meeting the Millennium Development Goals (Goal 6) with regards to HIV and AIDS.”

 

 


International Day for the Elimination of Violence Against Women (November 25th): Toyin Saraki Calls for Multi-Sector Involvement in Protecting Women

November 25th, 2011 by WBF

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Ahead of the International Day for the Elimination of Violence against Women, marked yearly on November 25, Founder of the Wellbeing Foundation and Trustee of the Global Foundation for the Elimination of Domestic Violence (GFEDV), Mrs Toyin Saraki has said that the social and economic costs of violence against women are too enormous for any government to ignore. In a statement signed by her spokesman Mr. Yomi Owope, Saraki said that violence against women occurs across Africa, affecting millions of women in society, regardless of status, and that the socio-economic and psychological costs are unquantifiable.

“Many women are particularly at risk of abuse at home, school or work, especially in a society where there is a marked imbalance between men and women, and places where there are little or nopenalties against such behaviour.”

Mrs Saraki, who recently signed a Joint Accord against Domestic Violence in New York with other international campaigners for same during the UN General Assembly last September, also pointed to the psychosocial effects of domestic violence on the family unit especially on children as a major reason for strengthening laws which protect women against all forms of violence in Nigeria.

“We are well aware of the impact of domestic violence on children who grow up in such environments. They’re affected mentally, physically and often end up being violent themselves. It has also been proven that children who witness violence at home do not do well in school. This is indeed a global problem which is being addressed in some measure, but which needs the support and input of government, civil society and all women, regardless of race or class. People with influence in society and the private sector are not left out. Violence against our nation’s mothers and girls must stop and we all have a role to play. Furthermore, women should not be ashamed to talk about domestic violence especially if it is happening to them or someone they know,” Saraki said.

 

Editor’s Notes:

About The Wellbeing Foundation

The Wellbeing Foundation Africa is dedicated to the establishment and entrenchment of best practice in MNCH, as well as the improvement of the health systems in Nigeria and across Africa. In Nigeria the Wellbeing Foundation was responsible for lobbying for the new Nigerian Midwifery Service Scheme and the implementation of personal health records across Nigeria. The Foundation’s major commitment is the implementation of personal health records across Africa which the Foundation believes could have the single biggest impact on reducing child and maternal mortality and will move Africa towards attaining Millennium Development Goals 4, 5 & 6.

 

About The International Day for the Elimination of Violence Against Women

In 1999, the UN General Assembly designated 25 November as the International Day for the Elimination of Violence against Women. Violence against women and girls is a problem of pandemic proportions. At least one out of every three women around the world has been beaten, coerced into sex, or otherwise abused in her lifetime – with the abuser usually someone known to her.

Women’s activists have marked 25 November as a day against violence since 1981. The date commemorates the brutal assassination of the three Mirabal sisters, political activists in the Dominican Republic, in 1960 on orders of Dominican dictator Rafael Trujillo (1930-1961).

Governments, international organizations and NGOs are invited to organize activities on the day to raise public awareness of the problem. The International Day for the Elimination of Violence against Women also launches the 16 Days of Activism against Gender Violence, which runs through to 10th December, Human Rights Day.

About GFEDV

Founded by Former UK Attorney General Baroness Scotland, The Global Foundation for the Elimination of Domestic Violence is a non-profit organisation with the aim to eliminate domestic violence on a global scale working with other partners to become a leading resource in sharing knowledge to eliminate domestic violence.

Signed:

Yomi Owope

Kwara NUJ Recognises Toyin Saraki for Contribution to Humanity

November 23rd, 2011 by WBF

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The Correspondence Chapel of the Nigerian Union of Journalists (NUJ) Kwara State has presented a Special Recognition Award on Children and Motherhood to the Founder and President of the Wellbeing Foundation (WBF) for her contribution to the welfare and progress of the women and children of Kwara State.

Presenting the award plaque, Kwara State Governor Abdulfatah Ahmed represented by the State Commissioner for Information, Mr TunjiMorounfoye described the award as “well-deserved, for an individual who has tirelessly given of herself and her substance to our women and children.”

Chairman of the National Centre for Women Development (NCWD), Abuja who was also the Chair of the occasion, Hajia Habibat Salman-Saidu, said the Wellbeing Founder and also former First Lady of Kwara State is a role model for women not only in Kwara State but across the country. She also commended her contribution to the upliftment of women and children in Nigeria, noting that many have been given a new lease of life through the activities of the Wellbeing Foundation.

In accepting the award, Mrs Toyin Saraki, who was represented by WBF’s Mrs.FunsoAbdullahi, thanked the Kwara Correspondence Chapel of the NUJ for the honour and recognition given her work with women and children.

“As always, I must thank God for this opportunity and this recognition. Our work and labour with the Wellbeing Foundation and Alaafia Kwara has been challenging, rewarding and very fulfilling. My heartfelt appreciation goes to the Kwara NUJ for this award and also to all our local and international partners for believing in us,” Saraki said.

Mrs Toyin Saraki is also recipient of the Red Cross Humanity Award, the Heart of Gold Humanitarian Award and only this month, received the Humanitarian of the Year Award from the International Women’s Society, (IWS) in Lagos.

===================================================================

About the Wellbeing Foundation

The Wellbeing Foundation Africa is dedicated to the establishment and entrenchment of best practice in MNCH, as well as the improvement of the health systems in Nigeria and across Africa. In Nigeria the Wellbeing Foundation was responsible for lobbying for the new Nigerian Midwifery Service Scheme and the implementation of personal health records across Nigeria. The Foundation’s major commitment is the implementation of personal health records across Africa which the Foundation believes could have the single biggest impact on reducing child and maternal mortality and will move Africa towards attaining Millennium Development Goals 4, 5 & 6.

Signed:

Yomi Owope

Toyin Saraki Receives Humanitarian of the Year Award 8/11/2011

November 17th, 2011 by Toyin Saraki

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Toyin Saraki Receiving IWS Humanitarian Award

 

The Founder and President of the Wellbeing Foundation (WBF), Mrs Toyin Saraki has been awarded the Humanitarian of the Year Award (2011) by the International Women’s Society (IWS) Nigeria, in recognition of her selfless service to humanity through philanthropy and the programs of the Wellbeing Foundation.
In a ceremony to mark the event in Lagos, the IWS President Cecilia Aqua Umoren, addressing those present, said that the IWS is honouring a selection of women whose vision for social change is impacting the lives of many in their communities.
“In selecting our Awardees, we found that there are so many incredible women involved in various projects who are deserving of recognition for their selfless generosity. The greatest challenge Africa faces is poverty. The generosity of donors such as yourselves and our Awardees is the only safety net available to the poor.”
In accepting the award, Mrs. Saraki in a statement made available to pressmen, expressed her heartfelt appreciation, saying she was humbled to have been chosen from among so many women working and doing their part to save lives around the country. Saraki said: “this is a unique opportunity for us all. I am indeed grateful to God for the opportunity to serve humanity and to do my part in helping people and building dreams. I am also challenged by the fact that even though many are working, much more needs to be done towards the eradication of poverty and in ensuring access to affordable quality healthcare for all people, especially women and children.”

African Parliaments Endorse Resolution on Increased Budgetary Support to Maternal, Newborn and Child Health

November 17th, 2011 by WBF

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Parliamentarians inject fresh momentum towards implementation of programs on maternal and child health

 

Johannesburg, South Africa, October 18 – The legislative arm of the African Union, the Pan African Parliament (PAP), has adopted a broad resolution urging speakers of Parliament in the continent to prioritize the implementation of maternal, newborn and child health programs.

The latest development marks a significant milestone in accelerating progress in Africa towards the attainment of the Millennium Development Goals (MDGs) 4 and 5 on child and maternal health, respectively.

In the resolution passed during the 5th session of the 2nd Pan African Parliament held on 3rd-14th October, in Midrand, Johannesburg, South Africa, PAP members reiterated that maternal, newborn and child health is critical to overall human and social development in Africa.

It also calls for high-level parliamentary support to accelerate implementation of a plan on policy and budget support towards maternal, newborn and child health, agreed by Chairs of Finance and Budget committees of national parliaments in October 2010.

In July 2010, the African Union heads of states and governments made far-reaching commitments towards maternal and infant health at a high-level summit held in Kampala, Uganda.

The latest PAP resolution combines integrated implementation of African maternal, newborn and child frameworks with the United Nations Secretary-General`s Global Strategy for Women and Children’s Health, launched in 2010 to accelerate progress toward the achievement of the Millennium Development Goals.

According to the United Nations, 7.6 million children under the age of five and approximately 350,000 women die each year of pregnancy-related causes, most of which are preventable.

Underlining the need for accelerated global action, UN Secretary-General Ban Ki-moon said: UN Secretary-General Ban Ki-Moon said: “We must, therefore, do more for the newborn who succumbs to infection for want of a simple injection, and for the young boy who will never reach his full potential because of malnutrition.”

Health experts and campaigners said parliaments have a significant role to play in reinvigorating policy and budgetary support towards maternal and infant health in Africa.

Commending the Pan African Parliament Resolution, Rotimi Sankore, Secretary of the Africa Public Health Parliamentary Network, stated: “We welcome this landmark resolution by the Pan African Parliament, which is a significant step towards African parliamentary action to help end the tragic annual loss of an estimated 4.2 million lives of African women and children. The resolution strongly complements the African Union Commission-led Campaign for Accelerated Reduction of Maternal, Newborn and Child Mortality in Africa (CARMMA), launched in 31 countries over the last two years.”

Dr. Carole Presern, Director of The Partnership for Maternal, Newborn &Child Health, underlined that “This PAP resolution demonstrates the vital and positive contribution that parliaments globally can make to saving and improving the lives of women and children, and in particular the commitment of African parliamentarians to their constituents”.

With this resolution, five senior members from each of the 54 African Union member states have pledged to work alongside speakers and relevant committees of national parliaments, to implement the PAP resolution on maternal, newborn and child health.

This latest resolution by the Pan African Parliament will be presented to speakers of African parliaments during their second annual conference to be held on 17th to 18thOctober, 2011.

A partnership involving the Africa Public Health Parliamentary Network, the United Nations Population Fund (UNFPA), and the global Partnership on Maternal Newborn & Child Health (PMNCH) has worked closely with the Pan African Parliament in the lead-up to this resolution.

African commitments to the UN Secretary-General’s Global Strategy for Women and Children’s Health

Benin will increase the national budget dedicated to health to 10% by 2015 with a particular focus on women, children, adolescents and HIV; introduce a policy to ensure universal free access to emergency obstetric care; ensure access to the full package of reproductive health interventions by 2018; and increase the use of contraception from 6.2% to 15%. Benin will also step up efforts to address HIV/AIDS through providing ARVs to 90% of HIV+ pregnant women; ensuring that 90% of health centres offer PMTCT services; and enacting measures against stigma and discrimination. Benin will develop new policies on adolescent sexual health; pass a law against the trafficking of children, and implement new legislation on gender equality.

Burkina Faso has met the 15% target for health spending, and commits to maintain spending at this level. Burkina Faso will also develop and implement a plan for human resources for health and construct a new public and private school for midwives by 2015. This is in addition to other initiatives being pursued which will also impact on women’s and children’s health, including free schooling for all primary school girls by 2015, and measures to enforce the laws against early and forced marriage, and female genital mutilation.

Burundi commits to increase the allocation to health sector from 8% in 2011 to 15% in 2015, with a focus on women and children’s health; increase the number of midwives from 39 in 2010 to 250, and the number of training schools for midwives from 1 in 2011 to 4 in 2015; increase the percentage of births attended by a skilled birth attendant from 60% in 2010 to 85% in 2015. Burundi also commits to increase contraception prevalence from 18.9% in 2010 to 30%; PMTCT service coverage from 15% in 2010 to 85% with a focus on integration with reproductive health; and reduce percentage of underweight children under-five from 29% to 21% by 2015.

Cameroon commits to implement and expand the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA), re-establish midwifery training to train 200 midwives a year, and pilot a performance-based financing and a voucher system in order to promote access to maternal and child care services. Cameroon further commits to increase the contraception prevalence from 14% to 38%; the proportion of HIV+ pregnant women access to antiretrovirals from 57% to 75%; and the vaccine coverage from 84% to 93%. Cameroon will increase to 60% the proportion of health facilities offering integrated services; increase to 50% the proportion of women with access to Emergency Obstetric Care (EmOC) services; offer free malaria care to children under 5; ensure free availability of mosquito-treated nets to every family; increase funding to paediatric HIV/AIDS; strengthen health information systems management and integrated disease surveillance.

Chad commits to increase health sector spending to 15%; provide free emergency care for women and children; provide free HIV testing and ARVs; allocate of US$10million per year for implementation of the national roadmap for accelerating reduction in MNC mortality; strengthen human resources for health by training 40 midwives a year for the next 4 years, including creating a school of midwifery and constructing a national referral hospital for women and children with 250 beds; and deploying health workers at health centres to ensure delivery of a minimum package of services. Chad also commits to pass a national human resources for health policy; increase contraception prevalence to 15%; ensure 50% of the births are assisted by a skilled birth attendant; and increase coverage of PMTCT from 7% to 80%, and pediatric HIV coverage from 9% to 80%.

Central African Republic commits to increase health sector spending from 9.7% to 15%, with 30% of the health budget focused on women and children’s health; ensure emergency obstetric care and prevention of PMTCT in at least 50% of health facilities; and ensure the number of births assisted by skilled personnel increase from 44% to 85% by 2015. CAR will also create at least 500 village centers for family planning to contribute towards a target of increase contraception prevalence from 8.6% to 15%; increase vaccination coverage to 90%; and ensure integration of childhood illnesses including pediatric HIV/AIDS in 75% of the health facilities.

Comoros commits to increase health sector spending to 14% of budget by 2014; ensure universal coverage for PMTCT by 2015; reduce underweight children from 25% to 10%; increase contraception prevalence rate from 13% to 20%; and the births that take place in health facilities from 75% to 85%. Comoros will also accelerate the implementation existing national policies including the national plan for reproductive health commodity security, the strategic plan for human resources for health, and the roadmap for accelerating reduction of maternal and neonatal mortality.

Congo commits to reducing maternal mortality and morbidity by 20% by 2015 including obstetric fistula, by introducing free obstetric care, including free access to caesarean sections. Congo will also establish a new observatory to investigate deaths linked to pregnancy; and will support women’s empowerment by passing a law to ensure equal representation of Congolese women in political, elected and administrative positions.

Côte d’Ivoire commits to ensure the provision of free health services for all pregnant women during delivery, including free caesarian-sections, for women affected by obstetric fistula, and for children under 5. Côte d’Ivoire also commits to rehabilitate maternity centres, provide insecticide-treated mosquito nets for women and children under 5; to strengthen the integrated management of childhood illnesses programmes; and to integrate HIV and Sexual and Reproductive Health, and community involvement in health management, including training health workers to ensure the provision of family planning at the community level.

The Democratic Republic of Congo (DRC) will develop a national health policy aimed to strengthen health systems, and will allocate more funds from the Highly Indebted Poor Country program to the health sector. DRC will increase the proportion of deliveries assisted by a skilled birth attendant to 80%, and increase emergency obstetric care and the use of contraception. The government will increase to 70% the number of children under 12 months who are fully immunized; ensure that up to 80% of children under 5 and pregnant women use ITNs; and provide AVRs to 20,000 more people living with HIV/AIDS.

Djibouti commits to increase the health budget from 14% to 15%. In terms of service delivery, the Government will ensure that all pregnant women will have access to skilled personnel during childbirth. For this purpose, the Government will increase the number of trained midwives and nurses and will increase access to emergency obstetric care services nationally to 80%. A package of integrated emergency obstetric and newborn care and reproductive health will also be delivered in health services. This will be achieved by ensuring that all health centers are upgraded to deliver a package of emergency obstetric and newborn care and reproductive health services by upgrading them and ensuring that appropriate staff are posted and maintained in those centers. Contraceptive prevalence will be increased to 70%. The mobile health services will be extended to cover all areas of the country and will adopt a mix of outreach services, home visits and community based interventions. The government commits to implement Integrated Management of Childhood Illnesses in all health centers. Vaccine coverage will be 100%. Malnutrition will be addressed through a comprehensive multi-sectoral package in order to reduce the prevalence of stunting to 20% and that of wasting to 10%. Djibouti commits to decrease the HIV/AIDS prevalence to 1.8% in 2015 and to ensure that all pregnant HIV-positive women receive antiretrovirals.

Ethiopia will increase the number of midwives from 2050 to 8635; increase the proportion of births attended by a skilled professional from 18% to 60%; and provide emergency obstetric care to all women at all health centres and hospitals. Ethiopia will also increase the proportion of children immunized against measles to 90%, and provide access to prevention, care and support and treatment for HIV/AIDS for all those who need it, by 2015. As a result, the government expects a decrease in the maternal mortality ratio from 590 to 267, and under-five morality from 101 to 68 (per 100,000) by 2015.

The Gambia commits to increase the health budget to 15% of the national budget by the year 2015; and to implement its existing free maternal and child health care policy, ensuring universal coverage of high quality emergency maternal, neonatal and child health services. Special attention will be accorded to rural and hard-to-reach areas. Efforts will be intensified to increase the proportion of births attended by skilled professionals to 64.5%, ensure reproductive health commodities security, scale up free Prevention of Mother-to-Child Transmission (PMTCT) services to all reproductive health clinics and ensure universal access to HIV prevention, treatment, care and support services, including social protection for women, orphans and vulnerable children. Furthermore, The Gambia will continue to maintain the high immunization coverage for all antigens at 80% and above at regional levels, and 90% and above at national levels, while seeking to increase access of all children, particularly in the most vulnerable communities, to high impact and cost-effective interventions that address the main killers of children under five.

Ghana will increase its funding for health to at least 15% of the national budget by 2015. Ghana will also strengthen its free maternal health care policy, ensure 95% of pregnant women are reached with comprehensive PMTCT service and ensure security for family planning commodities. Ghana will further improve child health by increasing the proportion of fully immunized children to 85% and the proportion of children under-five and pregnant women sleeping under insecticide-treated nets to 85%.

Guinea commits to establish a budget line for reproductive health commodities; ensure access to free prenatal and obstetric care, both basic and emergency; ensure provision of newborn care in 2 national hospitals, 7 regional hospitals, 26 district hospitals, and 5 municipality medical centres; and introduce curriculum on integrated prevention and care of new born and childhood illnesses in health training institutes.  Guinea also commits to secure 10 life-saving essential medications in at least 36 facilities providing basic obstetric care and 9 structures with comprehensive obstetric care by 2012; ensure at least three contraception methods in all the 406 centres of health in the public sector by December 2012; and include PMTCT in 150 health facilities.

Guinea-Bissau commits to increase financial spending from 10% to 14% by 2015 and to implement the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA); to ensure accessible comprehensive emergency obstetric and neonatal care in all regions, and to provide around-the-clock referrals. Guinea-Bissau also commits to ensure that each health center has access to basic Emergency Obstetric Care (EmOC), including strengthening the technical capacity of 95% of theEmOC facilities; increasing the proportion of women giving birth in health facilities from 35% to 60%; ensuring that 75% of the pregnant women are covered by health mutual funds, and that 90% of the most vulnerable are covered by state funds. In addition, Guinea-Bissau also commits to reduce the unmet need for family planning to 10% and to increase contraceptive prevalence from 10% to 20%; to increase pre-natal consultations to 70%, postnatal consultations to 30%, and to reduce the proportion of underweight children from 24% to 10%; and to integrate Prevention of Mother-to-Child Transmission in 90% of the maternity care centers.

Kenya will recruit and deploy an additional 20,000 primary care health workers; establish and put into operation 210 primary health facility centres of excellence to provide maternal and child health services to an additional 1.5 million women and 1.5 million children; and will expand community health care, and decentralize resources.

The Government of Lesotho is committed to meeting the Abuja Declaration Target of 15% expenditure for health, compared to the current 14% expenditure. The Government abolished user fees for all the health services at Health Centre level, while it has standardized user fees at hospital-level. The country has developed the National Health Sector Policy and its Strategic Plan which puts women and children at the centre. The National Reproductive Health Policy and its Strategic Plan also focus on women and children. These documents have been disseminated and their implementation is closely monitored. The Reproductive Health Commodity Security Strategy is in place and ensures that 90% of the women and men in the reproductive age group have access to commodities. The Lesotho Expanded Programme on Immunization Policy has been disseminated in 2010, focusing on under-five children. The Infant and Young Child Feeding Policy focuses on nutrition of children.

Liberia will increase health spending from 4% to 10% of the national budget and will ensure that by 2015 there are double the number of midwives trained and deployed than were in the health sector in 2006. Liberia will provide free universal access to health services including family planning and increasing the proportion of health care clinics providing emergency obstetric care services from 33% to 50%. Liberia will increase the proportion of immunized children to 80%, and address social determinants of ill-health through increasing girl’s education, and the mainstreaming of gender issues in national development.

By 2015, Madagascar commits to increase health spending to at least 12%; ensure universal coverage for emergency obstetric care in all public health facilities; increase births assisted by skilled attendants from 44% to 75%; and double from 35% the percentage of births in health facilities. Madagascar will also address teenage pregnancy by making 50% of primary health care facilities youth-friendly; reduce from 19% to 9.5% the unmet need of contraception by strengthening commodity security;  increase tetanus vaccination for pregnant women from 57% to 80%; and institute maternal death audits.

Malawi will strengthen human resources for health, including accelerating training and recruitment of health professionals to fill all available positions in the health sector; expand infrastructures for maternal, newborn and child health; increase basic emergency obstetric and neonatal care coverage to reach World Health Organization standards; and provide free care through partnerships with private institutions.

Mali commits to create a free medical assistance fund by 2015 and to reinforce existing solidarity and mutual funds for health, and extend the coverage of a minimum package of health interventions. Mali will implement a national strategic plan for improving the reproductive health of adolescents; and will strengthen emergency obstetric care, introducing free caesarean and fistula services, also by 2015. Mali will promote improvements in child health through free vitamin A supplements, and increased screening for and management of malnutrition, and through the extension of the Integrated Management of Childhood Illness Programme. Mali will also distribute free insecticide-treated bed-nets to women making second ante-natal visits, and remove taxes on other ITNs.

Mauritania commits to increasing expenditure on health to 15% by 2015, and including a budget line on reproductive health commodities with a focus on contraceptives; to increase contraception prevalence from 9% to 15%, constructing 3 more schools of public health, increasing access to Emergency Obstetric and Newborn Care in all regional and national hospitals; to increase the proportion of births assisted by skilled personnel from 61% to 75%; and increasing the proportion of health centers offering PMTCT services to 75%. Mauritania further commits to increase proportion of vaccinated children, institute in all districts a program of integrated management of childhood illnesses, and improve the management of human resources including providing incentives for staff to work in isolated areas.

Mozambique commits to increase the percentage of children immunized aged under 1, from 69 to 90 percent by 2012 and to increase the number of HIV+ children receiving ARTs from 11, 900 to 31,000 by 2012. Mozambique will also increase contraceptive prevalence from 24 to 34 % by 2015 and will increase institutional deliveries from a level of 49% to 66% by 2015. Mozambique also commits to establish a centre for the treatment of obstetric fistula in each province by 2015.

Niger commits to increase health spending from 8.1% to 15% by 2015, with free care for maternal and child heath, including obstetric complications management and family planning. Niger will train 1000 providers on handling adolescent reproductive health issues, and to address domestic violence and female genital mutilation (FGM). Niger will reduce the fertility rate from 3.3% to 2.5% through training 1500 providers of family planning, and creating 2120 new contraception distribution sites. Niger will further equip 2700 health centres to support reproductive health and HIV/AIDS education, and ensure that at least 60% of births are attended by a skilled professional. Niger will additionally introduce new policies that support the health of women and children, including legislation to make the legal age of marriage 18 years and to improve female literacy from 28.9% in 2002 to 88% in 2013.

Nigeria endorses the Secretary General’s Strategy on women’s and children’s health, and affirms that the initiatives is in full alignment to our existing country-led efforts through the National Health Plan and strategies targeted for implementation for the period 2010 – 2015, with a focus on the MDGs in the first instance and the national Vision 20 – 2020. In this regard, Nigeria is committed to fully funding its health program at $31.63 per capita through increasing budgetary allocation to as much as 15% from an average of 5% by the Federal, States and Local Government Areas by 2015. This will include financing from the proposed 2% of the Consolidated Federal Revenue Capital to be provided in the National Health Bill targeted at pro-poor women’s and children’s health services. Nigeria will work towards the integration of services for maternal, newborn and child Health, HIV/AIDS, Tuberculosis and Malaria as well as strengthening Health Management Information Systems. To reinforce the 2488 Midwives recently deployed to local health facilities nationwide, Nigeria will introduce a policy to increase the number of core services providers including Community Health Extension Workers and midwives, with a focus on deploying more skilled health staff in rural areas.

Rwanda commits to increasing heath sector spending from 10.9% to 15% by 2012; reducing maternal mortality from 750 per 100,000 live births to 268 per 100,000 live births by 2015 and to halve neonatal mortality among women who deliver in a health facility by training five times more midwives (increasing the ratio from 1/100,000 to 1/20,000). Rwanda will reduce the proportion of children with chronic malnutrition (stunting) from 45% to 24.5% through promoting good nutrition practices, and will increase the proportion of health facilities with electricity and water to 100%.

Sao Tome and Principe commits to increase the percentage of the general budget for health from 10% to 15% in 2012; increase the ratio of births attended by a qualified health personnel from 87.5% to 95%; reduce the percentage of inadequate family planning service delivery from 37% to 15%; increase the geographic coverage of PMTCT services from 23% to 95%; increase the percentage of pregnant women receiving ARVs from prenatal centres from 29% to 95%; and increase the prevalence of contraception from 33.7% to 50%.

Senegal commits to increasing its national health spending from 10% of the budget currently to 15% by 2015.  It also proposes to increase the budget allocated to MNCH by 50% by 2015.  The country commits to improving coordination of MNCH initiatives by creating a national Directorate for MNCH, reinstating the national committee in charge of the implementation of the multi-sectoral roadmap for the reduction of maternal and child mortality and to accelerate the dissemination and implementation of national strategies targeting a reduction of maternal mortality.  Through these efforts the government hopes to offer a full range of high impact MNCH interventions in 90% of health centers, increase the proportion of assisted deliveries from 51% to 80% by increasing recruitment of state midwives and nurses and increasing contraceptive prevalence rate from 10% to 45%, among others.

Sierra Leone will increase access to health facilities by pregnant women, newborns and children under five by 40% through the removal of user fees, effective from April 27 2010. Sierra Leone will also develop a Health Compact to align development partners around a single country-led national health strategy and will ensure that all teachers engage in continuous professional development in health.

The Republic of South Sudan commits to increase the percentage of government budget allocation to the Ministry of Health from 4.2% to 10% by 2015; to increase the proportion of women delivering with skilled birth attendants from 10%- 45%, through the construction of 160 Basic Emergency Obstetric Care facilities by 2015 and training of 1,000 enrolled/registered midwives by 2015; and to establish 6 accredited midwifery schools or training institutions/colleges; increase the contraceptive prevalence rate from 3.7% to 20%, and increase the percentage of health facilities without stock-out of essential drugs from 40% to 100%. South Sudan also commits to reduce the prevalence of underweight among children under five from 30% to 20%; increase the percentage of fully-immunized children from 1.8% to 50%; and increase the percentage of under-fives sleeping under bed nets from 25% to 70%. Finally, South Sudan will develop and implement a range of national policies that will strengthen its response to women and children’s health, including policies on national family planning, on provision of free reproductive health services, especially Emergency Obstetric care services, on decentralization of budgeting, planning, management of health services, and on adolescent sexual and reproductive health and rights.

Sudan commits to increase the total health sector expenditure from 6.2% in 2008 to 15% by 2015. Sudan commits to guarantee immediately free universal access to Maternal and Child Health (MCH) services including Immunization, Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Nutrition, Antenatal Care (ANC), delivery care, post-natal care, and child spacing services to target all women and children. Sudan also commits to train and employ at least 4,600 midwives focusing on states with the highest maternal mortality ratios and the lowest proportion of births attended by trained personnel. This will increase the percentage of births attended by trained personnel from 72.5% to 90%, increase quality universal access to Comprehensive Emergency Obstetric and Neonatal Care, and advocate for the elimination of harmful traditional practices like early marriage and Female Genital Mutilation/Cutting.

Tanzania will increase health sector spending from 12% to 15% of the national budget by 2015. Tanzania will increase the annual enrollment in health training institutions from 5000 to 10,000, and the graduate output from health training institutions from 3,000 to 7,000; simultaneously improving recruitment, deployment and retention through new and innovative schemes for performance related pay focusing on maternal and child health services. Tanzania will reinforce the implementation of the policy for provision of free reproductive health services and expand pre-payment schemes, increase the contraceptive prevalence rate from 28% to 60%; expand coverage of health facilities; and provide basic and comprehensive Emergency Obstetric and Newborn care. Tanzania will improve referral and communication systems, including radio call communications and mobile technology and will introduce new, innovative, low cost ambulances. Tanzania will increase the proportion of Children fully immunized from 86% to 95%, extend PMTCT to all RMNCH services; and secure 80% coverage of long lasting insecticide treated nets for children under five and pregnant women. Tanzania will aim to increase the proportion of children who are exclusively breast fed from 41% to 80%.

Togo commits to ensure 95% coverage of vaccination for children under 5, and to implement the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA).

Uganda commits to ensure that comprehensive Emergency Obstetric and Newborn Care (EmONC) services in hospitals increase from 70% to 100% and in health centers from 17% to 50%; and to ensure that basic EmONC services are available in all health centers; and will ensure that skilled providers are available in hard to reach/hard to serve areas. Uganda also commits to reduce the unmet need for family planning from 40% to 20%; increase focused Antenatal Care from 42% to 75%, with special emphasis on Prevention of Mother-to-Child Transmission (PMTCT) and treatment of HIV; and ensure that at least 80% of under 5 children with diarrhea, pneumonia or malaria have access to treatment; to access to oral rehydration salts and Zinc within 24 hours, to improve immunization coverage to 85%, and to introduce pneumococcal and human papilloma virus (HPV) vaccines.

Zambia commits to: increase national budgetary expenditure on health from 11% to 15% by 2015 with a focus on women and children’s health; and to strengthen access to family planning – increasing contraceptive prevalence from 33% to 58% in order to reduce unwanted pregnancies and abortions, especially among adolescent girls. Zambia will scale-up implementation of integrated community case management of common diseases for women and children, to bring health services closer to families and communities to ensure prompt care and treatment.

Zimbabwe will increase health spending to 15% of the health budget or $20 per capita and establish a maternal, newborn and child survival fund by 2011 using the same approach as the successful Education Transition Fund (ETF) led by the Ministry of Education, Sports, Arts and Culture and administered by UNICEF. The fund has raised US$50 million in the first year for the ministry’s priorities, and contributed to donor coordination and harmonization. Zimbabwe will abolish user fees for health services for pregnant women and for children under the age of 5 years by the end of 2011; and will strengthen the Maternal and Newborn Mortality audit system – piloting a new system in two provinces in 2011 before expanding nationwide in 2012.

 

Toyin Saraki speaks at the Implementation of the Global Strategy for Women’s and Children’s Health, 20th September 2011

November 17th, 2011 by WBF

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On 20 September 2011, Toyin Saraki spoke at the Implementation of the Global Strategy for Women’s and Children’s Health at the Grand Hyatt Hotel in New York, hosted by The UN Secretary General Special Envoy on Malaria, Ray Chambers. After attending the High Level Plenary Meeting of the General Assembly at the UN Headquarters, she gave an emotional speech outlining WBF’s commitments to the UN’s Every Woman Every Child Initiative.
Speaking at the event, she said: ‘Today, 1,500 women die in childbirth, I myself lost a child and nearly died in childbirth and I’ve committed to spending the last 19 years of my life, the age of my surviving child, to find a solution to halt these needless deaths.’
She said in the next four years, the focus of The Wellbeing Foundation Africa will be to empower women to control their own maternal health, specifically by expanding the implementation of their Personal Health Record Programme. At present, 290,000 women in Nigeria have records, but the aim is to increase this figure to 5.3 million women by 2015.
However, she also acknowledged the scale of the task. ‘…this is a huge challenge which can’t be done in isolation, hence our commitment to the UN Secretary General’s EWEC initiative. We need strategic partners, globally within the UN, in Africa, in government and in the private sector.’
As well as this, The Wellbeing Foundation pledged to:
· Invest a further US $2.5 million over the next 5 years to ensure the universal access to effective affordable maternal newborn and child health service delivery through WBF’s existing support of enrolment into approved community health insurance programs and Personal Health Record deployment.
· Provide grants for tertiary education for healthcare professionals.
· Advocate good governance and legislation to protect women and children’s rights.
· Campaign for a 15% budgetary dedication to health through strategic partnerships.

Founder WBF Mrs. Toyin Saraki