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Stakeholders Seek Improved Health Budget Implementation, Accountability in Kaduna

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Stakeholders have called for improved implementation, tracking and accountability of health sector budgets to strengthen healthcare delivery and advance Universal Health Coverage (UHC) in Kaduna State.

They made the call during an engagement on strengthening participatory budget processes, health budget tracking and advocacy on Saturday in Kaduna, with emphasis on the 2027 budget process and implementation of the Annual Operational Plan (AOP) for the health sector.

Seth Luke, a Civil Society Coach on strengthening participatory budget processes under the Open Government Partnership (OGP) Kaduna, said the engagement was aimed at strengthening the capacity of OGP Technical Working Groups and state and local government accountability mechanisms to effectively participate in budget processes and advocacy.

Seth said the engagement was particularly focused on the health sector, including tracking the implementation of the Annual Operational Plan as the state commenced preparations for the 2027 budget.

 “We want to see how we can track the implementation of the Annual Operational Plan for the health sector and, from our findings, bring out recommendations around improving funding and other areas that require attention,” he said.

He said the government needed to prioritise health financing beyond budgetary allocation by ensuring effective implementation of approved programmes and projects.

According to him, budget allocation represents government plans based on expected revenue, but available resources should be prioritised toward activities capable of improving healthcare and service delivery at the grassroots.

Seth urged participants to use the knowledge and findings from the engagement to engage relevant government stakeholders on improving health financing and budget implementation.

He also encouraged them to extend the knowledge gained to other sectors and continuously engage government on budgeting, accountability and service delivery.

Similarly, Garba Mohammed, Co-Chair of the Kaduna Maternal Accountability Mechanism (KADMAM), said the engagement was aimed at reviewing health budget performance against key indicators linked to maternal mortality reduction and child survival.

Mohammed said participants examined first and second quarter performance, particularly in areas such as family planning, Maternal, Newborn and Child Health (MNCAH), nutrition, malaria, immunisation and essential medicines.

He said family planning interventions largely involved commodities at the primary healthcare level, while MNCAH activities remained largely donor-dependent.

Mohammed commended the Kaduna State Government for meeting the Abuja Declaration benchmark of allocating at least 15 per cent of its annual budget to health.

He, however, expressed concern over gaps in the implementation of some critical health budget lines, stressing that allocation alone was not enough to improve health outcomes.

 “We have looked at the budget allocation, and Kaduna State has met the 15 per cent Abuja Declaration benchmark. We commend the state for that. However, there are still issues around budget performance in critical health indicators,” he said.

He said the findings would be used to identify advocacy priorities and engage key government decision-makers, including the Ministry of Health, Planning and Budget Commission, Ministry of Finance and other relevant authorities.

Mohammed said participants were expected to understand the relevant health budget lines and their implementation status and use the knowledge to undertake evidence-based advocacy in their respective organisations.

Meanwhile, Yusuf Guje, Executive Director, Civic Impact for Sustainable Development Foundation (CISDF), and a participant at the programme, told the News Agency of Nigeria (NAN) that the engagement was timely in strengthening the capacity of civil society and accountability mechanisms.

Guje said the programme would deepen participants’ capacity in budget tracking, project monitoring and social auditing, particularly within the health sector.

He described the health sector as a critical pillar of development, saying civil society organisations had an important role to play in complementing government efforts through effective monitoring and accountability.

He said CSOs needed to strengthen their ability to analyse budgets, track expenditure and visit healthcare facilities to determine whether appropriated and released funds were being properly utilised.

“Civil society needs to really improve on how effectively we analyse the budget, how we track the spending, and go down to the various facilities to see how well the money appropriated and released is being utilised,” Guje said.

He said effective monitoring would help determine the extent to which communities benefited from government investments in healthcare.

According to him, Kaduna State’s commitment to Universal Health Coverage could only be strengthened through sustainable health financing and effective accountability mechanisms.

Guje described CSOs as representatives of communities that often lacked the knowledge, skills and platforms required to engage government on public policies and resource allocation.

He therefore urged civil society actors to continuously strengthen their capacity to represent citizens effectively, particularly in health financing advocacy and accountability.

 “As civil society, we need to remain committed to holding the government accountable where necessary and tracking the entire health financing process,” he said.

Guje said the ultimate objective of budget tracking and social accountability was to ensure value for money in public expenditure on health.

He added that effective monitoring of public finances would contribute to improved healthcare delivery and better health outcomes at the grassroots. (NAN)

Health

C’River Makes Health Insurance Compulsory for Civil Servants

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Cross River Government has made enrolment in the state Health Insurance Scheme compulsory for all civil and public servants in the state.

The Head of Service, Bassey Okon, announced this in a circular dated Sept.

3, following the official relaunch of the Formal Sector Enrolment Programme of the Cross River State Health Insurance Agency.

According to the circular in Calabar, at the weekend, the directive takes immediate effect.

Okon stated that the policy was meant to ensure that all the civil and public servants had access to affordable, quality, and timely healthcare services, while strengthening the welfare and productivity of the state workforce.

He directed all the civil and public servants to enroll in the scheme and comply with the registration and documentation requirements of the agency.

The circular also introduced a mandatory requirement for officers to attach valid health insurance enrolment cards to official correspondences relating to personnel matters.

“Correspondences concerning promotion, confirmation of appointment, loan applications, study leave, training or sponsorship, transfer or secondment, as well as other personnel-related requests or benefits, would not be processed without the attachment of a valid health insurance enrolment card,” it stated.

To facilitate the enrolment process, the government established enrolment points at the Office of the Head of Service, New Secretariat, Calabar, and the Ministry of Health, Old Secretariat, Calabar.

Okon directed all Heads of Ministries, Departments, and Agencies (MDAs) to ensure that officers under their supervision were duly informed about the circular and made to comply with the enrolment requirement without delay.

He also urged concerned officers to take advantage of the designated enrolment points for guidance and assistance and to complete their enrolment as required.

He further directed all the heads of the MDAs to bring the contents of the circular to the attention of all civil and public servants under their supervision. (NAN)

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Enugu Council Celebrate WHO’s ODF Certification

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The Igbo-Etiti Local Government Area of Enugu State has expressed joy over the World Health Organisation’s Open Defecation-Free Certification for the council.

The council Chairman, Dr Eric Odo, attributed the feat to the combined efforts of the State Government and Enugu State Community and Social Development Agency (CSDA).

Odo spoke when he paid a courtesy visit to CSDA, on Friday, saying that the commendation for the certification should go to Gov.

Peter Mba and the General Manager of CSDA, Chief Monday Ani.

He also lauded the agency for its efforts towards improving the lives of vulnerable and rural communities in the state.

He attributed the agency’s rapid growth to the proactiveness of the CSDA boss.

According to Odo, the CSDA and its staff have shown dedication and professionalism in delivering a lasting outcome through a valid output of teamwork anchored on team spirit.

“The council appreciates His Excellency, Dr Peter Mbah, for his strong support to the agency towards the provision of potable water to rural communities.

“The provision of potable water also comes with the construction of public toilets for the total eradication of open defecation in communities and council areas.

“These people-oriented initiatives are significant steps towards improving sanitation, public health and the wellbeing of residents,” Odo said.

He called for greater collaboration, advocacy and funding for CSDA to enhance its performance.

He also urged the agency to continue to prioritise disadvantaged communities and provide essential services, such as potable water and sanitation facilities, to rural communities.

Responding, Ani commended the council boss for the visit, describing it as a bold step towards consolidating the partnership between the agency and Igbo-Etiti council.

The CSDA boss also appreciated Odo and the council for supporting the efforts of the agency by constructing water boreholes in the council area.

“CSDA is grateful for your investment efforts, mobilisation and reorientation of the people, resulting in making Igbo-Etiti a WHO’s Certified Open Defecation Free Local Government in the state,” he said. (NAN)

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Stakeholders Demand Affordable, Quality Menstrual Products

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Stakeholders in the health, manufacturing, regulatory and development sectors have called for urgent policy and regulatory reforms to make menstrual products more affordable and accessible to millions of Nigerian women and girls battling period poverty.

The call was made at the Nigeria Menstrual Health Forum: “Driving Standards and Policy Reform for Affordable Menstrual Products,”organised in Lagos by the United Nations Population Fund, UNFPA, in collaboration with the Standards Organisation of Nigeria, SON, and the Federal Ministry of Women Affairs and Social Development, with funding from the Sanitation and Hygiene Fund, SHF.

The two-day forum brought together government agencies, manufacturers, private sector players, civil society organisations and development partners to address affordability, quality standards, local production and market access for menstrual products.

An estimated 37 million women and girls in Nigeria are affected by period poverty, while 24 per cent of schoolgirls regularly miss classes because of inadequate menstrual materials and poor water, sanitation and hygiene facilities.

The situation has been worsened by inflation, with the price of menstrual pads rising from about N200–N400 three years ago to N500–N750 or more, forcing some women and girls to resort to unsafe alternatives, including old cloth, mattress foam and reused sanitary pads.

Speaking at the forum, UNFPA Gender and Adolescent Unit representative, Dr Zubaida Abubakar, said the focus was not merely on increasing access to menstrual products but ensuring that products available in the market were affordable, safe and of good quality.

“This forum marks a turning point in Nigeria’s menstrual health landscape. By driving standards and policy reform, we aim to dismantle barriers to access, ensure dignity for women and girls, and unlock opportunities for education, health, and empowerment,” Abubakar said.

She explained that the objective was to create an environment where local manufacturers could produce menstrual commodities at lower costs rather than relying mainly on government subsidies.

“We cannot expect the government alone to be responsible for subsidising menstrual commodities. What we want to do is make sure that the manufacturers are able to produce them at a lower cost,” she said.

According to her, the goal was to “flood the market with affordable, quality-standard” products capable of reaching women and girls across the country.

The forum also focused on strengthening standards and certification to prevent substandard menstrual products from entering the Nigerian market.

Head, National Product Certification Department, SON, Phebean Arumemi, said standards could help manufacturers reduce production costs by minimising waste and improving production processes.

“One of the key benefits from standards is cost management,” Arumemi said, stressing that the agency was working with manufacturers, particularly micro, small and medium enterprises, MSMEs, to improve their capacity to meet quality requirements.

She said SON’s priority was not to shut down factories but to provide mentorship and compliance support.

“Our first priority is not to close down factories. It is mentorship support to help them escalate from where they are now,” she said.

Also speaking, Elisha Sule of SHF said greater coordination among regulators, manufacturers and financiers was critical to developing a sustainable menstrual health market.

“The businesses are there, the regulators are there, NAFDAC is there, SON is there. We need someone to bring us all together to keep talking. And so, without that coordination, we’re not going to be able to move forward,” Sule said.

He said many women-led businesses in the sector required capacity building and access to finance to scale production, urging stronger collaboration with financial institutions, including the Development Bank of Nigeria, DBN.

Meanwhile, investment adviser Kunle Awolowo of ONYX Investment Advisory Limited, advocated import substitution to reduce production costs, noting that up to 90 per cent of inputs used by some local manufacturers were imported.

He also suggested smaller product packages to make menstrual products more affordable to low-income consumers.

The forum is part of the SHF-funded initiative, Menstrual Health & Hygiene: Unlocking Women’s Power, implemented across six African countries.

Nigeria has adopted the Africa Regional Standard for menstrual products and is pursuing ISO certification, while it has also developed a National Policy on Menstrual Health and Hygiene Management, 2025–2030.

The stakeholders said ending period poverty would not only restore dignity but also improve health, school attendance, gender equality and women’s economic participation.(PUNCH)

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