HEALTH SECTOR MEDIUM TERM SECTOR STRATEGIES (MTSS) 2017-2019 .

EXECUTIVE SUMMARY

The Medium Term Expenditure Framework (MTEF) for the period 2017 – 2019 has been developed and approved by the Federal Executive Council. It will be transmitted to the National Assembly for its approval in compliance with the Fiscal Responsibility Act (FRA). The Health Medium Term Sector Strategy (MTSS), which forms part of the MTEF including its focus on Maternal, New Born and Child Health (MNCH) is expected to articulate a medium-term (three years) health goals and objectives against the background of the overall goals of high level national health policies, international health standards and the attainment of the Sustainable Development Goals (SDGs). The MTSS should also Identify and document the key initiatives that will be embarked upon to achieve the goals and objectives while the cost of the identified key initiatives should be presented in a clear and transparent manner among other objectives.

Current health indicators in Nigeria should drive a robust investment plan that the MTSS should highlight based on the realities of the country. Today, life expectancy in Nigeria is nearly the worst in the world at 53 years for males and 56 years for females. Still, government’s investments in health fall well below regional and global standards and much of Nigeria’s health sector is supported by donor financing – some of which is expected to decline substantially in the next five years due to dwindling resources and fatigue. Health sector funding has also failed to translate to the desired outcomes: healthy mothers, thriving children, and a strong workforce.

Based on a critical review of the health sector, the current statutory obligations of the Government of Nigeria and in line with a sector strategy that considers the critical investments that must be made in the medium term, Civil Society Organizations working in the Health Sector call on the Government of Nigeria to honor its commitments to Nigerian citizens and hereby make the following recommendations:

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