Re-strategizing with the SDGs…Inspiration from MDG 6

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The United Nations recently issued The Millennium Development Goals Report 2015, the latest assessment of progress towards the eight MDGs. In short, they have had mixed results. This article is part of a blog series reflecting on the MDGs and the U.N. report. These are produced in partnership with our colleagues at RESULTS (our parent organization).


>>Authored by Ifesinachi Sam-Emuwa, an Atlas Corps Fellow and the U.S Department of State fellowship Alumni

The launch of the new Global Goals for Sustainable Development (also called “SDGs”) this month during the U.N. General Assembly will focus world attention once again on the global development framework. Countries and the global community must use this opportunity to focus not only on the future, but also on the unfinished work of the MDGs.

The MDGs came as a global development framework to drive the global fight against poverty; to improve education, health, and the environment; and also to boost partnerships among member nations to tackle these issues.

World leaders from 189 United Nations member states signed this global framework, agreeing to achieve its goals, targets, and indicators between 2000 and 2015. As that period comes to an end by September, 2015, it is important to understand how well the different countries performed against the goals. Knowing this will allow the global community to re-position strategically in bid to achieve the SDGs, which 193 member states of the U.N. will adopt by September 2015.

Proportion of children under age five sleeping under insecticide-treated mosquito nets for selected countries in sub-Saharan Africa, around 2001 and 2013 (percentage)

The proportion of children under age five sleeping under insecticide-treated mosquito nets for selected countries in sub-Saharan Africa has grown exponentially since 2001.
Source: The Millennium Development Goals Report, 2015

MDG 6: Combat HIV/AIDS, malaria and other diseases

Besides other issues like eradication of extreme poverty and achieving universal primary education being tackled by the MDGs, the achievement of the health MDGs has been of great concern. Much focus was particularly put on achieving MDG 6 to fight HIV/AIDS, tuberculosis, and malaria (ATM) — deadly diseases that kill millions of people every year.

graph_MDG6

From The Millennium Development Goals Report, 2015

In fact, according to the World Health Organization, these are the latest statistics of the ATM:

  • In 2014, approximately 1.2 million people died from HIV-related causes globally (fact sheet).
  • In 2013, 9 million people fell ill with TB and 1.5 million died from the disease (fact sheet).
  • In 2013, malaria caused an estimated 584,000 deaths, mostly among African children (fact sheet).

The MDG agenda helped to focus both energy and awareness on the fight against ATM, and progress to reach these targets and were driven by funding from partners like the Global Fund to Fight AIDS, TB and Malaria, and other donor funding to implementing countries. Awareness about these diseases has increased, stigma and discrimination have been reduced, and people are learning how to avoid contracting these diseases. In that regard, MDG 6 has had huge global success, especially around treatment and management of the ATM.

For example, according to the World Health Organization (WHO), 40 percent of people living with HIV received anti-retroviral treatment (ART) in 2014. New advancements in malaria treatment have been achieved, with WHO now recommending the use of ACT (artemisinin-based combination therapy) antimalarial drug used in the treatment of malaria. Controlling the spread of tuberculosis (TB) has also improved through the DOTS (directly observed treatment, short-course) centers, these are centers that provides TB patients with treatments while directly observing them. These are all steps in the right direction for the eradication of the ATM.

Nigeria’s strategy for MDG 6

Nigeria made its own efforts to implement programs geared towards eradicating ATM by establishing agencies to oversee the implementation of interventions. The National Agency for the Control of AIDS (NACA), the National Malaria Control Programme (NMCP), and the National TB and Leprosy Control Programme (NTBLCP) were established in a bid to contribute to the global fight against ATM in Nigeria.

Nigeria has made a lot of progress towards achieving MDG 6 and other MDGs — but isn’t there yet[1]. Like many other countries (Kenya, for example), Nigeria needs to focus on domestic resource mobilization and also to use the new opportunity presented by the SDGS to refocus its national strategy. Nigeria’s government should focus interventions on equity; using the equity lens, Nigeria could ensure that the poorest and most vulnerable people are reached with the various health interventions.

The question of whether or not Nigeria has achieved the MDGs should not impede the country from focusing on stamping out HIV/AIDS, tuberculosis, and malaria. Nigeria successfully rallied against Ebola in 2014 and has now reached a one year polio-free milestone. With effort, resources, and political will, Nigeria can meet its agreed-to milestones on HIV/AIDS, tuberculosis, and malaria and save lives.


About the Author

Ifesinachi Sam-EmuwaMs. Ifesinachi Sam-Emuwa is a Professional Fellow for the U.S Department of State Bureau of Educational and Cultural Affairs. She is also an Atlas Corps Fellow and a USAID CIDI volunteer. She has over eight years of professional experience in the nonprofit sector working with Treasureland Health Builders Initiative; she earned a Bachelor’s of Science in Health Education from the Nnamdi Azikiwe University and a Master Degree in Community Development and Social Work from University of Lagos. She has Certifications in Global Health and International women’s health & human rights from the USAID and Johns Hopkins Bloomberg School of Public Health eLearning Center and Stanford University Online respectively. While working as a Project Coordinator and Community Development Specialist with Treasureland Health Builders Initiative under the Global Fund Malaria and HIV/AIDS Project, she helped improve the health of rural dwellers reducing the incidence of malaria and HIV/AIDS in Western Nigeria.

Ms. Ifesinachi is passionate about reproductive health of young people and women, and has trained over 3,800 women and girls on becoming community volunteers in that area. She has authored three books and has received several awards for her outstanding contributions to youth, women & community development in Nigeria. Through these experiences, she developed strong project coordination and implementation skills.

Other writing:


Footnotes

[1] According to a research study conducted by Adedokun A. & Ololade, B.M (2014), “Nigeria in the Eve of MDGs Final: A Progressive Analysis,” in Developing Country Studies, http://www.academia.edu/7538837/Nigeria_in_the_Eve_of_MDGs_Final_A_Progressive_Analysis

#tbt: Microfinance as a Platform for Health Education

KNOWLEDGE ABOUT HIV VIRUS

Knowledge about HIV

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We are pleased to bring you this #ThursdayThrowback blog post, which was originally published in The State of the Microcredit Summit Campaign Report 2011.


Microfinance as a Platform for Health Education

>>Authored by D.S.K. Rao, Regional Director; and Anna Awimbo

<img class="size-thumbnail wp-image-4303" src="https://mcsummit.files.wordpress.com/2014/04/momf.jpg?w=150" alt="April is the Month of Microfinance
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April is the Month of Microfinance
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The Microcredit Summit Campaign launched its Financing Healthier Lives Project in 2002. The project aims to build a global group of microfinance institutions capable of providing health education trainings to their clients in a sustainable manner and reach over half a million clients affecting some 2.5 million family members.

In March 2009, the Campaign released an updated version of its report outlining how microfinance can be used as a platform for health education. This strategy has proven effective at enhancing clients’ movement out of poverty, especially in situations where microfinance alone is insufficient. The document, titled Financing Healthier Lives, makes the case for a global expansion in the use of microfinance as a platform for health education and other health services.

Much of the initial work on this project has been centered in South India where The Campaign has trained in-country trainers and partnered with four organizations to reach more than 30,000 microfinance clients with health education. The four organizations are Star Microfin Service Society (SMSS), People’s Multipurpose Development Society (PMD), Pioneer Trad and McLevy Institute of Development Services (MIDS). SMSS is an MFI operating in Andhra Pradesh, whereas the remaining three are NGOs based in Tamil Nadu. The clients have received education in the following six topics in their local language 1) HIV and AIDS prevention; 2) Integrated Management of Childhood Illnesses (IMCI); 3) Women’s Health; 4) Infant and Child Feeding; 5) Healthy Habits and Planning for Better Health and Using Health Care Services; and 6) Malaria Prevention and Treatment.

In early 2010, the Campaign expanded its work to North India, where it is working with CASHPOR Microfinance to implement a pilot project covering 9,000 clients with education in IMCI and Women’s Health. Encouraged by the extremely positive feedback from its field workers and clients, CASHPOR is planning to triple its outreach to 30,000 clients.

The following graphs illustrate the Campaign’s findings from the work in India and demonstrate that important client-level outcomes are achieved when MFIs integrate health education. For example, data showed improved knowledge of malaria and HIV and AIDS as well as positive behavior change to mitigate the risks associated with these illnesses. Similar positive results were shown with respect to pre- and post-natal medical check-ups of pregnant women. Clients have also shown improved confidence in preparing for future health expenses [1].

Knowledge about HIV

KNOWLEDGE ABOUT HIV VIRUS

Knowledge about critical danger signs in children

figure2_danger signs

A team of UCLA Executive MBA students recently evaluated this project and published a 2010 report that recommended expansion of the initiative because of its benefits to clients and the partner institutions. The report also underscored the need to deepen its work on measuring knowledge gains and behavioral changes in clients and their families. The Campaign has begun laying the groundwork for a more in-depth study of these changes and hopes the additional data will go a long way in convincing many more MFIs worldwide to introduce and scale up health integration.


Source: Financing Healthier Lives, Microcredit Summit Campaign, 2009.

[1] The project’s independent third-party evaluators randomly surveyed 400 members from all project participants across all four organizations. The selected members were given a questionnaire prior to and at the conclusion of both the HIV and AIDS and IMCI education modules. Incomplete or illegible surveys were excluded from the final tally.