A Framework for reaching Health MDGs in Africa Strategy: consensus on continuum of care focus of Hea

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A Framework for reaching Health MDGs in
AfricaStrategy consensus on continuum of care
focus of Health Systems and Financing on MDGs
Priority Interventions Service delivery modes
Investment Case in 16 countries costs and
impacts estimated to reach coverage frontiers of
priority interventions through health system
strengthening fiscal space scenarios to fund
these costs analyzed Implementation Plan 20
countries ready to move national planning
budgeting has started donors are rapidly coming
on board coverage with minimum package being
jump-started

• High Level Forum on Health MDGs follow up
  meeting , Tunis 12-13 June 2006
• 31 May- 1 June 2006

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Strategic Approaches
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Minimum package

• Maternal and Newborn care skilled care during
  pregnancy, skilled attendant at delivery and
  post-natal care and improved community newborn
  care, first level maternal and newborn referral
  care
• Infant and Young Child Feeding (IYCF) including
  micronutrient supplementation
• Prevention of malaria using insecticide treated
  nets and Intermittent Presumptive Treatment of
  malaria
• Immunization including HIB
• Prevention of Mother-to-Child Transmission of HIV
  (PMTCT) followed by Cotrimoxazole Profylaxis
• Management of common childhood illnesses and care
  of HIV exposed or infected children (incl ACTs)
• Expanded Package adding Comprehensive Neonatal
  Maternal care and community based ACTs
• Maximum Package adding Rotavirus and Pneumococ
  Vaccine, Intermittent Preventive treatment for
  Malaria in children Preventive Zinc supplements

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Phasing of health systems strengthening,
expansion and implementation at scale of priority
intervention packages

• Phase I 30 reduction U5MR 15 MMR add
  2.4/cap/yr
• All bottlenecks in family/community and pop
  oriented services demand, continuity quality
  bottlenecks of primary and first referral
  clinical care reduced by 50
• Full minimum package at scale
• Phase II 50 reduction U5MR 35 MMR add
  5/cap/yr
• All bottlenecks in family/community pop.
  oriented services reduced 65,supply bottlenecks
  of clinical care reduced 50, demand, continuity
  quality 65
• Expanded package at scale
• Phase III 70 red. U5MR 55 MMR add
  8.5/cap/yr
• All bottlenecks in family/community and pop
  oriented serviced demand reduced 80
• Supply bottlenecks of clinical care reduced by
  65 demand, continuity and quality bottlenecks
  by 80
• Maximum package at scale

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Total additional funding and human resource
requirements for 16 African Countries(400
million population)
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Conclusion Africa can reach MDG4, the Malaria
MDG6, the Malnutrition MDG1 make significant
progress to MDG5 by

• Government lead and coordinated partner support
• Combining Upstream and Downstream actions
• Prioritizing Health Intervention and
  Strengthening Systems in a stepwise way
• Packaging interventions by service delivery mode
• Addressing Child Survival/Malaria/Nutrition and
  Maternal Health through a continuum of care
• Merging earmarked/global funds and budget support
  in nationally owned funding frameworks