Lecture_4_DHE923 SLIDES_2024_2025 SESSION.pptx

It is about economic evaluation of health care programs in Nigeria

1. Advanced Health Economic Evaluation Instructor: Dr. Abdulkareem Alhassan Department of Economics, Federal University of Lafia. Contact [email protected] , [email protected] [phone] Course code: DHE923 Course title: Advanced Health Economics evaluation

2. Lecture 4 Healthcare programs in Nigeria

3. 1. National Tuberculosis, Leprosy and Buruli Ulcer Control Programme (NTBLCP) Focus : Early detection, treatment, and prevention of tuberculosis, leprosy, and Buruli ulcer. Services : Free TB screening and Directly Observed Treatment, Short-course (DOTS). Partners : WHO, USAID, KNCV, Global Fund .

4. 2 . National Malaria Elimination Programme (NMEP) Focus : Reduction and eventual elimination of malaria. Interventions : Distribution of Long-Lasting Insecticidal Nets (LLINs) . Seasonal Malaria Chemoprevention (SMC) . Rapid diagnostic tests (RDTs) and artemisinin -based combination therapy (ACTs) . Partners : PMI-USAID, Global Fund, WHO.

5. 3. HIV/AIDS Control Programme Managed by : National Agency for the Control of AIDS (NACA). Objectives : Prevention of mother-to-child transmission (PMTCT). Free HIV testing and counseling. Antiretroviral therapy (ART) provision. Programs : Test and Treat policy . Index case testing . Youth-focused prevention programs .

6. 4 . National Programme on Immunization (NPI) Focus : Eradication of vaccine-preventable diseases. Vaccines : Polio, measles, diphtheria, tetanus, hepatitis B, rotavirus, etc. Achievement : Nigeria was declared polio-free in 2020. Partners : GAVI, UNICEF, WHO .

7. 5 . Integrated Maternal, Newborn and Child Health (IMNCH) Strategy Goal : Reduce maternal and child mortality. Components : Antenatal care (ANC). Skilled birth attendance. Newborn care and immunization. Vitamin A supplementation.

8. 6 . National Cancer Control Programme (NCCP) Focus : Cancer prevention, screening, and treatment. Screening : Cervical cancer (Pap smear, VIA). Breast cancer (Clinical Breast Exams, mammography). Challenges : Limited access to radiotherapy and treatment centers.

9. 7. Non-Communicable Diseases (NCDs) Control Programme Diseases targeted : Hypertension, diabetes, cancers, mental health, and sickle cell disease. Interventions : Health education campaigns. Community screening for high blood pressure and blood sugar. Integration of NCDs into primary healthcare.

10. 8. National Health Insurance Authority (NHIA) Programs Goal : Provide financial risk protection through health insurance. Includes : Formal Sector Social Health Insurance Program (FSSHIP) . Tertiary Institution Social Health Insurance Programme (TISHIP) . Vulnerable Group Fund (VGF) for indigent populations.

11. 9. Family Planning and Reproductive Health Program Focus : Contraceptive access, reproductive health education. Services : Free contraceptives (implants, injectables , IUDs, condoms), counseling. Partners : Marie Stopes Nigeria, UNFPA, Society for Family Health.

12. 10. National Blood Transfusion Service (NBTS) Mandate : Ensure safe and adequate blood supply. Initiatives : Voluntary blood donation drives. Screening of donated blood for infections.

13. 11. COVID-19 Response Program Agencies involved : NCDC, Presidential Task Force (PTF), FMOH. Components : Vaccination campaigns. Public health communication. Contact tracing and testing.

14. Selected Healthcare Programs in Nigeria Program Focus Area Key Interventions Partners NTBLCP TB, Leprosy Free DOTS, case finding WHO, USAID NMEP Malaria LLINs, SMC, ACTs Global Fund, PMI HIV/AIDS HIV treatment & prevention ART, PMTCT NACA, PEPFAR NPI Immunization Routine & supplemental vaccines GAVI, WHO IMNCH Maternal & child health ANC, skilled birth, immunization UNICEF, WHO NCCP Cancer Cervical & breast cancer screening FMOH NCD Program Diabetes, Hypertension Screening, health promotion FMOH NHIA Health Insurance Social insurance schemes FMOH FP Program Family Planning Contraceptives, education UNFPA, SFH NBTS Blood Safety Screening, donation campaigns NBTS