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INTERNATIONAL PLANNED PARENTHOOD FEDERATION - AFRICA REGION (IPPFAR)

INTERNATIONAL PLANNED PARENTHOOD FEDERATION - AFRICA REGION (IPPFAR). Sexual and Reproductive Health: Making Meaningful Contribution to the MDGs IPPFAR’s Experience By Tewodros Melesse Regional Director, IPPFAR Brussels, 16 March 2006. Contents. MDGs and the heath Sector

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INTERNATIONAL PLANNED PARENTHOOD FEDERATION - AFRICA REGION (IPPFAR)

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  1. INTERNATIONAL PLANNED PARENTHOOD FEDERATION - AFRICA REGION (IPPFAR) Sexual and Reproductive Health: Making Meaningful Contribution to the MDGs IPPFAR’s Experience By Tewodros Melesse Regional Director, IPPFAR Brussels, 16 March 2006 From choice, a world of possibilities

  2. Contents • MDGs and the heath Sector • SRH trends and challenges • SRH and Poverty • Funding Modalities and programmes to address the problems

  3. MDGs and the Health Sector The MDGs: 3 targets Related to SRH • Reduce Child mortality Reduce by two thirds the mortality rate among children under five • Improve maternal health Reduce by three-quarters the ratio of women dying during childbirth • Combat HIV/AIDS, Malaria and other diseases 2015: Halt and begin to reverse the spread of HIV/AIDS and the incidence of Malaria and other major diseases

  4. SRH Trends and Impact • Maternal Mortality Ratio increased from 870 in 1990 to about 1,000 per 100,000 Live births in 2001 • Africa : • 12% of the World’s Population • 17% of the global live births • 48% of maternal deaths • Highest MMR

  5. SRH Trends and impact (contd.) Population Below the Age of 15 Over 45% of the total Population

  6. SRH Trends and Impact (contd.) • Infant and child mortality still high in Africa: - Infant between 16 and 177 with an average of 88.5 per 1,000 live births - Child: between 52 and 282 with an average of 89 per 1,000 live births - 45 countries have not met the goal of less than 70 deaths per 1,000 lives births

  7. SRH Trends and Challenges (Cond.) • It is estimated that if nothing is done, at the current pace, in ten years • There will be 2.5 million maternal deaths in Africa • There will be 49 million maternal disabilities in Africa

  8. SRH trends & challenges • Continent characterized by high births rates Out of the 11 Countries with the highest fertility rates in the World: Africa has the 10 Countreis: Niger 8 TFR Average Total Population Natural Increase in Sub-Sahara: 2.4% West Africa: 2.5% East AFrica: 2.5% Central Africa: 2.8% Southern Africa: 1%

  9. SRH trends & challenges (Contd.) • Contraceptive use - World average CPR:59% - Sub-Saharan average CPR:21% - West Africa 8% - East Africa: 17% - Central Africa: 6% - Southern Africa: 53%

  10. SRH trends & challenges (Cond.) • HIV/AIDS became the leading cause of premature death in sub-saharan Africa • Unprecedented spread of HIV with prevalence rate ranges from 2% in Madagascar to 38% in Swaziland • 11% of those infected with HIV in Africa have acces to ARV (62% in Latin America; 14% in Asia)

  11. SRH and Poverty Reduction... • Currently : Only one African Country among the 10 with the largest population: Nigeria 132m • By 2050 3 African Countries among the top 10: Ethiopia, DRC and Nigeria

  12. SRH and Poverty Reduction... (Contd.) • Gross Nationa Income Per Capita: • World: 8,540 • Developed: 26,320 • Africa: 2,300 • SubSahara Africa: 1,830 • West: 1,200 • East: 1,020 • Central: 1,240 • Southern: 10,360

  13. SRH and Poverty Reduction...(Contd.) • Health Expenditure Per Capita: • Most African Countries less than 15$ • Highest South AFrica: 255$ • Women and Children, especially those in poverty, bear the burden of poor RH • Population living with less than $2/day • Africa: 75% • West: 83% • East 78% • Central: 44% • Southern: 36%

  14. Adressing the problems… • Joinet Programmes on good partnership basis with key players: private sector, governments, etc. • Effective advocacy programmes (Initiative AU/IPPF/UNFPA) • Effective IEC/BCC programmes • Integrate HIV to SRH programmes

  15. Adressing the problems… • To increase acces to good quality SRH facilities • Develop effective programme focused on youth • Support Civil Society NGOs to provide services

  16. Funding Issue… • Increase national health budget by 15% • Prioritize SRH in PRSPs to increase funding for SRH and thereby accelerate the achievement of MDGs • Set up a national SRH Fund • Collaborate with donors to fulfil their pledge to devote 7% of their GNP to development • Increase partnerships with both national and international stakeholders to mobilize resource for SRH

  17. Conclusion The ICPD goals as relevant as ever. If the Millennium Development Goals are to be achieved, it is essential to integrate SRH as a major component of Africa’s development agenda.

  18. THANK YOU FOR YOUR ATTENTION.

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