INTERNATIONAL PLANNED PARENTHOOD FEDERATION AFRICA REGION IPPFAR

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INTERNATIONAL PLANNED PARENTHOOD FEDERATION -
AFRICA REGION (IPPFAR)

• Sexual and Reproductive Health
• Making Meaningful Contribution to the MDGs
• IPPFARs Experience
• By Tewodros Melesse
• Regional Director, IPPFAR
• Brussels, 16 March 2006

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Contents

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

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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

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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 Worlds Population
• 17 of the global live births
• 48 of maternal deaths
• Highest MMR

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SRH Trends and impact (contd.)

• Population Below the Age of 15
• Over 45 of the total Population

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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

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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

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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

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SRH trends challenges (Contd.)

• Contraceptive use
• - World average CPR59
• - Sub-Saharan average CPR21
• - West Africa 8
• - East Africa 17
• - Central Africa 6
• - Southern Africa 53

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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)

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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

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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

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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

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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

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Adressing the problems

• To increase acces to good quality SRH facilities
• Develop effective programme focused on youth
• Support Civil Society NGOs to provide services

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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

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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 Africas development agenda.

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• THANK YOU FOR YOUR ATTENTION.