Buhari Demands Periodic Performance Report From Ministries Over $890m Health Grant

President Muhammadu Buhari has directed the Minister of Health to ensure effective utilization of Global Fund’s donation of $890 million, over the next three years, to support Nigeria’s fight against HIV/AIDS, Tuberculosis (TB), and Malaria.

President Buhari issued the directive at the virtual launch of the $890 million grant on Thursday. The grant is to cover the period of 2021-2023. It will also support the establishment of a resilient and sustainable system for health in the country.

“Let me also emphasize here that this administration has zero-tolerance for corruption and inefficient use of resources.

“In this regard, I hereby direct the Minister of Health (Dr Osagie Ehanire) to set up an accountability framework, to monitor the use of this fund and provide periodic performance reports to my office,” Buhari said.

The President further assured donor agencies and development partners of judicious use of the grant, saying that the funding would complement investments in the health sector, curb new infections, and reduce HIV/AIDS, Tuberculosis, and Malaria-related morbidity and mortality.

The President said, “It is my wish that in the next three years, these three diseases are taken much further down the path of elimination.”

He applauded the Global Fund for their contribution of the sum of $51 million during the early stage of Nigeria’s response to the COVID-19 pandemic, to procure Personal Protective Equipment (PPEs), test kits, and scale up diagnostic capacity.

“I acknowledge the support of Development Partners, namely; the United States government, the United Nations System, Bilateral Agencies, and various Local and International Foundations.

“I am pleased to say that, on our part, we are on track to fulfilling our co-financing commitments to the Global Fund for this new funding cycle and meeting our other commitments as and when due,” he said.

Buhari also commended the work of Nigeria’s Country Coordinating Mechanism, under the leadership of the Minister of Health, Osagie Ehanihe, confirming Nigeria’s commitment to achieving the Sustainable Development Goals (SDGs) by 2030.

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He pledged that his administration would continue to work with other Heads of State and Governments across the continent to ensure sustained high-level political engagement in achieving the SDG goals.

He recounted that the strong partnership between the government and the people of Nigeria and the Global Fund was dated back to 2002. Adding that it has contributed to saving lives, especially of women and children.

He said the last two decades, joint efforts with the Global Fund, the United States Government, the United Nations, and other partners in development, had succeeded in bringing significant deduction in new infection, morbidity, and mortality from HIV, Tuberculosis, and Malaria.

“The thrust of our Government in the health sector is to ensure that investments get health systems strengthening focus, as the most efficient way to utilize available resources and position Nigeria on the path to the sustainability of health programmes.

“The Minister of Health is pursuing this trajectory,” he said.

On Nigeria’s contribution to the Fund, the President announced that he approved $12 million to the last Global Fund Replenishment held in Lyon, France, representing a 20 per cent increase on the country’s immediate previous contribution.

“Ladies and Gentlemen, our administration is committed to increasing domestic financing and exploring other innovative ways of increasing financing for health, to ensure Universal Health Coverage,” President Buhari said.

Speaking in his capacity as the Chair of the Country Coordinating Mechanism of the Global Fund programmes in Nigeria, Ehanire said Nigeria recently signed eight grants amounting to $890 million to support HIV, TB, and Malaria programmes and build resilient and sustainable systems for health.

Giving an overview of the grant, he said two of them are for HIV management, amounting to $310 million, and will be administered by two principal recipients namely the National Agency for the Control of AIDS (NACA) and Family Health International.

According to the Minister, $180 million of the 310 million was earmarked for procurement of antiretroviral medicines, which will maintain 1.4 million Nigerians living with HIV on lifesaving antiretroviral treatment.

Further, the Minister of Health explained that three of the grants, amounting to $153 million, are for TB, to be administered by three principal recipients including the National TB and Leprosy Control Programme, the Institute for Human Virology in Nigeria, and the Lagos State Ministry of Health.

Similarly, the Minister said two of the grants for malaria elimination, amounting to $439 million will be administered by two principal recipients- the National Malaria Elimination Programme and the Catholic Relief Services while the eighth and final grant worth USD 35 million for Resilient System for Sustainable Health (RSSH) has NACA as principal recipient.

In her goodwill message, Kathleen FitzGibbon, Deputy Chief of Mission, U.S Embassy in Nigeria, described Nigeria’s recent contribution to the Global Fund as an important commitment to end all three diseases and to ensure a healthy and prosperous country.

“We hope the achievements made in Nigeria in the fight against HIV, TB, and Malaria, with support from the Global Fund, will inspire and motivate health workers and other partners alike,” the representative of the U.S. government, which is the largest single donor to the Global Fund, said.

Speaking virtually from Geneva, Peter Sands, the Executive Director, Global Fund to fight AIDS, TB and Malaria while commending the partnership with Nigeria, said in addition to the $890 million grant, the Global Fund has disbursed $2.6 billion to support HIV, TB, and Malaria and strengthening of RSSH, since 2003.