The Millennium Development Goals
The Mid-‐Term Report by Dr. Precious Kalamba Gbeneol B. Med. Sci. (Pharmacology), MBBS, MPH, FWACP, FMCFM. Senior Special Assistant to the President on the MDGs June 21st 2013 Millennium Development Goals: Pu3ng People First
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Outline 1. Introduction 2. The Conditional Grants Scheme and Social Safety Nets Programme" " 3. Interventions by DRGs-funded MDAs 4. Progress across the MDG indicators" " 5. Conclusion" Millennium Development Goals: Pu3ng People First
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Introduction: The 8 Millennium Development Goals Eradicate Extreme Poverty and Hunger Achieve Universal Primary Education Promote Gender Equality and Empower Women Reduce Child Mortality Improve Maternal Health Combat HIV/AIDS, Malaria and other Diseases Ensure Environmental Sustainability Develop a Global Partnership for Development
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MDGs/DRGs Appropriations Profile
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Total Dollar AppropriaEon Across Time 2006 -‐ 2012 DRG AppropriaNon Totals in Dollars $1,000 $900 $800 $700 $600 Total, (Dollars, $500 Millions) $400 $300 $200 $100 $0 2006
2007
2008
2009 Year
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2011
2012
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MDGs/DRGs Capital SupplementaNon AppropriaNons Across 2006-‐2012: Line Chart Billions
50
CondiNonal Grants Scheme
45
40
Monitoring & EvaluaNon
35
Quick win
30
CommunicaNons
25
Special PresidenNal IntervenNons
20
MDGs Special Projects
15
Consultancies and Short-‐term surveys
10
5
Support to UNDP Millennium Campaign
0 2006
2007
2008
2009
2010
2011
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Billions
MDGs/DRGs Sector AppropriaNons Across 2006-‐2012: Line Chart
30
EducaNon Health Youth Development
25
Women Affairs Agriculture 20
Water Resources Social Safety Nets Lands, Housing & Urban Development
15
Environment Power Works
10
FCT Defence 5
Police Capacity Building Science and Technology
0 2006
2007
2008
2009
2010
2011
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Petroleum
7
The MDGs CondiNonal Grants Scheme
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CGS Headline Progress, Last 2 Years: 5,532 projects completed across 113 LGAs. 2,690 projects completed across 36 states. 6,200 projects ongoing across 148 LGAs. 1,203 projects ongoing across 11 states. Millennium Development Goals: Pu3ng P eople First
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Planning and TargeEng of Investment CGS targets those with the greatest need. To ensure this the following has been carried out: 1. Poverty Mapping 2. Baseline Facility Inventory 3. Needs Assessment
• Example: Needs Assessment Results: $78 per capita per year -‐ to aeain the MDGs by 2015 in EducaEon, Health, Agriculture and Water & SanitaEon sectors. • It has been esEmated that for Nigeria to a^ain the MDGs by 2015, there is an annual funding gap of of around N1.3 trillion across the country. Millennium Development Goals: Pu3ng People First
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EkiE South-‐West Overview from Baseline
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LocaEon of FaciliEes in the LGA
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DistribuEon of Health FaciliEes in the LGA
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CGS 2011 Budget ImplementaEon Successes 2011 CGS ImplementaEon Successes
State Track
LGA Track
Total
Health FaciliEes (Constructed, Renovated, Equipped)
1,081
565
1,646
Water FaciliEes (Boreholes, Small Town Water Schemes)
2,331
2,147
4,478
20,000 -‐
19,567
39,567
35,700
35,700
2,260
2,260
742
742
CCT (Households) Health Workers Trained Salary for New Village Health Workers Classroom Blocks (Built or Renovated)
-‐ -‐
ConstrucEon /RehabilitaEon of Health Training FaciliEes School exercise books, textbooks, instrucEonal materials, etc.
-‐
School Desk, Benches, Chairs for pupils and teachers
-‐
Referral Vehicles (Ambulances)
-‐
Teachers Quarters and Health Workers Quarters Constructed VIP Latrines in Schools and Hospitals
-‐
8
8
1,214,271
1,214,271
34,232
34,232
120
120
34
200
665
665
166 -‐
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CGS 2012 Budget ImplementaEon Successes
2012 CGS ImplementaEon Successes State Track LGA Track
Health FaciliEes (Constructed, Renovated, Equipped)
Total
1,003
740
1,743
Water FaciliEes (Boreholes, Small Town Water Schemes) CCT (Households) Health Workers Trained
1,695 56,500 -‐
2,812 -‐ 32,730
4,507 56,500 32,730
Salary for New Village Health Workers
-‐
2,960
2,960
Classroom Blocks (Built or Renovated)
-‐
972
972
ConstrucEon /RehabilitaEon of Health Training FaciliEes School exercise books, textbooks, instrucEonal materials, etc. School Desk, Benches, Chairs for pupils and teachers Referral Vehicles (Ambulances)
71
71
-‐
1,590,373
1,590,373
-‐ 20
44,835 157
44,835 177
189
45
234
871 148
871 148
Teachers Quarters and Health Workers Quarters Constructed VIP Latrines in Schools and Hospitals Agricultural Co-‐operaEve Funding
-‐
-‐ -‐
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113 LGAs à Scale up to 261 LGAs CGS Scale Up to 113 LGAs
List of Selected LGAs for participation in CGS Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu FCT Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara
Ikwuano Song Nsit Ubium Awka North Ganjuwa Southern Ijaw Logo Kala/Balge Boki Ethiope West Ikwo Esan South East Ijero Isi-‐Uzo Kuje Akko Ngor Okpala Guri Birnin-‐Gwari Garun Mallam Kaita Bunza Ajaokuta Asa Eti-‐Osa Akwanga Lavun Ikenne Ile-‐Oluji Ede South Ibarapa North Mikang Akuku Toru Tambuwal Takum Fune Bukkuyum
Ohafia Michika Oruk Anam Anambra West Itas/Gadau Brass Gwer West Guzamala Yala Ukwuani Izzi Etsako West Ikole Igbo-‐Etiti Abaji Dukku Onuimo Sule-‐Tankarkar Lere Gabasawa Mashi Augie Omala Kaiama Ibeju/Lekki Obi Munya Egbado North Ondo East Odo-‐Otin Lagelu Kanke Omumma Illela Bali Yunusari Maru
Obi Ngwa Lamurde Mbo Orumba South Kirfi Sagbama Ado Shani Odukpani Warri South West Afikpo South Orhionmwon Ekiti East Aninri Bwari Balanga Nwangele Miga Kachia Takai Musawa Suru Kabba/Bunu Ifelodun Ikeja Toto Wushishi Odeda Akoko North East Atakumosa East Oriire Riyom Khana Binji Karim-‐Lamido Karasuwa Zurmi
Abia Ukwa East Adamawa Maiha Akwa Ibom Ini Anambra Ayamelun Bauchi Ningi Bayelsa Ekeremor Benue Kwande Borno Chibok Cross River Biase Delta Udu Ebonyi Abakaliki Edo Ovia South Ekiti Ekiti South West Enugu Nkanu East FCT Gwagwalada Gombe Yamaltu deba Imo Ikeduru Jigawa Birniwa Kaduna Kudan Kano Kunchi Katsina Danmusa Kebbi Arewa Kogi Igalamela/Odolu Kwara Ilorin East Lagos Apapa Nasarawa Awe Niger Edati Ogun Ado Odo/Ota Ondo Ese-Odo Osun Ayedaade Oyo Ido Plateau Langtang Rivers Asari-Toru Sokoto Gudu Taraba Ibi Yobe Nangere Zamfara Bakura
CGS$Scale$up$of$148$LGAs Isiala Ngwa South Arochukwu Mubi North Fufore Ibiono Ibom Esit Eket Anambra East Nnewi South Shira Giade Kolokuma/Opukumo Obalga Katsina Ala Guma Danboa Gubio Abi Oburu Ndokwa East Burutu Ezza South Ishielu Esan West Etsako East Oye Ekiti West Uzo-Uwani Ezeagu Shongom Obowo Ringim Giwa Kauru Minjibir Dandume Kalgo Bassa Patigi Epe Nasarawa Eggon Katcha Ogun Waterside Akure North Ola-Oluwa Ogo-Oluwa Bassa Ogu/Bolo Tangaza Gassol Geidam Anka
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Kwami Isu Maigatari Kagarko Warawa Zango Ngaski Okehi Ekiti Badagry Kokona Rafi Abeokuta North Ifedore Ifedayo Irepo Barkin Ladi Andoni Gada Sardauna Tarimua Tsafe
Umunneochi Shelleng Udung Uko Dunukofia Toro Nembe Okpokwu Mobbar Obanliku Bomadi Ohaozara Akoko-Edo Efon Oji River
Dikwa
Nafada Njaba Kiyawa Bunkure Ingawa Sakaba Kogi Oke-Ero Ajeromi-Ifelodun Nasarawa Agwara Obafemi Owode Ose Ife South Iwajowa Pankshin Degema Tureta Yorro Jakusko Birnin Magaji
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Social Safety Nets
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CCT through Electronic Payment System Structure 24 States – N10Bn (50% counterpart contribuEon from States) will go to extreme poor households with children 0-‐15 years & pregnant women. • 56,500 households receive N5,000 per month for 12 months. They will receive N100,000 and business training during the program to aid in enterprise start up. Criteria for SelecNon Human Capacity Development Index broken down to state level and Poverty Mapping were used – • Five poorest LGAs, five poorest wards in the LGAs with the selecEons of the poorest households within the wards. Millennium Development Goals: Pu3ng People First
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North West, Sokoto State. SSAP-‐MDGs with Governor and Deputy Governor launching the CCT Scheme.
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North West, Sokoto State. The launching of the CCT Scheme.
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North West, Sokoto State. The launching of the CCT Scheme.
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MDGs Special Projects
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MDGs Special Projects IntervenEons aimed at addressing development gaps. Span areas: educaEon, health, water supply, small scale power supply, skills acquisiEon centers, and community halls. 1,209 projects have been completed in 2012.
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2012 Summary: Ministries, Departments, and Agencies
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Health: Key Points IntervenEons:
Successes:
1. 2. 3. 4. 5.
1. 35 Million children under 5 have received Oral Polio Vaccine. 2. 6 Million Children under 1 vaccinated with new pentavalent vaccine 3. 4,000 midwives and 1,020 CHEWs (Community Health Extension Workers) recruited and deployed so far. 4. Over 15 million people vaccinated with Cerebro Spinal MeningiEs vaccine.
6. 7.
Village health worker scheme. Community health insurance scheme. Saving 1 million lives iniEaEve. Community health extension workers. Support to NPHCDA with immunizaEon products. Life saving commodiEes for women and children. Midwife Service Scheme.
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EducaEon: Key Points IntervenEons: 1. Annual Capacity Development of serving Public Primary School Teachers naEonwide. 2. Training of Head Teachers of Public Primary Schools 3. Gender EducaEon Programme 4. Federal Teachers Scheme 5. Support for Mass Literacy, Adult and Non-‐Formal EducaEon 6. Reform and Restructuring of Federal Inspectorate Services (FIS) into a Quality Assurance Model 7. Support for Nomadic EducaEon Programmes 8. Support for the NaEonal Almajiri EducaEon Programme 9. Review, harmonisaEon and development of the New Basic EducaEon Curriculum 10. Support to NaEonal Training Teachers InsEtute
Successes: 1. Reduce the perennial shortage of qualified teachers in public school -‐ salaries of 22,493 trained teachers paid up to September 2012. 2. 11 model schools are to be constructed in Benue , FCT, Kogi, Gombe, Kwara, Nasarawa and Plateau (contractors have begun work). 3. Teachers’ Guides, prinEng and distribuEon of 75, 000 sets of the new 9-‐Year Basic EducaEon curriculum to the public schools. 4. Classrooms constructed in 38 LGAs -‐ 54% CompleEon.
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Youth Development: Key Points
Successes: 1. 15,618 MDGs advocates trained at the orientaEon camps for 2012 Batches A & B. 2. 411 corps members trained under 2011 work-‐plan were empowered. 600 corps members trained under 2012 work-‐plan. 3. 600 corps members trained under 2012 work-‐plan.
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Agriculture: Key Points Successes: 1. Feeder roads constructed to aid agricultural produce sale. 2. 2,732 women trained for agricultural enterprise. 3. 11,000 youth trained in ten different value chains. 4. 22,500 farmers trained and linked with extension support services. 5. 5,000 portable pesEcide sprayers procured. Millennium Development Goals: Pu3ng People First
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Women Affairs: Key Points Successes: 1. Training and empowerment of women, elderly and persons with disabiliEes, through skills acquisiEons sessions. 2. 300 persons with disabiliEes empowered in Ondo, Benue and Rivers States, through the provision of sewing machines, hearing-‐aids, mobility appliances, etc. 3. Advocacy conducted in States and LGAs for female poliEcal parEcipaEon and inclusion. 4. Training of relevant officers in MDAs on gender-‐ responsive budgeEng.
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Lands, Housing & Urban Development: Key Points
Successes: 1. Provision of 236 Boreholes and risers. 2. ConstrucEon of 45Km of urban slum roads upgraded. 3. ConstrucEon of 114 buildings (Classroom Blocks, Health Centers, Community Halls, ICT Training Centers, etc.). 4. Provision of 2397 solar street lights.
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Federal Ministry of Environment: Key Points
Successes: 1. CharacterizaEon and restoraEon of 9 Legacy Sites in the Niger Delta using Thermal DesorpEon Unit Biological Processes. 2. Establishment of incident command and control center. 3. Establishment of ICT center and procurement of computers, GPS, internet and networking tools.
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Current Status of the MDGs: A Comparison of the Results of the 2012 MDGs Survey (conducted by National Bureau of Statistics) with Existing Data"
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MDG 1: Eradicate Poverty and Extreme Hunger Prevalence of Underweight Children Under Five Years of Age 2008
2011
2012
ProporNon of the PopulaNon Suffering from Hunger 25.00%
2015 20.00%
27.40% 23.10% 24.20%
19.31%
15.00%
17.85% 10.00%
8.26%
9.66%
5.00% 0.00% 2008
2011
2012
2015
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2012
2015
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MDG 2: Universal Basic EducaEon Net Aeendance RaNo in Primary School 120%
Literacy Amongst 15-‐ 24 Year Old Women 120%
100%
100% 80%
62.10%
70.10%
100% 80%
71%
60%
60%
40%
40%
20%
20%
0%
0% 2008
2011
2012
2015
100%
64.30% 65.60%
2008
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66%
2012
2015
34
MDG 3: Promote Gender Equality and Empower Women RaNo of Girls to 100 Boys in Primary School 1990
2008
2012
100 76
1990
2015
1990
75
2012
2008
100
85.4
2008
RaNo of Girls to 100 Boys in Secondary School
2015
1990
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2015
102
100
2012
2015
79.9
2008
35
MDG 4: Reduce Child Mortality Infant Mortality Rate (per 1,000 Live Births) 120
180
97
100 80
Under 5 Mortality RaNo (per 1,000 Live Births) 160
157
158
140
75
120
61
60
94
100 80
40
30
64
60 40
20
20
0
0 2008
2011
2012
2015
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2011
2012
2015
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MDG 5: Maternal Mortality Percentage of Births Aeended by Skilled Health Personnel 90%
78.75%
80% 70%
800#
60% 50% 40%
Maternal#mortality#rate#(per#100,000#live#birth)#
48.70%
53.60%
Per#100,000# live#births#
38.90%
545# 350# 250#
30% 2004#
20%
2008#
2012#
2015#
10% 0% 2008
2011
2012
2015
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MDG 6: Combat HIV/AIDS, Malaria, & Other Diseases Percentage of Children Under Five Sleeping Under ITN
HIV Prevalence Among Pregnant Young Women Aged 15-‐24 (%) 6.00%
120%
5.40%
100%
100%
5.00%
4.20%
4.10%
4.10%
4.00%
80%
3.00%
60%
2.00%
40%
1.00%
20%
0.00% 2000
2008
2012
2015
34.60%
5.50%
0%
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2012
2015
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MDG 7: Water & SanitaEon Percentage of PopulaNon Using Improved SanitaNon Facility, Urban and Rural (de jure PopulaNon)
Percentage of populaNon using improved drinking water source, urban and rural (de jure populaNon) 90%
77%
80% 70% 60%
55.80% 58.50%
80% 70% 60%
57%
50%
50%
40%
40%
30%
30% 20%
20%
10%
10%
0%
0% 2008
2011
2012
69.50%
2015
31.20%
33.70%
2008
2012
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MDG 8: Develop a Global Partnership for Development Debt service as a percentage export of goods and services (2000 – 2011) 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 2000
2001
2002
2003
2004
Telephone lines per 100 populaNons
2005
30.0
2006
2007
2008
2009
2010
2011
Internet users per 100 populaNon
60 25.0
50 40
20.0
30 15.0
20 10
10.0
0 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
5.0
Fixed Telephone lines per 100 populaEon Cellular phone subscribers per 100 populaEon
0.0 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
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North Central, Plateau State, Mikang LGA. Students sit in their renovated classroom at the Zomo Science Primary School, Zomo, Mikang LGA. In addiEon to renovaEon, MDGs also provided desks for the classrooms under the CGS to LGA Track.
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North Central, Plateau State, Mikang LGA. A social studies teacher instructs her students inside one of the renovated classrooms at the Zomo Science Primary School, Zomo, Mikang LGA. Before the renovaEon the roof of the classrooms has been blown away by the wind, making it difficult for teachers and students alike to concentrate in class.
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North Cenral, Niger State, Bida LGA. The 20,000-‐litre solar-‐powered borehole constructed in the Masaga B community in Bida LGA is a popular place in the evenings for children and adults alike, who all come to fetch the clean, MDGs-‐provided water. The borehole was funded under the CGS 2009 State Track Projects.
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North Cenral, Niger State, Bida LGA. Girls carry water basins on their heads while a smiling boy waits for his bucket to be filled at the Masaga B solar-‐powered borehole, funded through collaboraEon between MDGs and the Niger State Government.
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North West, Zamfara State, Gusau LGA. A staff member feeds the fishes at the Damba Farm Centre, Gusau. The farm was funded under the CGS to State Track.
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North West, Zamfara State, Gusau LGA. ExecuEve Director of the School of Nursing and Midwifery, Alhaji Garba Bello Zurmi, stands inside the newly constructed auditorium hall with his students behind him.
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North West, Kano State, Garko LGA. The Kafin Chiri water treatment plant has benefi^ed from CGS state track.
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North West, Kano State, Gwarzo LGA. A medical staff a^ending to paEents at the newly expanded Gwarzo Comprehensive Hospital.
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North East, Gombe State, Balanga LGA. Inside view of the female ward at the Bambam PHC. The facility is constructed by the through CGS.
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North East, Gombe State, Akko LGA. Students showing appreciaEon by singing.
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North East, Adamawa State, Yola South. The commercial water seller pushes the clean water he got from the solar powered borehole provided by OSSAP-‐MDGs.
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North East, Adamawa State, Dakri LGA. A side view of the Clinic Staff quarters block with the MDGs Logo.
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South East, Abia Stat. Ambulances to be distributed across the state, provided by OSSAP-‐MDGs.
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South East, Abia State, Ikwuano LGA. Solar panels at a solar powered borehole sight provided by OSSAP-‐MDGs.
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South East, Anambra State, Iyienu LGA. Student quarters at the school of midwifery provided by OSSAP-‐MDGs.
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South East, Anambra State, Ebenebe LGA. A view through a secondary school provided by OSSAP-‐ MDGs.
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South South, Akwa Ibom State, Esien Udim LGA. Clean water provided from the solar powered borehole provided by OSSAP-‐MDGs.
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South South, Akwa Ibom State, Abak LGA. Hospital beds in a primary healthcare centre provided by OSSAP-‐MDGs.
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South South, Delta State, Ugbolo. Maternity ward in Ugbolo Senatorial District, provided by OSSAP-‐ MDGs.
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South South, Delta State, Aniocha North. A water project provided by OSSAP-‐MDGs.
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South West, EkiE State, Ido Ile. Water treatment plant provided by OSSAP-‐MDGs.
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South West, EkiE State, Ise Okeh. Ambulances at a health centre provided by OSSAP-‐MDGs.
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South West, Lagos State, Sakpo Badagry. Staff in front of a health centre provided by OSSAP-‐MDGs.
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South West, Lagos State, Ikeja LGA. A child working in a central primary school provided by OSSAP-‐ MDGs.
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Conclusion Far ahead of the 2015 deadline, Nigeria has achieved key targets of MDGs 1, 3, and 6. We are on track to attain Goals 2, 4, 5, and 8. Efforts have been stepped up to address the challenges hampering progress on Goal 7." " With less than 1,000 days to the deadline of the MDGs framework, efforts are being made to sustain the progress that has been achieved across all of the MDGs." " There is the need for partnerships and synergies throughout society to ensure we continue to deliver high impact interventions to the poor and vulnerable in society." " I wish to thank His Excellency, Dr. Goodluck Ebele Jonathan, GCFR, President and Commanderin-Chief of the Armed Forces for his unwavering commitment to the poor and for insisting that the DRGs be devoted entirely to interventions that affect the most disadvantaged in society."
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Thank you for your attention!