Background to the Health PolicyDocuments of Africa Union
Presentation Outline
1.Introduction
2.Abuja Call for Acceleration Actions TowardsUniversal Access to HIV and AIDS, TB andMalaria Services in Africa 2006-2015
3.Maputo Plan of Action for theOperationalisation of he Continental PolicyFramework for Sexual and ReproductiveHealth and Rights 2007-2015
4.Africa Health Strategy 2007-2015
1. Introduction
•Africa = 54 countries, >1 billion people(about 14% of the global population)
•25% of the global disease burden
•>50% of the global deaths of children underfive
•High infectious disease burden
•Growing NCD
• Software –HR ~ 3% of the world’s deployed–inequitably distributed, Migration.
1. Introduction
•Hard ware – clinics, hospitals, labs, inadequate, Supplychain.
•1% of global healthcare expenditure
• Limited National budgets
•Donor dependence
•Africa’s people face a huge burden of preventable andtreatable health problems whose solutions areknown, proportionately far beyond Africa’s share ofthe world’s population.
•Cognisant of these challenges AU HoSG adopted themain health policy documents.
2. Abuja Call
•In 2006, the AU Heads ofState and Government at aSpecial Summit onHIV/AIDS, Tuberculosis, andMalaria in Abuja, Nigeria,from 2-4 May 2006,adopted the Abuja Call on“Universal Access toHIV/AIDS, Tuberculosis andMalaria Services by AUnited Africa by 2010”.
•The priority areas includethe following:
2. Abuja Call
1.Leadership at National, Regional and continental Levels
2.Resource Mobilization
3.Protection of Human Rights
4.Poverty Reduction, Health and Development
5.Strengthening Health Systems
6.Prevention, Treatment, Care and Support
7.Access to Affordable Medicines and Technologies
8.Research and Development
9.Implementation
10.Partnerships
11.Monitoring, Evaluation and Reporting
2. Abuja Call
•Implementation:
–the AUC in 2010, conducted a 5-Year review of theimplementation of the Abuja Call.
–The outcomes of this review, included therecommendations to extend the “Abuja Call” to 2015 tocoincide with the MDGs and “the indicators of the “AbujaCall” should be reviewed and aligned to MDG 6”.
–Developed the Abuja Call M&E Plan
–A Progress Report on the status of implementation wasdone in 2013.
–The report findings indicate that Member States havemade substantial progress between 2010 and 2012 incertain areas, demonstrating willingness and politicalcommitment.
3. Maputo PoA
•After recognizing that Africancountries were unlikely toachieve the MDGs withoutsignificant improvements in theSRH the Continental PolicyFramework on SexualReproductive Health and Rightsand its Maputo Plan of Action(MPoA) were adopted.
•The MPoA’s function is tooperationalize the ContinentalPolicy framework on SRHR.
•Implementation of the MaputoPlan of Action was supposed toend in 2010 but was extendedby the 15th Ordinary Session AUAssembly to 2015 followingrecommendations from thereview done in the same year.
3. Maputo PoA
•The following six key strategies were developed for theoperationalization of the SRH Policy framework:
1.Integrating STI/HIV/AIDS, and SRHR programmes and services,including reproductive cancers, to maximize the effectiveness ofresource utilization and to attain a synergetic complementary of thetwo strategies;
2.Repositioning family planning as an essential part of the attainmentof health MDGs;
3.Addressing the sexual and reproductive health needs of adolescentsand youth as a key SRH component;
4.Addressing unsafe abortion;
5.Delivering quality and affordable services in order to promote SafeMotherhood, child survival, maternal, Newborn and child health.
6.African and south-south co-operation for the attainment of ICPDand MDG goals in Africa
3. Maputo PoA
•The MPOA represents Africa’s most robust collectiveresponse to the alarming rates of Maternal Mortality Ratesin Africa – a highly sensitive indicator of the inequalitybetween men and women on this continent.
•Since the adoption of the Maputo Plan of Action (MPOA),some countries have:
–Increased the share of health allocations in national budgets.
–Created new incentives to retain health and medical personnel.
–Increased emphasis on emergency obstetric and neonatal care.
–Instituted maternal death audits in annual operational plans.
–Improved health management information systems.
–Adopted progressive gender policies.
4. Africa Health Strategy
•In 2007, The 3rd Conference of AUMinisters of Health decided to adoptthe Africa Health Strategy (AHS).
•The Strategy was intended torecognise that Member States andregions and indeed the continent hadpreviously set health goals in additionto the Millennium DevelopmentGoals that they have committed to.
•The strategy also intended to exploresome challenges that militate againstthe continent decreasing the burdenof disease and improvingdevelopment and also draws onexisting opportunities.
4. Africa Health Strategy
•In highlighting strategic directions in a multi-sectoral fashion, the AHS intended tostimulate a co-ordinated response to ensuremaximum benefit from the resourcesmobilised and to prevent fragmentation andduplication.
•It was further intended to provide anoverarching framework to enable coherencewithin and between countries, civil societyand the international community.
4. Africa Health Strategy
•In approaching theend of tenure of theAHS, a review of itsperformance isimperative.
4. Africa Health Strategy
Thank You