II. 2004, all constitute the key policy frameworks that seek to promote the survival rights of Nigerians, especially women and children, to achieve quality reproductive and sexual health for all Nigerians including women and girls. Administrative Measures MDG 4: Reduce child mortality Nigeria’s efforts aimed at reducing avoidable child deaths have been met with gradual and sustained progress. The under-five mortality rate (U5MR) has improved remarkably from 191 deaths per 1000 live births in 2000 to 89 deaths per 1000 live births in 2014 as the end-point status. Considering the end-point status of U5MR, Nigeria falls short of the 2015 target of 64 deaths per 1000 live births by 28 %. In 1990 (as the baseline), the infant mortality rate (IMR) was estimated at 91 deaths per 1000 live births. This, however, decreased to 75 deaths per 1000 live births in 2008 and to 61 deaths per 1000 live births in 2012. Although the end-point figure which stood at 58 deaths per 1000 live births in 2014 reflects progress, it is still short of the 2015 target of 30 deaths per 1000 live births. The immunization effort against measles has been relatively effective. It has resulted in significant reductions in case burden as a result of the scale up of the administration of measles vaccination to children 9 months and older through routine immunization services led by the National Primary Healthcare Development Agency (NPHCDA). The proportion of one-year-old children immunized against measles increased from 46% in 1990 to 61.3% in 2012 and subsequently to 63.0% in 2014. Nigeria has also recorded significant progress in the effort to eradicate polio and recently celebrated one year without polio from July 2014 to July 2015. Overall Conclusion on Goal 4: Strong progress but goal not met. MDG 5: Improve maternal health The drive to make progress on this goal has seen improvements in maternal health. With a baseline figure of 1000 deaths per 100,000 live births in 1990, the Maternal Mortality Rate (MMR) consistently decreased over the years to 545 in 2008. The downward trend continued to 350 deaths per 100,000 live births in 2012 and subsequently to its end-point status of 243 per 100,000 live births in 2014. Many policy drivers made the progress possible; one being the Midwives Service Scheme while the other was the collaborative efforts made between donors and the Federal Ministry of Health and its parastatals. In the meantime, the proportion of births attended by skilled health personnel improved appreciably from a baseline figure of 45% in 1990 to the end-point status of 58.6% in 2014 with the conviction that the national figure would have been better had it not been for the wide disparities across states with lower records. The success recorded is attributed to effective implementation of the Midwives Service Scheme (MSS). In the case of antenatal coverage, significant progress was also recorded. Antenatal coverage of at least one visit recorded an end-point status of 68.9% in 2014, and for at least four visits, the end-point status was 60.6% in 2014. The successes imply the need for a scale-up of the policy interventions. Overall Conclusion on Goal 5: Maternal mortality target met, and strong progress made on other indicators. a) Access to Primary Health Care  Over 433,650 lives have been saved between 2011 and 2015through Saving One Million Lives (SOML) Initiative 49