The prevalence of HIV among pregnant young women aged 15–24 years has steadily declined from 5.4% in 2000 to 4.1% in 2010 (end-point status). The decline resulted from the implementation of tested high impact interventions implying the need for consistent implementation of such high impact interventions in the sector. With respect to the incidence of tuberculosis per 100,000 people, the efforts have not produced appreciable results. In the past 7 years, the value for this indicator has fluctuated between 343.00 in 2005 and 339.00 in 2012. The end-point status of the incidence of tuberculosis in Nigeria was 338 as of 2013. This latest figure is still unacceptable and calls for renewed efforts, more resources and interventions in order to drastically reduce the prevalence of tuberculosis. Overall Conclusion on Goal 6: Appreciable progress in combating HIV and AIDS, but weak progress in other diseases. Goal not met. SURE-P Achievements on Maternal and child Health 2012-2015 Background The Federal Government in January 2012 made a decision to channel its own share of the Subsidy Reinvestment Funds into a combination of programmes to stimulate the economy and alleviate poverty through the provision of critical infrastructure and social safety net projects. The Maternal and Child Health (MCH) component of the Subsidy Reinvestment and Empowerment Programme (SURE-P) aspires to contribute to the reduction of maternal and newborn morbidity and mortality. The SURE-P MCH Project provides a unique opportunity to focus on increasing access to maternal and child health services through the continuum of care for pregnant women and their newborn. Nigeria, the most populous country in Africa, constitutes just 1% of the world’s population but accounts for 10% of the world’s maternal and under-5 mortality rates despite several efforts that have been aimed at reducing the incidences and generally improve maternal and child health. A woman’s chance of dying from pregnancy and childbirth in Nigeria is 1 in 13 (compared to 1 in 5000 in developed countries), with only about 40% of deliveries attended to by skilled birth attendants (Integrated Maternal & Child Health Strategy, FMOH). The most recent figures from the National Demographic and Health Survey estimated Nigeria’s overall maternal mortality ratio at 565/100,000 live births. There is however, a high degree of variation across the country, with the highest maternal mortality ratio (1549/100,000) found in the North East and the lowest (165/100,000) in the South West (NDHS 2013). Most of these maternal and child deaths occur in rural communities hence the SURE P MCH is focusing on delivering services at primary health care facilities in rural communities across the 36 states and FCT. Objectives The objectives of SURE-P MCH Project are to: • Increase the availability of skilled health workers to provide maternal and child health services at the primary health care (PHC) level; • • • Provide visible infrastructural renovations to primary health care centres under the SURE-P MCH Project; Increase supply of essential service commodities at PHC facilities to improve service delivery; and Increase the demand for MCH services in rural communities through the use of conditional cash transfer (CCT) and community engagement at the grassroots 75

Select target paragraph3