BY DR. JOTHAM MUSINGUZI Partners Board Treasurer and Director, - - PowerPoint PPT Presentation

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BY DR. JOTHAM MUSINGUZI Partners Board Treasurer and Director, - - PowerPoint PPT Presentation

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Experience sharing on South-South Cooperation and Development: Africas Experience BY DR. JOTHAM MUSINGUZI Partners Board Treasurer and Director, Population Secretariat, Ministry of Finance, Planning and Economic Development November 8,

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BY

  • DR. JOTHAM MUSINGUZI

Partners’ Board Treasurer and Director, Population Secretariat, Ministry of Finance, Planning and Economic Development November 8, 2006

Experience sharing on South-South Cooperation and Development: Africa’s Experience

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1,994 2050 1,355 2025 906 2005 215 1950 129 1900 Africa’s Population (in millions) Year

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Selected African Countries: Population Trends (2006-2050)

South Africa 15.8 14.4 13.1 Zimbabwe 7. 298.8 199.5 134.5 Nigeria 6. 48.4 48.0 47.3 8. 3.7 2.4 1.5 Gambia 5. 22.1 14.3 8.7 Benin 4. 103.1 54.8 28.2 Uganda 3. 64.8 49.4 34.7 Kenya 2. 72.7 53.6 37.9 Tanzania 1.

2050 2025 2006 Population in millions Country

No.

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Famous quotation

“The wealth of a country is not in stones and minerals in the ground but its population, its people.”

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Selected indices for some countries

36 5.6 11 25 51 504 111 108

Tanzania

44 4.7 10 39 49 590 98 59

Kenya

39 6.9 6.4 23 47 505 152 83

Uganda

99 2.1 0.6 76 74 12 8 7.1

USA

100 1.3 0.5 59 78 12 4 3.4

Japan

99 1.6 0.1 72 75 10 6 5.7

UK

100 1.6 0.1 78 77 8 4 3.4

Sweden

73

Delivery under skilled personnel (%)

4.0 Total Fertility Rate (children) 33 HIV Prevalence (%) 54 CPR (%) 43 Life Expectancy (years) 695 MMR/100,000 108 U5MR/1,000 55 IMR/1,000

Zimbabwe

Indicator

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WHAT IS THE WHAT IS THE MESSAGE ? MESSAGE ?

Plan services for an increased Plan services for an increased population. population. Increase investment and funding. Increase investment and funding.

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United Nations Summits of the 1990s

  • 1990 World Conference on Education for All, Jomtien
  • 1990 World Summit for Children, New York
  • 1992 UN Conference on Environment and Development, Rio
  • 1993 World Conference on Human Rights, Vienna
  • 1994 International Conference on Population and Development, Cairo
  • 1995 Fourth World Conference on Women, Beijing
  • 1995 World Summit for Social Development, Copenhagen
  • 1996 Second UN Conference on Human Settlement, Istanbul
  • 1996 World Food Summit, Rome
  • 2000 Millennium Summit, New York
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Millennium Development Goals (MDGs) (1990 – 2015)

  • Goal 1: Eradicate extreme poverty and hunger
  • Goal 2: Achieve Universal Primary Education
  • Goal 3: Promote gender equality and empower women
  • Goal 4: Reduce child mortality
  • Goal 5: Improve maternal health
  • Goal 6: Combat HIV/AIDS, malaria and other diseases
  • Goal 7: Ensure environmental sustainability
  • Goal 8: Develop a global partnership for development
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44 38 56 34 10 20 30 40 50 60 1990 1995 2000 2004

Poverty levels for Uganda

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56 44 38 56 41.6 34 52 53 35.7 50

10 20 30 40 50 60 70 1990 1995 2000 2004

Uganda Kenya Tanzania

Poverty levels for East Africa

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26 41 36 86 63.7 59 34.9 72.9 69.4 37.9 20 40 60 80 100 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: Poverty trends

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98 84 84 62 20 40 60 80 100 120 1990 1995 2000 2004

Uganda: Primary Education Enrolment

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98 90 62 84 84 79 78 80 58.6 55.4 52.2 88.5 20 40 60 80 100 120 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa:Primary Education Enrolment

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45 54 95 83.4 80 83 86 78 79 89 54 60 20 40 60 80 100 1990 1995 2000 2004

Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: Primary Education Enrolment

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122 82 81 88 20 40 60 80 100 120 140 1990 1995 2000 2004

Uganda: Infant mortality trends

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122 88 82 60.7 92 81 78 73.3 61.7 100 99 88 50 100 150 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: Infant Mortality trends

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65 95 125 59 62 61 109 112 110 134 133 116 50 100 150 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: IMR trends

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141 180 152 146 50 100 150 200 1990 1995 2000 2004

Uganda: Under-five mortality trends

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180 141 89.8 96.1 114 140.9 165 152 147 111.5 146.6 136.5 50 100 150 200 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: Under-five mortality trends

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114 186 74 76 123 200 203 202 235 214 197 50 100 150 200 250 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: U-5MR trends

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Uganda: Maternal Mortality trends

523 506 505 200 400 600 800 1000 1990 1995 2000

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650 770 505 506 523 630 590 530 530 200 400 600 800 1000 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: Maternal mortality trends

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940 1,500 1,100 570 610 654 700 650 650 870 1,100 936 500 1000 1500 2000 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: MMR trends

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HIV prevalence in Uganda

30 18 6.2 6.1 10 20 30 40 1990 1995 2000 2004

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30 18 6.2 11 8 11 6.1 5 10.3 6.7 5.5 9.9

5 10 15 20 25 30 35 1990 1995 2000 2004

Uganda Kenya Tanzania

HIV prevalence among East African Countries

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33.7 24.6 16.5 5.8 17.4 25.8 17.1 19.1 21.5 14.7 13 12.2 10 20 30 40 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: HIV/AIDS trends

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Life expectancy in selected African countries(1985-2010)

(Source; US Census Bureau, May 2000)

F ig u re 2 : L ife E xp e c ta n c y in S e le c te d A fric a n C o u n trie s (1 9 8 5 -2 0 1 0 ) 2 0 2 5 3 0 3 5 4 0 4 5 5 0 5 5 6 0 6 5 1 985 1 990 1 995 2 000 2 005 2 010 Life Expectancy at Birth B otsw an a S ou th A frica U gan da Z im b ab w e Z am b ia

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47 38 63 38 10 20 30 40 50 60 70 1990 1995 2000 2004

Uganda: Immunisation trends

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38 47 89 63 38 79 83 78 72 68 71 71 20 40 60 80 100 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: Immunisation trends

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58 89 85 50 40 74 83 68 76 85 58 67 20 40 60 80 100 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: Immunization trends

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39 38 38 30 32 34 36 38 40 1990 1995 2000

Uganda: Malnutrition/stunting trends

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39 31 38 38 28 26.5 25 42.6 43.8 43.8 10 20 30 40 50 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: Malnutrition/stunting

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69 48 38 43 39 53 50 45 47 55 55 44 20 40 60 80 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: Malnutrition/Stunting trends

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68 24 57 36 20 40 60 80 1990 1995 2000 2004

Uganda: Access to safe water trends

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68 24 57 36 49 53 40 68 67.2 38 20 40 60 80 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: Access to safe water trends

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83 52 47 64 31 54 77 78 63 57 20 40 60 80 100 1 2 3 4 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: Access to safe water trends

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Uganda: TFR trends

6.8 6.9 7.1 6.9 2 4 6 8 10

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East Africa: TFR trends

7.1 6.8 4.7 5.4 6.9 6.9 6.6 5.5 6.3 5.8 5.6 5.1 2 4 6 8 1990 1995 2000 2004 Uganda Kenya Tanzania

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3.9 5.9 6 5.1 4.5 6.4 6.3 6.1 6.3 6.2 5.9 5.6 2 4 6 8 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: TFR trends

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5 15 23 5 10 15 20 25 1990 1995 2000

Uganda: CPR trends

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33 39 25 15 5 23 16 16 10 22 10 20 30 40 50 1990 1995 2000 2004 Uganda Kenya Tanzania

East Africa: CPR trends

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54 34 4 6 6 6 48 43 54 26 25 15 20 40 60 1990 1995 2000 2004 Zimbabwe Zambia Mozambique

Zimbabwe, Zambia and Mozambique: CPR trends

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WHAT IS THE MESSAGE ? WHAT IS THE MESSAGE ?

Most African countries are already off track Most African countries are already off track regarding regarding perfomance perfomance on MDGs

  • n MDGs
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Uganda: Consumption Poverty 1992-2003

56 35 38 28 10 10 20 30 40 50 60 1992 2000 2003 2015 2017 Consumption Povert (%)

Actual Performance PEAP Target MDG Target

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Population and Poverty Levels

17.5 20.4 22.2 9.3 8.5 7.8 10.5 8.2 11.9 14.4 28.2 17.7 5 10 15 20 25 30 1992 1997 2000 2006 Year Population in Millions Total Population Under Poverty Out of Poverty

28.8

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Uganda’s performance in Universal Primary Education

62 84 84 98 100 20 40 60 80 100 120 1992 1997 1999 2003 2015

Net Primary Enrollment (% )

Actual performance PEAP Target MDG Target

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Uganda’s performance in reducing Infant Mortality

41 68 88 81 122 20 40 60 80 100 120 140 1990 1995 2000 2005 2015

IM R per 1000 Live Births

Actual Performance PEAP Target MDG Target

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Major causes of Child Mortality Major causes of Child Mortality

HIV/AIDS 4% Malaria 8% Measles 5% Diarrhea 12% ARI 20% Others 29% Perinatal 22% Malnutrition 60%

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Uganda’s performance in reducing Maternal Mortality

132 354 505 506 523 100 200 300 400 500 600 1990 1995 2000 2005 2015 M M R per 100,000 Live Births

Actual Performance PEAP Target MDG Target

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Major Causes of Maternal Mortality

Haemorrhage 25% Unsafe Abortion 13% Hypertensive Disorders 12% Obstructed Labour 8% Other Causes 27% Infections 15%

HIV/AIDS HIV/AIDS

Malaria Malaria Anaemia Anaemia

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10 top risk factors associated with mortality in Uganda

Living in insecure areas Single parent hood No access to safe water Short birth spacing None use of Family Planning Low education of mothers Teenage pregnancies Home deliveries Low immunization coverage High fertility

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Delivery by skilled attendant and fertility by Delivery by skilled attendant and fertility by poverty poverty-

  • wealth index in Uganda

wealth index in Uganda

19.7 27.6 31.9 46.4 77.3 8.5 8.2 7.5 6.3 4.1

25 50 75 100 Poorest Second poorest Middle Second richest Richest

% delivered by skilled attendant

1 2 3 4 5 6 7 8 9 Total fertility rate (children/woman)

Skilled Attendant TFR

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HRH availability and impact on MDG targets

1 2 3 4 5 6 7 8 9 1 2 3 4 5 Density (workers per 1,000, log) Mortality (per 1,000, log)

Maternal Infant Under-5

Source: Anand & Source: Anand & Barnighausen Barnighausen 2004 2004

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Health spend per capita

500 1000 1500 2000 2500 3000 3500 4000 4500 UK Holland US France Uganda Kenya Zambia Japan Germany Australia Sweden US Dollars per capita 15 21 19

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Poor and developing countries have low CPR, high TFR, low skilled attendance at birth, high maternal/child mortality and low life expectancy

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Challenges to achieving health related MDGs in Africa

(1) Leadership/Stewardship/Commitment and Advocacy (2) Resources

  • Human Resources
  • Health workers (Numbers, skills

training, deployment & motivation)

  • Infrastructure, equipments, drugs etc.
  • RH Commodity Security
  • Financial
  • more efficiency
  • increased investment i.e. new and additional

funding

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DOES ANY ONE CARE?

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An Africa Regional Office for PPD will soon be established in Uganda

Goal:

To achieve an improved population and reproductive health status in Africa through strengthening South – South Collaboration in the African region

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The Objectives

  • 1. To institutionalize and strengthen the S-S partnership

in Africa.

  • 2. To increase awareness and support for RH issues and

programs among key policy makers in the region.

  • 3. To successfully market, strengthen and reposition the

S-S partnership in the region.

  • 4. To source, package, document, exchange and

disseminate best practices and innovative models in the region

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THANK YOU THANK YOU