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Outcome Analysis Presentation Nigeria February 2020 Expected Results (2/2)

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Outcome Analysis Presentation Nigeria February 2020 Expected Results (2/2) ②. To identify the socio-economic group(s) affected by survival or livelihoods protection deficits ③. To identify, for an area, the seasonality of the deficit for an affected group in a consumption year Period of Deficit Bama, Nigeria, Very Poor category 120% 100% 80% 60% 40% 20% 0% O N D J F M A M J J A S O N % min. % food energy needs deficit total expenditure Outcome Analysis Result Presentation FebruaryOctober 20192020 6 Areas covered under the Previous Livelihood zone Map Outcome Analysis Result Presentation February 2020 7 Areas covered under the 2018 updated Livelihood zone Map Outcome Analysis Result Presentation February 2020 8 Map of Nigeria showing Outcome Analysis February result Outcome Analysis Result Presentation February 2020 9 Livelihood Zone and Areas Covered Livelihood Zones States LGA Millet & Sesame LZ (MAS) Katsina Baure, Daura, Dutsi, Sandamu, Mashi & Zango Cotton Groundnut & Cowpea LZ (CGC) Zamfara Bungudu, Gusau, Maru & Tsafe Sorghum Cowpeas & Groundnut LZ Zamfara Anka, Bukkuyum & Gumi (SCG) Northern Floodplain Irrigated Rice Jigawa Auyo, Guri, Hadejia, Kafin Hausa, Kaugama, Kiri Kassama, Wheat & Vegetables LZ (NG11) Miga, Malam Madori Sahel Mixed Cereals & Livestock LZ Jigawa Babura, Birniwa, Dutse, Dagarawa, Garki, Gwiwa, Gumel, (NG13) Jahun, Kazaure, Kiyawa, Maigatari, Malam Madori, Ringim, Roni, Sule Tankarkar, Taura, Yankwashi Millet Cowpeas & Sesame LZ Bauchi Misau, Katagum, Gaide, Gamawa, Darazo & (MCS)(NG12) Damban Maize Sorghum & Cotton LZ Bauchi Alkaleri, Bogoro, Dass, Gamjuwa, Ningi, Toro (MSC)(NG10) & Tafawa Balewa North Central Maize Sorghum & Cotton Borno Abadam,Askira Uba, Biu, Chibok, Hawul, Kwaya Kusar, LZ (NG10) Mobbar, Shani Northeast Millet Cowpea & Sesame Borno Bama, Damboa, Dikwa, Gubio, Gwoza, Jere, Kaga, (NG12) Kalabalge, Konduga, Mafa, Magumeri, Marte, Maiduguri, Monguno, Ngala Outcome Analysis Result Presentation February 2020 10 Livelihood Zone and Areas Covered Livelihood Zones States LGA North-East Sahelian: Millet, Sesame, Bursari, Jakusko,Yusufari, Nguru, Karasuwa, Machina and Yobe Cowpeas and Livestock LZ (NG04) Yunusari Borno-Yobe-Bauchi; Millet, Cowpeas, Fika, Potiskum,Fune, Nangere, Damaturu and Tarmuwa Groundut and Sesame LZ (NG05) Yobe North-East Maize dominant with rice, Gujba Yobe Cowpeas, Soya beans and Groundnut LZ Gulani (NG15) Borno Urban Livelihood Zone Borno MMC, Jere, Konduga, Mafa, Magumeri & Ngala Outcome Analysis Result Presentation February 2020 11 Data sources Key Parameter Source Crop Production Agricultural Development Programme (ADP)- Ministry of Agriculture Market Price Agricultural Development Programme (ADP)- Ministry of Agriculture FEWSNET NAERLS Market key informant Livestock Production Village Key informants/ Consensus among workshop participants Livestock Market Other Income Sources (Price) Key Informants Other Income Sources (Access) Key informants/ Consensus among workshop participants Outcome Analysis Result Presentation February 2020 12 Team Composition The analysis team comprised of members from: • NEMA (National Emergency Management Agency) • NAERLS- National Agric. Extension & Research Liaison Services • Federal Ministry of Agriculture and Rural Development • State Ministry of Agriculture • Yobe state Min. of Budget and economic Planning • Representatives of ADP from States • Zamfara State Min of Budget and Economic planning • National Programme for Food Security (NPFS) • Save the Children • State Emergency Management Agency (SEMA) Outcome Analysis Result Presentation February 2020 13 Result Summary The period or consumption year covered by the current analysis is September 2019–August 2020 for the ten livelihood zones as projected. Outcome Analysis Result Presentation February 2020 14 Summary of current and projected results by Livelihood zones showing areas with deficit only CGC Zamfara District population ZME Type ZME GSE GSE GSE Livelihood Deficit Livelihood Deficit District population popualation protection Survival protection Survival of the ZME proportion of Deficit (%LPD) (in% Kcal) Deficit (in% Kcal) living in the ZME compared (%LPD) district to district VP 91,928 26% 0% 0% 100% 34% P 91,928 26% 12% 0% 100% 32% Bungudu 353,571 NGCGC AGRICULTURAL M 91,928 26% 0% 0% 23% 0% BF 77,786 22% 0% 0% 0% 0% VP 136,381 26% 0% 0% 73% 35% P 136,381 26% 0% 0% 89% 23% Gusau 524,541 NGCGC AGRICULTURAL M 136,381 26% 0% 0% 0% 0% BF 115,399 22% 0% 0% 0% 0% VP 104,190 26% 0% 0% 100% 39% P 104,190 26% 19% 0% 100% 32% Maru 400729 NGCGC AGRICULTURAL M 104,190 26% 0% 0% 23% 0% BF 88,160 22% 0% 0% 0% 0% VP 94,873 26% 0% 0% 100% 39% P 94,873 26% 19% 0% 100% 32% Tsafe 364896 NGCGC AGRICULTURAL M 94,873 26% 0% 0% 23% 0% BF 80,277 22% 0% 0% 0% 0% Outcome Analysis Result Presentation October 2020 15 Summary of current and projected results by Livelihood zones showing areas with deficit only Cont’d … SCG Zamfara District population ZME Type ZME GSE GSE GSE Livelihood Deficit Livelihood Deficit District population popualation protection Survival protection Survival of the ZME proportion of Deficit (%LPD) (in% Kcal) Deficit (in% Kcal) living in the ZME compared (%LPD) district to district VP 48,108 33% 0% 0% 33% 18% P 28,452 20% 0% 0% 0% 0% Anka 143637 SCG AGRICULTURAL M 32,713 23% 0% 0% 0% 0% BF 34,363 24% 0% 0% 0% 0% VP 72,461 33% 0% 0% 33% 18% Bukkuyu P 42,856 20% 0% 0% 3% 0% 216348 SCG AGRICULTURAL m M 49,274 23% 0% 0% 0% 0% BF 51,758 24% 0% 0% 0% 0% VP 69,237 33% 0% 0% 33% 18% P 40,949 20% 0% 0% 3% 0% Gumi 206721 SCG AGRICULTURAL M 47,081 23% 0% 0% 0% 0% BF 49,455 24% 0% 0% 0% 0% Outcome Analysis Result Presentation October 2020 16 Summary of current and projected results by Livelihood zones showing areas with deficit only Cont’d … NG10 Borno District population ZME Type ZME GSE GSE GSE Livelihood Deficit Livelihood Deficit District population popualation protection Survival protection Survival of the ZME proportion of Deficit (%LPD) (in% Kcal) Deficit (in% Kcal) living in the ZME compared (%LPD) district to district VP 246 25% 33% 4% 100% 49% P 272 27% 0% 0% 100% 51% Abadam 1000 NG10 AGRICULTURAL M 254 25% 0% 0% 0% 0% BF 228 23% 0% 0% 0% 0% VP 37,821 25% 16% 0% 100% 43% P 41,873 27% 0% 0% 100% 47% Mobbar 153834 NG10 AGRICULTURAL M 39,021 25% 0% 0% 0% 0% BF 35,119 23% 0% 0% 0% 0% Outcome Analysis Result Presentation October 2020 17 Summary of current and projected results by Livelihood zones showing areas with deficit only Cont’d … NG12 Borno District population ZME Type ZME GSE GSE GSE population Livelihood Deficit Livelihood Deficit District population proportion of protection Survival protection Survival of the ZME ZME compared Deficit (%LPD) (in% Kcal) Deficit (in% Kcal) living in the to district (%LPD) district VP 69,619 38% 0% 0% 33% 23% P 48,061 26% 0% 0% 0% 0% Bama 182947 NG12 AGRICULTURAL M 39,161 21% 0% 0% 0% 0% BF 26,107 14% 0% 0% 0% 0% VP 57,696 38% 0% 0% 33% 22% P 39,830 26% 0% 0% 0% 0% Damboa 151616 NG12 AGRICULTURAL M 32,454 21% 0% 0% 0% 0% BF 21,636 14% 0% 0% 0% 0% VP 43,413 38% 0% 0% 67% 30% P 29,970 26% 0% 0% 0% 0% Dikwa 114082 NG12 AGRICULTURAL M 24,420 21% 0% 0% 0% 0% BF 16,280 14% 0% 0% 0% 0% VP 71,484 38% 0% 0% 67% 34% P 49,348 26% 0% 0% 0% 0% Gubio 187849 NG12 AGRICULTURAL M 40,210 21% 0% 0% 0% 0% BF 26,807 14% 0% 0% 0% 0% VP 75,995 38% 0% 0% 67% 34% P 52,462 26% 0% 0% 0% 0% Gwoza 199702 NG12 AGRICULTURAL M 42,747 21% 0% 0% 0% 0% BF 28,498 14% 0% 0% 0% 0% Outcome Analysis Result Presentation October 2020 18 Summary of current and projected result by Livelihood zones showing areas with deficit only Cont’d … NG12 Borno Continued… District population ZME Type ZME GSE GSE GSE population Livelihood Deficit Livelihood Deficit District population of proportion of protection Survival (in% protection Survival (in% the ZME living ZME compared to Deficit (%LPD) Kcal) Deficit Kcal) in the district district (%LPD) VP 26,236 38% 0% 0% 67% 35% P 18,112 26% 0% 0% 0% 0% Kalabalge 68944 NG12 AGRICULTURAL M 14,758 21% 0% 0% 0% 0% BF 9,838 14% 0% 0% 0% 0% VP 48,958 38% 0% 0% 67% 31% P 33,798 26% 0% 0% 0% 0% Mafa 128654 NG12 AGRICULTURAL M 27,539 21% 0% 0% 0% 0% BF 18,359 14% 0% 0% 0% 0% VP 97,697 38% 0% 0% 33% 26% P 67,444 26% 0% 0% 0% 0% Magumeri 256733 NG12 AGRICULTURAL M 54,955 21% 0% 0% 0% 0% BF 36,636 14% 0% 0% 0% 0% VP 79,463 38% 0% 0% 67% 36% P 54,856 26% 0% 0% 0% 0% Mongono 208815 NG12 AGRICULTURAL M 44,698 21% 0% 0% 0% 0% BF 29,798 14% 0% 0% 0% 0% VP 38,700 38% 0% 0% 67% 30% P 26,716 26% 0% 0% 0% 0% Ngala 101697 NG12 AGRICULTURAL M 21,769 21% 0% 0% 0% 0% BF 14,512 14% 0% 0% 0% 0% Outcome Analysis Result Presentation October 2020 19 Summary of current and projected results by Livelihood zones showing areas with deficit only Cont’d … NG12 Borno Continued… District population ZME Type ZME GSE GSE GSE population Livelihood Deficit Livelihood Deficit District population proportion of protection Survival protection Survival of the ZME ZME compared Deficit (%LPD) (in% Kcal) Deficit (in% Kcal) living in the to district (%LPD) district VP 50,479 38% 0% 0% 33% 9% P 34,848 26% 0% 0% 0% 0% Kaga 132650 NG12 AGRICULTURAL M 28,394 21% 0% 0% 0% 0% BF 18,930 14% 0% 0% 0% 0% VP 71,586 38% 0% 0% 33% 6% P 49,419 26% 0% 0% 0% 0% Konduga 188117 NG12 AGRICULTURAL M 40,267 21% 0% 0% 0% 0% BF 26,845 14% 0% 0% 0% 0% Outcome Analysis Result Presentation October 2020 20 Summary of current and projected results by Livelihood zones showing areas with deficit only Cont’d … Borno Urban LZ (Host) States District population ZME Type ZME GSE GSE GSE popualation Livelihood Deficit Livelihood Deficit
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    The Delivery of Essential Health Services in Africa Realities and People's Perceptions and Perspectives REPORT SUBMITTED FOR THE NORTH WEST SITE IN NIGERIA Patients being attended to at the Health Facility in Gwagwada. Kaduna State Nigeria List of authors Dr Elizabeth O Elhassan - Sightsavers (Principal Investigator) Mr Oluwatosin Adekeye - Department of Psychiatry ABIJ Zaria (Co-investigator) Mr Sunday Isiyaku - Sightsavers Nigeria Dr Felicia NC Enwezor - Nigerian Institute for Trypanosomiasis and Onchocerciasis Research, Kaduna Dr Felicia Anumah - Department of Medicine, College of Health Sciences, University of Abuja Mrs Hafsat L Kontagora - Department of Social Development, Kaduna Polytechnic Ms Folake Ibrahim - Sightsavers Nigeria Mrs Tinuola A Olumeyan - Department of Cooperative Economics and Management Kaduna Polytechnic Mrs Eunice O Ohidah - Department of Education Technical, Kaduna Polytechnic f 2 Foreword It is hoped that the results of this study will strengthen the health system. Issues relating to the health system building blocks (leadership and governance, information, finance, technology, medicines and supplies, workforce and service delivery) highlighted by the study as well as the attributes (quality, access, coverage and safety) when addressed will lead to the desired outcomes of improved health, efficiency, responsiveness and social and financial risk protection of the population. Acknowledgements WHO/AFRO The Nigeria NorthWest team acknowledges the WHO/AFRO for technical and financial support for the study. Sightsavers,