Situation Analysis of Children and Women in Nigeria
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SITUATION ANALYSIS OF CHILDREN AND WOMEN IN NIGERIA 2011 UPDATE UNICEF NIGERIA i Acronyms and abbreviations AFASS Acceptability, Feasibility, Affordability, Sustainability and Safety AfDB African Development Bank APOC African Programme for the Control of Onchocerciasis ARI Acute Respiratory Tract Infections BFHI Friendly Hospital Initiative BMI Body Mass Index BON Broadcasting Organisations of Nigeria CASSAD Centre for African Settlement Studies and Development CBOs Community Based Organisations CBSC Communication for Behaviour and Social Change CDTI Community Directed Treatment with Ivermectin CEDAW Convention on the Elimination of all Forms of Discrimination Against Women CHEW Community Health Extension Workers CLTS Community-led Total Sanitation CMAM Community-Based Management of Acute Malnutrition CRA Child Rights Act CRC Convention on the Rights of the Child CSD Child Survival and Development CSOs Civil Society Organisations CWIQ Core Welfare Indicator Questionnaire DDR Disarmament, Demobilisation and Reintegration DFID Department for International Development DRC Democratic Republic of Congo EBF Exclusive Breast Feeding ESA External Support Agencies ESSPIN Education Sector Support Programme in Nigeria EU European Union FBO Faith-Based Organisations FCT Federal Capital Territory FGM/C Female Genital Mutilation/Cutting FGN Federal Government of Nigeria FLHE Family Life and HIV/AIDS Education FLEHI Family Life and Emerging Health Issues FMAWR Federal Ministry of Agriculture and Water Resources FME Federal Ministry of Education FMENV Federal Ministry of Environment FMOH Federal Ministry of Health FMWA&SD Federal Ministry of Women Affairs and Social Development FMWR Federal Ministry of Water Resources FOMWAN Federation of Muslim Women‟s Association of Nigeria GEP Girls Education Project HCT HIV Counseling and Testing HDI Human Development Index HIV Human Immunodeficiency Virus (HIV) HMIS Health Management Information Systems IDPs International Development Partners IEC Information, Education and Communication ILO International Labour Organisation IMCI Integrated Management of Childhood Illness IMR Infant Mortality Rate ii IPD Immunization Plus Days IPEC International Programme on the Elimination of Child Labour ITN Insecticide Treated Net IYCF Infant and Young Child Feeding JAP Journalists Alliance for PMTCT JAS Joint Account System JICA Japanese International Cooperation Agency JMP Joint Monitoring Programme for Water Supply and Sanitation KAP Knowledge, Attitude and Practice LDCs Least Developed Countries LGA Local Government Area LEEMP Local Empowerment and Environmental Management Project LGEA Local Government Education Authority LIDFC Low income–deficit country LMDGI Localizing the MDGs Initiative MDAs Ministries, Departments and Agencies MDGs Millennium Development Goals MICS Multiple Indicator Cluster Survey MMR Maternal Mortality Ratio MNCH Maternal, Newborn and Child Health MSF Medicines Sans Frontiers MTR Mid Term Review MUAC Mid-Upper Arm Circumference NAFDAC National Agency for Food and Drug Administration and Control NASCP National AIDS and Sexually Transmitted Diseases Programme NBS National Bureau of Statistics NDHS National Demographic and Health Surveys NEEDS National Economic Empowerment and Development Strategy NEWSAN National Civil Society Network on Water and Sanitation NFCNS National Food Consumption and Nutrition Survey NGOs Non-Governmental Organisations NIREC Nigeria Inter-Religious Council NIS Nigeria Immigration Service NMC Nigerian Movement for Children NOCP National Onchocerciasis Control Programme NPC National Planning Commission NPopC National Population Commission NPF Nigeria Police Force NPHCDA National Primary Health Care Development Agency NPLC Nigeria Planning Commission NSDWQ Nigerian Standard for Drinking Water Quality NWRI National Water Resources Institute ODA Official Development Assistance ODF Open Defecation Free ORS Oral Rehydration Salts OTC Out-Patient Therapeutic Care Centres OVC Orphans and Vulnerable Children PEI/RI Polio Eradication Initiative/Routine Immunisation PFL Pour Flush PHAST Participatory Hygiene and Sanitation Transformation PLHIV People Living With HIV PMTCT Prevention of Mother to Child Transmission iii PPP Public-Private Partnership PRSP Poverty Reduction Strategy Paper PSAs Public Service Announcements RHRC Reproductive Health Response in Crises RUTF Ready-to-Use Therapeutic Food RUWASA Rural Water and Sanitation Agency RWSS Rural Water Supply and Sanitation SAM Severe Acute Malnutrition SBMC School-Based Management Committees SCN United Nation Standing Committee On Nutrition SGBV Sexual and Gender-Based Violence SHAWN Sanitation, Hygiene and Water in Nigeria SitAn Situation Analysis of Children and Women SMART Standardised Monitoring and Assessment of Reliefs and Transitions SOMTECS Social Mobilisation Technical Committees SON Standard Organization of Nigeria SPS Social Protection Strategy SSIP Small Scale Independent Providers SUBEB State Universal Basic Education Board SWAP Sector Wide Approach SWOC State of the World‟s Children TBAs Traditional Birth Attendants TCF Tulsi Chanrai Foundation TFC Therapeutic Feeding Centre TFD Theatre for Development U5MR Under-Five Mortality Rate UA Unites of Account UBEC Universal Basic Education Commission UN United Nations UNDAF United Nations Development Assistance Framework UNDP United Nations Development Program UNFPA United Nations Population Fund UNICEF United Nations Children‟s Fund UPL Upgraded Pit Latrine USAID United States Agency for International Development UWSS Urban Water Supply and Sanitation VIP Ventilated Improved Pit Latrine VLOM Village Level Operation and Maintenance of Hand-Pumps VVF Vesico-Vagina Fistula WANG WaterAid Nigeria WASH Water, Sanitation and Hygiene WASHCOMs Water, Sanitation and Hygiene Committees WFFC World Fit for Children WHO World Health Organisation WIMAG Water Investment and Resource Mobilization and Implementation Guidelines WSMP Nigeria Water and Sanitation Monitoring Platform WSSSRP Water Supply and Sanitation Sector Reform Programme iv List of Tables Table Title Page 2.1 Females age six and above by highest level of schooling attended or completed, percentage 3.1 Maternal, neonatal, and under-five mortality trends in Nigeria 3.2 Selected indicators on Nigeria‟s progress with the interruption of the wild poliovirus 5.1 Nutrition indices, Nigeria 5.2 National commitment to nutrition 5.3 Nutrition response capacity 7.1 The PMTCT-related target of the 2010-2015 National Strategic Plan 8.1 Summary of total annual budgets, allocation, and actual disbursement to water and sanitation by selected states, 2000 – 2007 average 8.2 Investments in water supply and sanitation by development partners (2000-2009) 8.3 Major technology options for rural water supply and per capita costs 8.4 Major technology options for rural sanitation and per capita costs List of Figures Figure Title Page 1.1 Conceptual framework for situation analysis of women and children 2.1 Population pyramid 2.2 Males and females aged six and above who have no education (percentage) 2.3 The geo-political zones of Nigeria 2.4 Geo-political disparity in wealth quintiles 2.5 External reserves, US$ billion 2.6 Average exchange rate Naira/US$ 2.7 Food and headline inflation 2.8 Current account position (% of GDP) 2.9 Federal government capital allocation (% of total) 2.10 Deficit/GDP ratio, Nigeria, 2005-2009 3.1 Utilisation of key maternal health services in Nigeria, 2008 3.2 Mortality trend in newborn and under-five children 3.3 Child mortality by geographic zones 3.4 Comparison of causes of under-five deaths (2003 and 2008) 3.5 Comparison of trajectory of progress on MDGs target using an equity focused approach 3.6 Causes of under-five mortality (rates) in the richest and poorest wealth quintile, 2008 3.7 Trends in total fertility rate 3.8 Contraceptive prevalence rates by zones 3.9 Comparison of likelihood of skilled attendant during delivery (richest to poorest wealth quintile) 3.10 Use of ITN by under-five children and pregnant women in Nigeria, 2008 v Figure Title Page 3.11 Trends in DPT3 percentage coverage in Nigeria 4.1 Pre-primary school enrolment 2003-2009 4.2 Enrolment of children in ECD/ pre-schools by geopolitical zones and sex, 2007 4.3 Net attendance ratio in primary school, by geopolitical zones and gender 4.4 Net attendance ratio in primary school by wealth quintile 4.5 Primary school completion rates by geo-political zones, 2007 4.6 Junior secondary school enrolment by geo-political zones, 2007 4.7 Percentage of adults and youth in Nigeria who are literate 4.8 Enrolment by year in nomadic education by gender 5.1 Malnutrition in Nigeria in 1999, 2003, and 2008 5.2 Map of Nigeria showing priority states for interventions 5.3 Conceptual framework for the relationship between poverty, food security and other underlying and immediate causes of maternal and child under- nutrition 5.4 Malnutrition rate and level of mother‟s education 5.5 Nutritional status, Vitamin A supplementation and Vitamin A rich food consumption by wealth quintile, 2008 5.6 Exclusive breastfeeding of infants under 6 months of age in selected African countries 2003-2008, percentage 5.7 Trend in exclusive breastfeeding rate, Nigeria, 1990 - 2008 5.8 Types of pre-lacteal feeds, 2008 5.9 Pattern of breastfeeding practices in Nigeria for children ages 0-35 months, 2008 5.10 Nutritional status of under-five children by age, 2008 5.11 Prevalence of severe wasting in children under five by geo-political zones, 2008 5.12 Trend in nutritional status