tailieunhanh - Federal Ministry of Health, National Malaria Control Programme, Abuja, Nigeria. Strategic Plan 2009-2013

Despite the standard definitions noted above, accurate identification of the causes of maternal deaths is not always possible. It can be a challenge for medical certifiers to attribute correctly cause of death to direct or indirect maternal causes, or to accidental or incidental events, particularly in settings where deliveries mostly occur at home. While several countries apply the ICD-10 in civil registration systems, the identification and classification of causes of death during pregnancy, childbirth and the puerperium remain inconsistent across countries. With the publication of the ICD-10, WHO recommended adding a checkbox on the death certificate for recording a woman’s pregnancy status at the time of death. | Nigeria Strategic Plan 2009-2013 Page 1 Federal Ministry of Health National Malaria Control Programme Abuja Nigeria. Strategic Plan 2009-2013 A Road Map for Malaria Control in Nigeria Nigeria Strategic Plan 2009-2013 Page 2 Foreword Nigeria faces a promising future with regard to malaria control and the reduction of the ill-health and death caused by malaria. My Ministry has tirelessly worked on developing a Strategic Framework that is consistent with our vision to improve life expectancy and change the course of health care provision through a focus on outcome and impact related achievements. We are therefore clearly focused on meeting the challenges of translating strategies into service delivery a challenge that finally now is beginning to lead to an anticipation and expectation that we are clearly addressing inherent weaknesses in our health system. Malaria can be classified as the first of the conditions causing most illness and death in the country. This is apart from the leading condition in the areas of child health and reproductive and maternal health. Furthermore malaria effects have negatively impacted on different demographic and socioeconomic groups. For instance under five children and pregnant women are known to be relatively more adversely affected as demonstrated by the estimates that 11 of maternal related mortality is related to malaria in pregnant women. This contributes to the relatively high MMR in the country. Currently there are at least 30 more deaths of Under Five children than there ought to be due to malaria. These trends are of more than major concern and burden to the Government and the Nigerian population at large. The health sector has faced some resource constraints which have been acute in terms of successful programme implementation. This situation has previously limited effective resource allocation in terms of sustained priority resource allocation and sustained continuous intervention and service provision for purposes of .