Zambia Parliamentarian PresentationZambia Parliamentarian Presentation By By

Hon Munji HabeenzuHon Munji Habeenzu Building North-South Partnership in Development:

Strengthening Cooperation among Members of Parliaments,

Civil Servants and NGOs to Promote Global Sexual and Reproductive Health and Rights

13th-16 April, 2010

Finland

SRH SITUATION IN ZAMBIA 36% of households have orphans or foster children

under 18 years 10% women plus 17% men have completed secondary

school Total fertility rate 6.2% children in urban and 7.5 rural MMR – 591 per 100,000 LBD 16% women and 12% of men have had sex by 15 years 27% of married women have unmet need of FP More than ¼ of 15-19yr have already begun child

bearing. HIV prevalence 14%

Challenges Infrastructure- inadequate delivery and

ANC space Inadequate equipment Inadequate human resource Long tender process- delay in EmONC

equipment procurement Poor M&E systems in place Endless stock outs of commodities due

to poor LMIs at user level

COUNTRY RESPONSE AND POLICIES National SRH Policy National Population Policy National HIV/AIDS Policy National Gender Policy National Family Planning Guideline National HIV/AIDS Strategic Framework Fifth National Development Plan National Youth SRH/HIV Training Standards National comprehensive Abortion Care

Guidelines

IMPLEMENTING MAPUTO PLAN OF ACTION Zambia is currently Implementing the MPoA as a Zambia is currently Implementing the MPoA as a

continental policy framework for Sexual and continental policy framework for Sexual and Reproductive Health and RightsReproductive Health and Rights

MPoA was agreed upon by Health Ministers to MPoA was agreed upon by Health Ministers to help African Nations to:help African Nations to:

Reduce poverty levels Achieve the MDGs Reduces maternal mortality, combat

HIV/AIDS and, Reduce infant and child mortality

And was endorsed by African Union heads of And was endorsed by African Union heads of state in January 2007 state in January 2007

Maputo Plan of Action addresses

Reproductive health rights and challenges faced by Africa

Increased resource allocation to health

Mainstreaming Gender issues into socio- economic development

Improvement of SRH commodity security

Placement of SRH as top 6 priorities of the health sector

Key Achievements National Reproductive health

policy developed with emphasis on integration at all levels

MNCH partnership formed Number of policies and

guidelines developed Integration of services of HIV/STI,

Malaria, FP, SRH

Key Achievements Introduction of Safe Motherhood Action Groups (SMAGs)-41/72 so

far Sensitisation of families on Birth preparedness, danger signs and

importance of institutional deliveries RH policy addresses integration of youth friendly

services Capacity building in health workers (Southern Province) Youth peer educators trained

RH commodity security committee formed Separate budget line for RH commodities Logistics management and forecasting done Increased funding for procurement of FP commodities

CAMPAIGN TO ACCELERATE CAMPAIGN TO ACCELERATE REDUCTION OF MATERNAL MOTALITY REDUCTION OF MATERNAL MOTALITY IN AFRICA CARMMAIN AFRICA CARMMA

To raise awareness among the Zambian people on

maternal mortality and how it can be prevented To raise the profile of Maternal Mortality in order

to enhance political leadership and commitment at national levels to accelerate reduction of maternal mortality

To identify national champions and work with them to leverage resources from stakeholders including local and international.

To promote and strengthen policy and programmatic environment to accelerate achieving MDG 4 & 5.

OPPORTUNITIES TO ENHANCE SRH IN ZAMBIA Political will and commitment Dialogue with legislator involveement of the health

committeeat MOH Increased local funding to health Dialogue with traditional and

National leaders

CONCLUSION Universal access to reproductive health services Universal access to reproductive health services

is critical for the achievement of MDG5 and is critical for the achievement of MDG5 and essential to the other MDGs. essential to the other MDGs.

The Maputo Plan of Action is the vehicle in The Maputo Plan of Action is the vehicle in Africa for their attainment. Africa for their attainment.

It is time to refocus our efforts on ensuring its It is time to refocus our efforts on ensuring its success. success.

CSO have an important role to play and in order CSO have an important role to play and in order to attain MPoA, we need to align our plans and to attain MPoA, we need to align our plans and programs to the needs and Priorities of the programs to the needs and Priorities of the MPoAMPoA..