The Department of Family Health was created from the Department of Community Development and Population Activities in July 2008. The Department plays a prominent and pivotal role in contributing to the improvement of the health indices of the country as well as the achievement of the Health related Sustainable Development Goals (SDGs). Specifically, the Department has a crucial role in actualising Goal 3 of the Sustainable Development Goals by 2030.
The Mission of the Department is “to develop and coordinate the implementation of policies and programmes that promote the health of the family through efficient integrated health services in Nigeria”.
i. The Department is responsible for development of policyand implementation framework on maternal, newborn , child and adolescent health;
ii. Co-ordination and provision of technical assistance to States and Local Governments on the implementation of Family Health interventions;
iii. Supply of reproductive health commodities to States and Local Governments;
iv. Implementation of Integrated Supportive Supervision of Family Health programmes nationwide.
Core Departmental Functions
The Family Health Department’s core functions include:
1. Effective coordination of Nutrition, Reproductive, Maternal, Neonatal and Child Health, Gender, Adolescent Health Development, School Health, Elderly Care and Wellbeing that proactively contribute to overall family health in Nigeria.
2. Collaboration with all Departments within the Federal Ministry of Health, line Ministries and Development Partners as well as other relevant stakeholders to promote quality services and empower individuals and communities to make informed decisions about their health, thereby promoting healthy lifestyles and enhanced quality of life of Nigerians.
DIVISIONS IN THE DEPARTMENT
The Department consists of five Divisions namely:
1) Child Health Division
2) Gender, Adolescent School Health and Elderly Care (GASHE) Division
3) Health Promotion Division
4) Nutrition Division
5) Reproductive Health Division
- CHILD HEALTH DIVISION
The Child Health Division is made up of three branches viz:
i. Child Survival;
ii. Newborn Care
iii. Maternal Newborn and Child Health Coordination/Programme Management
The functions of the Division covering all the branches are as listed below:
i. Focal point on issues concerning the health and total well-being of the Nigerian child;
ii. Provision of policy direction as well as formulation of policies and guidelines on issues pertaining to the health of the Nigerian Child;
iii. Coordination of all programmes and activities related to Child health;
iv. Coordination of all programmes and activities of the National Partnership for Maternal, Newborn and Child Health secretariat;
v. Coordination of the meetings of the Core Technical Committee (CTC) for Maternal, Newborn and Child Health (MNCH);
vi. To ensure implementation of recommended action points of CTC;
vii. To ensure implementation of Integrated Maternal, Newborn and Child Health (IMNCH) policy strategy at the State level in accordance with the National guidelines;
viii. Focal point between the Federal Ministry of Health and State Ministries of Health on the implementation of the IMNCH Strategy;
ix. Development of proposal and budget action plans related to child health as well as IMNCH
x. Provision of technical support to State Ministries of Health/State IMNCH focal persons on issues pertaining to Maternal and Child health;
xi. Sensitization of State Commissioners of Health, LGA Chairman and opinion leaders in the community/community-based organizations on Maternal, Newborn and Child health matters;
xii. Development and institutionalisation of Supervision, Monitoring and Evaluation systems for implementation of Maternal and Child Health interventions at the State level;
xiii. Performance of any other functions assigned by the Honourable Minister of Health through the Head of Department.
- GENDER, ADOLESCENT SCHOOL HEALTH AND ELDERLY CARE (GASHE) DIVISION
The GASHE Division is made up of three branches viz:
i. Adolescent/ School Health
ii. Care of the Elderly
iii. Gender and Female Genital Mutilation Control
The functions of the Division covering all the branches include:
i. Provision of Leadership for programmes in Gender, Adolescent School Health and Elderly Care ;
ii. Coordination of Activities in Gender, Adolescent School Health and Elderly Care Programmes;
iii. Management of Resources for Gender, Adolescent/School Health and Elderly Care Programmes;
iv. Performance of other functions assigned by the Honourable Minister of Health through the Head of Department.
- REPRODUCTIVE HEALTH DIVISION
The Reproductive Health Division is made up of three branches viz;
i. Safe Motherhood;
ii. Family Planning Services and Logistics
iii. Vesico-Vagina Fistula Control Programme
The functions of the Division covering all the three branches are as listed below:
a) Safe Motherhood Branch
Mandate: Improvement of Maternal and Newborn Health with reduction in maternal mortality ratio through ensuring skilled attendance at birth, provision of equipment, Midwifery and Mama Kits among others.
i. Development of training manuals on life Saving Skills for Doctors, Midwives and Community Health Extension Workers
ii. Development and printing of National Guidelines on Maternal and Newborn Health
iii. Development and printing of Information Education and Communication materials relating to Maternal and Newborn Health
iv. Development of protocols on Essential Obstetric Services
v. Development of Job aids on Safe Motherhood
vi. Working in Partnership with Development Partners on Safe Motherhood Projects in Nigeria–WHO, UNFPA, IPAs, Pathfinder International, CEDPA, MacArthur Foundation, Venture Strategies for Health Development & IPAs.
vii. Monitoring and Supervision of Safe Motherhood Programs in the country.
b). Family Planning Branch
Mandate: To ensure the availability of contraceptive commodities for provision of quality Family Planning Services at all levels of Healthcare delivery for the purpose of Family planning/child birth spacing and prevention of sexually transmitted infections.
i. Training of Clinical Service Providers on Modern Methods of Family Planning
ii. Development and Review of Training Manuals, Guidelines and Protocols on Family Planning Services;
iii. Production of Information Education Communication/Behaviour Change Communication materials on Family Planning
iv. Work in Partnership with Development Partners on Family Planning projects in Nigeria- World Health Organisation (WHO) , United Nations Populations Fund (UNFPA), Society for Family Health (SFH), Family Health International (FHI), Association for Reproductive and Family Health (ARFH), Nigerian Urban Reproductive Health Initiative (NUHRI), Department for International Development (DfID), United States Agency for International Development (USAID), John Snow Incorporated/Deliver Project, Bayer Pharma & Merck Sharpe among others
v. Forecasting and procurement of Family Planning Commodities.
vi. Mobilization of resources for the procurement of contraceptive commodities using UNFPA facilities.
vii. Distribution of procured commodities to the 36 states of the federation and Federal Capital Territory, Abuja.
viii. Building the capacity of implementers on the Contraceptive Logistics Management System (CLMS).
ix. Coordination of State implementers on Family planning.
x. Monitoring and evaluation of the National Family Planning Programs in the states
c). Vesico-Vaginal Fistula Control Branch
i. Co-ordination of Vesico-Vagina Fistula Control activities in existing VVF centers through facility supportive supervision.
ii. Co-ordination of the Partners and other Stakeholders involved in the VVF prevention and management.
iii. Holding National Technical Working Group Meetings.
iv. Organising International Day Activity to end Fistula.
v. Monitoring and evaluation of VVF activities across the country.
vi. Training of Doctors, Nurses and Medical Personnel’s on the management of VVF.
vii. Organizing mass repair of VVF cases across the country.
- HEALTH PROMOTION DIVISION
The Reproductive Health Division is made up of three branches viz;
i. Health Education ;
ii. Service Improvement;
iii. Advocacy/ Behaviour Change Communication Materials Development;
The functions of the Division covering all the three branches are as listed below:
i. Development of Healthy Public Policies;
ii. Creation of supportive environments for health;
iii. Strengthening of community action for health;
iv. Capacity building for best Health Promotion practices;
v. Re-orientation of health service providers;
vi. Development of Health Promotion Behaviour Change Communication (BCC) Materials;
vii. Public enlightenment and awareness creation/campaigns on public health issues.
5. NUTRITION DIVISION
The Reproductive Health Division is made up of three branches viz;
i. Micronutrient Deficiency Control
ii. Monitoring and Evaluation/Nutrition Information and Surveillance System (M & E NISS)
iii. Infant and Young Child Feeding
The activities of the Nutrition Division are based on the National Nutrition Policy/Programme having an overall objective to improve and sustain the nutritional status of Nigerians and combat the problem of nutrient deficiencies especially Micronutrient Deficiencies and Protein Energy Malnutrition.
The functions of the division covering all the three divisions include:
i. Provision of leadership for programmes in Nutrition, Infant & Young Child Feeding, Micronutrient Deficiencies Control and M & E/NISS;
ii. Coordination of Activities in Nutrition Programmes;
iii. Management of Resources for Nutrition Programmes;
iv. Collaboration with Partners in the development and Implementation of Nutrition Programmes;
v. Policy Formulation on Nutrition related matters;
vi. Provision of guidelines for service delivery;
vii. Advocacy, Information, Education, and Communication;
viii. Capacity Building (Training);
ix. Monitoring, Supervision and Evaluation;
x. Carry out other functions assigned by the Honourable Minister of Health through the Head of Department;
xi. The Head of Division is the Country Focal Point for Scaling Up Nutrition (SUN) Movement in Nigeria
SAVING ONE MILLION LIVES PROGRAMME FOR RESULTS (SOML P for R).
The SOML P for R is a government program launched in 2012 which aims to change the focus on inputs (such as drugs, health facilities, hiring more healthy workers) to results for beneficiaries. The program (supported by a $500 million credit from the World Bank that became effective in late May 2015 rewards states with unified fiscal transfers from the Federal Government when they achieve improvements in the coverage and quality of key Maternal and Child Health (MCH) services as measured by independent household and health facility surveys.
i. Coordination and provision of Technical Support to State Ministries of Health.
ii. Timely collection of data and its publication.
iii. Implementing and overseeing the disbursements of funds to States.
iv. Facilitating the disbursement of funds to the States.
1. Development of the Communication for Behaviour & Social Change (CBSC) Strategy (2009) for IMNCH
2. The institutionalization of the bi-annual MNCHWeek nationwide – 2010
3. Review of the National Reproductive Health Policy (2010)
4. Development of the National Guidelines for Community Management ofAcute Malnutrition (CMAN, 2010)
5. Development of Action Plan for Advancing Young People’s Health & Dev. (2010)
6. Development of guidelines for community use of Misoprostol (2011)
7. Guidelines on Nutritional Care & Support for People Living with HIV (2011)
8. Development of Information flyer on National Consensus on Infant Feeding in the Context of HIV (2011)
9. Upgrade of the South East VVF Centre, Abakaliki to the National Obstetric Fistula Centre (2011)
10. Facilitate procurement & distribution of free Emergency Obstetric care andContraceptive Commodities and Build capacity for service providers nationwide (2011)
11. United Nations for Health 4-Canadian International Development Agency (UNH4-CIDA).
12. Advocacy visit to GM Hospital Management Board, FCT, 30th June, 2011 and
13. Federal Radio Corporation of Nigeria (FRCN)
14. Signing of Memorandum of Understanding between FMoH and Griffith
15. University, Australia. 5th July, 2011
16. Implementation of monthly Core Technical Committee meeting to build consensus on issues of Maternal, Newborn and Child Health such as IMNCH state roll out which has been carried out successfully in 22 states.
- IMCI facility and community based training materials finalized and capacity of 24 Health workers built on utilization of the materials.
- Commemoration of World Pneumonia Day by creating awareness amongst the public on the causes, treatment and prevention of Pneumonia in children.
- Assessment of 26 FTHIs Neonatal Intensive Care Unit and collation of the inventory of the available incubator.
- Review of IMCI training materials to address the major causes of illness and deaths in children and document is ready for field testing and subsequent printing
- Orientation of Federal level facilitators on May 2011 MNCH Week Monitoring and Evaluation tools.
- Improved coverage of Vitamin A supplementation, De-worming, Hand washing, Nutrition Screening during wide Implementation of Nov/Dec 2010 MNCHW. Theme: “A package for a life-time of better health for the family”.
- Representation on the Board of the Global partnership for Maternal, Newborn and Child Health, 2011.
- Hosting of the 13th PMNCH Board Meeting in Abuja, Nigeria. 2012.
25. 1. Capacity of 170 Doctors and Nurses were built in the whole federation on the use of Magnesium Sulphate and Misoprostol, October, 2011.
26. National guidelines for the integrating of RH/HIV was presented to RH technical working group meeting for approval, 15th September, 2010.
- Guidelines for community use of Misoprostol by skilled birth attendants were developed, March 2011.
- Stakeholders meeting with Nursing and Midwifery Council of Nigeria and Principals of Schools of Midwifery to update them on the current impact made towards achievement of MDG 4 & 5, 15th – 16th February, 2011.
- Finalization of the Modified Life Saving Skill Curriculum and Manual for CHOs and CHEWs and document ready for editing and printing, 14th – 17th March, 2011.
- Inclusion of Misoprostol and Magnessium Sulphate in Essential Drug list, March 2011.
- Finalisation, printing and distribution of Reproductive Health Policy, 2nd November, 2011.
- 1st National Family Planning Conference held in November, 2010 was used as an advocacy tool for a budget line for family planning and provision of free contraceptives commodities to address natural unmet needs.
- Training of Family Planning Service Delivery Point (SDP) providers as Master Trainers in Bauchi, Jigawa, Zamfara and Sokoto states.
- Data collection on contraceptive stock status assessment in 34 States and FCT
- Implementation of Reproductive Health Commodity Security (RHCS) Strategy workshop to forecast the family planning commodities needs by States and develop plan of action.
- Quarterly distribution of Family Planning commodities and presentation of free Commodities to FCT, Abuja to kick start the distribution of free Commodities to all States of the Federation to ensure availability of condoms and contraceptive commodities for effective service delivery
- Provision of budget line for family planning programme in the Ministry
- Development of reused Reproductive Health Commodity Security Strategic Plan 2011 – 2015.
- Mobilisation of resources for the procurement of 2011 contraceptics. Nigeria is one of the 12 stream 1 countries supported by UNFPA in Global Programme on Reproductive Health Commodity Security
- Scoping Mission to VVF Centre Ebonyi and personnel verification and document exercise i) 5th – 6th August, 2010 (Scoping Mission). ii) 17th – 21st January, 2011 (Personnel Verification).
- Takeover of VVF Centre Ebonyi as National Obstetric Fistula Centre, 20th May, 2011.
- Ground breaking of the National VVF centre in Kwali Area Council, 24th November, 2009.
- Review of the VVF Strategic Frame Work document by the National Working Group, 14th December, 2011.
- Training of doctors and nurses on VVF repair and management. Ebonyi and Katsina. 1st Batch: 23rd May – 4th June, 2011. 2nd Batch: 13th – 25th June, 2011. 3rd Batch 27th June – 9th July, 2011. 4th Batch 12th – 25th September, 2011. 5th Batch: 17th – 29th October, 2011.
- 2nd National Health Promotion Conference (NHPC) was held in July 2010 to share Health Promotion best practices and create awareness on preventive health practice.
- IMNCH Communication for Behaviour and Social Change Strategy (CBSC) was finalised and six zonal workshops were held to build the capacity of 189 health workers on utilisation of the Strategy.
- IEC Materials on Breast, Cervical and Prostate Cancer were developed, pretested, produced and distributed to the public, school pupils and prison inmates in Kuje & Suleja Prison, January – February, 2011.
- Held Health Promotion Communication Forum meeting to review Coordination Strategy with Partners & Stakeholders, 2010 - 2011.
- Commemoration of 2011 World Health day through Ministerial press briefing on health consequences of drug resistance, production and dissemination of IEC Materials to the public, April 2011.
- Developed draft guideline and facilitator’s training manual on Health Promotion at informal workplace
- One day stakeholders meeting on improving access to health care services for persons with disabilities. 16th June, 2011.
- Interview on weekly Radio programme ‘’Your Health’’ on the status of Elderly to create awareness in the public, Abuja, 5th June, 2011
- Capacity building of 54 Community Health Physicians/Program Officers from 15 FTHIs on Care and Well being of the Elderly. A model harmonized workplan was developed to be implemented by FTHI’s represented.
- Capacity of 80 dedicated health workers were trained on the provision of Adolescents friendly health services in two centres from the 6 geopolitical zones.
- Commemoration of Female Genital Mutilation (FGM) day through sensitisation of Media, Government and stakeholders on mechanism for the elimination of FGM.
- Retreat for 24 FMoH officers to enhance their skills on the principles of Youth Friendly Health Services (YFHS).
- Development of instrument for measurement of management of Gender Based Violence in health facilities.
- Review of Adolescent Health and development training manual and clinical service protocol
- TOT for teachers, students and food handlers on public health issues in six schools in the southern zones and pretest training for 28 health workers in the six southern geopolitical zones.
- Setting up of a model Youth Friendly Health Services in Kuje General Hospital in partnership with Action Health Incorporated (AHI).
- National Dissemination and Sensitisation meetings on the revised policy with stakeholders in all the States at Jos and Owerri in August, 2008 and 16, December, 2009.
- Documents Developed & Produced for Adolescent/School Health Program
- RH/HIV Integration. The National guidelines on RH/HIV integration was presented to meeting, key points to advance implementation of RH/HIV in Nigeria was developed.
- Improved coverage of Vitamin A supplementation, De-worming, Nutrition Screening and health education on Hand washing, EBF, Complementary feeding, etc.
- Supportive Supervision was carried out by Federal team in 19 States and FCT during the maiden edition of the MNCH Week in May 2010 to monitor progress.
- The National Guidelines for Community Management of Acute Malnutrition (CMAM) was developed, presented to stakeholders and approved at the 54th National Council on Health.
- 56 health workers were trained on Infant and Young Child Feeding (IYCF) and Nutrition Information and Surveillance System (NISS) in Kaduna and Bauchi States in 2010.
- Commemoration of World Breastfeeding Week (WBW), 2009 flag off was held in Zamfara State; 2010 flag off was held in Bayelsa State, and in 2011 Theme: ‘’10 Step to Successful Breast Feeding” was celebrated in FCT, Abuja and Bayelsa State to create awareness on the importance of breastfeeding, the flag off in FCT was chaired by the Honourable Minister of Health.
- Capacity building of 28 FMOH Staff on the concept of BFI and the assessment tools for designated BFHI
- Training of master trainers on Community IYCF. Minna & Enugu 13th – 17th June, 2011.
- FCT Community IYCF Training workshop of facilitators 7th – 14th August, 2011.
- 22 designated health facilities were re-assessed in FCT, Abuja using the tools on the 10 steps to successful breastfeeding, 2010.
- Reassessment of 96 BFHI, training of 360 health worker and the inauguration of BFSGs in the FTHIs in 12 states namely Edo, Anambra, Delta, Imo, Ogun, Yobe, Lagos, Benue, Kaduna, Borno, Zamfara, 2011.
- Information flyer on National Consensus on Infant Feeding in the Context of HIV/AIDS in Nigeria was developed, presented to stakeholders at the 54th National Council on Health, approved and launched, May 2011.
- National Plan of Action on Infant & Young Child Feeding in the context of HIV/AIDS in Nigeria was developed, presented to stakeholders at the 54th National Council on Health and approved, May 2011.
- Policy and guidelines on IYCF was reviewed, printed and disseminated, November 2011.
- Development of draft IYCF Communication and Advocacy strategy document
- Finalization of Community Management of Acute Malnutrition guideline and Monitoring & Evaluation tools ready for printing.
- Trained 107 Community Health workers on CIYCF in the six states of the North Central zone.
- Review of IYCF/CIYCF manuals.
- Held National Nutrition partners meeting on 29th November, 2011
- Nutrition officers review meeting and dissemination of IYCF policy and guidelines from 30th November – 2nd December, 2011.
- Nigerian is a member of Scaling Up Nutrition (SUN) movement, 2011.
84. Training for CHEWs on LARC methods (IUDs & Implants) 1st Nov- 11th Nov. 2015 @ Kano
85. Conduct of Global Program to Enhance Reproductive Health Commodity Survey in 36 states and FCT. 16th -28th Nov. 2015.
86. Supervision, Monitoring and Evaluating progress in implementation of iCCM Programmes in Abia and Niger States from 23rd November – 3rd December, 2015
87. Field testing of MNCH ISS tools and user guide carried out in 7 States: Enugu, Kwara, Ogun, Akwa-Ibom, Kaduna, Katsina and Yobe from 30th November – 18th December, 2015
88. Distribution of Contraceptive commodities to 36 states and FCT. 30th Nov. – 10th Dec 2015.
89. Meeting to review the National Scale up plan for Chlorhexidine in Abuja on 8th December, 2015
90. Inauguration of the Child Health Technical Working Group and 1st inaugural meeting in Abuja on 10th December, 2015
91. Finalization of LARC Training Manuals for Physicians/Nurse Midwives and CHEWs in Dec 2015
92. Finalization of Post Training Supportive Supervision Tool in Dec 2015
93. Launching of Piloting on FP Commodities with Private Facilities in Lagos and Kaduna through SHOPS in Dec. 2015.
94. Development of website and publication of Saving One Million Lives Performance for Results e-Newsletter www.somlpfor.org.ng January 2016
95. World Bank received technical support for 8 states: Mother GOLD, February 2016
96. Had interactions with Wife of Mr. President and Senate President for the support and collaboration March 2016
97. Launch of the UNFPA/UNICEF joint program on FGM/C in Nigeria, 9th February 2016.
98. Launch of “dasubjectmatter.com” an online website on Adolescent Health and Development in Abuja on 16th February, 2016
99. National Summit on accountability for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) from 16th - 18th February 2016.
100. Stakeholders meeting to discuss nationwide implementation of MPDSR using existing structures (Polio, Vital Registration and Disease Surveillance). Stakeholders agreed on modalities for leveraging existing Structures for nationwide implementation of MPDSR – Director, Family Health office on Thursday 25th February, 2016.
101. Inauguration of the Technical Committee on the Operationalization of the VAPP Act (Violence Against Persons Prohibition Act) for the medical management of victims of violence in Nigeria in Abuja on 1st March, 2016
102. 1st Quarter National Child Health working group meeting in Abuja from 30th – 31st March, 2016
103. MNCH2 Technical Working Group meeting in Kano State from 30th -31st March, 2016
104. TOT for Master Trainers on CHEW LARC Manual in Abuja 3rd -16th April 2016
105. Launching and dissemination of LARC Documents in Abuja 5th April, 2016.
106. Finalisation of ISS tools and user’s guide in Kano State from 18th – 21st April, 2016
107. Training of prioritized States LGA’s Social Mobilization Committee on Ebola Viral Disease in 10 States, from 18th – 27th April, 2016.
108. Advocacy visits to 18 Northern States to promote the use of commodities towards reduction of neonatal mortality from 25th – 27th April, 2016
109. Quarterly National Reproductive Health Technical Working Group Meeting in Abuja from 29th -30th April, 2016
110. 2nd Quarter Joint RAcE Supervisory and Monitoring visit on iCCM implementation sites in Niger and Abia States from 23rd May – 3rd June, 2016
111. Finalisation of Family Planning communication Plan of Action in Abuja from 25th – 27th May, 2016
112. Distribution of Family Planning Commodities in 36 states and FCT from 16th – 31st May, 2016
113. Development of Communication plan for Yellow Fever outbreak in Nigeria from 10th – 17th June, 2016
114. Development of Strategic Behaviour Change Communication on infectious diseases across Nigeria entry points in Ogun States from 20th -24th June, 2016
115. Core Technical Committee for MNCH in Abuja on 21st June, 2016
116. SOML Launch and disbursement of funds to the 36 States and FCT in Abuja on 10th July, 2016
117. Technical review meeting on National Family Planning Programme in Abuja from 21st – 22nd July, 2016