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US malaria funding cut may worsen Nigeria’s maternal mortality
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By Francesca Hangeior
Nigeria’s already alarming maternal and infant mortality rates may worsen following an executive order signed by the United States President, Donald Trump, to halt funding support for malaria treatment in the country and other developing countries.
Trump, who was recently sworn in as the 47th US president, stopped the supply of medical aid related to malaria, and tuberculosis as well as the supplies of drugs and equipment meant for newborns in USAID-supported countries.
The US president halted foreign aid for 90 days with a likelihood of a longer pause in foreign assistance.
This executive order, however, made health experts express concerns that the halt in malaria funding by the Trump administration could lead to an increase in malaria-related deaths among pregnant women and children under the age of five in Nigeria.
They warned that the consequences of the funding cut would be devastating, particularly for vulnerable populations such as pregnant women and children.
Malaria is responsible for about 11 per cent of pregnancy-related deaths annually in Nigeria, according to the National Malaria Elimination Programme, an agency of the Federal Ministry of Health and Social Welfare.
According to the United Nations Children’s Fund, Nigeria accounts for nearly 20 per cent of global maternal deaths, with an estimated 576 maternal deaths per 100,000 live births.
UNICEF added that the country also has one of the highest infant mortality rates, with 69 deaths per 1,000 live births.
Similarly, the World Health Organisation reports that malaria is a leading cause of death in Nigeria, especially among pregnant women and children.
In 2023, WHO revealed that Nigeria accounted for 30.9 per cent of malaria deaths in the African region.
The global health agency noted that the disease is endemic in Nigeria, with the majority of the population at risk of infection.
The halt in malaria funding by the Trump administration experts fear could worsen the already dire situation.
PUNCH Healthwise reports that the funding previously provided through the US Government’s President’s Malaria Initiative, had been instrumental in reducing malaria-related deaths in Nigeria.
A 2024 report by PMI revealed that the U.S. president’s funding has contributed $914 million to Nigeria’s fight against malaria since 2011. This includes $73 million in 2023
In 2020, despite the constraints of COVID-19, PMI helped Nigeria provide 14.7 million treatment doses at the facility and community levels, 8.2 million of which were for pregnant women and children.
PMI distributed 7.1 million insecticide-treated mosquito nets, provided 7.2 million rapid test kits, and trained 9,300 health workers to properly diagnose and treat patients for early detection of the disease.
In 2023, the U.S. Agency for International Development, through PMI funding and programmes, delivered 13.4 million bed nets, 6 million fast-acting medicines, and 11.8 million Malaria Rapid Diagnostic Tests to clinics and communities in Nigeria.
Similarly, in November 2024, USAID committed $2.3 million to procure 4.8 million doses of life-saving malaria tablets from Swiss Pharma (Swipha) in a landmark partnership that will expand access to essential medicines in Nigeria and West Africa.
However, the plan to stop such funding has raised concerns and fear among experts, who argued that such could worsen the country’s already alarming maternal and infant mortality rates.
The experts, who spoke to our correspondent, warned that the funding cut would severely impact Nigeria’s ability to control malaria, particularly in rural areas where access to healthcare was limited.
A malaria researcher, Prof Chijioke Nwauche warned that the halt in malaria funding by the United States government could have a devastating impact on Nigeria’s fight against the disease.
Nwauche noted that the US had been a significant contributor to Nigeria’s malaria control efforts.
He stressed that the cut in funding could lead to a surge in malaria-related deaths, particularly among pregnant women and infants.
“Malaria is a major public health concern in Nigeria, and anything that affects our ability to control it will have a negative impact on our maternal and infant mortality rates,” Nwauche said.
The don noted that the Nigerian government needed to take urgent action to address the funding gap, by increasing domestic funding for malaria control programmes and exploring alternative sources of funding.
Nwauche also emphasised the need for the government to address the brain drain in the health sector, which has seen many medical professionals leave the country in search of better opportunities.
“We need to find a way to retain our health personnel, by providing them with better working conditions, training, and equipment,” he said.
He also called on the media to play a critical role in holding the government accountable for its actions and to ensure that the voices of Nigerians are heard.
“The media has a critical role to play in speaking truth to power, and in ensuring that the government is held accountable for its actions,” Nwauche said.
On his part, a consultant gynaecologist at the University of Lagos Teaching Hospital, Dr. Adeyemi Otunuya, stressed that without adequate funding, the country would see a surge in malaria-related deaths.
Otunuya explained that the funding cut would also impact the availability of insecticide-treated bed nets, which are a crucial tool in preventing malaria.
According to the maternal health expert, malaria is a major threat to women’s health in Nigeria, particularly during pregnancy.
The gynaecologist explained that malaria can affect women in several ways, including increasing the risk of miscarriage, stillbirth, and preterm labor.
“Malaria can also lead to anemia, which can increase the risk of maternal mortality,” he added.
The expert warned that the halt in malaria funding could worsen maternal mortality in Nigeria, particularly in rural areas where access to healthcare is limited.
“The funding cut will reduce the availability of insecticide-treated bed nets, which are a crucial tool in preventing malaria,” Otunuya noted.
The physician also stressed that the funding cut will impact the availability of antimalarial drugs, which are essential for treating malaria in pregnant women.
He urged the government to take immediate action to address the funding gap and ensure that pregnant women have access to the treatment they need.
News
List: FG endorses 33 more universities
The Federal Government has endorsed 33 new universities across Nigeria, increasing the total number of universities in the country to 309.
The approvals include seven federal universities, six state-owned universities and 20 private universities.
The seven new federal universities are the Federal University of Environment and Technology, Tai, Rivers State; Federal University of Applied Sciences, Kachia, Kaduna State; Tai Solarin Federal University of Education, Ijagun, Ogun State; Federal University of Agriculture and Developmental Studies, Iragbiji, Osun State; Federal University of Technology and Environmental Studies, Iyin-Ekiti, Ekiti State; Federal University of Agriculture and Technology, Okeho, Oyo State; and the Federal University of Health Science and Technology, Tsafe, Zamfara State.
The six new state universities are Abdulsalam Abubakar University of Agriculture and Climate Action, Mokwa, Niger State; Ebonyi State University of ICT, Science and Technology, Oferekpe, Ebonyi State; University of Aeronautics and Aerospace Engineering, Ezza, Ebonyi State; Benue State University of Agriculture, Science and Technology, Ihugh; Cross River University of Education and Entrepreneurship, Akamkpa, Cross River State; and the University of Innovation, Science and Technology, Omuma, Imo State.
The approvals also include 20 private universities.
Among them are Omega University in Delta State, Regnum Medical University in Lagos State, Transatlantic University of Medicine and Health Sciences in Anambra State, City University in Ogun State, University of Fortune in Ondo State, Eranova University in the Federal Capital Territory, Minaret University in Osun State, Abdulrasaq Abubakar Toyin University in Kwara State, Southern Atlantic University in Akwa Ibom State, Lens University in Kwara State, Monarch University in Ogun State, Tonnie Iredia University of Communication in Edo State, Isaac Balami University of Aeronautics and Management in Lagos State, Kevin Eze University in Enugu State, Bridget University in Imo State, Leadership University in Abuja, Jimoh Babalola University in Kwara State, Greenland University, JEFAP University in Niger State, Azione Verde University in Imo State and Unique Open University in Lagos State.
News
FG bars MDAs from awarding contracts without warrants
Disturbed by the manner Ministries, Departments and Agencies of Government, MDAs flagrantly spend money without adequately aligning with Revised Bottom-Up-Cash Management Policy Framework, to this end, the Federal Government welded the big stick by barring MDAs from awarding contracts without warrants.
Ministry of Finance in a circular has ordered that due process must be followed or heavy sanctions awaits such government bodies.
In a circular signed by the Minister of Finance, Taiwo Oyedele in a sighted by this medium, it was expressly stated that :”The revision of this policy will further ensure that MDAs comply with statutory and regulatory provisions governing public financial management”.
In the memo it was also stated that “It should be noted that Accounting Officers who contravene this policy shall be personally liable for any resultant commitments, in accordance with the provisions of • Financial Regulation 310 (Personal Responsibility for Expenditure • Public Service Rules 030402 (Serious Misconduct • Fiscal Responsibility Act Section 48 (Offences and Penalties – Independent Corrupt Practices and Other Related Offences Act (ICPC Section 22 Sub-sections 4.
Under the new framework, no MDA is permitted to issue letters of award, sign contracts or enter into financial obligations unless the corresponding Warrant or Authority to Incur Expenditure covering the full or committed portion of the contract sum has been duly released by the Honourable Minister of Finance and Coordinating Minister of the Economy to the Accountant General of the Federation.
The circular also makes it clear that budgetary allocations alone do not constitute legal authority to spend public funds.
According to the directive, “Estimates in the Appropriation Act or budgetary provisions do not confer automatic spending authority. Only duly released Warrants/AIE issued by the Honourable Minister of Finance and Coordinating Minister of the Economy in line with Financial Regulation 301 confer legal authority to incur expenditure.”
The policy cites Financial Regulation 415, Section 22 of the Fiscal Responsibility Act, 2007, Section 16(1)(b) of the Public Procurement Act, 2007 and relevant provisions of the Independent Corrupt Practices and Other Related Offences Act as the legal basis for the revised framework.
Government said the new measures are designed to align financial commitments with actual funds availability, strengthen expenditure controls and halt the growing accumulation of unfunded contractual liabilities arising from contracts awarded without the necessary financial backing.
The circular also introduces changes to the cash management process by abolishing the requirement for MDAs to submit monthly cash needs before the issuance of Warrants. Instead, Warrants will be issued based on approved budget implementation priorities and available Capital Development Fund balances.
In addition, all MDAs are required to prepare quarterly cash plans in line with their ministerial priorities and procurement plans for submission to the Office of the Accountant General of the Federation to improve cash flow forecasting and budget execution.
The Federal Government warned that Accounting Officers who disregard the directive would bear personal responsibility for any commitments arising from contracts awarded in violation of the policy.
It stated that such officers would be held liable in accordance with the Financial Regulations, the Public Service Rules, the Fiscal Responsibility Act and other applicable laws governing public financial management.
The directive takes immediate effect and supersedes all previous instructions inconsistent with the revised framework. It also provides that all 2026 capital projects across Federal Ministries, Departments and Agencies shall be implemented in accordance with the new policy.
The government directed all Accounting Officers, Directors and Heads of Finance and Accounts, as well as Internal Audit Departments and Units across MDAs and other arms of government, to ensure strict compliance with the circular.
News
Posterity will judge you well for devt of FCT -First Lady Remi Tinubu
…Commends Wike’s Green Transformation of Abuja, Urges States to Engage Youth in Environmental Protection
First Lady of Nigeria, Senator Oluremi Tinubu has commended the Minister of the Federal Capital Territory (FCT), Nyesom Wike, for transforming Abuja’s City Gate into a major recreational and environmental landmark.
She was speaking during a ceremony to honour the FCT Administration for its environmental efforts which she said is in line with the just concluded category of the ongoing Green Nigeria Challenge of the Renewed Hope Initiative.
Senator Oluremi Tinubu said she was impressed by the transformation of the City Gate, describing it as “unbelievable.”
She stated that despite a ₦50 million prize set aside under the Green Challenge to encourage states to reclaim abandoned spaces and dumpsites, no state entered for that category of the competition.
“It was a ₦50 million prize money and they didn’t enter. This was supposed to get our youth involved,” she said.
The First Lady explained that the initiative was designed to encourage states to convert neglected public spaces into clean and attractive environments.
“The transformation reflects the vision behind the just concluded Community Category of the Challenge which was designed to encourage youth groups to transform degraded public spaces, including dumpsites and abandoned areas, into green parks, gardens and other eco-friendly spaces. Our goal is to compliment government’s effort in beautifying our environment and promoting healthier communities towards improving the quality of life of our people.”
“The remodeled Abuja City Gate is an excellent example of what abandoned public areas can become: a transformed key national landmark that warmly welcomes all Nigerians and visitors to our nation’s capital.”
“When I saw what he did with the City Gate, my God, unbelievable, unbelievable. I want to thank him. He’s done very well.”
“This was to turn around abandoned spaces, dumpsites, and we see a lot of it around the states.”
Senator Oluremi Tinubu also appealed to Wives of State Governors to mobilise the youth to participate in environmental clubs and sustainability initiatives in schools and tertiary institutions.
“I’m using this opportunity to appeal to our First Ladies: Get our young children into the environmental clubs and environmental societies for our youth in tertiary institutions.”
“I remember when I was in the College of Education, I was a member of the Youth Environmental Programme for West Africa. We travelled from Nigeria throughout West Africa by road. It was a memorable experience for us.”
According to the First Lady Senator Oluremi Tinubu, young people must be encouraged to contribute to national development through environmental stewardship.
“We have to engage our young people and make sure that they can help build. Everybody has something to contribute to this country. It’s a great country and that’s why we are doing all we can.”
In his remarks, the FCT Minister, Nyesom Wike revealed that the First Lady personally inspired the transformation of Abuja’s City Gate.
“The First Lady has to be commended for the FCT keying into the Renewed Hope Green Initiative because she has always said we have to change our environment and create opportunities where people can gather and relax.”
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