trend analysis of health and nutrition budget in...
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Tr e n d A n a l y s i s o f
HEALTH AND NUTRITION BUDGET IN NIGERIA
(2014 - 2018)
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MALNUTRITIONNutrition Related Intervention
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NASARAWA STATENutrition Related Intervention
2014 2015 2016 2017
5.57m0.131
63.02m 63.37m
2018
N/A
Nasarawa - Nutrition Specific AllocationActual Spending
(Amount in Naira)
Source: Nasarawa state government
Nasarawa - Nutrition Specific Allocation Nasarawa State Budgetary Allocation Nutrition specific ( Amount in Naira)
YEAR BUDGETARY ALLOCATION ACTUAL SPENDING BUDGET PERFORMANCE
2014 54,000,000
2015
2016
2017
2018
64,999,498
64,200,000
193,200,000
229,250,170
5,568,000
131,000
63,015,000
63,368,000
N/A
10.31%
0.20%
98.15%
32.80%
N/A
Source: Nasarawa state government
Nasarawa - Nutrition Specific Allocation Inflation Adjusted : Nasarawa State Budgetary Allocation Nutrition specific ( Amount in Naira)
YEAR BUDGETARY ALLOCATION ACTUAL SPENDING BUDGET PERFORMANCE
2014
2015
2016
2017
2018
10.31%
0.20%
98.15%
32.80%
N/A
Source: Nasarawa state governmentCentral Bank of Nigeria (Implicit Deflator; 2014 = 133.36; 2015 =139.91; 2016= 160.15; 2017=168.17; 2018 =185.15)
74,528,959
87, 217, 231
78,642,851
212,971,522
229,250,170
7,684,764
175,778
77,191,266
69,852,895
N/A
Clearly, between 2014 and 2018, the state government has under-allocated to the Nutrition sector. Budget performance which peaked at 98.15 percent in fiscal year 2016 was 10.31 percent and 0.20 percent in fiscal year 2014 and 2015 respectively.
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KADUNA STATE Nutrition Related Intervention
Kaduna - Nutrition Specific Allocation Kaduna State Budgetary Allocation Nutrition specific (Amount in Naira)
YEAR BUDGETARY ALLOCATION ACTUAL SPENDING BUDGET PERFORMANCE
2014
2015
2016
2017
2018
0
57,000,000
603,480,000
296,190,340
N/A
0.00%
18.34%
182.87%
10.27%
N/A
Source: Kaduna state government
Nasarawa - Nutrition Specific Allocation Inflation Adjusted : Kaduna State Budgetary Allocation Nutrition specific ( Amount in Naira)
YEAR BUDGETARY ALLOCATION ACTUAL SPENDING BUDGET PERFORMANCE
2014
2015
2016
2017
2018
0.00%
18.34%
182.87%
22.07%
N/A
Source: Kaduna state government
0
76,483,393
739,242,803
326,501,591
N/A
Clearly, between 2014 and 2018, the state government has under-allocated to the Nutrition sector. Budget performance which peaked at 182.87 percent in fiscal year 2016 was 18.34 percent and 10.27 percent in fiscal year 2015 and 2017 respectively. Additional N16.43 billion was allocated for the Intervention to improve Nutrition in Primary and Secondary Schools. Also, an additional N1.17 billion was allocated for Water and sanitation.
117,750,500
310,744,516
330,000,000
1,342,083,251
1,127,760,034
162,515,226
416,961,316
404,238,956
1,479,428,116
1,127,760,034
2014 2015 2016 2017
0.00 57m
603.48m
296.19m
2018
N/A
Kaduna - Nutrition Specific AllocationActual Spending
(Amount in Naira)
Source: Nasarawa state government
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KANO STATE Nutrition Specific Allocation
Kano State Budgetary Allocation Nutrition specific (Amount in Naira)
YEAR BUDGETARY ALLOCATION ACTUAL SPENDING BUDGET PERFORMANCE
2014
2015
2016
2017
2018
142,699,667
10,000,000
55,383,330
74,530,330
N/A
22.84%
1.70%
6.24%
43.58%
N/A
Source: Kano state government
Inflation Adjusted : Kano State Budgetary Allocation Nutrition specific ( Amount in Naira)
YEAR BUDGETARY ALLOCATION ACTUAL SPENDING BUDGET PERFORMANCE
2014
2015
2016
2017
2018
22.84%
1.70%
6.24%
43.58%
N/A
Source: Kano state governmentCentral bank of Nigeria (Implicit Deflator; 2014 = 133.36; 2015 =139.91; 2016= 160.15; 2017=168.17; 2018 =185.15
196,949,216
13,418,139
67,842,726
82,157,545
N/A
624,647,808
587,254,467
887,209,008
171,000,000
1,480,320,620
862,117,612
787,986,216
1,086,801,342
188,499,639
1,480,320,620
Clearly, between 2014 and 2018, the state government has under-allocated to the Nutrition sector. Budget performance which peaked at 43.58 percent in fiscal year 2017 was 22.84 percent, 1.7 percent and 6.24 percent in fiscal year 2014, 2015 and 2016 respectively.
Kano - Nutrition Specific AllocationActual Spending
(Amount in Naira)
2014 2015 2016 2017
142.7m
10m
55.4m74.5m
2018
N/A
Source: Kano state government
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Niger State Budgetary Allocation Nutrition specific (Amount in Billion Naira)
YEAR BUDGETARY ALLOCATION ACTUAL NUTRITION SPENDING
2015
2016
2017
2018
N/A
10,000,000
N/A
N/A
Source: Niger state government
Inflation Adjusted : Niger State Budgetary Allocation Nutrition specific ( Amount in Naira)
198,200,000
55,000,000
80,000,000
137,746,250
YEAR BUDGETARY ALLOCATION ACTUAL NUTRITION SPENDING
2015
2016
2017
2018
N/A
12,392,905
N/A
N/A
Source: Niger state governmentCentral bank of Nigeria (Implicit Deflator; 2014 = 133.36; 2015 =139.91; 2016= 160.15; 2017=168.17; 2018 =185.15
269,057,336
68,160,977
89,218,166
137,746,250
2014 2015 2016 2017
269.1m
68.2m89.2m
137.7m
Source: Kano state government
NIGER STATE Nutrition Specific Allocation
Kano - Nutrition Specific AllocationActual Spending
(Amount in Naira)
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Nutrition Specific Interventions
Budgetary grew from N17.393 million in 2014 to N73.24 million in 2018, however actual spending has declined. In 2014, 91.84 percent of Nutrition related budgetary allocation was release. Budget performance however declined standing at 47.31 percent in 2017.
Lagos State Budgetary Allocation Nutrition specific (Amount in Naira)
YEAR ALLOCATION RELEASES BUDGET PERFORMANCE
2014
2015
2016
2017
2018
15,973,850
4,821,850
9,115,000
12,165,000
N/A
91.84%
48.50%
51.28%
47.31%
N/A
Source: Lagos state government
17,393,850
9,941,850
17,775,000
25,715,000
73,238,400
Trend: Inflation Adjusted Nutrition Related Allocation (Lagos State)
YEAR ALLOCATION RELEASES BUDGET PERFORMANCE
2014
2015
2016
2017
2018source: Lagos State government ( Inflation adjustment done using GDP implicit deflator)Central bank of Nigeria (Implicit Deflator; 2014 = 133.36; 2015 =139.91; 2016= 160.15; 2017=168.17; 2018 =185.15
22,304,361
6,545,682
11,296,133
13,566,737
N/A
24,287,114
13,496,103
22,028,389
28,678,064
73,238,400
91.84%
48.50%
51.28%
47.31%
N/A
Budgetary allocation for aimed at reversing trends of malnutrition is rising. Despite dropping to N13.5 million in fiscal
year 2015 from 2014 level of N24.29 million, Allocation has risen to N22.03 million, N28.68 million and N73.24 million
in 2016, 2017 and 2018 respectively.
2014 2015 2016 2017
22.3m
6.55m
55.4m 74.5m
2018*
73.2m
Source: Kano state government Budegt Allocation
LAGOS STATE Nutrition Specific AllocationKano - Nutrition Specific Allocation
Actual Spending (Amount in Naira)
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STUNTING RATE (2017)
WASTING RATE (2017)
Underweight (2017)
COMPARATIVE ANALYSIS IN FOCUS STATE
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Nasarawa
Kano
Kaduna
Niger
Lagos
N229m
N1.480bn
N1.128bn
N138m
N73m
Source: State government
COMPARATIVE ANALYSIS OF NUTRITION BUDGET ACROSS THE FOCUS STATE
32.8%22.07%
43.58%
N/A
47.31%
Nasarawa Kaduna
Kano
COMPARATIVE ANALYSIS OF RELEASE FOR NUTRITION INTERVENTION ACROSS THE FOCUS STATE
Niger Lagos
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LAGOS N1.05tn
NASARAWAN125.4bn
KANON216.5bn
KADUNAN246.6bn
NIGERN134bn
N
BUDGET SIZE
NUTRITION BUDGET AS A PERCENTAGE OF A TOTAL BUDGET (2018)
0.18%0.68%0.46%
Lagos
0.01%
Kano
Kaduna
Nasarawa
0.10%
Niger
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NUTRITION BUDGET PER CAPITA OF THE FOCUS STATE
YEAR NUTRITION BUDGET**
UNDER 5 POPULATION
ESTIMATED* POPULATION
Nasarawa
Kano
Kaduna
Niger
LagosSource: State government, NPC, NBS, Unicef, IMF, Worldbank, CBN Statistical Bulletin
531,230
2,614,482
1,630,822
1,142,783
1,637,981
0.229
1.48
1.128
0.138
0.073
WOMEN OF CHILD BEARING AGE
584,449
3,462,704
1,865,709
1,280,170
2,582,671
1,115,766
6,077,186
3,496,532
2,422,954
4,220,652
TOTAL POPULATION (NUTRITION BURDEN
PER CAPITA ALLOCATION
TO NUTRITION (BASED ON
(N’bn) In Persons In Persons In Persons In Persons Naira
2,600,244
13,515,629
8,503,688
5,748,408
12,958,712
88.07
109.50
132.65
24.01
5.63
*Population estimate used is for 2017 (CBN Statistical Buletin)**2018 Budgetary allocation for Nutrition specific and Nutrition Sensitive intervention
Per capita Budgetary allocation by the focus states to Nutrition specific and Nutrition sensitive interventions remains
low. The Nutrition budget per capita is inadequate as compared to the burden on health and nutrition in across almost all
the State.
BOX
Metrics for estimating Under 5 population and Women of Childbearing Age (2017)
20.4
3%
Percentage of population under the age of 5 Percentage of Population Women of Childbearing Age (15 - 44 years)
NASARAWA
KANO KADUNA NIGER LAGOS
12.6
4%22
.27%
19.8
8%
21.9
4%
19.1
8%
19.3
4%
25.6
2%
22.4
8%
19.9
3%
Source: Estimated using 2006 censor, fertility rate (NBS), Nigeria population commission’s Projected 2017 population of States.
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