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WHO Collaborates With Legislators to Improve Universal Health Coverage and Health Security

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WHO - Investorsking

Legislators from the National Assembly, State Houses of Assembly and the Federal Capital Territory (FCT) converged at the Transcorp Hilton Abuja from 23-25 May 2021 for the Fourth Legislative Health Summit.

Every year, since the first Summit was convened in July 2017 (except in 2020 because of COVID-19), Legislators have gathered to apply their statutory functions of legislation, appropriation, oversight (accountability), and representation to raise health high on the agenda of the government.

A major output of the Summit is the Legislative Health Agenda (LHA) with actionable steps and timelines for implementation at the national and state levels. The LHA details critical interventions for legislative action that will support the attainment of UHC and health security in Nigeria.

The theme of the 2021 Summit which was chaired by the President of the Senate, Senator Ahmed Lawan and represented by the Deputy Chief Whip of the Senate, Senator Sabi Aliyu, is “Universal Health Coverage and Health Security, two sides of a coin for an efficient health system”.

“This summit is coming at a time when COVID-19 has revealed the fractures in the global and indeed Nigerian health systems demonstrated by apparent disruptions in the economy and provision of essential health services”, stated Dr. Walter Kazadi Mulombo, the WHO Nigeria Country Representative (WR) at the Summit.

“The WHO within our mandate under the GPW13 and the Transformation Agenda is committed to supporting member States in the achievement of the health agenda of their choice. With the ongoing restructuring going on including here in Nigeria, stepping up political leadership as a vehicle towards accelerating UHC and health security has, therefore, been considered an appropriate strategic shift.” He added.

To conclude his remarks, Dr. Kazadi promised WHO’s support to develop appropriate accountability mechanisms to track implementation of the Legislative Health Agenda and to extend good practices to other countries.

Earlier in his remarks, Nigeria’s Vice President Prof. Yemi Osinbajo, represented by the Minister of State for Health, Senator (Dr) Olorunnimbe Mamora, reassured Nigerians of the commitment of the Government towards UHC and health security.

“The attainment of the Universal Health Coverage for all Nigerians and especially for the most vulnerable Nigerians are at the heart of the human capital development initiative of this administration. Our experience in the last year of COVID19 in Nigeria has exposed the vulnerability of our health system and the importance of preparedness, diagnosis and response mechanism. The Federal Ministry of Health is committed to the achievement of universal health coverage for all citizens through the Basic Health Care Provision Fund (BHCPF), revised to provide a much richer Basic Minimum Package of Health Services, to meet the common healthcare needs of all citizens.”

In an address of welcome, the Chairman of the Senate Committee on Health and Convener of the Legislative Network for Universal Health Coverage (LNU), Senator Ibrahim Yahaya Oloriegbe, stated that the purpose of the Summit is to review progress against the Legislative Health Agenda set at the last Summit in 2019 towards developing priorities for the year ahead for improvement of the Nigerian health system. He underscored the challenges in the system including COVID-19 and appreciated all development partners who supported the Summit.

The First Counsellor and Deputy Head of Delegation at the European Union Delegation to Nigeria and ECOWAS (EU), Mr. Alexandre Borges Gomes in his goodwill message reiterated the EU’s support and urged the Government of Nigeria to improve strategic investment for UHC and Health Security. “The EU shares the very real concern, a fear, about the impact of COVID-19 on the maintenance of essential health services. Routine immunization has suffered which does not abode well for those States in Nigeria with already extremely low rates. Health is an expensive business and Nigeria, one of the countries of the world with the worst health indicators, has also one of the lowest spending ratios. It would be essential that the sector be prioritized right at the time when appropriations are set if we are to have anything like minimally effective and accountable delivery of services”.

The 3-day event which was supported by development partners including the WHO with funding from the European Union (EU), was graced by the Vice President Prof. Yemi Osinbajo represented by the Minister of State for Health Senator (Dr) Olorunnimbe Mamora, the Speaker of the House of Representatives Rt. Hon. Femi Gbajiabiamila who was represented by the Chairman House Committee on Healthcare Services, Hon. Tanko Sununu, and the Chairman Senate Committee on PHC and Communicable Diseases Senator Chukwuka Utazi.

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Economy

FG to Hike VAT on Luxury Goods by 15%, Exempts Essentials for Vulnerable Nigerians

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Value added tax - Investors King

Nigeria’s Minister of Finance and Coordinating Minister of the Economy, Mr. Wale Edun, has announced plans by the Federal Government to raise the Value Added Tax (VAT) on luxury goods by 15% despite the ongoing economic challenges.

Minister Edun made this known in Washington DC, during a meeting with investors as part of the ongoing IMF/ World Bank Annual Forum.

While essential goods consumed by poor and vulnerable Nigerians will not be affected by the increase, Edun, however, the increase in VAT will affect luxury items.

He said, “In terms of VAT, President Bola Tinubu’s commitment is that while implementing difficult and wide-range but necessary reforms, the poorest and most vulnerable will be protected.

The minister also revealed that the bill is currently under review by the National Assembly and in due time, the government will release a list of essential goods exempted from VAT to provide clarity to the public.

“So, the Bills going through the National Assembly in terms of VAT will raise VAT for the wealthy on luxury goods, while at the same time exempting or applying a zero rate to essentials that the poor and average citizens purchase,” Edun explained.

Earlier in October, Investors King reported that the FG had removed VAT on diesel and cooking gas, among others to enhance economic productivity and ease the harsh reality of the current economy.

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Global Debt-to-GDP Ratio Approaching 100%, Rising Above Pandemic Peak

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Naira Exchange Rates - Investors King

The IMF sees countries debt growing above 100% of global GDP, Vitor Gaspar, head of the Fund’s Fiscal Affairs Department said ahead of the launch of the Fiscal Monitor (FM) Wednesday (October 23) in Washington, DC.

“Deficits are high and global public debt is very high and rising. If it continues at the current pace, the global debt-to-GDP ratio will approach 100% by the end of the decade, rising above the pandemic peak,” said Gaspar about the main message from the IMF’s Fiscal Monitor report.

The Fiscal Monitor is highlighting new tools to help policymakers determining the risk of high levels of debt.

“Assessing and managing public debt risks is a major task for policymakers. The Fiscal Monitor makes a major contribution. The Debt at Risk Framework. It considers the distribution of outcomes around the most likely scenario. The analysis in the Fiscal Monitor shows that debt risks are substantially worse than they look from the baseline alone. The framework should help policymakers take preemptive action to avoid the most adverse outcomes.”

Gaspar said that there’s a careful balance between keeping debt lower, versus necessary spending on people, infrastructure and social priorities.

“The Fiscal Monitor identifies three main drivers of debt risks. First, spending pressures from long term underlying trends, but also challenging politics at national, continental and global levels. Second, optimistic bias in debt projections. And third, increasing uncertainty associated with economic, financial and political developments.

Spending pressures from long term underlying trends and from challenging politics at national, continental and global levels. The key is for countries to get started on getting debt under control and to keep at it. Waiting is risky. The longer you wait, the greater the risk the debt becomes unsustainable. At the same time, countries that can afford it should avoid cutting too much, too fast. That would hurt growth and jobs. That is why in many cases we recommend an enduring but gradual fiscal adjustment.”

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IMF Attributes Nigeria’s Economic Downgrade to Inflation, Flooding, and Oil Woes

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IMF - Investors King

The International Monetary Fund (IMF) has blamed the downgrade of Nigeria’s economic growth particularly on the effects of recent inflation, flooding and oil production setbacks.

In its World Economic Outlook (WEO) published on Tuesday, the Bretton Wood institution noted that Nigeria’s economy has grown in the last two quarters despite inflation and the weakening of the local currency, however, this could only translate to 2.9 percent in 2024 and 3.2 percent in 2025.

“Nigeria’s economy in the first and second quarter of the year grew by 2.98% and 3.19% respectively amid a surge in inflation and further depreciation of the Naira.

“The GDP growth rate in the first two quarters of 2024 surpassed the figure for 2023, representing resilience despite severe macroeconomic shocks with a spike in petrol prices and a 28-year high inflation rate,” the report seen by Investors King shows.

The spokesperson for IMF’s Research Department, Mr Jean-Marc Natal, said agricultural disruptions caused by severe flooding and security and maintenance issues hampering oil production were key drivers of the revision.

“There has been, over the last year and a half, some progress in the region. You saw, inflation stabilising in some countries, going down even and reaching a level close to the target. So, half of them are still at a large distance from the target, and a third of them are still having double-digit inflation.

“In terms of growth, it’s quite uneven, but it remains too low. The other issue is that in the region it is still high. It has stopped increasing, and in some countries already starting to consolidate, but it’s still too high, and the debt service is, correspondingly, still high in the region,” he said.

It also expects to see some changes in Nigeria’s inflation, which has slowed down in July and August before rising to 32.7 percent in September 2024.

“Nigeria’s inflation rate only began to slow down in July 2024 after 19 months of consistent increase dating back to January 2023.

“However, after two months of slowdown hiatus, inflation continued to rise on the back of an increase in petrol prices by the NNPCL in September,” the report said.

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