University of Benin: Leading a Regional Centre of Excellence in Reproductive Health Research and Innovation Presentation Format • • • • • • • Development Challenge addressed by ACE Academic and Research Programs Regional Student Plan Industry/Sector Partnership Sustainable Financing Plan Implementation Arrangements Procurement Arrangements West Africa: A Region with Contradictions • High population growth with huge youth budge • Rich mineral resource, with high economic growth rate • Yet high rates of poverty and underdevelopment • Political instability, climate change and rising sectarian tension pose great threats to the region Comparative Health Indicators Between WA Countries and Sweden Indicator Nigeria Ghana Sweden Population 2.8 Growth Rate % Fertility Rate 5.5 2.2 0.7 4.1 1.9 Contraceptive Prevalence Rate Maternal mortality rate 10.5 23.5 78 630 350 4.0 Neonatal mortality rate 48 28 2.0 Poor Health Indicators: A developmental challenge in WA • The WHO has estimated that it would take Nigeria up to 150 years to reach the same level of health indicators with those ofWestern countries. • The relevant question is: How can West Africa accelerate the pace of change to ensure that they reach this goal sooner than later? • The answer lies in fostering and integrating the reproductive health approach to overall development Definition of Reproductive Health • A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity of the reproductive system –WHO • The Constellation of methods, techniques and services that contribute to RH and well-being. It includes sexual health, designed to enhance the quality of life and personal relations: ICPD POA, 1994 Components of Reproductive Health (1) • Family Planning counselling, information, education, communication and services • Prevention and management of infertility • Safe motherhood, including the prevention of perinatal, infant and under-five deaths • Prevention and management of unsafe abortion and its consequences Components of Reproductive Health (2) • Prevention and treatment of reproductive tract infections, including STIs and HIV/AIDS • Prevention and management of gender-based violence, including female genital cutting, and human sex trafficking • Management and prevention of genital tract cancers • Information and research on human sexuality, reproductive health and responsible parenthood RH: Decades of Slow Progress in Africa • Unfortunately, slow progress was made in many countries between 1994 and 2014 in the adoption and uptake of these principles • Africa still has the highest rates of adverse reproductive health outcomes – high fertility rates, high rates of HIV, and gender-based violence • These are contributing to the region’s underdevelopment and poor human development indices. Why has RH been slow to take effect in Africa? • Poor integration of RH into regional developmental agenda • Low capacity to carry out RH interventions • Poor country ownership, with RH agenda driven by international interests • Limited understanding of RH and the lack of political will to make effective policies and take decided actions Post-ICPD Sustainable Development Agenda • Country ownership in RH policies and programming • Strengthening the capacity of countries to carry out research and innovation in RH that address their specific needs • Building and sustaining RH leaderships • Building political commitments to address RH Centre of Excellence in RH Research and Innovation (CEHRI): Program Goals • To act as a training hub for the next generation of leaders in RH inWest Africa. • To stimulate indigenous research and innovation in RH needed to drive policies and programs in the region • To mobilize local, regional and international support for improving RH inWA CERHI’s Key Strategic Objectives • Improve regional capacity to deliver high quality training in RH • Increase capacity to carry out applied research in RH in the region • Build and use industry/sector partnerships to enhance impact of the Center on social development • Strengthen regional and international academic partnerships to raise quality of RH education in other institutions in the region. • Enhance governance and management to support the integration and implementation of the program. Four Key Activities of CERHI • Develop improved governance infrastructure (including fund raising and financial governance) for project sustainability • Review and development of curricular for short courses, bachelors, MSc and PhD in 9 different courses across 6WA partner institutions • Improve teaching and learning facilities and related capacity building in RH courses; • Purchase and improve capacity for basic, operations, intervention and translational research in RH CERHI Departments and Courses Courses Short term courses BSc, MBBS MSc , M.Phil or MPH PhD/MD/Post -Doc Medicine Yes Yes - Fellows and MDs Public Health Yes - Yes Yes Reprod Health Yes Yes Yes Yes Nursing Yes Yes Yes Yes RH Physiology - Yes Yes Yes Med Biochem - Yes Yes Yes Reprod. Anatomy - Yes Yes Yes Medical Lab Scs Yes Yes Yes Yes Med Sociology Yes - Yes Yes Hlth Economics Yes - Yes Yes Reprod Hlth Law Yes - Yes Yes Plan for attracting Regional Students and Faculties • Strategic communication of CERHI’s activities • Interactive online platform available on admission of students and scholars • Scholarships to support the admission of students • Establishment of International Students hostel & intl Scholars Residential Area • Provision of bilingual facilities CERHI’S Academic Partners • • • • • • Regional University of Benin University of Ibadan Ahmadu Bello University University of Ghana Nigerian Institute for Medical Research University of Benin, Cotonou CERHI’s Academic Partners • • • • • • International University of Aberdeen Harvard School of Public Health University of California, Berkeley University of Ottawa, Canada Royal College of Obstetricians and Gynaecologists World Health Organization Collaborating Sector Planners • Ministries of Health, Education, Women Affairs and Finance • National Universities Commission • National Planning Commission, National Bureau of Statistics and National Population Commission • International and Local Development Organizations (e.g. UN organizations, bilaterals and multilaterals, Foundations, Dangote,TY Danjuma, etc) • Industry – e.g. General Electric • Civil Society Organizations 4 Activities for Externally Sustained Funding • Resource mobilization Committee • Friends of CERHI Fund • Funding Mobilization from Alumni • Capacity building of staff and PG students in Grant Proposal writing and research fund-raising 4 Activities for Achieving the Quality Benchmarks (DLI) • M&E committee and training of Desk officer • Key officials to follow up on the implementation of the DLIs • ICT platforms to drive the implementation and achievement of the DLIs • Collaborative ownership of the project by partner institutions, with continuous feedback provided Key selected Disbursement Linked Indicators (selected DLIs) Selected DLI New/revised RH Courses # Partnership Agreements New PhDs New Masters New Short courses # of published Articles External Revenue Baseline- 2013 0 Projected for 2017 34 0 20 18 104 0 20 270 510 1,200 80 0 $8.0 Million 3 Success Factors/Innovative Features of CERHI • It’s focus on RH and integration into development – a neglected field inWA • It’s potential to leverage funds from diverse local and international sources • It’s multi-disciplinary focus, enabling it to build high level collaboration and partnerships, for achieving ground-breaking discoveries CEHRI Core Values and Principles • Collaborative Partnership and Joint Project Ownership • Transparency and Accountability • “Can Do Spirit” as epitomized by timely results reporting • Forward-looking commitment