Improving The Functionality Of Primary Healthcare Centres In Nigeria
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Improving The Functionality Of Primary Healthcare Centres In Nigeria
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Author : Tunde Salman Jimoh
language : en
Publisher:
Release Date : 2020
Improving The Functionality Of Primary Healthcare Centres In Nigeria written by Tunde Salman Jimoh and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with categories.
Improving Primary Health Care Delivery In Nigeria
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Author : World Bank
language : en
Publisher: World Bank Publications
Release Date : 2010-04-28
Improving Primary Health Care Delivery In Nigeria written by World Bank and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-04-28 with Business & Economics categories.
This paper, based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity, aims at understanding the performance of primary health care providers in four states in Nigeria. As possible ways to improve performance, the paper concludes that clearly defining lines of responsibility, implementing performance-based financing of local governments and providers, and collecting, analyzing, and sharing information are some options that can help realign incentives and improve accountability in the service delivery chain and service provision. This working paper was produced as part of the World Bank s Africa Region Health Systems for Outcomes (HSO) Program. The Program, funded by the World Bank, the Government of Norway, the Government of the United Kingdom, and the Global Alliance for Vaccines and Immunization (GAVI), focuses on strengthening health systems in Africa to reach the poor and achieve tangible results related to Health, Nutrition, and Population. The main pillars and focus of the program center on knowledge and capacity building related to Human Resources for Health, Health Financing, Pharma-ceuticals, Governance and Service Delivery, and Infrastructure and ICT.
Primary Healthcare In Nigeria
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Author : Raymond O. Chimezie Frsph
language : en
Publisher: Outskirts Press
Release Date : 2015-06-26
Primary Healthcare In Nigeria written by Raymond O. Chimezie Frsph and has been published by Outskirts Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-06-26 with Health & Fitness categories.
Primary Healthcare in Nigeria: Overview, Challenges, and Prospects is a well-intended effort to explore the current health system in Nigeria in the context of the 21st Century. It provides a historical background to the Nigerian healthcare system, identifies the major challenges, and provides rich information on how to improve the health care system in Nigeria. It brings into focus Nigeria's struggle to improve primary healthcare delivery and how those efforts have not improved the peoples' health in Nigeria. It also explains how the lack of effective primary healthcare delivery system promotes medical tourism and causes loss of national revenue to foreign health care systems. This book clearly identifies basic challenges affecting healthcare delivery such as poor infrastructure, underfunding, lack of research and community involvement, inadequate labor force management and development, lack of true leadership and accountability in public office, poor health promotion and education strategies, and a fragile public-private sector partnership in healthcare delivery. Primary Healthcare in Nigeria draws examples from other countries which have improved their health systems to show that the solutions to Nigeria's healthcare problems rest in the hands of leadership committed to the nation's good and wellness. Primary Healthcare in Nigeria: Overview, Challenges, and Prospects is intended to give public health students a clearer perspective about Nigeria's health system and how it impacts peoples' lifespan, wellness, and national development. It is also a good resource for public health professionals to understand and embrace the global view of public health, and then challenges them to work toward a better healthcare delivery system. This book is organized in chapters and focuses essentially on: The historical origin of Nigeria's healthcare system Meaning of a healthcare system The Concept of Access to Health care Challenges and prospects of the primary he
Improving The Performance Of Health Centres In District Health Systems
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Author : WHO Study Group on Improving the Performance of Health Centres in District Health Systems
language : en
Publisher:
Release Date : 1997
Improving The Performance Of Health Centres In District Health Systems written by WHO Study Group on Improving the Performance of Health Centres in District Health Systems and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Medical categories.
Explores ways to improve the performance of health centres as a key component of efforts to strengthen district health systems based on primary health care and thus meet local needs for preventive as well as curative services. The role of health centres in overall strategies for health development is emphasized. Noting that health centres continue to perform poorly in most parts of the world, the report makes a special effort to identify factors responsible for the discrepancy between the great potential of health centres and the reality of their performance. Throughout the report, experiences from around the world are used to illustrate both the challenges faced and innovative ways of meeting them. The report has two parts. The first considers the role and functions of health centres and looks at the factors that influence their effectiveness. Issues discussed include political and legal frameworks, policies for management, the provision and training of staff, factors influencing the range and quality of services, and mechanisms for financing these services. Problems identified range from inadequate financial and logistic support, to the provision of services that are either of poor quality or inappropriate to local needs, from the paucity of data for planning and management, to poor and irregular salaries that undermine the commitment of staff. Against this background, the second section considers the radical changes needed to convert health centres from providing largely curative services to offering a comprehensive and dynamic primary health care programme. Four lines of activity are identified: defining the health centre's catchment area and developing a community profile, adopting a systematic approach to planning and implementation, generating the information needed to support health centre operations, and defining an active research and development agenda. The report then explains how each of these objectives can be achieved using a range of practical tools for generating information and using this information to improve planning, management, and services. The report concludes with an annex indicating the range of competencies and skills needed by staff in a properly functioning health centre.
Improving The Primary Healthcare In Bauchi Kaduna And Lagos
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Author : Olabisi Akinmorin
language : en
Publisher:
Release Date : 2015
Improving The Primary Healthcare In Bauchi Kaduna And Lagos written by Olabisi Akinmorin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
Many Nigerians, particularly children, die from treatable and curable diseases every day, such as malaria and pneumonia. The Primary Health Care (PHC) provides the majority of the cost effective health interventions to prevent and treat major causes of mortality in the country. Improvement of the PHC could have a large impact on the nation's citizens, especially since the majority of citizens needing help from the PHC are the poor. Although the PHC is arguably the most important among the three tiers of government healthcare, it is also the most neglected by the Nigerian government. This paper examines the factors that drive the performance of the PHC in the poorest and most crowded states in Nigeria: Kaduna, Bauchi, and Lagos. The PHC of the three states are compared and contrasted in the areas of, public funding to the PHC facilities, health service delivery of the PHC, and the performance of the PHC personnel and facilities. A part of this research is based on the analysis of legal documents, scholarly journals, and world databases. The results of the above mentioned criteria were obtained from the World Bank. Overall, the PHC health facilities in Lagos fair better than those in Kaduna and Bauchi. This trend can be attributed to the difference of the PHC organization in Lagos. Most facilities in Lagos are privately owned and located in urban areas. Although the infrastructures of the PHC varies greatly, overall, the facilities are in poor condition, and most facilities do not have taps with running water, electricity, or phones. Basic services for youth care is low, although the 15-24 year old population contract more HIV/AIDS than any other age group in Nigeria. Facilities also lack some equipment needed for maternal and child services and do not have basic drugs in stock. High morbidity and mortality in Nigeria is partly because of the high rates of malaria and HIV/AIDS. This paper provides possible improvements of the PHC nationwide, based on the information learned by the case study of the three states. The findings of the paper suggests that increased budgetary allocation, implementation of new health policy options, increased community involvement, and proper health worker allocation, can help improve Nigeria's PHC system.
Primary Health Care Services Delivery Issues And Challenges
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Author : Makar Linus Iornenge
language : en
Publisher: GRIN Verlag
Release Date : 2020-10-15
Primary Health Care Services Delivery Issues And Challenges written by Makar Linus Iornenge and has been published by GRIN Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-10-15 with Medical categories.
Case Study from the year 2020 in the subject Health - Health system, , language: English, abstract: The study attempts to explore the impact and challenges of PHC delivery system with the intension of generating data for policy and planning. The goal of primary health care (PHC) was to provide accessible health for all by the year 2020 and beyond. Unfortunately, this is yet to be achieved in Nigeria and seems to be unrealistic in the next decade. The PHC aims at providing people of the world with the basic health services. Though PHC centers were established in both rural and urban areas in Nigeria with the intention of equity and easy access, regrettably, the rural populations in Nigeria are seriously underserved when compared with their urban counterparts. About two-thirds of Nigerians reside in rural areas therefore they deserve to be served with all the components of PHC. Primary health care, which is supposed to be the bedrock of the country's health care policy, is currently catering for less than 20% of the potential patients. While most PHC facilities are in various state of disrepair, with equipment and infrastructure being either absent or obsolete, the referral system is almost non-existent. The goal of the National Health Policy (1987) is to bring about a comprehensive health care system, based on primary health care that is promotive, protective, preventive, restorative and rehabilitative to all citizens within the available resources so that individuals and communities are assured of productivity, social well- being and enjoyment of living. The health services, based on PHC, include among other things: education concerning prevailing health problems and the methods of preventing and controlling them, promotion of food supply and proper nutrition, material and child care, including family planning immunization against the major infectious diseases, prevention and control of locally endemic and epidemic diseases and provision of essential drugs and supplies. The provision of health care at PHC level is largely the responsibility of local governments with the support of state ministries of health and within the overall national health policy. Private medical practitioners also provide health care at this level.
Nigeria Improving Primary Health Care Delivery
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Author : Weltbank
language : en
Publisher:
Release Date : 2012
Nigeria Improving Primary Health Care Delivery written by Weltbank and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with categories.
The delivery of quality primary health care (PHC) services can have a large impact on the health of Nigerians. This study aims mainly at understanding the performance of primary health care providers and the variables driving this performance. The study is primarily based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity. These surveys were implemented in four states: Bauchi, Cross River, Kaduna, and Lagos. The purpose of this study is three fold: (i) to contribute to the evidence base of the Federal Government's health system reform efforts; (ii) to inform the Bank's and Canadian International Development Agency (CIDA) sector policy dialogue with the Government; and (iii) to inform the current and eventual health support programs of both donors at state level. This study represents the second phase of the Nigeria Health, Nutrition, and Population Country Status Report (CSR). The first phase aimed at analyzing the health situation of the poor and how the health system was performing in terms of meeting their needs. This first phase identified primary health care as the weakest chain in the entire health sector and the level of care the poor use the most. This second phase of the CSR is therefore focused on the analysis of the delivery of PHC services. In contrast to the first phase, this study is mainly based on primary data, data collected through facility, health personnel, and household surveys. This study is focused in the collection of information not previously available, such as detailed roles and responsibilities of the Local Government Area (LGA) and states and community perceptions of PHC services. This study is also to support on-going or eventual health support programs of CIDA and the World Bank at the state level.
Nigeria A Primary Health Care Case Study In The Context Of The Covid 19 Pandemic
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Author : B. S. C. UZOCHUKWU
language : en
Publisher: World Health Organization
Release Date : 2024-06-06
Nigeria A Primary Health Care Case Study In The Context Of The Covid 19 Pandemic written by B. S. C. UZOCHUKWU and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-06 with Medical categories.
This case study examines country-level primary health care (PHC) systems in Nigeria. The case study is part of a collection of case studies providing critical insights into key PHC strengths, challenges and lessons learned using the Astana PHC framework, which considers integrated health services, multisectoral policy and action, and people and communities. Led by in-country research teams, the case studies update and extend the Primary Health Care Systems (PRIMASYS) case studies commissioned by the Alliance in 2015.
Rural Health In Nigeria
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Author : Gavina C. Ihunnah
language : en
Publisher:
Release Date : 2022
Rural Health In Nigeria written by Gavina C. Ihunnah and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with categories.
Rural communities in Africa have challenges in providing rural healthcare services. With over200 million people, Nigeria struggles to provide primary health care needs to its teeming population. Although the late Prof. Olikoye Ransome-Kuti, Health Minister of Nigeria, established primary healthcare following the Alma Ata declaration of 1978, Nigeria's rural healthcare is still a mirage. There is no access to adequately functioning immediate health care for numerous individuals and communities in Nigeria with inadequate personnel, medical equipment, and dilapidated infrastructure. Uvuru is a community in southeastern Nigeria with a health center, Uvuru Health Center (UHC), established in 1967. Functions of the health center have not been assessed or evaluated since its inception. Therefore, it is essential to determine the healthcare needs of the Uvuru people and the health center's role in addressing these needs. We conducted a study that employed a phenomenological framework to capture individual experiences using in-depth and semi-structured interviews. We recruited participants using a snowball selection method. We identified 12 potential participants; 11 responded and agreed to the discussion. Interviews were conducted using telephone, zoom platform, and text messages. Questions were based on participants health care related experiences and observations. Responses to initial and in-depth, probing, follow-up questions were recorded. Three people coded the data. We produced 136 codes that were condensed into the following six themes. (1) UHC seemed to be abandoned by the government, and its current ownership and financial status are obscure and contested. (2) Corruption at the level of the government has led to deteriorated infrastructure, looting, and unpaid labor of health workers. (3) The political insurgency in the area has created an atmosphere of fear for personal safety and undermined the facility's security. (4) The low level of political power among the Ibo people (Uvuru Health system users) has contributed to long-term poverty. (5) Private practitioners across the community are happy to provide services at high prices and have captured most of the market share (and are reluctant to support the public sector facility). (6) There are glimmers of hope in the local Uvuru Development Union (UDU) and the Uvuru community members, which are stepping up to improve the situation. Our research indicates that engaging community members may shed light on the state of health centers and relevant deficiencies of their function. Further, it can enhance building of a coalition needed to rehabilitate and revitalize the centers. These efforts can advance rural health in low-resource settings.
Tracking Resources For Primary Health Care A Framework And Practices In Low And Middle Income Countries
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Author : Hong Wang
language : en
Publisher: World Scientific
Release Date : 2020-06-03
Tracking Resources For Primary Health Care A Framework And Practices In Low And Middle Income Countries written by Hong Wang and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-06-03 with Medical categories.
The global health community is broadly in agreement that achievement of the health-related Sustainable Development Goals (SDGs) hinges upon both an escalation of the financial resources dedicated to primary health care (PHC) and a more effective use of those resources: more money, better spent. This book introduces and explicates the end-to-end resource tracking and management (RTM) framework, which includes five components that determine effective and efficient financing for PHC: resource mobilization, allocation, utilization, productivity, and targeting.In addition, this book compiles detailed results from the most recent RTM-based resource tracking efforts for PHC in selected countries. This is to demonstrate how the RTM framework can be used to bring a set of separate resource tracking efforts at different stages of flow of funds into a comprehensive process with an end-to-end 'storyline'. In order to build a functional PHC system that addresses access, quality, and equity issues, this book highlights the key (public) financing issues that researchers, technical advisors, and policy makers would need to address in addition to more resources.