Rh “Rhetoric! Realism! Results!!! Health Care in Nigeria.”. Adetokunbo O. Lucas, MD. Outline. Primart Care Primary Health Care (PHC) Realism: - PHC in Nigeria Resukts Rhetoric. Primary Care. Pre-Alma Ata Stand alone - poor linkage to other tiers
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Adetokunbo O. Lucas, MD
No "NAFDAC" number
Basic Health Services Primary Care Level
International Conference on Primary Health Care, September 6–12, 1978 Alma Ata, USSR
Primary health care is essential health care based on practical, scientifically sound & socially acceptable methods & technology made universally accessible to individuals & families in the community through their full participation, & at a cost that the community & country can afford to maintain at every stage of their development in the spirit of self‑reliance & self‑determination.
Alma Ata Declaration 1978
…should be sustained by integrated, functional & mutually‑supportive referral systems, leading to the progressive improvement of comprehensive health care for all, & giving priority to those most in need;…."
Strengthening Referral System
.....made universally accessible to individuals & families in the community.
"…is based on the application of the relevant results of social, biomedical and health services research and public health experience;…"
“addresses the main health problems in the community, providing promotive, preventive, curative and rehabilitative services accordingly. "
......at a cost that the community & the country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination."
PHC in Nigeria
Chairman: Adetokunbo O. Lucas
Professor Umaru Shehu – Eminent academic
Chief Lambo, President, Association of Traditional Healers
Professor Olikoye Ransome-Kuti
National Health Policy - 1988
Professor O. Aboyade
Selection of interventions on the basis of:
Health Statistics: Nigeria
Consistently poor performance
Under-five mortality rate/1000 live births
(1990 – 2005)
Diphtheria-Tetanus-Pertussis immunization among one year olds
Primary Health Care
Primary Health Care