Federal Ministry of Health. Essential Health Services: The Nigeria Experience. By Dr. Hassan Muhammad Lawal, mni, CON Honourable Minister of Health. International Conference on Primary Health Care and Health Systems for Achieving the MDG April 28 th -30 th , 2008 Ouagadougou, Burkina Faso.
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Essential Health Services:
The Nigeria Experience
Dr. Hassan Muhammad Lawal, mni, CON
Honourable Minister of Health
International Conference on Primary Health Care and Health Systems for Achieving the MDG
April 28th -30th, 2008
Ouagadougou, Burkina Faso
First attempt to Plan Health Services was the Basic Health Services (BHS) scheme 1975 – 1983
Focus on Prevention
Expansion of Coverage with development of Health Care Facilities
Training of the existing over 40 cadres of Health Care Providers including CHEWs, CHOs health Assistants etc
Re-orientation of Health Services towards PHC began in 1986.
Health Sector Reform Program initiated to address System issues
Establishment of the MDGs office in the Presidency to ensure HIGH LEVEL targeting of the Debt Relief Funds to key sectors.
Adoption of strategies for Revitalization of PHC
Seven Strategic thrusts are to:
Revision (2004) of the 1988 national health policy with PHC still the bedrock
Decentralization of the National Primary Health Care Development Agency established in 1992 with zonal structures to ward level
More recently, draft national health bill clearly articulating the role of each level of government in PHC and mechanism of Health care funding; still awaiting passage by the National Assembly)
Improving evidence-based decision making through strengthening of the HMIS & IDSR
Strengthening Routine Immunization, National & Sub-National Immunization Days
Merging of NPI with the NPHCDA
Child Survival interventions, Maternal and New Born Care,
Control of priority diseases i.e. HIV/AIDS, Tuberculosis and Malaria, Nutrition, Prevention of non communicable diseases, Health promotion & education and community mobilization.
Inadequacies in quality and quantity of manpower (especially doctors and nurses) for PHCespecially in rural areas
Poor coordination; Fragmentation of programmes due to multiplicity of implementing partners and development partners
Inadequate HMIS & IDSR
Inadequate and Poor infrastructure/appropriate technology
Application of community participation in practice (prog impl & Health care financing)
Lack of country-specific benchmarks for assessing progress