Developing A Strategic Plan To Revitalise Primary Health Care In Nigeria

The current effort of Mr Eboh is an attempt to look at the management of healthcare in Nigeria from an independent perspective. He seeks to develop new and exciting concepts, employ change management models and enunciate pragmatic strategies for the purpose of promoting a workable health sector in the country. Mr Eboh's many years of management experience in the National Health Service, United Kingdom coupled with his academic background in Health Service Management are quite unique and evident in the way he reviewed the current healthcare in Nigeria and the approach aimed at restructuring and supporting a more potentially effective healthcare planning and delivery systems. This book will no doubt be quite useful for people that develop policies for healthcare services across the boundaries of management structures both in government and private healthcare institutions. Similarly, it will be very valuable for those that wish to develop career in managing the nation's healthcare services, as well as for academics and professionals due to its depth of analysis of healthcare issues.

This paper looks at the way in which the pattern of disease is changing in developing countries, and the implications this has for the way in which primary health care (PHC) programs should be designed and managed. In the absence of an accepted methodology for discussing health management issues, it attempts to develop a conceptual framework suited to analyzing an environment of dynamic change. It applies this framework first to the management of primary health care programs provided by governments, and then to the role of the non-government sector in primary care. The paper draws broad clients. If the general approach adopted seems useful, the conceptual framework needs next to be applied to a series of specific country cases to test its validity and refine it, and to adapt the general conclusions to local cultural, administrative and political conditions.

The concept of Comprehensive Primary Health Care focuses on health system efforts to improve equity in health care access, community empowerment, participation of marginalized groups, and actions on the social determinants of health. Despite its existence since the late 1970s very few studies have been able to highlight the outcomes of this concept, until now. Revitalizing Health for All examines thirteen cases of efforts to implement CPHC reforms from around the globe including Australia, Brazil, Democratic Republic of Congo, Iran, South Africa, and more. The findings presented in this volume originate from an international action-research set of studies that utilized triads of senior and junior researchers and knowledge users from each country’s public health system. Primary health care reform is an important policy discourse both at the national level in these countries and in the global conversations, and this volume reveals the similarities among CPHC projects in diverse national contexts. These similarities provide a rich evidence base from which future CPHC reform initiatives can draw, regardless of their country.

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: 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