Upgrading of Primary Health Facilities
Health care provision in Nigeria is a concurrent responsibility of the three tiers of government in the country. The federal government's role is mostly limited to coordinating the affairs of the university teaching hospitals, while the state government manages the various general hospitals and the local government focus on Primary Health Care. Unfortunately, the total annual expenditure on health care is usually below 10% of total GDP with the percentage of federal government expenditure on health care always below 10%. The Nigeria health sector generally provides poor or weak services. Overall, the World Health Organization ranked Nigeria as the fourth worst health care system in the world. Significant problems include low motivation of health workers, no budget line for many needed services, and weak coordination between federal, state and local governments. Primary Health Centre is the most neglected and closest to the people at community level. The primary health centres are expectedly to provide quality primary and preventive healthcare to rural dwellers. But unfortunately, primary health facilities are usually characterized by inequitable distribution of resources, decaying infrastructure, poor management of human resources for health, negative attitude of health care providers, weak referral systems; poor coverage of high impact cost-effective interventions and poor supportive supervision.
Poor health care services in the community health centres has greatly affected service uptake in Nigeria as skilled attendants at delivery remain low and majority of children below one year are not fully immunized for DPT3 and measles. This situation makes morbidity and mortality due to preventable childhood diseases and pregnancy conditions to be abysmally high in rural areas. High prevalence of ailments reduced economic hours, overburden family income and savings and increased poverty level. To address these challenges, LAPO is upgrading rural facilities through provision of basic equipment, establishment of revolving drugs scheme and capacity enhancement opportunities for rural health workers.
Project activities for upgrading rural health facilities include the following:
- Primary health facility Assessment Visit to identify gap
- Supply of basic equipment for maternal and child health services
- Establishment of drug revolving scheme
- Facility Branding
- Capacity enhancement support for personnel at the facilities for quality services delivery and documentation
- Follow-up mentoring
- Monitoring and Evaluation
In November, 2015, Primary Health Centre (PHC) Ugha was upgraded for improved delivery of MCH.