Primary Health Care in Nigeria- Current Status and Gaps in Services in Rural Communities and Possible Ways to address them.
Abstract:
Introduction: Primary
health care, though supposed to be the bedrock of the country`s health care
policy, is catering for less than 20% of the potential beneficiaries. This
study is aimed at looking at the current status in primary health care services
in rural communities in Nigeria, the gaps in services and possible ways to
address them.
Methods: Secondary
data was obtained from results of search for the National health policy review
report 2008, National health and demographic survey, Millennium Development
Goal, World and Africa report 2014 and UNDP 2014 report for Nigeria.
Results: Nigeria
is still short of 2015 Primary Health Care targets with under 5 mortality rate
at 94 deaths per 1000 live birth in 2012, maternal mortality at 350 maternal
deaths per 100,000 live births and TB burden still at 5.0 per 100,000 in 2012.
Challenges include amongst others poor financing, poor strategy and
inter-sectorial collaboration.
Conclusion: Increase
in government funding with good strategy and inter-sectorial collaboration
while involving community will help in reducing the present gaps in primary
health services.
References:
[1.]
Abdulraheem, I.S., Olapipo, A.R. and Amodu, M.O. (2012). Primary health care
services in Nigeria: Critical issues and strategies for enhancing the use by
the rural communities. J. Pub. Health Epidem.;4(1):5-13.
[2.]
Federal Ministry of Health (2008). National Health policy, Nigerian National
Health Bill.
[3.]
Federal Republic of Nigeria (2013), national health and demographic survey
[4.]
Gupta MD, Gauri, V, Khemani S (2004). Decentralized Delivery of Primary Health
Services in Nigeria: Survey Evidence from the States of Lagos and Kogi,
Washington: The World Bank.
[5.]
Hag C. et al (2009). Primary health care: past, present and future. Global
health education consortium and collaborating partners.
[6.]
Magawa, R. (2012). Primary Health Care Implementation: A brief review.
Available from: http://www.consultancyafrica.com/index. Accessed 22/5/14.
[7.]
Millennium development goals report 2014; assessing progress in Africa towards
the MDGs- analysis of common African position on the post-2015 development
agenda.
[8.]
Nigeria millennium development goals report 2014.
[9.]
Obionu. C.N. (2007). Primary Health Care for Developing Countries. 2nd ed.
Enugu: Delta Publications.
[10.] United
Nations global millennium development goals report 2014.
[11.]
WHO 1978 World Health Organization-United Nations Children Fund (WHO-UNICEF)
(1978). Declaration of Alma-Ata.