Primary Health Care in Nigeria- Current Status and Gaps in Services in Rural Communities and Possible Ways to address them.

Download Article

DOI: 10.21522/TIJPH.2013.04.02.Art061

Authors : Okafor Chinyere Nkiruka, Nwobi Emmanuel A

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.