IIARD International Institute of Academic Research and Development

IIARD INTERNATIONAL JOURNAL OF GEOGRAPHY AND ENVIRONMENTAL MANAGEMENT (IJGEM )

E-ISSN 2504-8821
P-ISSN 2695-1878
VOL. 10 NO. 9 2024
DOI: 10.56201/ijgem.v10.no9.2024.pg42.57

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Evaluation of National Policy on Primary Healthcare in Nigeria

AbdulRasheed Hamidu, Umar Ibrahim, Abdulaziz Hamid Omar, Ibrahim Mamman, Tagwi Abu Usman, Musa Ndama and Kabir Zainu Muhammad

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Abstract

This present research work saddled to evaluate the national policy on primary healthcare (PHC) in Nigeria through reviewing secondary sourced data. The paper was formulated in four components. The first component highlights the evolutionary trends of primary healthcare in Nigeria, the past and present act regulating the PHC and financing were discussed in the second components. Meanwhile, present state of primary health care in Nigeria constituted the third aspect while challenges facing the PHC in Nigeria were also discussed. It could be concluded that poor domestic operations of the primary healthcare exist to the extent of depending on international donors for the service delivery for the people in the country compared with past due to poor financing, inadequate provision of facilities and mismanagement. Thus, PHC is crucial for the realization of health-related Sustainable Development Goals (SDGs) which are in turn inextricably linked with the other SDGs such as ending poverty, inclusive education, work and economic growth, reducing inequality and climate action. It is therefore suggested that adequate financing, provision of facilities and effective management should be adopted for sustainable development.

keywords:

Foreign Donation, Facilities, Policy, PHC, Evaluation and Services

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References:

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.
Abimbola, S. (2012). How to improve the quality of primary health care in Nigeria 2012: Available
from: http://nigerianstalk.org/2012/05/11. Accessed 23/5/14.
Adeyemo, D.O. (2005). Local government and health care delivery in Nigeria. J Hum Ecol.
18(2):149-60. Budget Office of the Federation, 2014. Federal Appropriation Acts 2011-
In: Federation Abuja: Federal Government of Nigeria.
Adinma, E. D. and Adinma, B. D. J. (2010). Community based healthcare financing: An untapped
option to a more effective healthcare funding in Nigeria. Nigerian Medical Journal
51(3):95.
Almata –Ata (1978) Primary Health Care.Geneva : World Health Organization.
Ananaba, A., Sadiq, F.U. and Piron, L. (2018). Health Financing in Nigeria: Retrieved August 22,
2020
from:
http://www.perlnigeria.net/storage/casestudies/June2018/vfspJJOnqo
5EVzDF8DnT.pdf.
Anyika, Emmanuel (2014) Challenges of Implementing Sustainable Health Care Delivery in
Nigeria under Environmental Uncertainty .Journal of Hospital Administration Vol 3. No
CIA (2020). The World Factbook 2020. Washingtin DC: Central Intelligence Agency. Assessed
on July 29. 2020 from https://www.cia.gov/library/publications/resources/the-world-
factbook/index.html
Constitution of the Federal Republic of Nigeria. Government of Nigeria; 1999.
Downie, R. (2017). Promoting Accountability in Nigeria's Health System. A report for the CSIS
Global Health Policy Center. Center for Strategic & International Studies. Retrieved 12th
August, 2020 from: https://www.researchgate.net/publication/314246094_Promoting
_Accountability_in_Nigeria%27s_Health_System
Fajiobi, F. (2010). X-ray of Local Government Administration in Nigeria. Ibadan Cresthill
Publishers Ltd.
Federal Ministry of Health (2014). Federal Republic of Nigeria National Health Act 2014.
Government Notice No. 208. Federal Republic of Nigeria Official Gazette 101: A139-
A172.
Federal Ministry of Health (2014). Federal Republic of Nigeria National Health Act 2014.
Government Notice No. 208. Federal Republic of Nigeria Official Gazette 101: A139-
A172.
FGN (2016). Federal Government of Nigeria. Minimum Standards for Primary Health Care in
Nigeria. National Primary Health Care Development Agency. 1-69
FGN (2016). Federal Government of Nigeria. Minimum Standards for Primary Health Care in
Nigeria. National Primary Health Care Development Agency. 1-69
Hafez, R. (2018). Nigeria Health Financing System Assessment. Health, Nutrition and Population
Discussion Paper; World Bank, Washington, DC. © World Bank. Available at:
https://openknowledge.worldbank.org/handle/10986/30174 License: CC BY 3.0 IGO.
Kharas, H., Hamel, K. and Hofer, M. (2018). Rethinking global poverty reduction in 2019. Blog.
Future Development at Brookings
Magawa, R. (2012). Primary Health Care Implementation: A brief review. Available from:
http://www.consultancyafrica.com/index. Accessed 22/5/14.
Obionu. C.N. (2007). Primary Health Care For Developing Countries. 2nd ed. Enugu: Delta
Publications.
Olakunde, B. O. (2012). Public health care financing in Nigeria: which way forward? Annals of
Nigerian Medicine 6(1): 4 - 10
Olise, P. (2007). Primary Health Care for Sustainable Development. Abuja: Ozege Publications.
Omoleke, I.I. (2005). The primary health care services in Nigeria: constraints to optimal
performance. Niger. J. Med.; 14(2):206-12.
Quartz (2018). Nigeria has become the Poverty Capital of the World. A Dim Outlook Article.
Quartz
Available
at
https://qz.com/africa/1313380/nigerias-has-the-highest-rate-of-
extreme-poverty-globally/
Soyibo, A., Olaniyan, O. and Lawanson, A. O. (2009). National Health Accounts of Nigeria 2003-
2005: Incorporating Sub-National Health Accounts of States. Report submitted to the
Federal Ministry of Health Abuja. Cited by Olakunde, 2012.
The World Bank, (2010). Improving primary health care delivery in Nigeria: evidence from four
states. World Bank Publications.
United Nations Development Programme (2011). MDGs Needs Assessment and Financing
Strategy
for
Nigeria:

Policy
Brief.
Available
at
http://www.ng.undp.org/mdgs/policy_brief.pdf
United Nations Development Programme (2011). MDGs Needs Assessment and Financing
Strategy
for
Nigeria:
Policy
Brief.
Available
at
http://www.ng.undp.org/mdgs/policy_brief.pdf.
Uzochukwu, Be, O Onwujekwe and Nkoli E, (2014) The District Health System in Enugu State
Nigeria. An Analysis of Policy Development and Implementation. Journal of Health
EconomicsDecember,2014.
WHO, (2010). Monitoring the building blocks of health systems: a handbook of indicators and
their
measurement
strategies,
Geneva:
WHO.
Online
available
http://www.who.int/healthinfo/systems/WHO_MBHSS_2010_full_web.pdf
World Health Organization. (2018). A vision for primary health care in the 21st century: towards
universal
health
coverage
and
the
Sustainable
Development
Goals
(No.
WHO/HIS/SDS/2018.15). World Health Organization.
World Health Organization-United Nations Children Fund (WHO-UNICEF) (1978). Declaration
of Alma Ata.

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