HEFRON: Why primary health must be harmonised – Against the history of a weakened Primary Health Care system, stakeholders at an advocacy workshop on Principal Healthcare under a single Roof (PHCUOR) has stressed the need for harmonising this kind of industry to attain powerful service delivery for improved health outcomes.
Speaking at a 1-day advocacy workshop organised by Health Reform Foundation of Nigeria (HEFRON), stakeholders stated that regardless of political affiliation, health of Nigerians need to be paramount, urging that government ought to be produced accountable for this.
Oyo State HEFRON Secretary, Mr Seun Onifade stressed the require to engage governments of all states on implementing a state’s Major Well being Care agency, which is supposed to coordinate all activities of major health care delivery.
Mr Onifade, who remarked that such an agency will play a essential role in wellness delivery at the nearby government level, declared the need for state government to also address the identified gaps in the main healthcare solutions.
Provided an overview on the PHCUOR notion, Dr Matthew Onaoja, head, Wellness Systems Strengthening Unit, National Major Well being Care Improvement Agency, mentioned PHCUOR was a response to proof-based studies that depicted primary healthcare system in Nigeria as weak.
He stated that primary well being care program was identified to be weak due to many aspects, such as fragmentation, leadership conflicts, wide span of control, duplication of roles as wastage of resources, weak collaboration and coordination, PHC structure and organization becoming out of tune with international best practice.
While PHCUOR was aimed at harmonising the principal healthcare subsector in order to overcome structural constraints and boost the coordination, he declared that a major healthcare system was not total with out community involvement from the starting till the end.
“Bringing PHC Under One particular Roof (PHCUOR)” is modelled on World Health Organisation’s (WHO) guidelines for integrated district-based service delivery.
The important elements of the PHCUOR, according to him, integrated, integrating all PHC services delivered beneath one authority- at a minimum cost consisting of well being education and promotion, Maternal and  Kid Health/ Family Preparing (MCH/FP), immunization, disease manage, crucial drugs, nutrition and treatment of frequent ailments a single management body with adequate capacity that has handle more than solutions and resource (specifically human and economic).
Other elements, have been decentralised authority, responsibility and accountability with an proper span of control at all levels. Roles and responsibilities of the distinct levels will need to be clearly defined principles of “three ones” (one management, a single strategy and 1 M&E system)   integrated supportive supervisory technique managed from a single supply successful referral system between/across the distinct levels of care and enabling legislation and concomitant regulations.
But the challenges that could impede the realisation of the PHCUOR incorporate non-passage of the Health Bill, non-passage of legislation by state assemblies diverse approaches getting utilized by the states in implementing PHCUOR non-adherence to the PHCUOR suggestions lack of sufficient funding for the take off of PHCUOR issues with integrating governance and management.
Other challenges had to do with problems bordering on transfer of personnel from Ministry of Local Government and LGAs to the PHC boards/agencies and various approaches becoming employed by the states in implementing PHCUOR.
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