Community-Based Strategies to Improve Primary Health Care (PHC) Services in Developing Countries. Case Study of Nigeria
Oluwasogo A. OLALUBI and Sebutu I.
Correspondence Address :
Oluwasogo A. Olalubi
Department of Public Health
School of Basic Medical
Kwara State University
Received on: , Accepted on: , Published on:
Citation: Oluwasogo A. OLALUBI, Sebutu I. BELLO (2020). Community-Based Strategies to Improve Primary Health Care (PHC)
Services in Developing Countries. Case study of Nigeria.
Copyright: 2020 Oluwasogo A. OLALUBI, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Primary Health Care (PHC) still remains the minimum package of healthcare that should be provided to every individual and community across Nigeria Health System. The aim is to improve relatively the health status of the nation ensuring provision of healthcare services to people in the rural area which is indicated by reduced mortality and morbidity and improved survival rates in such communities. However, the situation of health status in Nigeria has not yet attained the desired level. Data shows that as at 2015, the country recorded 814 maternal deaths / 100,000 live births which put her in the same category with the poorest countries in the world such as Chad, Niger and Somalia among others.
Furthermore, Nigeria's health profile reveals that 2,300 under-five children and 145 women of childbearing age die every single day. Moreover, malaria, pneumonia, diarrhoea and other preventable infectious diseases still remain the major causes of under-five deaths in Nigeria. In view of these problems faced by PHC in the country, there is an urgent need for "one health" approach integrating the principal stakeholders, current Minister of Health, state commissioners for health, all 774 Local Government chairmen as well as the National Postgraduate Medical College of Nigeria (NPMCN) to revisit manpower need of PHCs and secondary healthcare facilities. There is also the need for policies restructure, leadership and running of these PHC institutions. Promoting health and prolonging life requires prompt detection and effective management of common communicable and non-communicable diseases cases which can only be achieved through a robust primary healthcare facility.
A national health insurance system that provides cover for the vulnerable special groups, aged, the young adolescents, school children, as well as pregnant mothers is a necessity towards reducing inequality in access to basic primary healthcare. This will reduce dependence on out of pocket spending and improve access to healthcare services.
Keywords: Primary Health Care, One-Health, National Postgraduate Medical College of Nigeria, National Health Insurance System