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Many primary health centres in Nigeria are famed for poor service delivery but a public-private partnership scheme in Niger State is reversing the trend, AFEEZ HANAFI writes
Expectedly, Aliyu was amazed by his wife’s account and couldn’t wait to join her on the next appointment a month later to see things himself. He was impressed last August. Nurses who used to fume at any slight provocation had suddenly become friendly. In 1985, the then Minister of Health, Prof. Olikoye Ransome-Kuti, adopted the PHC model in 52 local government areas based on the recommendation of the declaration and by 1990, it had been expanded to all local government areas. Also, Nigeria’s first comprehensive national health policy based on PHC was launched in 1988.
Furthermore, part of the problems adduced to poor performance of PHCs in Nigeria was its handing over to the local government administration in the 1980s. However, in recent years, federal and state governments embarked on interventions to check the ugly trend.In October 2017, Niger State Government and Bill and Melinda Gates Foundation signed a N1.2bn memorandum of understanding to improve healthcare delivery in the state.
“The agreement has seven cardinal areas of focus,” the Executive Director, Niger State Primary Health Care Development Agency, Dr Ibrahim Dangana, toldHe said, “The thematic areas include: strengthening government health sector stewardship for leadership and governance; reducing out-of-pocket health expenditure and moving towards universal health coverage. It also sought to support a social contributory health insurance scheme.
“So, when you have issues like poor staff attitude, truancy, absenteeism and indiscipline, we could not discipline the staff because we didn’t control their salaries. It is said that he who pays the piper calls the tune. Whether you talk to them or not, at the end of the month, they will receive their alerts.
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