A baseline survey of the Primary Healthcare System in South Eastern Nigeria

Onyedum

J Int Assoc Provid AIDS Care

et al. 2013

Section: Methodsmentioning

confidence: 99%

Cervical Cancer Screening among HIV-Positive Women in Nigeria

Onyedum

J Int Assoc Provid AIDS Care

et al. 2013

“…Although the traditional African economy may appear to be informal, there are still available workable structures, which may be adapted and applied to community financing initiatives such as the BI. As noted in one of our studies [1], community members were not at all averse to health care financing rather their main concerns were how to ensure accountability, equity and qualitative outcomes of their investment.…”

Section: Inadequate Conceptual Validation and Modellingmentioning

confidence: 80%

“…The perception and values of the communities should be taken into account when establishing outcomes indicators. Some of these indicators have been identified in an earlier study [1], although objective assessment tools should be developed when developing a new conceptual framework for implementation as proposed earlier.…”

Section: Monitoring and Evaluationmentioning

confidence: 99%

“…The proceeds are then used to replenish stocks and the small profit used to improve services in the health centre. The importance of the BI as a health management programme is buttressed by the fact that the key indicator identified by the community for evaluating performance of the PHCs still remains ''easy access to essential drugs'' as demonstrated in a recent community survey in Nigeria [1].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Improving Access to Essential Drugs for Rural Communities in Nigeria: the Bamako Initiative Re-Visited

Chukwuani

Olugboji²,

Ugbene

2006

Pharm World Sci

Self Cite

One of the major indices of the performance of the primary healthcare delivery remains improved access to essential drugs. The Bamako Initiative (BI) was introduced by WHO/UNICEF in the late 1980's to improve access to essential drugs for the most vulnerable in the society and thus improve the health outcomes. However, almost 20 years post-inception, the outcomes and/or impact of the BI on the health indices of many implementing African countries remains varied, with not so significant improvement in health status being registered in a majority of countries. A review of literature suggests that the poor outcomes may be attributable to issues more fundamental than just the absence of adequate funding. Although the current Nigeria Drug Policy (NDP) clearly enunciates and provides policy direction for the core objective of the Bamako Initiative (BI), which is "EQUITABLE ACCESS TO ESSENTIAL DRUGS at the community level", it appears the implementation guidelines may not have drawn on the NDP policy guidelines to provide an adequate framework/tools to ensure efficient realization of the core objectives of the BI. This paper appraises the implementation of the BI in Nigeria within the context of the NDP. It reviews the current status of the BI in the country and attempts to proffer solutions for improvement and/or functionality. The paper seeks:1. To provoke thoughts and direct attention to an aspect of Public Health Pharmacy, which had been hitherto neglected by Pharmacists and Programme Planners.2. To get pharmacists more involved in ensuring the efficiency and safety of drug supply at the community level.3. To engender more research by pharmacists and stakeholders for improved outcomes in this service area.

“…6 In south-eastern Nigeria in 2006, the situation was said to be even worse, with only 29% of the required number of primary healthcare workers in post. 7 There is a particular shortage of doctors; only 7% of the required number in one study from South Africa. 8 And, not surprisingly, the doctor shortage is greatest in rural areas; a study of staffing levels in health centres in Windhoek (Namibia) reported no medical staff at all in the outlying clinics.…”

Section: Introductionmentioning

confidence: 99%

The inverse primary care law in sub-Saharan Africa: a qualitative study of the views of migrant health workers

et al. 2014

BackgroundMany low-income and middle-income countries globally are now pursuing ambitious plans for universal primary care, but are failing to deliver adequate care quality because of intractable human resource problems. AimTo understand why migrant nurses and doctors from sub-Saharan Africa did not wish to take up available posts in primary and first-contact care in their home countries. Design and settingQualitative study of migrant health workers to Europe (UK, Belgium, and Austria) or southern Africa (Botswana and South Africa) from subSaharan Africa. MethodSemi-structured interviews with 66 health workers (24 nurses and 42 doctors) from 18 countries between July 2011 and April 2012. Transcripts were analysed thematically using a framework approach. ResultsThe reasons given for choosing not to work in primary care were grouped into three main analytic streams: poor working environment, difficult living experiences, and poor career path. Responders described a lack of basic medicines and equipment, an unmanageable workload, and lack of professional support. Many had concerns about personal security, living conditions (such as education for children), and poor income. Primary care was seen as lower status than hospital medicine, with lack of specialist training opportunities and more exposure to corruption. ConclusionsClinicians are reluctant to work in the conditions they currently experience in primary care in sub-Saharan Africa and these conditions tend to get worse as poverty and need for primary care increases. This inverse primary care law undermines achievement of universal health coverage. Policy experience from countries outside Africa shows that it is not immutable.