By Abubakar
Mohammed
Primary
health care service delivery becomes complex and challenging all over the
world, especially when gauge against the rapid population growth and compared
with the infrastructural neglect, decay, and the gap between skill and
knowledge which has clearly emerged as the bane of primary health care systems.
The
needs for sustainable, holistic and effective health care service definitely prompted
the then Administration of vice Admiral Murtal Hammanyero Nyako to established Primary
Health Care Development Agency in Adamawa State.
As
enacted and passed by the Adamawa State House of Assembly, the
The
agency commences operation on 30th Day of July, 2011 with the Mission “To
provide leadership in the promotion and implementation of high quality
sustainable Primary Health Care for all supporting delivery through resource
mobilization, partnership collaboration, development of community Based System
and functional infrastructure.” And Vision “Committed to Achieving Universal
service Coverage Through the provision of comprehensive, qualitative and
sustainable Primary Health Care Services toward attaining highest level of Health.”
As
contained in the gazette law responsible for its establishment, the Agency is
Saddle with the following responsibilities
ü To
formulate primary health care policy and
Assist the state and Local Government Primary Health Care Authorities in
resource mobilization
ü Support
the monitoring and evaluation of all primary health care Programmes at Local
Government area level and training and re-training of all cadres of health
workers with proper reorientation to community participation and development.
ü To
support directly the strengthening of school of health technology and community
participation in primary health care.
ü To
carryout studies in health systems research as a tools for finding better ways
for the provision of essential care as a component of health for all at the Local
Government area level.
ü To
stimulate Universities, non-governmental organizations and international agencies
to work with Local Government areas in nurturing their capacity for problem
solving using locally available means.
ü To
support inter-sectoral collaboration in the primary health care system especially
amongst line Ministries and development of strategies to strengthen the
referral systems and encourage at all-time its utilizations.
The
Governing Board of the Agency is headed by a full time Chairman assisted by two
permanent Members and Secretary. Dr. Abdullahi Dauda Belel was appointed as
pioneer Chairman to man the Agency on August 2011. The journey which began four
years ago; under the leadership of Dr. Belel, the Agency has been full of
memorable events and achievements which receive commendation from both national
and international agencies.
Primary
health care system is moving fast forward in adamawa state, the fear and
speculations of failure as experienced in the past has gone as the quest of
people to enjoy modern health care service in the state is now visible and in
full practice throughout the state. The story that is unfolding is a new glossy
and colorful page of activities and initiative of Dr. Belel, Within the four
years of its existence, Dr. Belel assisted by a vibrant teams has successfully
brought Primary Health Care family under one roof and also enabling environment
for donor agencies and partner support in Adamawa state; PHCUOR has three ones
basic Principles
ü One management body, one plan and one monitoring
and evaluation
system.
ü Single
management body with control over services and resources (human and financial)
ü Enabling
legislative framework
ü Decentralized authority, responsibility and
accountability with appropriate span of control.
ü Integrated
supportive supervisory system managed from a single source.
ü Integration
of all PHC services under one authority.
ü Effective
referral system between/across the different levels of care.
Presently,
the agency is implementing two laudable project supported by World Bank and
EU/UNICEF. The World Bank project is $171 Million USD five year program
implemented through Nigeria State Health Investment Project (NSHIP) in Adamawa,
Nasarawa and Ondo state. NSHIP uses Performance Based Financing approach to
implement the project. Performance Based
Financing for Health
Service delivery was introduced in many developing countries; the aim is to
increase efficiency, effectiveness, quality and equity of Health Services
rendered to people especially at grass root level in which results achieve at
all levels are rewarded.
The UNICEF project is a 15Million euro four year
project with funding support from European Union. The project is aimed at
reducing the unacceptably high maternal, newborn and child mortality rate in
the state by implementing proven based high impact maternal newborn and child
health interventions to scale up maternal and newborn outcomes in 226 Health
Facilities in all the 226 Political Wards in the State. The project has five
key objectives
ü Increase proportion of women who are able to
correctly recognize pregnancy complications and seek timely intervention
through community for development approach.
ü Increase proportion of poor and marginalized rural
women with increase financial access to seek health care through innovative
social protection mechanism
ü Improve the functionality of the health service
provision through training of health workers, adequate supply of drugs and
equipment’s. So far close to 1000 health workers including community health volunteers
have been trained on various interventions. Medical supplies and equipment
worth over two million euros have procured and distributed
ü Improve nutrition for women and children along
continuum of care, 25 OTP centers have been established to implement Community
Based of Acute Malnutrition program (CMAM) in which over 2,600 severely
malnourished children were treated successfully.
ü Strengthen the capacity of the State and LGA PHC
Authority to manage and decentralized PHC system for improves accountability
and transparency in the delivery of health care services.
undoubted, Primary Health Care under Dr.
Abdullahi Dauda Belel within the period of its establishment with sustain pace
setting agenda; has instructively enlisted itself as a reference point in terms
of Excellence Service Delivery, prudent management of resources, projects
conception and execution. Some of the achievements are:
ü Fully immunize children by one year is now 62.1 %
percent compare to baseline period of
34.2% in 2011
ü Exclusive breastfeeding of children from 0-6
months has increase from 12.8% to 22.3%
ü Children with pneumonia receiving timely care as
per iCCM guidelines rose from 35.6% in 2011 to 55% in 2014
ü Over 110 PHC facilities have had no stock-out of
essential commodities such as ORS, antibiotics, anti-malaria etc, compare
to 16
during baseline in 2011
ü 21 health facilities are upgraded to become Centers
of Excellent to provide Basic Emergency Obstetric Care
ü Construction permanent administrative office
complex at kofare industrial layout Jimeta
ü Renovation of health facilities in both urban and
rural areas
ü Construction of Maintenance workshop
ü Procurement and distribution of 21 sienna buses to
21 PHC Authorities in the State etc
Been a major player in the review of process that
facilitated successful Primary Health Care reforms in Adamawa state; he was
appointment as a Board Member National Primary Health Care Development Agency.
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