, N24 billion is allocated to the National Primary Health Care Development Agency, which is in charge of the country’s primary healthcare centres . Considering that there are approximately 30,000 PHCs in the country, this amounts to about N800,000 per PHC as operating budget each year. If efficiency and effectiveness of health investments are anticipated, there must be a reliance on valid data for evidence-based planning and decision making.
Third, there needs to be a focus on social determinants of health. Healthcare delivery is a continuum of care and does not end in health facilities. Several factors impact on access and quality of healthcare, such as good nutrition , sanitation, clean water, improved security, and regular power supply. These social determinants of health have enormous impact on the quality of healthcare delivered and the population’s health.
Improving the conditions of service for health workers must address not only staff motivation and incentives, but also uphold accountability by imposing sanctions on erring workers. Technology, regular training, and retraining can be leveraged to enhance their work, with task-shifting to enable certain key health services to be provided, especially in remote communities.
Fourth, improved conditions of service of health workers are crucial. A 2017 survey on emigration of Nigerian medical doctors byrevealed the reasons why doctors and other health workers emigrate. Most of these border on poor working conditions. Improving the conditions of service for health workers must address not only staff motivation and incentives, but also uphold accountability by imposing sanctions on erring workers.
Lastly, there has to be increased funding for epidemic preparedness by adequately funding the Nigeria Centre for Disease Control. Indeed, it is cheaper to prevent than respond to infectious diseases. The threat of infectious disease outbreaks is a constant one. COVID-19 will not be the last pandemic. There are still various components of the prevention, detection, and response to infectious disease to address. Of note is the implementation of the National Action Plan on Health Security .
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