The coalition of health Advocates, under the Partnership for Advocacy in Child and Family Health at Scale (PACFaH@Scale) project, met for 2 days to review the 2019 Goalkeeper Report of the Bill and Melinda Gates Foundation (BMGF) and to draw lessons for Nigeria.
Mr. Turwait Michael Otu, one of the winners of the 2019 Goalkeepers award was present during the meeting.
The coalition disclosed that while recognizing the importance of the Report’s sub-themes on – climate adaption; gender inequality; digital inclusion and data exploration, they focused specifically on the implications of the healthcare delivery section of the report for Nigeria, as the challenges facing healthcare delivery is of direct focus for the PACFaH@Scale project, funded by the Bill and Melinda Gates Foundation.
‘As the Federal government of Nigeria prepares to submit the 2020 Annual Budget, it behooves us to use this medium to draw the attention of government the opportunity of strengthening healthcare delivery through the mechanism of Universal Health Coverage (UHC) within the framework of Primary Healthcare Under One Roof (PHCUOR) policy.’ They said
The coalition described Universal Health Coverage, UHC and Primary Healthcare Under One Roof, PHCUOR as complementary policies that can transform health care delivery in Nigeria if adopted in full and budgeted for in national and state-level 2020 health budgets.
The coalition, therefore, calls Ministries, Departments, and Agencies (MDAs) at national and state levels to expand universal health coverage within national and state-adopted Primary Healthcare Under One Roof policies by doing the following:
- Provide adequate and sustainable funding for universal health coverage within the framework of the PHCUOR policy within national and state-level budgets
- Strengthen UHC and PHCUOR platforms and assessment mechanisms with full civil society participation including groups representing women, youth and traditional and faith leaders
- Provide high levels of technical and management support to State Primary Health Care Boards (SPHCBs) to roll out and implement key pillars of the PHCUOR policy
- Ensure full transparency, a community of practice and shared learning around the important pilot of the Basic Health Care Provision Fund
- Domesticate, disseminate and facilitate vibrant community-led conversations around new and soon-to-be-launched government policies with implications for UHC and PHCUOR
- Increase technical compliance and efficient processes within national and state government MDAs to ensure results based allocation and timely releases of appropriated funds to support UHC service delivery within a strengthen PHC system
They also expressed their belief that these recommendations are cost-effective, implementable and well within the capacity of Nigeria’s health decision-makers. This is a vision held by youth such as Mr. Micheal Turwait Out, a Nigerian BMGF as 2019 Goalkeeper and the health advocates of the PACFaH@Scale project.