The spot check assessment conducted on the 255 prioritized PHCs identifies some key issues with regards to the implementation of the primary health care under one roof policy in the state.
The spot check further confirmed the fact that the 2019 Kaduna state health sector budget has no specific budget line for family planning activities. Only procurement of family planning/reproductive health commodities and consumable was captured in the Drug management agency (DMA) budget and allocated NGN 120,000,000 with no releases till date..
Nigeria falls significantly short of the universal health coverage (UHC) targets set by the nation. Nigeria’s public health expenditure is sub-optimal, with out of pocket expenditure at 71.5 %, a 0.2% decrease from 2014 WHO Global Health Observatory for Nigeria. The relatively high levels of private out of pocket expenditure do not reflect improvements in the health systems and the achievement of the goal of UHC. Access in Nigeria to lifesaving drugs for the poor and vulnerable is generally low, with only a proportion afforded adequate coverage. Two of such drugs in focus are Amoxicillin DT and Zinc-LO-ORS described by UNICEF and WHO as effective and cheap for the first line treatment for childhood pneumonia and diarrhea, respectively.
It is on this premise that the Partnership for Advocacy in Child and Family Health at Scale (PACFaH@Scale) project, a social accountability project anchored by the development Research and Projects Centre (dRPC) sought to expand healthcare access to the poor and vulnerable by advocating for the inclusion of the WHO recommended treatment protocols and the subsequent increase in the implementation of the newly adopted policies to end childhood killer disease (Amoxicillin Dispersible Tablet and co-pack Zinc-LO-ORS for Childhood Pneumonia & Diarrhoea respectively) through the Primary Health Care (PHC) system and with community pharmacists (CPs) and patent proprietary medicines vendors (PPMVs) as private sector providers at National level and in Niger, Kaduna and Kano States.
On behalf of the Senate Committee on Health, the Nigerian Senate and the 8th National Assembly, I write to recognize and appreciate the timely support of dRPC-PACFaH towards the actualization of the 1 % Consolidated Revenue Fund for Basic Health Care Provision Fund in the 2018 Budget of the Federal Republic of Nigeria.
As part of the efforts to improve Budgetary Allocation to the Health Sector, the Advocacy for Child and Family Health, PACFaH sponsored the Senate Committee on Health to the South African Legislature to collaborate on legislative agenda on Healthcare delivery. Excepts of the visit is captured in the video.