NPHCDA delivering mandate on primary health care in Nigeria


The National Primary Health Care Development Agency (NPHCDA) says it is actualising its mandate on primary health care systems in Nigeria through the Nigeria State Health Investment Project (NSHIP).

The Executive Director, NPHCDA,Dr Faisal Shuab, said this on the sideline of the Midterm Review Meeting of Nigeria State Health Investment Project (NSHIP) in Abuja on Wednesday.

Shuab said the NSHIP was a Federal Government project, implemented by the NPHCDA to transform Primary Health Care (PHC) systems in Nigeria.He said NSHIP adopted the Performance Based Financing (PBF) approach and design to improve PHC services in Nigeria.

“PBF is a result oriented approach which aims to transform the modes of operations of PHC and strengthen institutional performance at federal, state and local government areas to produce healthier and sustainable results.

“NSHIP is a five year PBF programme with specific focus on result and performance of service providers, health facility autonomy and improved health outcomes among others,’’ he said.

Shuab explained that the Nigerian government with funding credit from World Bank started implementation in three NSHIP project states of Adamawa, Nasarawa and Ondo in December 2011.

He said in keeping with the presidential mandate to rehabilitate and restore service delivery systems in the northeast, the World Bank approved additional financing for the expansion of NSHIP in five states.

The five states include; Bauchi, Borno, Gombe, Taraba and Yobe.According to him, this is due to the positive results observed in the existing NSHIP pilot states.

Highlighting some of the achievements of the NSHIP, Shuab said “with funds now reaching project states, we now have an improved state of infrastructure, adequate stock of drugs and medical supplies.

“The health facilities now run as an autonomous institution by health facility managers empowered to make appropriate decisions with highly motivated work force.

“The earnings by the facilities are used for the empowerment of health facilities while up to 50 per cent is shared among health workers according to their performance as bonus.

“The attitude of health workers toward the patients have tremendously improved, they are more efficient and responsive to people’s health needs and they work 24 hours in all days of the week,’’ he said.

The NPHCDA Boss stated that the NSHIP had brought about a positive revolution in the Nigeria PHC sector through the implementation of PBF.

He further called for the adoption of PBF principle as a policy in the country, adding that it would accelerate the achievement of Universal Health Coverage.


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