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Access to Healthcare: FG Revitalizes 8,300 PHCs in Nigeria 

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By Laide Akinboade, Abuja 

In order to increase access to quality healthcare in Nigeria, the Federal government, FG, said  on Friday, that it has concluded arrangements to revitalize about 8,300 Primary HealthCare Centers,PHCs, across Nigeria.

 

Coordinating Minister of Health and Social Welfare, Ali Pate, revealed this at the Ministerial Sectoral Briefings organised by   office of 

Secretary to the Government of the Federation,  SGF, 

to mark the first anniversary of President Bola Tinubu’s administration, in Abuja.

 

The Minister of Health said  N260 billion have already been set aside  this purpose.

He also revealed that the FG intends to make the PHCs fully functional and upgraded them  to 17,000 in less than 3 years. 

 According to Pate, “We outlined a plan to revive 8300 primary health care centers across the nation to make them fully functional and to expand and upgrade to 17,000 Primary Health Care Centers over the next 3-years. 

“The expansion is to refurbish these centers, equip them, making them fully functional 

to deliver essential services such as immunization, reproductive, maternal, newborn, and child health services, treatment of non-communicable diseases, and to facilitate 

referrals to secondary facilities. However, this ambitious plan requires the states to 

complement the efforts of the federal government.

“Regarding the revitalization of primary health care, which aligns with the President’s directive, I am pleased to report that 260 billion Naira is already currently available at the state level for this purpose through IDA financing and the BHCPF. 

“The revitalization 

of our primary health care centers hinges on the availability of resources and hence significant efforts made to mobilize and deploy the funds. We are now providing 

guidelines to assist the states in the implementation of the revitalization projects, ensuring that the resources are used prudently for their intended purposes”.

“We reviewed audits on the previous utilization of such financial resources and identified major gaps in several states. These issues were addressed through the National Economic Council and the Governors’ Forum. Our state governors have been instrumental in aligning with the President’s vision for increasing investments in the health sector. The transparency of disbursing the Primary Health Care Provision (BHCPF) funds was enhanced by conducting it publicly and establishing a hotline for 

Nigerians to report any misuse of resources. Oversight bodies such as the ICPC and EFCC are also encouraged to monitor to ensure that the implementation at the state level aligns with the intended objectives, particularly in terms of infrastructure and 

equipment and that the resources not misused”.

On capacity building, the Minister said, the ministry in the next three years have commenced training of over 

120,000 frontline health workers serving rural populations and they would  be equipped with the 

necessary skills, supported by the infrastructure and equipment we will provide.

He said, “At least 1,400 Primary Health Care Centers are now equipped to provide skilled birth attendance, funded through the NPHCDA and the NHIA, covering the 8,300 facilities.

More than 2,400 health workers, including nurses, doctors, and midwives,have been 

recruited to provide services to Nigerians, many of whom are women in rural areas 

delivering essential services”.

On vaccination, he said,  “In the area of vaccination, over 5 million Nigerian children have been vaccinated 

against diphtheria using pentavalent vaccine. More than 10 million Nigerian children received the tetanus and diphtheria vaccines. We are working hard to stop the circulating variant polio viruses showing up in Kano, Katsina, Sokoto, Zamfara and Kebbi States. We have delivered measles vaccines to more than 5 million children to protect them against measles, and 4.95 million girls 9-14 years in 15 States have received HPV vaccines to protect them against cervical cancer, representing 80% target, among the highest in the world. 6 million more are planned to receive the vaccines in the next phase for 21 states starting from May 27, 2024.

“In terms of hospital equipment and infrastructure, the federal hospitals have 

successfully executed 201 specific infrastructure projects in the last 1 year. 

Additionally, 179 specific pieces of important medical equipment were procured by the federal government and distributed across the six geopolitical zones. In 33 of our federal tertiary hospitals, approximately 4.5 million Nigerians accessed outpatient 

health services, and 1.6 million had inpatient admissions. Showing that Nigerians are using the services provided by the Federal Government in those facilities, supported by an amazing army of health professionals.

“We are witnessing substantial upgrade in healthcare infrastructure, a testament to 

the President’s leadership. Plans are underway for the groundbreaking ceremony of 10 healthcare infrastructure projects, through the NSIA, across the six geopolitical zones, including diagnostic centers and oncology centers. These developments are part of a broader initiative involving public-private partnerships. We are moving 

forward with a major PPP to get to the full business case stage for expanding 

infrastructure and equipping 6 teaching hospitals”.

Health

Agency Seals 12 Islamic Medicine Stores, One Clinic in Niger Crackdown

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The Niger State Private Health Facilities Agency (NiSPHFA) has sealed 12 unregistered Islamic medicine stores in Minna and a health facility in Katcha Local Government Area (LGA).

The Executive Chairman of NiSPHFA, Dr.

Abdullahi Suleiman, disclosed this while receiving members of the Islamic and Prophetic Medicine Practitioners’ Association of Nigeria (IPMPAN) in Minna.

The enforcement is part of the agency’s renewed efforts to protect residents from unsafe healthcare practices and ensure compliance with minimum standards.

Suleiman said the facilities were sealed over alleged non-compliance with regulatory standards.

According to him, the enforcement is not aimed at persecuting healthcare providers but at ensuring residents have access to safe, quality, and standard-compliant healthcare services.

“Our responsibility is to protect the people by ensuring that anyone providing healthcare services operates within the required standards,” he said.

He urged genuine alternative medicine practitioners to register with NiSPHFA, saying registration would enable the agency to identify operators, monitor their activities, and protect residents from unsafe products and practices.

Suleiman also announced plans to organise a trade fair for verified alternative medicine practitioners to promote legitimate practices and improve public confidence in alternative healthcare.

He emphasised the need for practitioners to maintain minimum standards of hygiene, sanitation, safe preparation and storage of medicines, proper packaging, and infection prevention.

“Practitioners should refer patients whose conditions are beyond their capacity to appropriate health facilities. Such referrals will help reduce avoidable health risks,” he said.

The chairman said sustained enforcement, stakeholder collaboration, and improved compliance would enable NiSPHFA to safeguard residents and promote a safer, more accountable, and quality-driven healthcare system across the state.

He said the NiSPHFA enforcement team inspected 10 health facilities in Katcha local government and identified various irregularities requiring improvement.

Suleiman said the affected facilities were issued 21-day notices to correct the identified deficiencies.

“One of the facilities inspected was sealed for non-compliance with established standards,” he said.

He added that the agency also secured the support of the local government area in identifying and addressing facilities operating with irregularities.

IPMPAN Chairman, Abdullahi Haske, commended the state government for establishing NiSPHFA.

He pledged the association’s cooperation in ensuring that its members complied with regulatory requirements.

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Health

Stakeholders Seek Improved Health Budget Implementation, Accountability in Kaduna

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Stakeholders have called for improved implementation, tracking and accountability of health sector budgets to strengthen healthcare delivery and advance Universal Health Coverage (UHC) in Kaduna State.

They made the call during an engagement on strengthening participatory budget processes, health budget tracking and advocacy on Saturday in Kaduna, with emphasis on the 2027 budget process and implementation of the Annual Operational Plan (AOP) for the health sector.

Seth Luke, a Civil Society Coach on strengthening participatory budget processes under the Open Government Partnership (OGP) Kaduna, said the engagement was aimed at strengthening the capacity of OGP Technical Working Groups and state and local government accountability mechanisms to effectively participate in budget processes and advocacy.

Seth said the engagement was particularly focused on the health sector, including tracking the implementation of the Annual Operational Plan as the state commenced preparations for the 2027 budget.

 “We want to see how we can track the implementation of the Annual Operational Plan for the health sector and, from our findings, bring out recommendations around improving funding and other areas that require attention,” he said.

He said the government needed to prioritise health financing beyond budgetary allocation by ensuring effective implementation of approved programmes and projects.

According to him, budget allocation represents government plans based on expected revenue, but available resources should be prioritised toward activities capable of improving healthcare and service delivery at the grassroots.

Seth urged participants to use the knowledge and findings from the engagement to engage relevant government stakeholders on improving health financing and budget implementation.

He also encouraged them to extend the knowledge gained to other sectors and continuously engage government on budgeting, accountability and service delivery.

Similarly, Garba Mohammed, Co-Chair of the Kaduna Maternal Accountability Mechanism (KADMAM), said the engagement was aimed at reviewing health budget performance against key indicators linked to maternal mortality reduction and child survival.

Mohammed said participants examined first and second quarter performance, particularly in areas such as family planning, Maternal, Newborn and Child Health (MNCAH), nutrition, malaria, immunisation and essential medicines.

He said family planning interventions largely involved commodities at the primary healthcare level, while MNCAH activities remained largely donor-dependent.

Mohammed commended the Kaduna State Government for meeting the Abuja Declaration benchmark of allocating at least 15 per cent of its annual budget to health.

He, however, expressed concern over gaps in the implementation of some critical health budget lines, stressing that allocation alone was not enough to improve health outcomes.

 “We have looked at the budget allocation, and Kaduna State has met the 15 per cent Abuja Declaration benchmark. We commend the state for that. However, there are still issues around budget performance in critical health indicators,” he said.

He said the findings would be used to identify advocacy priorities and engage key government decision-makers, including the Ministry of Health, Planning and Budget Commission, Ministry of Finance and other relevant authorities.

Mohammed said participants were expected to understand the relevant health budget lines and their implementation status and use the knowledge to undertake evidence-based advocacy in their respective organisations.

Meanwhile, Yusuf Guje, Executive Director, Civic Impact for Sustainable Development Foundation (CISDF), and a participant at the programme, told the News Agency of Nigeria (NAN) that the engagement was timely in strengthening the capacity of civil society and accountability mechanisms.

Guje said the programme would deepen participants’ capacity in budget tracking, project monitoring and social auditing, particularly within the health sector.

He described the health sector as a critical pillar of development, saying civil society organisations had an important role to play in complementing government efforts through effective monitoring and accountability.

He said CSOs needed to strengthen their ability to analyse budgets, track expenditure and visit healthcare facilities to determine whether appropriated and released funds were being properly utilised.

“Civil society needs to really improve on how effectively we analyse the budget, how we track the spending, and go down to the various facilities to see how well the money appropriated and released is being utilised,” Guje said.

He said effective monitoring would help determine the extent to which communities benefited from government investments in healthcare.

According to him, Kaduna State’s commitment to Universal Health Coverage could only be strengthened through sustainable health financing and effective accountability mechanisms.

Guje described CSOs as representatives of communities that often lacked the knowledge, skills and platforms required to engage government on public policies and resource allocation.

He therefore urged civil society actors to continuously strengthen their capacity to represent citizens effectively, particularly in health financing advocacy and accountability.

 “As civil society, we need to remain committed to holding the government accountable where necessary and tracking the entire health financing process,” he said.

Guje said the ultimate objective of budget tracking and social accountability was to ensure value for money in public expenditure on health.

He added that effective monitoring of public finances would contribute to improved healthcare delivery and better health outcomes at the grassroots. (NAN)

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Health

C’River Makes Health Insurance Compulsory for Civil Servants

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Cross River Government has made enrolment in the state Health Insurance Scheme compulsory for all civil and public servants in the state.

The Head of Service, Bassey Okon, announced this in a circular dated Sept.

3, following the official relaunch of the Formal Sector Enrolment Programme of the Cross River State Health Insurance Agency.

According to the circular in Calabar, at the weekend, the directive takes immediate effect.

Okon stated that the policy was meant to ensure that all the civil and public servants had access to affordable, quality, and timely healthcare services, while strengthening the welfare and productivity of the state workforce.

He directed all the civil and public servants to enroll in the scheme and comply with the registration and documentation requirements of the agency.

The circular also introduced a mandatory requirement for officers to attach valid health insurance enrolment cards to official correspondences relating to personnel matters.

“Correspondences concerning promotion, confirmation of appointment, loan applications, study leave, training or sponsorship, transfer or secondment, as well as other personnel-related requests or benefits, would not be processed without the attachment of a valid health insurance enrolment card,” it stated.

To facilitate the enrolment process, the government established enrolment points at the Office of the Head of Service, New Secretariat, Calabar, and the Ministry of Health, Old Secretariat, Calabar.

Okon directed all Heads of Ministries, Departments, and Agencies (MDAs) to ensure that officers under their supervision were duly informed about the circular and made to comply with the enrolment requirement without delay.

He also urged concerned officers to take advantage of the designated enrolment points for guidance and assistance and to complete their enrolment as required.

He further directed all the heads of the MDAs to bring the contents of the circular to the attention of all civil and public servants under their supervision. (NAN)

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