Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State
This study examines an innovative example of the expansion of supply and the strengthening of primary health care to improve key health-related Millennium Development Goal, or MDG indicators through synergy and collaboration between the federal Government of Nigeria (FGN) and state governments in an...
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| Format: | Working Paper |
| Language: | en_US |
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World Bank, Washington DC
2013
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10986/13307 |
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okr-10986-13307 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
en_US |
| topic |
access to services allocative efficiency ambulance babies baby basic health services blood banks Budget controls budget process caesarean sections capitation capitation fee capitation payments capitation system care for children Child Health child health services child mortality cities communication efforts community health competition among providers contraceptive prevalence cost control cost-effectiveness debt decision making delivery system developing countries diabetes diseases emergency obstetric care essential drugs essential health services essential medicines essential obstetric care Expenditures family planning fee-for- service fee-for-service fee-for-service basis financial barriers Financial Management financial risks General Health System health care facilities Health Centers Health Centre Health Coverage health education health expenditure health expenditures health extension health facilities Health Financing health indicators health inequalities health infrastructure Health Insurance Scheme health investments Health Maintenance Health Maintenance Organization Health Maintenance Organizations health management health outcome indicators health outcomes Health Policy health professionals health programs health provision health resources health sector health services health status Health System health system financing health systems health workers Healthcare Providers healthcare services high-risk pregnancies HMO HMOs Hospital Hospital Management hospital services hospitals Human Resources hygiene ill health illness immunization income income countries inequitable distribution infant Infant mortality Infant mortality rate Infants infection rates information systems injuries integration intervention lack of information life expectancy Life expectancy at birth live births local governments marketing Maternal Health maternal health services Maternal Mortality maternal mortality rate maternal mortality rates Maternal mortality ratio Maternal Mortality Ratios Medical Centers medical conditions medical doctor medical doctors medicines midwife Midwives Millennium Development Goal Millennium Development Goals Ministries of Health Ministry of Health Monitoring Mechanisms Mortality Mortality Ratio mother national goals National Health National Health Insurance National Health Policy national level national strategy neonatal care Neonatal Mortality newborn nongovernmental organizations normal deliveries number of children Nurse nurses nursing outpatient services patient patient care patients pharmacies Pharmacists pharmacy physicians policy guidance pregnancies pregnancy pregnant woman pregnant women prenatal care prevention strategies primary care Primary Health Care primary health care facilities primary health care services primary health care system primary health facilities primary health services private sector progress provision of care Psychiatric Hospitals public health Public Health System public hospital public information public providers public sector purchasing power purchasing power parity quality care radio referral system referral systems rehabilitation resource constraints respect rural areas Safe Motherhood sanitation sanitation facilities Service delivery service provision service utilization short supply skilled birth attendance skilled personnel Spillover state governments TB control Teaching Hospitals technical assistance Tertiary Level transportation Tuberculosis TV UNFPA universal access urban areas urban centers urban population user fees vulnerable groups workers working conditions |
| spellingShingle |
access to services allocative efficiency ambulance babies baby basic health services blood banks Budget controls budget process caesarean sections capitation capitation fee capitation payments capitation system care for children Child Health child health services child mortality cities communication efforts community health competition among providers contraceptive prevalence cost control cost-effectiveness debt decision making delivery system developing countries diabetes diseases emergency obstetric care essential drugs essential health services essential medicines essential obstetric care Expenditures family planning fee-for- service fee-for-service fee-for-service basis financial barriers Financial Management financial risks General Health System health care facilities Health Centers Health Centre Health Coverage health education health expenditure health expenditures health extension health facilities Health Financing health indicators health inequalities health infrastructure Health Insurance Scheme health investments Health Maintenance Health Maintenance Organization Health Maintenance Organizations health management health outcome indicators health outcomes Health Policy health professionals health programs health provision health resources health sector health services health status Health System health system financing health systems health workers Healthcare Providers healthcare services high-risk pregnancies HMO HMOs Hospital Hospital Management hospital services hospitals Human Resources hygiene ill health illness immunization income income countries inequitable distribution infant Infant mortality Infant mortality rate Infants infection rates information systems injuries integration intervention lack of information life expectancy Life expectancy at birth live births local governments marketing Maternal Health maternal health services Maternal Mortality maternal mortality rate maternal mortality rates Maternal mortality ratio Maternal Mortality Ratios Medical Centers medical conditions medical doctor medical doctors medicines midwife Midwives Millennium Development Goal Millennium Development Goals Ministries of Health Ministry of Health Monitoring Mechanisms Mortality Mortality Ratio mother national goals National Health National Health Insurance National Health Policy national level national strategy neonatal care Neonatal Mortality newborn nongovernmental organizations normal deliveries number of children Nurse nurses nursing outpatient services patient patient care patients pharmacies Pharmacists pharmacy physicians policy guidance pregnancies pregnancy pregnant woman pregnant women prenatal care prevention strategies primary care Primary Health Care primary health care facilities primary health care services primary health care system primary health facilities primary health services private sector progress provision of care Psychiatric Hospitals public health Public Health System public hospital public information public providers public sector purchasing power purchasing power parity quality care radio referral system referral systems rehabilitation resource constraints respect rural areas Safe Motherhood sanitation sanitation facilities Service delivery service provision service utilization short supply skilled birth attendance skilled personnel Spillover state governments TB control Teaching Hospitals technical assistance Tertiary Level transportation Tuberculosis TV UNFPA universal access urban areas urban centers urban population user fees vulnerable groups workers working conditions Atim, Chris Bhatnagar, Aarushi Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State |
| geographic_facet |
Africa Nigeria |
| relation |
UNICO Studies Series;No. 3 |
| description |
This study examines an innovative example of the expansion of supply and the strengthening of primary health care to improve key health-related Millennium Development Goal, or MDG indicators through synergy and collaboration between the federal Government of Nigeria (FGN) and state governments in an extreme federal context, and with particular reference to Ondo State. That is, the Nigerian Federal Constitution grants the federal government only very limited and indirect influence or control over the fiscal and financial affairs of state and local governments, such that 'plans, budgets, accounts and procurements are not subject to federal control and scrutiny'. Nor must the lower tiers account to the federal level for how funds transferred to them from the central level are used. The rest of case study is organized as follows. Section two describes the design of the HCP, including its interaction with the rest of the health system; section three discusses the targeting, identification, and enrolment system; section four examines the management of public funds within the HCP; section five analyses the management of the benefits package; section six reviews the information environment and monitoring systems of the HCP; section seven summarizes and analyses the evidence on the key theme of the study, which is the extent to which the HCP is expanding access to, and strengthening, primary health care within the federal system; and section eight looks at the pending agenda for action, drawing on the lessons learned and challenges for the HCP's future. The annexes present the country and health system context; a general overview of health system financing and delivery; a brief description of primary care and key supply-side efforts; and key data on Ondo State, including a description of the state's health system. |
| format |
Publications & Research :: Working Paper |
| author |
Atim, Chris Bhatnagar, Aarushi |
| author_facet |
Atim, Chris Bhatnagar, Aarushi |
| author_sort |
Atim, Chris |
| title |
Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State |
| title_short |
Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State |
| title_full |
Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State |
| title_fullStr |
Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State |
| title_full_unstemmed |
Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State |
| title_sort |
toward synergy and collaboration to expand the supply of and strengthen primary health care in nigeria’s federal context, with special reference to ondo state |
| publisher |
World Bank, Washington DC |
| publishDate |
2013 |
| url |
http://hdl.handle.net/10986/13307 |
| _version_ |
1764423150065418240 |
| spelling |
okr-10986-133072021-04-23T14:03:07Z Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State Atim, Chris Bhatnagar, Aarushi access to services allocative efficiency ambulance babies baby basic health services blood banks Budget controls budget process caesarean sections capitation capitation fee capitation payments capitation system care for children Child Health child health services child mortality cities communication efforts community health competition among providers contraceptive prevalence cost control cost-effectiveness debt decision making delivery system developing countries diabetes diseases emergency obstetric care essential drugs essential health services essential medicines essential obstetric care Expenditures family planning fee-for- service fee-for-service fee-for-service basis financial barriers Financial Management financial risks General Health System health care facilities Health Centers Health Centre Health Coverage health education health expenditure health expenditures health extension health facilities Health Financing health indicators health inequalities health infrastructure Health Insurance Scheme health investments Health Maintenance Health Maintenance Organization Health Maintenance Organizations health management health outcome indicators health outcomes Health Policy health professionals health programs health provision health resources health sector health services health status Health System health system financing health systems health workers Healthcare Providers healthcare services high-risk pregnancies HMO HMOs Hospital Hospital Management hospital services hospitals Human Resources hygiene ill health illness immunization income income countries inequitable distribution infant Infant mortality Infant mortality rate Infants infection rates information systems injuries integration intervention lack of information life expectancy Life expectancy at birth live births local governments marketing Maternal Health maternal health services Maternal Mortality maternal mortality rate maternal mortality rates Maternal mortality ratio Maternal Mortality Ratios Medical Centers medical conditions medical doctor medical doctors medicines midwife Midwives Millennium Development Goal Millennium Development Goals Ministries of Health Ministry of Health Monitoring Mechanisms Mortality Mortality Ratio mother national goals National Health National Health Insurance National Health Policy national level national strategy neonatal care Neonatal Mortality newborn nongovernmental organizations normal deliveries number of children Nurse nurses nursing outpatient services patient patient care patients pharmacies Pharmacists pharmacy physicians policy guidance pregnancies pregnancy pregnant woman pregnant women prenatal care prevention strategies primary care Primary Health Care primary health care facilities primary health care services primary health care system primary health facilities primary health services private sector progress provision of care Psychiatric Hospitals public health Public Health System public hospital public information public providers public sector purchasing power purchasing power parity quality care radio referral system referral systems rehabilitation resource constraints respect rural areas Safe Motherhood sanitation sanitation facilities Service delivery service provision service utilization short supply skilled birth attendance skilled personnel Spillover state governments TB control Teaching Hospitals technical assistance Tertiary Level transportation Tuberculosis TV UNFPA universal access urban areas urban centers urban population user fees vulnerable groups workers working conditions This study examines an innovative example of the expansion of supply and the strengthening of primary health care to improve key health-related Millennium Development Goal, or MDG indicators through synergy and collaboration between the federal Government of Nigeria (FGN) and state governments in an extreme federal context, and with particular reference to Ondo State. That is, the Nigerian Federal Constitution grants the federal government only very limited and indirect influence or control over the fiscal and financial affairs of state and local governments, such that 'plans, budgets, accounts and procurements are not subject to federal control and scrutiny'. Nor must the lower tiers account to the federal level for how funds transferred to them from the central level are used. The rest of case study is organized as follows. Section two describes the design of the HCP, including its interaction with the rest of the health system; section three discusses the targeting, identification, and enrolment system; section four examines the management of public funds within the HCP; section five analyses the management of the benefits package; section six reviews the information environment and monitoring systems of the HCP; section seven summarizes and analyses the evidence on the key theme of the study, which is the extent to which the HCP is expanding access to, and strengthening, primary health care within the federal system; and section eight looks at the pending agenda for action, drawing on the lessons learned and challenges for the HCP's future. The annexes present the country and health system context; a general overview of health system financing and delivery; a brief description of primary care and key supply-side efforts; and key data on Ondo State, including a description of the state's health system. 2013-05-06T16:35:35Z 2013-05-06T16:35:35Z 2013-01 http://hdl.handle.net/10986/13307 en_US UNICO Studies Series;No. 3 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington DC Publications & Research :: Working Paper Africa Nigeria |