Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria

Within the last two decades, the Nigerian government has committed to strengthening its primary health care system, through reforms addressing institutional restructuring, deepening decentralized governance, and the incorporation of an alternative health care financing strategy. One of these reforms...

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Main Authors:	Odutolu, Oluwole, Ihebuzor, Nnenna, Tilley-Gyado, Ritgak, Martufi, Valentina, Ajuluchukwu, Michael, Olubajo, Olalekan, Banigbe, Bolanle, Fadeyibi, Opeyemi, Abdullhai, Rabiya, Muhammad, Ado J.G.
Format:	Journal Article
Language:	en_US
Published:	Taylor and Francis 2016
Subjects:	accountability health systems reform PHC reform primary health care results-based financing
Online Access:	http://hdl.handle.net/10986/25333

id	okr-10986-25333
recordtype	oai_dc
spelling	okr-10986-253332021-05-25T10:54:34Z Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria Odutolu, Oluwole Ihebuzor, Nnenna Tilley-Gyado, Ritgak Martufi, Valentina Ajuluchukwu, Michael Olubajo, Olalekan Banigbe, Bolanle Fadeyibi, Opeyemi Abdullhai, Rabiya Muhammad, Ado J.G. accountability health systems reform PHC reform primary health care results-based financing Within the last two decades, the Nigerian government has committed to strengthening its primary health care system, through reforms addressing institutional restructuring, deepening decentralized governance, and the incorporation of an alternative health care financing strategy. One of these reforms prescribed the establishment of state primary health care agencies/boards (SPHCDBs) as an integral part of the national health system, with the principal responsibility “for the coordination of planning, budgeting, provision and monitoring of all primary health care services that affect residents of the state.” Central to this reform is the integration of primary health care (PHC) governance and management, popularly called primary health care under one roof. Another reform, piloting results-based financing, has been implemented since 2011 in three states under the Nigeria State Health Investment Project. This study assesses the implementation of the Primary Health Care Under One Roof (PHCUOR) policy as part of the broader PHC reforms, with a specific focus on how this policy has been strengthened through the Nigeria State Health Investment Project (NSHIP) in Adamawa, Nasarawa, and Ondo states, documenting the evolution of SPHCDB and PHC service delivery, with a focus on management, accountability, and incentives. The study shows that, in the above-mentioned states, significant milestones were achieved in the establishment of the SPHCDB, the strengthening of PHC systems, the improvement of accountability linkages, and an increase in service utilization. The authors therefore argue that integrated PHC systems through SPHCDBs, as enshrined in the PHCUOR guidelines, are a panacea for effective provision of primary health care and a potential game changer for health outcomes, especially when reinforced with a results-based financing approach. 2016-11-03T20:15:48Z 2016-11-03T20:15:48Z 2016-09-26 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/25333 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Africa Nigeria
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	accountability health systems reform PHC reform primary health care results-based financing
spellingShingle	accountability health systems reform PHC reform primary health care results-based financing Odutolu, Oluwole Ihebuzor, Nnenna Tilley-Gyado, Ritgak Martufi, Valentina Ajuluchukwu, Michael Olubajo, Olalekan Banigbe, Bolanle Fadeyibi, Opeyemi Abdullhai, Rabiya Muhammad, Ado J.G. Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria
geographic_facet	Africa Nigeria
description	Within the last two decades, the Nigerian government has committed to strengthening its primary health care system, through reforms addressing institutional restructuring, deepening decentralized governance, and the incorporation of an alternative health care financing strategy. One of these reforms prescribed the establishment of state primary health care agencies/boards (SPHCDBs) as an integral part of the national health system, with the principal responsibility “for the coordination of planning, budgeting, provision and monitoring of all primary health care services that affect residents of the state.” Central to this reform is the integration of primary health care (PHC) governance and management, popularly called primary health care under one roof. Another reform, piloting results-based financing, has been implemented since 2011 in three states under the Nigeria State Health Investment Project. This study assesses the implementation of the Primary Health Care Under One Roof (PHCUOR) policy as part of the broader PHC reforms, with a specific focus on how this policy has been strengthened through the Nigeria State Health Investment Project (NSHIP) in Adamawa, Nasarawa, and Ondo states, documenting the evolution of SPHCDB and PHC service delivery, with a focus on management, accountability, and incentives. The study shows that, in the above-mentioned states, significant milestones were achieved in the establishment of the SPHCDB, the strengthening of PHC systems, the improvement of accountability linkages, and an increase in service utilization. The authors therefore argue that integrated PHC systems through SPHCDBs, as enshrined in the PHCUOR guidelines, are a panacea for effective provision of primary health care and a potential game changer for health outcomes, especially when reinforced with a results-based financing approach.
format	Journal Article
author	Odutolu, Oluwole Ihebuzor, Nnenna Tilley-Gyado, Ritgak Martufi, Valentina Ajuluchukwu, Michael Olubajo, Olalekan Banigbe, Bolanle Fadeyibi, Opeyemi Abdullhai, Rabiya Muhammad, Ado J.G.
author_facet	Odutolu, Oluwole Ihebuzor, Nnenna Tilley-Gyado, Ritgak Martufi, Valentina Ajuluchukwu, Michael Olubajo, Olalekan Banigbe, Bolanle Fadeyibi, Opeyemi Abdullhai, Rabiya Muhammad, Ado J.G.
author_sort	Odutolu, Oluwole
title	Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria
title_short	Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria
title_full	Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria
title_fullStr	Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria
title_full_unstemmed	Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria
title_sort	putting institutions at the centre of primary health care reforms : experience from implementation in three states in nigeria
publisher	Taylor and Francis
publishDate	2016
url	http://hdl.handle.net/10986/25333
_version_	1764458986380197888

Putting Institutions at the Centre of Primary Health Care Reforms : Experience from Implementation in Three States in Nigeria

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