Participants at a 2-Day Coalition and Capacity Building workshop for Improved Financial and Implementation of Primary Health Care Under One Roof in Kaduna State , have identified a number of shortcomings in the system.
In a communique issued at the end of the workshop in Kaduna, Northwest of the country, the participants listed the shortcomings to include, insufficient funding, unclear rules and responsibilities among Primary, Secondary and tertiary health system, dilapidated infrastructures and weak referral.
Others are, inadequate accountability mechanism, absence of Civil Society Organizations to monitor and report back as well as suffocation of health care for over 30 years.
The participants therefore called for an enabling legislation and con committal regulations , integrated supportive supervision in the system as well as complete decentralized authority, responsibilities and accountability.
Apart from encouraging inter State study tours and peer reviews, the participants want enhanced focus on service delivery with Improved funding , increased efficiency , and coordination .
Primary Health Care policy makers, managers and frontline health workers , the communique said , could be held accountable for successes and failures in the system.
The communique wants CSOs to continue to generate evidence for advocacy and also encourage coalition building and liaison , as catalyst to stimulate change.
Organized by APHPN-PACFaH@Scale, the workshop featured overview of the organizer’s project, developing advocacy strategic plan for PHCUOR, Roles and Responsibilities of CSOs in advocacy for Improved accountability and Implementation of PHCUOR , Generating advocacy messages on identified priority PHCUOR issues and Developing PHCUOR advocacy strategic work plan among others.
