ISSN: 2451-0432
eISSN: 2719-4388
OAI
DOI: 10.18276/ap.2022.54-08
Lista wydań /
2/2022 (54)
Local Government and Primary Health Care service delivery in South-Western Nigeria 2010–2015
| Autorzy: |
Peter Odion
Irabor
Department of Political Science, Obafemi Awolowo University, Nigeria Department of Political Science and Public Administration, Adeleke University, Ede, Nigeria Samuel Iheanacho Ebirim
Department of Political Science, Oduduwa University, Nigeria Idowu Folorunso Aloba
Department of Public Administration, Oduduwa University, Nigeria |
| Słowa kluczowe: | local government Primary Health Care service delivery south-western Nigeria |
| Data publikacji całości: | 2022 |
| Liczba stron: | 19 (115-133) |
Abstrakt
Primary Health Care (PHC) is implemented by the local governments in Nigeria based on the notion that healthcare service delivery is efficient when it is closer to people. With the adoption of analytical research through secondary sources of data, this study assesses the local government performance in PHC service delivery and examines the challenges it faced in the south-western Nigeria states of Lagos, Ogun, and Ondo in the period of 2010–2015. The findings showed various PHC programmes implemented by the local governments of the selected states, which include Maternal and Child Reduction, Investment Case and Eko Free Malaria in Lagos state, Araya and Gbomoro in Ogun state, as well as the Mother and Child Hospitals and Agbebiye in Ondo state. However, findin gs showed similar challenges encountered by the local governments, which include multiplicity of stakeholders in the disbursement of PHC funds, lack of fiscal decentralisation of revenue to the local government, diversion of PHC funds as compared to other projects, and poor community participation in PHC, irregularity of or interference in the local government elections by the state government, exclusion and deviation from the key principles of PHC and lack of continuity in PHC programmes implemented. The general conclusion from the study is that the local government performance in PHC service delivery is weak. In order to enhance the present local government performance in PHC, the study recommends for the application and implementation of local government constitutional role in the management of the PHC service delivery.
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Bibliografia
| 1. | Abbas, B., Ahmed, B.M. (2012). Challenges of Democratization at the Grassroots in Nigeria: Case Study of Taraba State. Research on Humanities and Social Sciences, 2 (7), 98–108. |
| 2. | Abe, T., Monisola, J. (2014). Citizen Participation and Service Delivery at the Local Government Level: A Case of Ise/ Orun Local Government in Ekiti State, Nigeria. Journal of Law, Policy and Globalization, 2224–3240. |
| 3. | Abdulhamd, O.S., Chima, P. (2015). Local Government Administration in Nigeria: The Search for Relevance. Commonwealth Journal of Local Governance, 18, 181–195. |
| 4. | Abdulraheem, I.S., Olapipo, A.R., Amodu, M.O. (2012). Primary Health Care Services in Nigeria: Critical Issues and Strategies for Enhancing the Use by the Rural communities. Journal of Public Health and Epidemiology, 4 (1), 5–13. |
| 5. | Abiodun, A.J. (2010). Patients Satisfaction with Quality Attributes of Primary Health Care Services in Nigeria. Journal of Health Management, 12 (1), 39–54. |
| 6. | Abimbola, S., Olanipekun, T., Igbokwe, U., Negin, J., Jan, S., Martiniuk, A., Ihebuzor, N., Aina, M. (2015). How Decentralisation Influences the Retention of Primary Health Care Workers in Rural Nigeria. Global Heath Action, 8 (1), 1–20. |
| 7. | Adedeji, Y.M.D., Folorunso, C.O. (2014). Pollution Management in Housing Environment and Health of Urban Dwellers: A Case Study of Residential Area of Akure City in South-Western Nigeria. Proceedings of the International Conference of the School of Environmental Technology, Federal University of Technology, Akure. |
| 8. | Adeneye, A.K., Musa, A.Z., Afocha, E.E., Adewale, B., Ezeugwu, S.M.C. (2021). Perception of Community-based Health Insurance Scheme in Ogun State, Nigeria. Global Journal of Infectious Diseases and Clinical Research, 7 (1), 1–21. |
| 9. | Adesopo, A.A. (2011). Inventing Participatory Planning and Budgeting for Participatory Local Governance in Nigeria. International Journal of Business and Social Science, 2 (7), 1–20. |
| 10. | Adeyemi, O. (2013). Local Government and the Challenges of Service Delivery: The Nigeria Experience. Journal of Sustainable Development in Africa, 15 (7), 1–15. |
| 11. | Adeyemo, D.O. (2005). Local Government and Health Care Delivery in Nigeria. A Case Study. Journal of Human Ecology, 18 (2), 149–160. |
| 12. | Agba, M.S., Akwara, A.F., Idu, A.Y. (2013). Local Government and Social Delivery in Nigeria: A Content Analysis. Academic Journal of Interdisciplinary Studies, 2 (2), 455–462. |
| 13. | Agba, M.S., Ogwu, S.O., Chukwurah, D.C.J. (2013). An Empirical Assessment of Service Delivery Mechanism in Idah Local Government of Kogi State, Nigeria, from 2003 to 2010. Mediterranean Journal of Social Science, 4 (2), 621–635. |
| 14. | Ajayi, A. (2014). An Assessment of Primary Health Care in Kosofe Local Government Area of Lagos State. American Journal of Medicine, 2 (1), 1–19. |
| 15. | Alenoghena, I., Aigbiremolen, A.O., Abejegah, C.,Eboreime, E. (2014). Primary Health Care in Nigeria: Strategies and Constraints in Implementation. International Journal of Community Research, 3 (3), 74–79. |
| 16. | Amujiri, B.A. (2012). Local Government Community-Participation in Execution and Management of Development Projects. International Journal of Research in Arts and Social Sciences, 26 (8), 201–217. |
| 17. | Aregbeshola, B.S., Khan, S.M. (2017). Primary Health Care in Nigeria: 24 Years after Olikoye Ransome-Kuti’s Leadership. Front Public Health, 5 (48), 127–131. |
| 18. | Aregbeshola, B.S., Onigbogi, O.O., Khan, S.M. (2017). Challenges and Opportunities to Access Health Care in Urban Slums of Lagos State in Nigeria. Pakistan Journal of Public Health, 7 (1), 11–18. |
| 19. | Arowolo, D. (2010). Local Government Administration and the Challenges of Rural Development in Nigeria. In: A. Agagu, L. Afinotan, D. Arowolo, T. Lawal (eds.), Public administration in Nigeria. Alabi-Eyo & Co. |
| 20. | Ayinla, R. (2017). Ogun Improves Primary Healthcare, Set to Rehabilitate 57 Healthcare Centres. Business Day. Retrieved from: https://businessday.ng/health/article/ogun-improves-primary-healthcare-set-to-rehabilitate-57-healthcarecentres (18.01.2020). |
| 21. | Baje, A.O. (2014). Governor Fashola Achievement in the Health Sector. Daily Independent, 3 December. Retrieved from: https://www.dailyindependent.com.ng/governor-fashola-achievement-in-the-health-sector (11.06.2019). |
| 22. | Chapman, R.A. (2010). Freedom of Information and Local Government: Concepts and Issues. In: R. Chapman, M. Hunt (eds.), Freedom of Information: Local Government and Accountability. London: Ashgate. |
| 23. | Channels Television (2016). Ogun Launches Araya Scale up Health Scheme. Retrieved from: https://www.channelstv. com/2016/07/12/ogun-launches-araya-scale-up-health-scheme (19.03.2022). |
| 24. | Eguagie, I., Okosun, V. (2010). The Role of Primary Health Care in Nigeria. Health Care Delivery System: Problems and Prospects. Knowledge Review, 21 (1), 1–22. |
| 25. | Ejue, E.A., Madubueze, M.C. (2014). Corruption and Service Delivery in Local Government System in Nigeria: A Content Analysis. International Journal of Business and Social Science, 10 (1), 97–107. |
| 26. | Enabulele, O., Enabulele, J.E. (2018). A Look at the Twoway Referral System: Experience and Perception of Its Handling by Medical Consultants/Specialists among Private Medical Practitioners in Nigeria. International Journal of Family and Community Medicine, 2 (3), 126–132. |
| 27. | Eshemokha, U. (2019). The A–Z of Primary Health Care (PHC) in Nigeria. Retrieved from: https://nimedhealth.com. ng/2019/06/12/the-a-z-of-promary-health-care-in-nigeria/?amp (12.03.2022). |
| 28. | Fatusi, A.O. (2015). Public Health Leadership, Policy Development and the Nigerian Health System. Paper Presented at the Introduction Program of the Institute for Government Research Leadership Technology, Abuja. Retrieved from: http://www.instituteforgovernmentresearch.org/images/abuja2015/abuja2015.docx (20.01.2022). |
| 29. | Fatusi, A.O. (2013). Situation Analysis of Maternal, Newborn and Child Health in Ondo State. Draft Report. Fajimbola, T. (2012). Abiye Safe Motherhood: A Case of Leadership in Turning the Tide of Maternal Mortality in Nigeria. Nigerian Health Journal, 2 (3), 1–15. |
| 30. | Federal Ministry of Health (2004). Revised National Health Policy. Abuja: Federal Ministry of Health. |
| 31. | Federal Ministry of Health (2010). National Health Strategic Development Plan. Abuja: Federal Ministry of Health. |
| 32. | Gbadamosi, H. (2018). Ondo Mother and Child Hospitals. Eight Years later. Nigerian Tribune. Retrieved from: https:// tribuneonlineng.com/ondo-mother-and-child-hospitals-eight-years-later/ (23.03.2022). |
| 33. | Goss, S. (2001). Making Local Governance Work. New York: Palgrave. |
| 34. | Gupta, M.D., Gauri, V., Khemani, S. (2004). Decentralized Delivery of Primary Health Services in Nigeria: Survey Evidence from the States of Lagos and Kogi. Africa Region Human Development Working Paper Series No. 70. Washington, DC: The World Bank. |
| 35. | Ileyemi, M. (2022). Lagos Launches Eye Programme for Students across Schools. Premium Times. Retrived from: https://www.premuimtimesng.com/news/more-news/510513-lagos- launches-eye-programme-for-students -across -schools.html (14.04.2022). |
| 36. | Isreal, A., Sunday, O. (2013). Infrastructural Distribution of Healthcare Services in Nigeria: An Overview. Journal of Geography and Regional Planning, 2 (5), 1–20. |
| 37. | Jamo, I.A. (2013). Local Government Administration in Nigeria: A Chronological Perspective from 1861 to 2012. A Journal of Historical Research, Department of History, Ahmadu Bello University Zaria, 2 (3), 1–6. |
| 38. | King, M.C. (1988). Localism and Nation Building. Ibadan: Spectrum Books. |
| 39. | Lagos State Ministry of Health (2010). Lagos State Government Strategic Health Development Plan (2010–2015). |
| 40. | Lagos. Lagos State Ministry of Health (2012). Launch of the Maternal and Child Mortality Reduction Programme. Lagos. |
| 41. | Lambo, E. (2015). Primary Health Care: Realities, Challenges, and the Way Forward. Paper presented at the First Annual Primary Health Care Lecture, Abuja. Retrieved from: http://nigeriahealthwatch.com/wp-content/uploads/bsk-pdfmanager/ 1160_2015_Primary_Health_Care_Presentation_Final_NPHCDA_1216.pdf (15.10.22). |
| 42. | Mike, E. (2010). Community Participation in Primary Health Care Services in Nigeria. Retrieved from: www.ngnhc. org/. (17.01.2018). |
| 43. | Mimiko, O. (2016). Post MGDs: Sustaining Health Gains. Speech Delivered at the 2016 State Council on Health Held at International Event Centre, Akure. |
| 44. | Mimiko, O. (2017). Experiences with Universal Coverage of Maternal Health Care in Ondo State, Nigeria, 2009–2017. African Journal of Reproductive Health, 21 (3), 9–16. |
| 45. | Mohammed, S. (2020). Lagos Govt Assesses 329 Primary Health Care Centres, to Commission 23 More Centres. Nigerian Tribune. Retrieved from: https://www.tribuneonlineng.com/lagos-govt-assesses-329-primary-health-care-centresto- commission-23-more-centres (14.03.2022). |
| 46. | Mustapha, O.G., Adepoju, W., Ehikioya, A., Ogbonnaya, O., Adeniyi, A., Dolu, L.A. (2012). The Sorry State of PHCs. The Nation Newspaper. Retrieved from: https://thenationonlineng.net/the-sorry-state-of-phcs/amp/ (19.10.2019). |
| 47. | National Bureau of Statistics (2014). Annual Abstract of Statistics. Nigeria National Bureau of Statistics. National Primary Health Care Development Agency (2004). Ward Health Service Operational Guide. Abuja, Nigeria. |
| 48. | National Primary Health Care Development Agency (2007). Ward Minimum Health Care Package. Abuja, Nigeria. |
| 49. | Nwanna, C.R. (2014). Local Government Elections in Nigeria: A Comparative Analysis of Three States. International Journal of Humanities Social Sciences and Education, 1 (11), 180–192. |
| 50. | Obansa, S.A.J., Orimisan, A. (2013). Health Care Financing in Nigeria: Prospects and Challenges. Mediterranean Journal of Social Sciences, 4 (1), 1–19. |
| 51. | Obioha E.E., Molale, M.G. (2011). Functioning and Challenges of Primary Health Care (PHC) Program in Roma Valley, Lesotho. Ethno-Medicine, 5 (2), 73–88. |
| 52. | Obionu, C.N. (2007). Primary Health Care for Developing Countries. Enugu: Delta Publications. Odalonu, H.B. (2015). Challenges Confronting Local Government Administration in Efficient and Effective Social Service Delivery: The Nigerian Experience. International Journal of Public Administration and Management Research, 2 (5), 12–22. |
| 53. | Ogun State Ministry of Health (2010). Ogun State Government Strategic Health Development Plan (2010–2015). |
| 54. | Ogun. Ogunniyi, S.O., Faleyimu, B.L., Makinde, O.N., Adejuyigbe, E.A. (2000). Delivery Care Services Utilization in an Urban Population. Niger Journal of Medicine, 9 (3), 81–85. |
| 55. | Ojo, J. (2021). LG Elections and Administration in Nigeria. Retrieved from: https://punchng.com/lg-election-andadminstration- in-Nigeria (3.08.2022). Olatunji, D. (2021). NANNM Laments Shortage of Nurses in Ogun. Punch Newspaper. Retrieved from: https://punchng. com/nannm-laments-shortage-of-nurses-in-ogun/ (13.10.2022). |
| 56. | Okojie, C. (2009). Decentralization and Public Service Delivery in Nigeria. NSSP Working Paper 4. Abuja, Nigeria: International Food Policy Research Institute. |
| 57. | Olanipekun, V.S. (2013). Introduction to House-to-house Inspection: Procedures, Contents, and Form. Paper presented at a Training Workshop for Environmental Health Officers in Primary Health Care Development Agency, organised by the Occupational Health and Safely Division of the Department of Public Health, Federal Ministry of Health, in collaboration with World Health Organisation, 21 May. |
| 58. | Olaniyan, O., Lawson, A. (2010). Health Expenditure and Health Status in Northern and Southern Nigeria: A Comparative Analysis Using NHA Framework. Paper presented at the 2010 CSAE Conference Held at St. Catherine College, University of Oxford, Oxford, UK. |
| 59. | Olise, P. (2007). Primary Health Care for Sustainable Development. Abuja: Ozege Publications. |
| 60. | Olukoya, A., Coker, H., Osibogun, A., Oshin, O. (2014). Administrative Analysis of the Nigerian Public Health Sector. Report prepared for the USAID. |
| 61. | Omonona, B.T., Obaisesan, A.A., Aromolaran, O.A. (2015). Health-care Access and Utilization among Rural Households in Nigeria. Journal of Development and Agricultural Economics, 7 (5), 195–203. |
| 62. | Onah, R.C., Amujiri, B.A. (2010). Local Government in Nigeria Structure: Role and Expectation. National Workshop on the Local Government Structure and Potentials for Socio-Economic Development of Nigeria: Ibadan, 28–30 July. |
| 63. | Ondo State Ministry of Health (2010). Ondo State Government Strategic Health Development Plan (2010–2015). |
| 64. | Ondo. Onohwosafe, P.S. (2014). Provision of Healthcare Services as Correlates of Incidence of Occupational Diseases among Cement Factory Workers in Ogun State. Journal of Social Sciences, 7 (1), 19–26. |
| 65. | Onwuzoo, A. (2021). Inside Lagos PHCs where Nursing Mothers Are Forced to Pay N100 before Child Immunisation. Punch Newspaper. Retrieved from: https://punchng.com/inside-lagos-phcs-where-nursing-mothers-are-forcedto- pay-n-100-before-child-immunisation/ (14.03.2022). |
| 66. | Otokpa, R. (2018). Investigation: Moribund Primary Healthcare Centres Are Fuelling Infant, Maternal Mortality. International Centre for Investigative Reporting. Retrieved from: https://www.icirnigeria.org/investigation-moribundprimary- healthcare-centres-are-fuelling-infant-maternal-mortality/ (8.04.2019). Oviasuyi, P.O., Idada, W., Isiraojie, L. (2010). Constraints of Local Government Administration in Nigeria. Journal of Social Sciences, 24 (2), 81–86. |
| 67. | Owoeye, J.O. (2013). A Study on Environmental Habitability of Core Residential Neighbourhood in Akure, Nigeria. American Journal of Research Communication, 1 (2), 140–153. |
| 68. | Owoeye, J.O, Adedeji, Y.M.D. (2013). Poverty, Sanitation and Public Health Nexus: Implications on Core Residential Neighbourhood of Akure, Nigeria. International Journal of Developing Societies, 2 (3), 96–104. |
| 69. | Owoeye, J.O., Sogbon, O. (2012). Reducing the Environmental Health-risk of Vulnerable Group in High-density District of Akure, Nigeria. Academic Journal of Interdisciplinary Studies, 1 (2), 123–135. |
| 70. | Oyeneyin, L., Aladenola, O. (2019). Confidential Enquiries into Maternal Deaths in Ondo State, Nigeria: A Comparative Analysis. BMC Pregnancy Childbirth, 19 (514), 51–67. |
| 71. | Oyeneyin, L., Osunmakinwa, O., Olagbuji, Y. (2021). Incorporating Traditional Birth Attendants into the Mainstream Maternal Health System in Nigeria: An Evaluation of the Ondo State Agbebiye Program. African Journal of Reproductive Health, 25 (4), 82–88. |
| 72. | Owoyemi, A. (2014). Reflections on Health Care in Ondo State. Retrieved from: https://vceplayer.netiseb.co.ukpmi. orgTestking.orgshms.edu. (20.05.2018). |
| 73. | Paina, L., Peters, D. (2012). Understanding Pathways for Scaling up Health Services through the Lens of Complex Adaptive Systems. Health Policy Plan, 27 (5), 365–373. |
| 74. | Page, M.T., Wando, A.H. (2022). Halting the Kleptocratic Capture of Local Government in Nigeria. Carnegie Endowment for International Peace. Working Paper. Retrieved from: https://carnegieendowment.org/2022/07/18/haltingkleptocratic- capture-of-local-government-in-nigeria-pub-87513 (16.04.2022). |
| 75. | PharmAccess Foundation (2015). Nigeria’s Ogun State Continues to Expand Araya Health Insurance Scheme. Retrieved from: https://www.pharmacsess.org/update/nigeria’s- ogun-state-continues-to-expand-araya-health-insurancescheme/ (19.03.2022). |
| 76. | PM News. (2014). Amosun Launches Community Health Insurance Scheme. Retrieved from: https://www.pmnewsnigeria. com/2014/04/29/amosun-launches-community-health-lnsurance-scheme/?amp=1 (17.02.2019). |
| 77. | Premium Times (2012). 2,599 Medicine Shops Licenced to Operate in Ogun State. Retrieved from: https://www.premiumtimesng. com/news/93651-2599-medicine-shops-licenced-to-operate-in-ogun-state.html (20.06.2017). |
| 78. | Reid, M. (2008). Nigeria Still Searching for Right Formula. Bulletin of the World Health Organisation, 86 (9), 663–665. Sanda, H.U. (2014). Media Awareness and Utilization of Antenatal Care Services by Pregnant Women in Kano State, Nigeria. Journal of Social Science Studies, 1 (2), 1–19. |
| 79. | The Nation Newspaper (2014). Amosun Inaugurate Health Insurance Scheme. Retrieved from: https://thenationonlineng. net/amosun-inaugurate-health-insurance-scheme/ (12.11.2021). |
| 80. | Tijani, M.A.O., Okareh, O.T., Soladoye, M.O., Adegboyega, T.T. (2015). Healthcare Wastes Management in Primary Health Care Settings: Case Study of Ikenne Local Government, Ogun State, Nigeria. Journal of Public Health, 1 (3), 1–19. |
| 81. | Suleiman, I.A., Onaneye, O. (2014). Pharmaceutical Care Implementation: A Survey of Attitude, Perception, and Practice of Pharmacists in Ogun State, South-Western Nigeria. International Journal of Health Research, 4 (2), 91–97. |
| 82. | Sunday, O.J., Chinedum, I.G. (2014). Mushrooming Appointed Caretaker Committee: A Quagmire to Grass Roots Democracy in Nigeria. International Journal of Sociology and Anthropology, 6 (7), 214–220. |
| 83. | United Nations Children Education Fund/Federal Republic of Nigeria (2011). The Nutritional Status of Women and Children in Nigeria. Lagos, Nigeria. |
| 84. | United States Agency for International Development (2014). Governance Initiative in Nigeria: A Strategic Assessment of PHC and Local Government. Lagos, Nigeria. |
| 85. | Uneke, C.J., Ndukwe, C.D., Oyibo, P.G., Onwe, F. (2010). Development of Health Policy and Systems Research in Nigeria: Lessons for Developing Countries. Health Policy, 6 (1), 109–126. |
| 86. | Uzochukwu, B., Onwujekwe, E., Mbachu, Ch., Okeke, Ch., Molyneux, S., Gilson, L. (2018). Accountability Mechanisms for Implementing a Health Financing Option: The Case of the Basic Health Care Provision Fund (BHCPF) in Nigeria. International Journal of Equity in Health, 17 (100), 50–63. |
| 87. | Wilson, G. (2013). The Politics of Local Government Reforms and Democratic Governance in Nigerian Local Governments. Journal of Developing Country Studies, 3 (1), 136–143. |
| 88. | World Bank (2010). Improving Primary Health Care Delivery in Nigeria. Evidence from Four States. Africa Region Human Development Department. Washington, DC. |
| 89. | World Bank (2011). Improving Primary Health Care Delivery in Nigeria. Washington, DC. |
| 90. | World Health Organisation (1978). Declaration of Alma Ata Report of the International Conference on Primary Health Care 6–12 September. Alma Ata, USSR. |
| 91. | World Health Organisation (1992). Local Government Focused Acceleration of Primary Health Care: The Nigerian Experience. Report. |
| 92. | World Health Organisation (2011). The Abuja Declaration: Ten Years on. World Health Organization, Geneva. Retrieved from: http://www.who.int/healthsystems/publications/Abuja10.pdf (15.03.2019). |