Revitalizing the state of primary healthcare towards achieving universal health coverage in conflict affected fragile northeastern Nigeria: Challenges, strategies and way forward
The Alma-Ata Declaration of 1978 defined primary healthcare as a critical way to obtain universal health care and 'health for all.' In Nigeria, the National Health Policy (NHP) and the subsequent formation of the Primary Health Care (PHC) system aim to modernize healthcare delivery, at the grassroots level. In recent decades, however, the status of primary healthcare in Nigeria, particularly in the northeastern region, has significantly deteriorated, further posing significant threats to health equity and universal access to healthcare. Armed conflicts, humanitarian crises, insufficient finance, inadequate infrastructure, and labor shortages have negatively impacted the region's PHC facilities. This article discusses the poor state of primary healthcare in northeastern Nigeria and its implications for achieving universal health coverage in the region. In addition, the article elaborates on the historical context, highlights the difficulties and challenges in the development of primary healthcare, and explores potential solutions to improve the system.
Authors
- Muktar Musa Shallangwa (ORCID: https://orcid.org/0000-0001-9365-8431)
- Nuruddeen Abubakar Adamu
- Molly Unoh Ogbodum (ORCID: https://orcid.org/0000-0003-4314-0452)
- Usman Abubakar Haruna (ORCID: https://orcid.org/0000-0002-9135-0473)
- Enyinnaya Ukaegbu (ORCID: https://orcid.org/0000-0003-3886-590X)
- Shuaibu Saidu Musa (ORCID: https://orcid.org/0000-0003-0138-3261)
- Adamu Muhammad Ibrahim (ORCID: https://orcid.org/0000-0003-3657-7541)
- Joseph Agyapong (ORCID: https://orcid.org/0000-0003-0315-6070)
- Don Eliseo Lucero‐Prisno (ORCID: https://orcid.org/0000-0002-2179-6365)
- Ahmed A. Gololo (ORCID: https://orcid.org/0000-0003-4819-736X)
- Badar Muhammad
- Abdulafeez Katibi Abdulkadir (ORCID: https://orcid.org/0000-0002-4108-5587)
Institutions
- Ahmadu Bello University (NG)
- Chulalongkorn University (TH)
- Mahidol University (TH)
- Kwame Nkrumah University of Science and Technology (GH)
- University of Calabar (NG)
- London School of Hygiene & Tropical Medicine (GB)
- Achieving Health Nigeria Initiative (NG)
- Médecins Sans Frontières (FR)
- Usmanu Danfodiyo University (NG)
- Nazarbayev University (KZ)
- Igbinedion University (NG)
- University of the Philippines Open University (PH)
Publication Details
- Journal
- Narra X
- Published
- 2024-12-31
- DOI
- https://doi.org/10.52225/narrax.v2i3.178
- Citations
- 4
- Primary Topic
- Healthcare Systems and Reforms
- Type
- article
- Field-Weighted Citation Impact
- 2.16