Save a Life Campaign is a health intervention project targeted at the vulnerable rural population through the primary healthcare sector in Nigeria born out of the dire need for proper healthcare services by equipping the facilities, administrative training and social support initiatives.
PRIMARY HEALTHCARE SECTOR IN NIGERIA
Health is rarely seen as a fundamental human right by policy makers in Nigeria. Increasing investment in health of the people has been a challenge for decision makers in spite of evidence showing the link between health and economic development.
The primary health care (PHC) facility is often all that rural communities have in form of a formal health system. How then do we improve the quality of care when attention has consistently been on expanding the reach of PHC services to rural populations and hardly on quality of services?
The presence of a PHC facility does not guarantee its use and there is a wrong assumption that a minimal level of input (i.e. infrastructure and staff) is essential before one can discuss quality. Even when quality becomes a real issue, it is often about equipping and supervision; but supervision is a poor proxy for quality. The quality of supervision itself is what matters. Handled poorly, this becomes a vicious circle: poor supervision results in low quality of services and low quality of services set a low standard for supervision.
The current state of PHC system in Nigeria is appalling with only about 20% of the 10,000 PHC facilities across Nigeria working. Presently, most of the PHC facilities in Nigeria lack the capacity to provide essential health-care services, in addition to having issues such as poor staffing, inadequate equipment, poor distribution of health workers, poor quality of health-care services, poor condition of infrastructure, and lack of essential drug supply. In part, problems with the implementation of PHC in Nigeria are related to the hand over in 1980s to the local government administration, which is the weakest level of government. The impact of local government administration on the people in Nigeria still remains a subject of intense debate and argument.
The PHC under one roof (PHCUOR) policy was formulated in 2011 to address the problem of fragmentation in PHC and ensure the integration of PHC services under one authority [The Local Government]. Its impact is yet to be felt on health status and utilization of PHC in Nigeria since PHC under one roof became a national policy only few years ago. The inability of PHC centers to provide basic medical services to the Nigerian population have made both secondary and tertiary health-care facilities experience an influx of patients. This will continue, unless the civil society intervenes on a more holistic level and make it a priority.
CAMPAIGN STRATEGY/OUTREACHThe “Save a Life Campaign” strategy is a public driven support system through public donations, grants and sponsorship which partly consists of a minimum amount of N1000 from individual’s tagged #Athousand to save athousand lifes. The cash raised will be used to purchase equipment’s, supply drugs, develop social support services and facilitate government/private interventions accordingly.
MAIDEN EDITIONThe maiden edition of the campaign is propose to launch on 14th February, 2018 at Waru PHC which is located within Abuja Municipal Area Council ( AMAC ) in the outskirt of the Federal Capital Territory, Abuja providing health services to over 3000-4000 settlers each consisting of the F.C.T manual labour workers within the F.C.T.
SUSTAINABLE FRAMEWORKIn an effort to sustain the campaign, we have developed our M&E department to ascertain the proper use of provided equipment’s and documented dissemination of drugs so the capital invested will be used in consistent drug supplies to the PHC’s. A proper accounting structure has also been put in view so as to ascertain and avoid misappropriation of funds, diversion and or looting. This will involve community members and by so doing, create job opportunities, involvement and participation. This, we trust will go a long way in creating a part of the wide solutions needed in the Primary Health Care sector and as well fill the needed gap in the provision of quality health services to the vulnerable population in rural communities across Nigeria.