Revitalizing the state of primary healthcare towards achieving universal health coverage in conflict affected fragile northeastern Nigeria: Challenges, strategies and way forward
Musa S.S. Ibrahim A.M. Ogbodum M.U. Haruna U.A. Gololo A.A. Abdulkadir A.K. Ukaegbu E. Agyapong J. Shallangwa M.M. Adamu N.A. Muhammad B.A. Lucero-Prisno D.E., III
December 2024Narra Sains Indonesia
Narra X
2024#2Issue 3
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 regions 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.
conflict , Nigeria , northeastern Nigeria , Primary health care , universal health coverage
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School of Global Health, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Department of Nursing Science, Ahmadu Bello University, Zaria, Nigeria
Department of Immunology, Usmanu Danfodiyo University, Sokoto, Nigeria
Department of Public Health, University of Calabar, Calabar, Nigeria
Department of Biomedical Sciences, Nazarbayev University School of Medicine, Astana, Kazakhstan
Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand
Department of Public Health, Nazarbayev University School of Medicine, Astana, Kazakhstan
Department of Global Health, Nazarbayev University School of Medicine, Astana, Kazakhstan
Department of Medical Diagnostics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Achieving Health Nigeria Initiative (AHNI), Biu, Nigeria
Department of Medicine, Medecins Sans Frontieres France, Katsina, Nigeria
College of Pharmacy, Igbinedion University, Okada, Nigeria
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
Faculty of Management and Development Studies, University of the Philippines Open University, Laguna, Los Baños, Philippines
Faculty of Public Health, Mahidol University, Bangkok, Thailand
School of Global Health
Department of Nursing Science
Department of Immunology
Department of Public Health
Department of Biomedical Sciences
Faculty of Pharmaceutical Sciences
Department of Public Health
Department of Global Health
Department of Medical Diagnostics
Achieving Health Nigeria Initiative (AHNI)
Department of Medicine
College of Pharmacy
Department of Global Health and Development
Faculty of Management and Development Studies
Faculty of Public Health
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