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Theme: Assessment Of The Health System

Assessment Of The Health System Video

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Primary health centres are an effective means of achieving access to primary healthcare PHC in low- and middle-income countries. We assessed service availability, service readiness and factors influencing service delivery at public PHC centres in Enugu State, Nigeria. The most senior health worker Halth was interviewed using the SARA questionnaire, and an observational checklist was used for the facility assessment. Newborn care and immunization None of the surveyed facilities had a functional ambulance or access to a computer on the day of the assessment.

Continuing medical education, funding and security were identified by the health workers as key enablers of service delivery. In conclusion, despite a focus on expanding primary care in Enugu State, significant gaps exist that need to be closed for PHC to make significant contributions towards achieving universal healthcare, core to achieving the health-related Sustainable Development Goal agenda. Availability of recommended areas of service at primary health centres of Enugu State was variable; however, significant gaps Healthh in readiness to provide the care.

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Gaps in readiness to provide care were least in maternal health and greatest in non-communicable diseases NCDs. The equipment needed for diagnosis of NCDs including hypertension and diabetes was available, but major gaps existed in stock of medications and staff capacity for treatment. Both urban and rural primary health centres had low rates of availability of essential medicines.

With Universal Health Coverage UHC as part of the Sustainable Development Goals ofcountries set a goal to ensure that quality health services are available to everyone, everywhere without financial hardship WHO, by the year This goal can only be achieved through effective primary healthcare PHC; Stigler et al. PHC provides comprehensive services to the population, with both curative and preventive components. Primary health centres are an effective means of achieving access to PHC in low- and middle-income countries.

Areas of Interest

Ensuring access to quality health services is one of the main functions of a health system. Service access includes different components: availability, affordability and acceptability. Service availability refers to the physical presence of the delivery of services and encompasses health infrastructure, core health personnel and aspects of service utilization.

Service readiness is a prerequisite for go here quality. Readiness is defined as the availability of components required to provide services, such as basic amenities, basic equipment, standard precautions for infection prevention, diagnostic capacity and essential medicines World Health Organization [WHO], b. These five domains define general service readiness, which refers to the overall capacity of health facilities to provide general health services. Specific-service readiness refers to the ability of health facilities to offer a specific service, and the capacity to provide that service is measured through consideration of tracer items that include trained staff, guidelines, equipment, diagnostic capacity, medicines and commodities World Assessment Of The Health System Organization [WHO], b.

PHC of an effective quality can only be delivered if health facilities are well equipped and adequately staffed, and have the right infrastructure, essential medicines and commodities available. For this reason, countries define minimum health packages, which in Nigeria is called the Ward Minimum Health Care Package.

The National Primary Health Care Development Agency defines this package as Assessment Of The Health System priority set of health interventions which should be provided in primary health centres on a daily basis at little or no cost to clients, supported through a government financial mechanism Federal Ministry of Health, The package includes government-defined minimum standards of human resources, equipment, drugs, infrastructure and services for the PHC Assessmennt