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27/04/2024
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The Legislative Initiative for Sustainable Development (popularly known as LISDEL) is an independent, non-profit organisation committed to safeguarding a reality that translates to a decent quality of life for Nigerians.

GOMBE STATE

Background

Universal health coverage (UHC) has been acknowledged as a priority goal of every health system. The importance of this goal is reflected in the consistent calls by the World Health Organization (WHO) for its member states to implement pooled prepaid health care financing systems that promote access to quality health care and provide households with the needed protection from the catastrophic consequences of out-of-pocket (OOP) health-related payments.

ENHANCING SALIENCE AND CAPACITY OF GOMBE STATE HOUSE OF ASSEMBLY TO CATALYZE GOMBE'S PROGRESS TOWARDS UNIVERSAL HEALTH COVERAGE

Universal health coverage is an important and noble objective. Enshrined in the Sustainable Development Goals (SDGs), Universal Health Coverage aims to provide health security and universal access to essential care services without financial hardship to individuals, families, and communities, then enabling a transition to more productive and equitable societies and economies. This was communicated in a two-day workshop to provide orientation to the Gombe State House of Assembly legislators and build a common understanding of the need to enhance the application of their roles and functions to ensure the expansion of health financial risks protection mechanisms to vulnerable populations in Gombe State.

To make health for all a reality, we need: individuals and communities who have access to high quality health services so that they take care of their own health and the health of their families; skilled health workers providing quality, people-centered care; and policy makers committed to investing in universal health coverage. Universal health coverage should be based on strong, people-centered primary health care. Good health systems are rooted in the communities they serve. They focus not only on preventing and treating disease and illness, but also on helping to improve well-being and quality of life.

Objectives of the Workshop

The overall purpose of the workshop is to enhance the application of their roles and functions to ensure the expansion of health financial risks protection mechanisms to vulnerable populations in Gombe State. The specific objectives include:

  1. To deepen understanding of the legislature on Health Financing, UHC and PHC objectives and policies.
  2. To enhance the understanding of legislative functions and enhance the application of these functions to ensure the expansion of health financial risk protection mechanisms to target populations.
  3. To gather knowledge and use of information to develop implementable processes, tools, frameworks, strategic Legislative Health Agenda and work plans in the application of legislative functions towards health care strengthening; and

  4. To track progress on past commitments made by legislators to promote UHC and articulate plans to implement pending commitments.

The two-day workshop, which was in-person participation was held on the 28th and 29th of March 2022 at 3J’s Hotel Abuja, with a total of 42 participants. The workshop consisted of eight presentations, two panel discussions, group work and plenary session

Collated News Rrom Other Sources
  1. Gombe launches app to aid universal health coverage| By Chima Azubuike | PUNCH | 21 April 2022

    https://punchng.com/gombe-launches-app-to-aid-universal-health-coverage

  2. Gombe state takes historic strides towards Universal Health Coverage |(NAN) | March 28, 2022

    https://realnewsmagazine.net/news/127907-Gombe-state-takes-historic-strides-towards-Universal-Health-Coverage

INCLUSION OF NEW VOICES AND CHAMPIONS, PARTICULARLY WOMEN, TO OPTIMIZE PRIMARY HEALTHCARE ADVOCACY PRIORITIES WITHIN GOVERNMENT PLATFORMS THROUGH RMNCAH-N

Background

The emergence of new issues around gender, public health emergencies, and most recently, the COVID-19 pandemic, with attendant challenges in providing access to equitable quality RMNCAH-N services, have become an area of concern for global health.

Nigeria’s health indices are unacceptably poor, with:

– Maternal mortality ratio of 512 per 1000 live births

– Under-five mortality rate of 132 per 1000 live births

– Neonatal mortality rate of 39 per 1000 live-births.

Some of Gombe State’s Health Indices contribution to the national:

The last National Demographic Health Survey reported that out of every 1000 live births in Gombe:

  • About 130 die before they are 5 years old due to inadequate access to affordable quality healthcare services. Global benchmarks indicate that mortality in this regard should not exceed 25.
  • In addition, 550 women out of 100,000 also die in the process of childbirth.

Some progress has been made by the Government of Nigeria and Gombe State towards improvement of child survival and safe-motherhood, through provision of ready-to-use therapeutic food and sustaining Family Planning (FP) 2020 commitments to ensure availability of family planning services to women of reproductive age amongst other things. In addition, operationalization of the BHCPF will greatly improve access to quality healthcare for the vulnerable, particularly at the PHC level.

For effective coordination and progress in achieving the objectives, the vision for RMNCAEH+N must be driven by stakeholders, including governments, parliamentarians, media, regulatory bodies, philanthropists, development organizations, academia, professional bodies, traditional and religious institutions, women groups, and civil society. In realization of this vision, while leaving no one behind, the Federal Ministry of Health has taken steps to reposition its approach to partnership, to maximize impact for better outcomes and launched the high-level platform called, “the Nigeria Reproductive, Maternal, Newborn, Child Adolescent, and Elderly Health Plus Nutrition (RMNCAEH+N) Multi-Stakeholder Partnership Coordination Platform” in 2020. Issues that confront the health of the Family in Nigeria are multipronged and require an integrated, multisectoral approach.

Women are a majority at the receiving end of the abysmal health indices and slow pace towards UHC in Nigeria. The RMNCAH-N outcomes which form the basis of most UHC, and primary health care policies have implications on the health of women. Women can play key roles to strengthen the RMNCAH-N outcomes. They can advocate to key actors to take relevant actions to strengthen the implementation of health policies, and that include and extend financial risk protection to women and children, to catalyze progress towards achieving UHC and improving health indices and outcomes in the country. These groups make up a considerable proportion of the vulnerable population whose health outcomes impact greatly on the country’s health indices.

In recognition of the importance of the roles women can play on this subject, it is important to enhance and harness their skills and advocacy strength on RMNCAH-N and other key health systems strengthening concepts. It is also important to build their capacity to strategically call relevant stakeholders to action for the full implementation of health, PHC and RMNCAH-N policies to improve RMNCAH-N outcomes.

LISDEL proposes to work with the Government, the Office of the First Lady and key stakeholders to identify new voices and champions, particularly women to lead advocacies for achievement of PHC and RMNCAH-N objectives and priorities. These champions will be oriented on RMNCAH-N objectives and policies and a subsequent convening of a high-level roundtable conference to dialogue and elicit the opinions of the champions and other critical stakeholders in this regard.

Primary Objectives:

1. Optimization of primary health care outcomes through improvements in Reproductive, Maternal, Newborn, Child, and Adolescent Healthcare and Nutrition (RMNCAH-N)

2. Enhancing of accountability for every health-related preventable death of women, children and adolescents in health facilities and communities.

3. Reduction of maternal, neonatal, child and adolescent morbidity and mortality through the provision of timely, safe, appropriate, and effective healthcare services before

4. Promotion of universal access to comprehensive maternal, child, adolescent and reproductive healthcare

5. Reduction of neonatal and childhood mortality by promoting optimal growth, protection and development of all newborns and children under five years of age.

6. Improving access to health information and services for all women, adolescents, and youths.

Scope

A coalition of these females will be formed as new champions for RMNCAH-N, where the champions will work together as one voice, with the RMNCAH-N partnership established by the Ministry of Health and other stakeholders to optimize impact. This mission will also be at the federal level and in LISDEL’s other focal states, Lagos, and Kaduna.

Collated News From Other Sources
  1. Organisation seeks collaboration with Gombe governor’s wife on reproductive healthcare | By Mustapha Adamu | (NAN) | April 21, 2022 https://primetimenews.ng/organisation-seeks-collaboration-with-gombe-governors-wife-on-reproductive-healthcare/
  2. Gombe Govt, NGO partner to improve maternal, infant health | By (NAN) | April 20, 2022 https://healthwise.punchng.com/gombe-govt-ngo-partner-to-improve-maternal-infant-health/
  3. Gombe State First Lady Bags Championship Award on Maternal | Oduduwa Watch Tv | April 22, 2022 https://youtu.be/rPrWhxXtRtg
  4. Group moves to end under-five death in Gombe | By Danladi Bako | PERISCOPE NGA | April 20, 2022

    https://periscopenga.com/2022/04/group-moves-to-end-under-five-death-in-gombe/

POSITIONING CSOS/MEDIA TO IMPROVE UNDERSTANDING OF NIGERIA HEALTH SYSTEM TOWARDS OPTIMIZATION OF PRIMARY HEALTH CARE SERVICE DELIVERY AND HEALTH ADVOCACY IN GOMBE

Background

The two-day workshop with the theme “Positioning CSOs/Media to Improve Understanding of Nigeria Health System towards Optimization of Primary Health Care Service Delivery and Health Advocacy in Gombe state” was successfully conducted on the 12th and 13th of May, 2022 in Gombe, Gombe state.

The meeting was guided by 3 objectives:

  1. To facilitate identification of advocacy priorities to strengthen BHCPF implementation in the State
  2. To facilitate the development of Accountability Framework for BHCPF in Gombe state using existing mechanisms
  3. To enhance CSOs/Media coalition capacity towards effective accountability and advocacy activities around health sector including BHCPF in Gombe state.

The workshop participants comprised of high-level health sector stakeholders including the representative of the ES SPHCDA, Director Planning Research and Statistic SMOH, Director Community and family health SPHCDA, Technical adviser to the HCH, WHO, UNICEF, CS-SUNN State Coordinator, Office of the Adviser to the Executive Governor on partner coordination and Members of the umbrella CSO/Media Coalition in the state.

Key subjects of discussion were executed except the HCH’s presentation who was unavoidably absent and unable to authorize a representative. The key subjects include:

  • Overview of the Health Systems Building Blocks,
  • Overview of UHC and National Health Act
  • Primary Health Care Basic Concepts and Practice,
  • Nigeria minimum standard plus Progress on Primary healthcare deliveries in the State (PHCUOR, Revitalization of PHC, RMNCH-N)
  • Financial Risk Protection in Healthcare- Basic Concepts and Practice, Expanding access through the contributory management scheme and BHCPF in Gombe State
  • SWOT Analysis of Gombe State RMNCAH-N
  • Gender equity in PHC
  • Updated Trend of Health Indices in Gombe State
  • Ward Development Committee and Ward Health System in Gombe state
  • Overview of existing M&E Framework, indicators, and Accountability mechanisms for BHCPF in Gombe state
  • Presentation of draft BHCPF Accountability framework, Review/synchronization of drafts and existing Accountability frameworks.
Collated News From Other Sources

CAPACITY BUILDING: NGO Trains Journalists, CSOs On Accountability | TRUST TV |14 May 2022

https://youtu.be/f8QlBGfpvNg