Nigeria: Review Primary Health Care Under One Roof Law In Katsina, Stakeholders Task Assembly,…. Suggest Representation of Women, Traditional, Religious Leaders On the Board

Katsina State, Nigeria map

By Bashir Bello

Key stakeholders in the implementation of the Primary Health Care Under One Roof, PHCUOR law in Katsina State, northwest Nigeria have called on the State House of Assembly to review the PHCUOR law to address some gaps which would ensure smooth take off of the agency in the state.

The stakeholders in a communique signed by the Permanent Secretary, State Ministry of Health, Dr. Kabir Mustapha, Executive Secretary State Primary Health Care Development Agency, Dr. Ma’awuya Aliu, and Health Reform Foundation of Nigeria, HERFON Board Chairman, Dr. Idris Muhammad, observed that there are some gaps and issues that need to be addressed in the law and crucial to it implementation.


Gaps identified in the PHCUOR law by the stakeholders include non operational guideline for effective implementation in the state, the agency’s board composition is devoid of representation from women, traditional and religious leaders and the agency need to develop a costed minimum service package as part of the pillars of PHCUOR implementation among others.

The communique issued to newsmen after a 4-day training organized by Katsina State Ministry of Health and Primary Health Care Agency in collaboration with Health Reform Foundation of Nigeria (HERFON) with support from United States Agency for International Development (USAID) under its Strengthening Advocacy and Civic Engagement (SACE) project, however hailed the passage of the PHCUOR bill into law describing it as a welcome development.

According to the communique, “The passing into law of the Primary Healthcare Under One Roof (PHCUOR) bill is a welcome development in Katsina State. The law is expected to harmonize Primary Health Care management from the 34 local governments under one body which is the State Primary Health Care Agency (SPHCA) with an existing board for proper coordination of its operations.

“The PHCUOR scorecard III showed that Katsina state ranked 7th nationally and 2nd in the North West geopolitical zone having scored 59% in this assessment. Also, the state has the highest score in Office Setup domain (100%) and the lowest in Human Resource (25%).

“The state has a PHCUOR law with constituted board. However, the state does not have an operational guideline for effective implementation.

“The Agency’s board composition is devoid of representation from women, traditional and religious leaders.

“The Agency currently has about 200 staff and would increase to about 4,000 on transfer of Local Government staff.

“The PHCUOR implementation committee has made plans to conduct a human resource audit and inventory of equipment in PHC department of all the 34 LGAs. Also, clear defined roles and responsibilities for the new PHC staff have been developed.

“The state need to develop operational guideline for the implementation of the PHCUOR law.

“The agency need to develop a costed minimum service package as part of the pillars of PHCUOR implementation.

“The agency is expected to have a Human Resource for Health desk incorporated in the Department of Planning, Research and Statistics.

“The agency is expected to ensure that its AOP informs yearly budgeting and should also take the lead in its implementation, not partners.

“Orientation and regular training of all staff should be prioritized and also all staff should have their job description clearly stated and performance management should be introduced,” they however recommended.


Posted by on 14/05/2018. Filed under Health, News. You can follow any responses to this entry through the RSS 2.0. You can leave a response or trackback to this entry

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