The Gombe government said it has rehabilitated 114 Primary Health Facilities (PHCs) to enhance access to quality healthcare service delivery at the grassroots.
The Commissioner for Health, Dr Habu Dahiru, disclosed this during an interview.
Dr Dahiru while responding to a survey by the News Agency of Nigeria (NAN) indicated that the State adopted a multi task approach geared towards improving its Universal Health Coverage (UHC).
He said the state government in partnership with the United Nations Children’s Fund (UNICEF) had equipped 114 PHCs, to encourage optimum service delivery at the grassroots.
According to Dahiru, the state government is conducting medical outreach to identify and referral of malnourished children and pregnant women not attending antenatal clinics through the adoption of multi task approach.
He said that over 600 health personnel comprising midwives, Community Health Extension Workers (CHEW) and Junior Community Extension Workers (CHEW) had been deployed to PHCs across the 11 local government areas of the state.
The state, he said, activated immunisation and surveillance teams to ensure rapid response to preventable diseases and outbreaks.
He said: “We preposition drugs in such a way when an outbreak occurs, we ensure to do what is necessary.
“The most challenging thing is despite the presence of equipped facilities, some women only attend antenatal care but didn’t deliver in the hospital.
“What we are doing now is to have a scheme where Traditional Birth Attendants (TBAs) that bring in a woman to deliver in the hospital will be given incentives”.
This, he said, encouraged expectant mothers to come to the hospital for delivery and get the first dose of immunisation.
He said the measure would reduce maternal and infant mortality indices in the state.
Similarly; a Bauchi-based group, Journalists for Public Health and Development Initiative (J4PD) has lauded the rehabilitation and provision of equipment to PHCs in the 323 wards across the state.
Its Coordinator, Elizabeth Kah, said the PHCs were not only available but well equipped.
She urged the state government to recruit qualified health workers to man the facilities and address human resource gaps.
“There is a shortage of health workers in the state and most of those working at the PHCs are volunteers who received little at the end of the month.
“Once there is availability of enough health workers manning the facilities, there will be an impressive turnout of the people patronising the centres,” she said.
Corroborating Kah, Adeyemi Akanji, said that each of the 323 PHCs were designed with standard structure and modern equipment.
According to him, the PHCs upgrade is being implemented through the Integrated Health Programme supported by the European Union (EU), UNICEF and the United States Agency for International Development (USAID).
He advocated recruitment of more medical personnel to address manpower gaps in the health sector in the state.
However, some residents in Jigawa have decried poor services at the PHCs across the 27 LGAs of the state.
A cross-section of the residents, called for urgent measures to rejig the PHCs to improve service delivery at the centres.
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Mr Muhammad Basirka, Coordinator, Human Rights Network in the state, attributed the poor services at the PHCs to lack of strong political commitment and dearth of manpower.
He, therefore, called for formalisation of casual health personnel and volunteers into permanent workers to enhance quality service delivery at the grassroots.
Also, Umar Ali, a resident of Guri, in Guri LGA, lamented that patients from the area travelled for over 200 kilometres to the state capital to access medical services due to lack of health personnel in their communities.
“Pregnant women are the most hit victims in rural communities where they are hardly attended to by medical doctors in the centres much less having the privilege to be treated by a gynaecologist.
“They are often being checked by nurses who in most cases not residing within the PHC catchment area,” he said.
A health expert, who pleaded anonymity, noted that the state was lagging behind in quality healthcare service delivery in spite of huge budgetary allocations to the sector.
“The state government is not doing enough in providing the required equipment in its facilities,” he said, adding that lack of manpower, especially doctors and poor services are the major challenges.