The Basic Health Care Provision Fund (BHCPF) guideline established by Nigeria’s Federal Ministry of Health serves to enhance equitable access to healthcare and achieve universal health coverage (UHC). Initiated under the National Health Act 2014, the BHCPF is funded principally by at least 1% of the federal consolidated revenue, bolstered by donor contributions. Its primary aim is to provide a Basic Minimum Package of Health Services (BMPHS), strengthen primary healthcare systems, and deliver emergency medical treatment efficiently.
The guidelines outline a structured governance framework involving various stakeholders, including the National Health Insurance Scheme (NHIS), National Primary Health Care Development Agency (NPHCDA), and National Emergency Medical Treatment Committee (NEMTC). The fund distribution is 50% via NHIS for BMPHS, 45% through NPHCDA for essential health supplies and infrastructure, and 5% for emergency medical services.
Emphasizing transparency and accountability, the guidelines mandate regular monitoring and evaluation to enhance service delivery and reduce out-of-pocket costs for vulnerable populations. This systematic approach aims to close the gap in healthcare access, minimizing morbidity and mortality, particularly among mothers and children while laying the foundation for sustained healthcare reform in Nigeria.
The document outlines critical protocols for the detection and management of postpartum hemorrhage (PPH) in clinical settings. It emphasizes the timely administration of tranexamic acid and oxytocin, alongside thorough examinations to identify and address the cause of bleeding. Healthcare providers are instructed to monitor blood loss using calibrated drapes and perform frequent observations of vital signs and uterine tone within the first hour postpartum, implementing specific trigger criteria for escalation based on clinical judgments and documented blood loss.
Key implementation strategies to enhance management include regular audits, staff training, and the designation of champions to oversee the protocols effectively. This facilitates communication of data on PPH rates and promotes continuous improvement in practices. The comprehensive approach ensures all necessary medications and devices are readily available, emphasizing the importance of preparedness and education in managing PPH. Overall, this document aims to improve patient outcomes through structured and evidence-based interventions in postpartum care.
The Nigeria Health Sector Renewal Investment Program (NHSRIP) outlines a strategic vision (2023-2026) aimed at revitalizing Nigeria's healthcare landscape. It focuses on improving health outcomes through enhanced access and quality of care, particularly for vulnerable populations. The program promotes decentralized facility financing, operationalizing the Vulnerable Group Fund, and strengthening community-based health services.
Key objectives include increasing government healthcare spending, expanding health insurance coverage, and tackling maternal and child mortality rates. To achieve these goals, NHSRIP emphasizes collaboration between the federal and state governments, enhanced accountability, and citizen engagement in health services.
The program also addresses healthcare disparities by prioritizing funding based on need, particularly in rural and hard-to-reach areas. To improve service delivery, it proposes extensive training for healthcare workers, utilizing technology for efficient data collection, and enhancing supply chain systems for essential commodities. Health security measures are integrated, focusing on emergency preparedness and surveillance systems. Ultimately, NHSRIP seeks a transformative approach to healthcare that ensures equity, accessibility, and comprehensive quality across Nigeria's health services.
The USAID Primary Health Care Improvement Program (UPHIP) aims to enhance Nigeria's primary health care system, addressing challenges such as high maternal and child mortality rates and inadequate service utilization. This Notice of Funding Opportunity (NOFO) invites local Nigerian organizations to submit concepts for collaborative projects that align with the government's health sector reform efforts. The program has a funding allocation of up to $40 million over five years, divided into initial and renewal phases. Key focus areas include improving reproductive, maternal, newborn, and child health (RMNCAH), malaria management, and integrating community health services. A significant emphasis is placed on measurable outcomes, efficient resource use, and responsive technical assistance to foster sustainability and capacity development among local providers. The award process will involve a merit review and risk assessment, with an anticipated start date following award issuance. The document outlines eligibility criteria, application submission processes, and the potential for substantial involvement from USAID throughout program implementation. Overall, UPHIP seeks to build a resilient health system that is responsive to the needs of the Nigerian population while improving health access and outcomes.