Nigeria is sick, we need system transformation to cure the ailing healthcare system | TheCable

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OPINION BY CHUKWUNONSO ADANELIAKU NWANZE: Nigeria is sick, we need system transformation to cure the ailing healthcare system | TheCable

system 142 out of 195 countries assessed, a fact that factors such as health worker shortage contributes to. The doctor-to-patient ratio is about 1:6500, and between 2007 and 2011, there was a net loss of 2,095 doctors from Nigeria due to emigration. All the medical personnel seem to beThe Nigerian health system is decentralised into a three-tiered structure with federal, state, and local government responsibilities. Local governments manage Primary Healthcare – for example, local dispensaries.

A rational strategy to improve population health would be to ramp up investment in education, prevention, dedicated regulation of pharmaceutical procurement, a focus on food security – affordability and healthy eating – and a concerted effort to hold organisations to specific standards as pertains to environmental pollution, but Nigeria is unique. Lifting people out of poverty must run in tandem with any strategy the stewards of our health system focus on.

It is time for the Nigerian Health System to move from public health to population health. To begin this process of transformation, the stewards of the health system must intentionally and aggressively assemble experts and stakeholders to reach a consensus and present a vision for population health in Nigeria. We must do what has never been done – regard Nigerians as customers and consumers of health and thus seek and listen to their voices.

If we want to improve health outcomes for Nigerians, lower the cost of care, and create equity, then there must be proper investment and empowerment of primary care. Again, the reader might ponder, ‘how can we over-invest in primary care and empower doctors?’ My response would be ‘get the HMOs to transition my friend and his peers to value-based care by heavily investing in him and his practice and partnering with them to be held accountable for their patient outcomes’.

 

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Tortoise Gear up beside River that swallow an Elephant,is it going to Fly over the River or jump over? You take money,Vote for APC&PDP, are you going to Fly over horrible hardship they caused you? No. Never, you will jump from fry pan to fire. Vote for Peter Obi Problem solver

Our health care is not ailing

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Let's start from here. That's where the solution is. A working Nigerian healthcare system is the sum of the works from each state.

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