12th December, 2021, via Zoom

HEALTH SYSTEMS FORUM, NIGERIA

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WHY JOIN HSFN Why you should attend

Here are a few of the numerous reasons you should attend the upcoming Health Systems Forum.

Networking

A network for harnessing technical support for implementation of policies and innovations that promote universal health coverage and healthy lives

1

Great Speakers

You get to hear from amazing speaker who are well grounded in their fields

3

Resources

A source of relevant resources in focal areas of events to support and guide implementation of policy reforms relating to universal health coverage

2

Learning & Sharing

A hub for sharing and learning about specific innovations and strategies that support reforms for universal health coverage

4

LISTEN TO THE Event Speakers

Odidika Umeora

Professor of Obstetrics and Gynaecology

Ibrahim Kana

National Program Manager of the World Bank Assisted, Save One Million Lives for Result.

Samuel Ohaegbulam, CON, NNOM

Professor of Neurosurgery and Chief Neurosurgeon Memfys Hospital for Neurosurgery Enugu.

Obinna Onwujekwe

Professor of Health Economics, Pharmaco-economics, Health systems and Pharmaco-epidemiology

Okechukwu Maduekwe

Executive Secretary of the Abia State Health Insurance Scheme

Mahmoud Magaji

Director of Hospital services at the Jigawa State

John Ihebereme

Former Permanent Secretary of the Ministry of Health, Imo State

Jonathan Azubuike

Professor of Pediatrics

Chukwuemeka Oluoha

Executive Director of the Abia State Primary Healthcare Development Agency

Daniel Ogbuabor

Chairman House Committee on Health, Enugu State House of Assembly

Angela Muobike

Chief Medical Director of the Annunciation hospital Enugu

PARTICIPATE

Learn & Connect

want to learn about specific innovations and strategies that support reforms for universal health coverage?

SCHEDULE EVENT PROGRAMME

Structures With (Out) Systems: Is there a justification for more health facilities?

Even when resources are limited, building new health facilities (at primary, secondary or tertiary) gains political appeal as politicians want to show the so-called ‘dividends of democracy’. The proclivity to build such structures begs the question whether there is a need for more health facilities in the southeast region, a need to improve the health system or both. Over the past few years, Imo State, perhaps, justifiably, chose to build several hospitals using scarce resources. Conversely, Jigawa State strongly de-emphasized the construction of new health facilities as it sought to implement its Gunduma Health Scheme, including interesting health systems innovations. What lessons can be learned from both experiences to guide policy decisions within the southeast if indeed universal health coverage is the goal?

Rational Decisions For Sustainable Health Systems: The Gunduma Story

Even when resources are limited, building new health facilities (at primary, secondary or tertiary) gains political appeal as politicians want to show the so-called ‘dividends of democracy’. The proclivity to build such structures begs the question whether there is a need for more health facilities in the southeast region, a need to improve the health system or both. Over the past few years, Imo State, perhaps, justifiably, chose to build several hospitals using scarce resources. Conversely, Jigawa State strongly de-emphasized the construction of new health facilities as it sought to implement its Gunduma Health Scheme, including interesting health systems innovations. What lessons can be learned from both experiences to guide policy decisions within the southeast if indeed universal health coverage is the goal?

Practical Challenges To Establishing State Health Insurance Schemes

In the 1990s, policy makers replaced states with HMOs as the primary implementers of the proposed National Health Insurance Scheme (NHIS) because states were considered poor in technical competence to manage such schemes. In 2015, this approach has been reversed with states mandated to go on to develop schemes as they wish. Abia State has developed one, appointed key officers, and supported by the NHIS, wishes to go on. Their experience of navigating the political and technical terrain provides critical lessons for states considering the pathway they have followed, and for states who may be considering alternative approaches.

Universal Health Coverage in the Southeast: Political and Economic Perspectives

In the 1990s, policy makers replaced states with HMOs as the primary implementers of the proposed National Health Insurance Scheme (NHIS) because states were considered poor in technical competence to manage such schemes. In 2015, this approach has been reversed with states mandated to go on to develop schemes as they wish. Abia State has developed one, appointed key officers, and supported by the NHIS, wishes to go on. Their experience of navigating the political and technical terrain provides critical lessons for states considering the pathway they have followed, and for states who may be considering alternative approaches.

Establishing and Operating State Primary Health Care Development Boards: Political, Economic and Institutional Challenges

Many states in Nigeria have gone ahead to establish state primary healthcare boards but only a few have done so in the southeast as the health system is gradually being refocused towards improving primary health care. Yet the National Health Act has specified funds that will be accessed by these boards and some development projects have promised funds even for states that take the primary step of setting up theirs. There are real political and technical issues challenging the establishment and operation of these boards, which are also pitching government agencies, departments of ministries, political actors, bureaucrats and professional groups in the health sector against each other. What are the real process challenges that Anambra State has faced and how have the key actors made progress (if any)? Furthermore, are there real imperatives for establishing these boards or agencies given resource constraints and competing interests?

Technical and financial opportunities for achieving universal coverage through primary healthcare

Many states in Nigeria have gone ahead to establish state primary healthcare boards but only a few have done so in the southeast as the health system is gradually being refocused towards improving primary health care. Yet the National Health Act has specified funds that will be accessed by these boards and some development projects have promised funds even for states that take the primary step of setting up theirs. There are real political and technical issues challenging the establishment and operation of these boards, which are also pitching government agencies, departments of ministries, political actors, bureaucrats and professional groups in the health sector against each other. What are the real process challenges that Anambra State has faced and how have the key actors made progress (if any)? Furthermore, are there real imperatives for establishing these boards or agencies given resource constraints and competing interests?

Number, Mix, Distribution Or Motivation: What Is The Issue With The Health Workforce?

Policy makers and health sector managers often face critical challenges when deciding what exactly to do with the health workforce to improve their effectiveness. Unfortunately, there is very little availability and use of evidence to guide such decisions, amidst a myriad of problems with inter-professional health worker rivalry, wages and shortages. Drawing on such evidence generated by the Enugu State ministry of health and the UK-funded PATHS2 project, with the support of the State House of Assembly’s Committee on Health, this frank talk will simply state the facts as they are, and highlight issues that must be addressed for improving effectiveness of health workers. Beyond challenges, the adjoining talk will provide innovations for optimizing the already existing health workforce in ways that ensure systemic change, and improved performance and outcomes.

Innovative Strategies for Optimizing the Health Workforce

Policy makers and health sector managers often face critical challenges when deciding what exactly to do with the health workforce to improve their effectiveness. Unfortunately, there is very little availability and use of evidence to guide such decisions, amidst a myriad of problems with inter-professional health worker rivalry, wages and shortages. Drawing on such evidence generated by the Enugu State ministry of health and the UK-funded PATHS2 project, with the support of the State House of Assembly’s Committee on Health, this frank talk will simply state the facts as they are, and highlight issues that must be addressed for improving effectiveness of health workers. Beyond challenges, the adjoining talk will provide innovations for optimizing the already existing health workforce in ways that ensure systemic change, and improved performance and outcomes.

The Divided Health Worker: Regulation For Effectiveness

It is common practice (in the southeast) for different cadres of health workers to be employed in both the public and private sectors, leading to considerable conflicts of interests and the inevitable division of their limited time to work in these two sectors. Marked differences in such behaviours are observed in different geo-political regions of the country and there has not been an examination of the effectiveness of this practice. This candidly brings issues of regulation to the fore: do regulatory agencies and line supervisors facilitate or militate against this practice, and why? Given the prevalence of such behaviours in the southeast, the discussion explores what must be done to improve the effectiveness of the health system in the southeast states. From the perspective of the Memfys Hospital for Neurosurgery, Enugu, we would explore the purposeful and focused journey of few individuals who chose to focus on one part of the health sector (private) to achieve results.

Achieving Excellence in Healthcare Through Sector-Specific Focus

It is common practice (in the southeast) for different cadres of health workers to be employed in both the public and private sectors, leading to considerable conflicts of interests and the inevitable division of their limited time to work in these two sectors. Marked differences in such behaviours are observed in different geo-political regions of the country and there has not been an examination of the effectiveness of this practice. This candidly brings issues of regulation to the fore: do regulatory agencies and line supervisors facilitate or militate against this practice, and why? Given the prevalence of such behaviours in the southeast, the discussion explores what must be done to improve the effectiveness of the health system in the southeast states. From the perspective of the Memfys Hospital for Neurosurgery, Enugu, we would explore the purposeful and focused journey of few individuals who chose to focus on one part of the health sector (private) to achieve results.

Strengthening The Private Sector with Public Funds: Is It Justified?

Why would governments choose to spend public funds in private settings when there are obvious needs in the public system, which often also provides cheaper services? Why would Ebonyi State do this when there are potential distortionary impacts in the health system? What must policy makers and healthcare managers and workers consider before making such investments? While this session speaks to the above issues, it will also examine innovations that are implemented in The Annunciation Hospital, which represents a private setting with simple systems and reasonable healthcare charges, so that lessons can be learned for improving service delivery systems in both private and public settings.

Striving For Effectiveness In The Private Sector: The Annunciation Hospital Experience

Why would governments choose to spend public funds in private settings when there are obvious needs in the public system, which often also provides cheaper services? Why would Ebonyi State do this when there are potential distortionary impacts in the health system? What must policy makers and healthcare managers and workers consider before making such investments? While this session speaks to the above issues, it will also examine innovations that are implemented in The Annunciation Hospital, which represents a private setting with simple systems and reasonable healthcare charges, so that lessons can be learned for improving service delivery systems in both private and public settings.

7:30 PM - 12:00 AM

Primary Health Care Under One Roof; National Policy To Integrate Management Of Nigeria’s Health Care.

Partnership for Reviving Routine immunization in Northern Nigeria; Maternal, Newborn and Child | Health (Health Partners International, Save the Children and GRID Consulting, Nigeria).

7:30 PM - 12:00 AM

Knowledge, Attitude And Practice Of Exclusive Breastfeeding Among Female Bankers In Aba Metropolis.

Onyemachi E. V., School of Clinical Medicine, Abia State University Teaching Hospital, Aba, Abia State.

7:30 PM - 12:00 AM

Universal Health Coverage And Healthy Living In South-east Nigeria: How Far With Mental Health?

Okwudili KL. Obayi, Department of psychiatry, Federal Teaching Hospital, Abakaliki/Ebonyi State University, Abakaliki.

Phone: +23480337784345, Email: okwudiliobayi@yahoo.com

7:30 PM - 12:00 AM

Maternal And Child Health Service Utilization In A Rural Community In South East Nigeria

Chuka Angunwa, Department of Community Medicine, Madonna University Teaching Hospital, Elele, Rivers State.

7:30 PM - 12:00 AM

Immunization Coverage In Nigeria

Chioma Okafor, Department of Communitry Medicine, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State.

7:30 PM - 12:00 AM

Trends Of Infants Mortality In Nigeria

Joan Okoroka, Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State.

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