An Analysis of the Challenges in the Implementation of Direct Health Facility Funding in Primary Health Care Centres in Plateau State
Abstract:
An analysis of the challenges in the implementation of direct health facility funding in primary health care centres in Plateau State was conducted. The study adopted the pragmatism research philosophy and descriptive cross-sectional design. The population was made up of a total of 974 healthcare centres in Plateau State, out of which 851 are primary health care centres with a population of 1702 administrators (chairmen and secretaries) and 25,111 staff. The sample of this study was drawn from the population of the study using Krejcie and Morgan technique. This provided a sample of 265 administrators and 377 staff giving a total sample size of 642 respondents. The study concluded that delay in disbursement of funds, lack of sufficient training, inadequate manpower and ineffective utilisation of funds were key challenges militating against effective implementation of the Direct Health Facility Funding in primary health facilities in Plateau State. More training should be provided to administrators of primary health facilities to train them adequately on Direct Health Facility Funding Administration. This will go a long way in improving the effectiveness of the Direct Health Facility Funding programme in primary healthcare facilities. More competent personnel should be recruited to work in the primary health care facilities as the findings of this study revealed a shortage of qualified and competent personnel as one of the impediments to the implementation of the Direct Health Facility Funding in Plateau State.
References:
[1].
Abubakar, G. S., 2022, Implications of
Health Sector Reforms in Nigeria: Policies, Indicators and Accessibility to
Health Services. Journal of Public Health
Studies, 2(2), 200-215,
[2].
Adinma, M. A. & Adinma, S. A., 2010, Financing of Health Facilities: Experiences
from financing reforms in Nigeria. Abuja: Tercop publishers
[3].
Ananaba, O. B., 2018, The Role of Local
Communities in the Retention of Health Workers in Rural Tanzania. International Journal Health Policy
Management, 1(1):59-66.
[4].
Brunelli, K. R., 2017, Alternative
Financing Strategies for Universal Health Coverage. BMJ Global Health Journal 2(2), 10-20
[5].
FMOH, 2015, Revised National Health Policy Abuja, Nigeria
Federal Ministry of Health Foster, G. L. 2019, Who pays for health care in
Asia? Journal of Health Economics, 2(7),
460–475.
[6].
Gilliam, S. T., 2008, Challenges to
the scale-up of the Nigerian National Health Insurance Scheme: Public knowledge
and opinions in urban Kano, Nigeria
Journal of Tropical Med Public Health. 2(2), 20-29
[7].
Gyuse, M. A., Le-Gargasson, J., Salomé, B., 2018,
The Role of Innovative Financing Mechanisms for Health. Journal of Basic Health Research, 2(2), 100-120
[8].
Hafez, S. A., 2018, Organization and management of health services in Nigeria. A case study of the Federal Ministry of Health,
Abuja, Nigeria. Abuja, Nigeria: Federal Ministry of Health.
[9].
Harachi, R. K., & Abott, M. A., 2020,
The evolution of health care systems in Nigeria: which way forward in the
twenty-first century. Nigerian Medical Journal 51(2): 53–65.
[10].
Ibe, K. C., 2023, Establishing a
sustainable ward health system in Nigeria: are key implementers well informed? Journal
of Community Medical Health Education 2(7), 164.-170.
[11].
Kapologwe, A. R., Kalolo, N. T. & Kibusi, S. R., 2019,
The effects of performance-based financing on the use and quality of health
care in Burundi: an impact evaluation. Lancet,
2(2), 381-391.
[12].
Maluka, M. A., & Kamuzola, K. S., 2021,
Quality of care in performance-based financing: how it is incorporated in 32
programs across 28 countries. Global
Health Science Practical 5(1):90–107.
[13].
Maluka, M. A., Chitama, T. G., & Dungumaro, A. L., 2018, Methods to
improve quality performance at scale in lower- and middle-income countries. Journal of Global Health 2(2), 21-29.
[14].
Measure Evaluation Technical Report 2014, Scorecard on Primary Health Care under one
Roof in Nigeria. Abuja, Nigeria,
[15].
Olakunde, D. Z., 2012, How ready is the
system to deliver primary health care? Results of a primary health facility
assessment in Enugu State, Nigeria. Health
Policy Plan 2(2), 12-22.
[16].
Oyekale, A. W., 2017, Barriers to and
facilitators of implementing complex workplace dietary interventions: Process
evaluation results of a cluster controlled trial. BMC Health Service Research, 5(7), 100-121.
[17].
Rifkin, B. A., & Alma, T. R., 2018,
Performance-Based Financing to Strengthen the Health System in Benin:
Challenging the Mainstream Approach”. International
Journal of Health Policy Management 7(2), 111-120.
[18].
Ruhago, S. M., 2023, The effect of
performance-based financing on illness, care-seeking and treatment among
children: an impact evaluation in Rwanda”.
BMC Health Services Research 1(5), 23-30.
[19].
Shayo, T. S., & Mbeora, W. A., 2022,
Cost-Efficiency Analysis of the Improved Web-Based Planning, Budgeting, and
Reporting System (PlanRep) in Tanzania. Frontiers
in Health Services Journal, 2(4),
111-131
[20].
Shaw, V. S., Ruhago, G. M., Ngalesoni, F. N.,
Kapologwe, N. A., Kengia, J. T., Ngocho, J., & Kabusi, S. M., 2015,
Strengthening financial management systems at primary health care: Performance
assessment of the Facility Financial Accounting and Reporting System (FFARS) in
Tanzania. Front Health Services Journal,
3(5), 12-29.
[21]. World Health Organisation 2020, World Health Organization. Nigeria - Nation Expenditure on Health. Geneva World Health Organization.
