Primary healthcare (PHC) is a cornerstone for achieving universal health coverage (UHC), especially in low- and middle-income countries. A recent study conducted in Enugu State, Nigeria, provides valuable insights into the readiness of primary health facilities to deliver essential services. This blog explores the outcomes of this research and offers guidance for practitioners looking to enhance their skills and improve healthcare delivery.
Understanding the Research Findings
The study assessed 60 randomly selected public health centers in Enugu using the World Health Organization's Service Availability and Readiness Assessment (SARA) survey. The findings revealed significant gaps in service availability and readiness, particularly in non-communicable diseases (NCDs) and mental health services. While 87% of the centers offered at least half of the recommended service domains, none had all the necessary components.
Key Gaps Identified
- NCD Services: Only 50% of facilities offered NCD prevention services, with low availability of essential medicines.
- Mental Health: Mental health services were available in just 18.3% of centers.
- Infrastructure: None of the facilities had functional ambulances or access to computers on the day of assessment.
Improving Practitioner Skills
Practitioners can leverage these findings to enhance their skills and service delivery. Here are some actionable steps:
1. Focus on Training and Education
Continuing medical education is crucial for equipping healthcare workers with the necessary skills to provide comprehensive care. Practitioners should advocate for regular training programs, focusing on areas with identified gaps such as NCD management and mental health services.
2. Strengthen Infrastructure and Resources
The lack of basic amenities like functional ambulances and computers highlights the need for improved infrastructure. Practitioners can work with local authorities to secure funding for essential equipment and advocate for better resource allocation.
3. Enhance Community Engagement
Community involvement is vital for improving healthcare utilization. Practitioners should engage with local communities to raise awareness about available services, particularly in areas like mental health where stigma may be a barrier to access.
The Role of Further Research
This study underscores the importance of ongoing research to identify gaps and opportunities for improvement in PHC delivery. Practitioners are encouraged to participate in or conduct further research to explore innovative solutions that address specific challenges in their regions.
Conclusion
The assessment of primary health facilities in Enugu State reveals critical areas needing attention to enhance healthcare delivery. By focusing on training, infrastructure improvement, and community engagement, practitioners can make significant strides toward achieving UHC goals.
To read the original research paper, please follow this link: How ready is the system to deliver primary healthcare? Results of a primary health facility assessment in Enugu State, Nigeria.
