From Ifeoma Ejiofor
The ATM (AIDS, Malaria and TB) network for the C19 RM/RSSH (COVID-19 Response Mechanism and Resilient and Sustainable Systems for Health) has called on governments, private sectors and other stakeholders to extend the National Health Insurance Scheme (NHIS) program to the poor and most vulnerable.
The project led by Civil Society Organisations for Malaria Control, Immunisation and Nutrition (ACOMIN) in Anambra state also advocated for stiffer sanctions against misappropriation or mismanagement of funds to ensure robust public health program at all levels in the local governments.
Speaking in Awka during a media briefing, State Coordinator, Mrs Chioma Okeke said NHIS extension would go a long way to accommodate the poor, less educated, unemployed and those challenged by “pay out-of-pocket” for high costs associated with frequent illnesses.
She said, “The National Health Insurance program enjoyed by the formal sector should be extended to other citizens of Nigeria, particularly the poor and most vulnerable.
“The poor often are less educated and unemployed and cannot consequently pay out-of-pocket for high costs associated with frequent illnesses.
“Funding and finances for primary health delivery should be carefully mapped out and sanctioned against any misappropriation or mismanagement; to enable a robust public health program at all ward levels in the local government.
“Communication and education programs can raise knowledge and awareness and, in turn, improve testing and care-seeking.
“There is a great need to educate, engage, and empower the communities to embrace any behaviour change relevant to achieving success in malaria, HIV, and TB control in Nigeria.
Okeke further enumerated the group’s achievements in the State to include donation of various medical related equipment by community members namely safety tanks, water pumping machine, drugs, commodities and consumables.
Others include donation of beds, mattresses, benches and tables, solar panel, construction of burn and bury pit, perimeter fence, foundation laying and blocks work and tiling of several PHCs, installation of solar street lights among others.
Underscoring importance of strengthening health systems, provision of needed financial resources, renewal of political leadership and fostering collaborations, Okeke stressed that innovations in service delivery and technological adaptations remained critical as countries targeted limit disruptions to routine services.
Also speaking, Zonal Chairman, ACOMIN, Southeast, Prof. Dennis Aribodor, expressed need for State Government to ensure sustainability and expansion of the project billed to stop by the end of December 2023.
“Because of the huge success stories and impact associated with the Global Fund project in the 5 LGAs currently being implemented, government needs to ensure its sustainability and expansion to more local government areas before its expiration,” he said.
Commissioner for Health, Dr. Afam Obidike pledged his Ministry’s readiness to provide necessary support to the Community Based Organisations (CBOs), revealing that a Mental Health Department had been instituted as part of such efforts.
He also disclosed that the process of restructuring the Ward Development Committee (WDC) structure had already commenced.
“The process will involve leadership of women, youths, religious organisations, while the OIC will serve as the secretary and a WDC chairman as members of the WDC.
“A relative structure will be instituted at the Local Government level, incorporating the Chairman and Director, Health.
“Government has also made available several kinds of delivery equipment including 3.5KVA solar power for facilities,” he said.
Expressing satisfaction with tremendous efforts of the community members in rehabilitation and renovation of the facilities, Obidike pledged commitment to sustainability and expansion of the project across other local government areas in the State.