Bringing primary health care under one roof: 9 factsheets for implementation in Nigeria

Authors: Health Partners International
Document Type: Factsheets
Publication Date: 2014

Primary Health Care Under One Roof (PHCUOR) is a policy to reduce fragmentation in the delivery of Primary Health Care (PHC) services which involves the integration of all PHC services under one authority. Fragmentation has been identified as the most significant problem facing PHC services, and significantly affects utilisation rates and health indices.

Working with National Primary Health Care Development Agency (NPHCDA) in Nigeria, Health Partners International, and partners on the PRRINN-MNCH programme, launched the PHCUOR initiative. The policy  was approved by the National Council of Health in 2011 and has since been implemented in at least 23 states in Nigeria.

Key elements of the Primary Health Care Under One Roof policy include:

  • Integration of all PHC services delivered under one authority
  • A single management body with adequate capacity to control services and resources, especially human and financial resources
  • Decentralized authority, responsibility and accountability
  • The three ones principle: one management, one plan and one monitoring and evaluation system
  • An integrated and supportive supervisory system
  • An effective referral system between and across the different levels of care
  • Enabling legislation and regulations

These nine factsheets have been developed to summarise the steps to successful implementation of the components of Primary Health Care Under One Roof.



PHCUOR Factsheet 1. Governance and ownership (516kb) PHCUOR Factsheet 2. Make Legislation (501kb) PHCUOR Factsheet 3. Minimum Service Package (482kb) PHCUOR Factsheet 4. Reposition Agencies (498kb) PHCUOR Factsheet 5. Systems Development (505kb) PHCUOR Factsheet 6. Operational Guidelines (525kb) PHCUOR Factsheet 7. Human Resources (479kb) PHCUOR Factsheet 8. Sustainable Funding (492kb) PHCUOR Factsheet 9. Office Setup (kb)

Tags: Nigeria, Capacity building, Capacity development, Health policy, Primary health care, Service delivery, Multi-stakeholder engagement, Community engagement, Costing of services, Coverage, Institutional strengthening, Health systems, PRRINN-MNCH, Access to health services, Monitoring and evaluation, Health services, Inclusion, Health care financing, Governance, Legislation, Health management, Human resource management, Human resource policy, Minimum service package, Primary health care under one roof, PHCUOR, Behaviour change, Health managers, Service investment plan, Systems development, operational guidelines, Primary Health Care Board, Human resource information, Sustainable funding, Primary healthcare, Policy implementation, Gunduma, Health care delivery, Public health,
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