Bringing primary health care under one roof. PRRINN-MNCH

Authors: Health Partners International
Document Type: Policy and technical briefs
Publication Date: 2013

This is the third in a series of five technical briefs on the theme of governance and systems, that draws on the results and lessons learned from the PRRINN-MNCH programme. This particular brief focuses on bringing primary health care under one roof. The key messages are:

The Nigerian heath service is characterised by poor budgeting, weak governance and limited supply of basic medicines and equipment to clinics. A strong primary health care system is a prerequisite to deliver comprehensive maternal, newborn, child and routine immunisation services.

  1. Bringing primary health care under one roof will enhance coordination, collaboration, effectiveness and efficiency as well as eliminating constraints, fragmentation, managerial uncertainty and wastage of resources.
  2. Restructuring health systems is a time-consuming task and understanding complexity theory is key to health systems transformation.
  3. Reducing fragmentation improves health indices.


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Tags: Nigeria, Primary health care, Maternal mortality ratio, Institutional strengthening, Health systems, PRRINN-MNCH, Monitoring and evaluation, Health care financing, Governance, Health management, Accountability, Primary health care under one roof, PHCUOR, Health systems strengthening,