The
NPHCDA was established in 1992 to work in close collaboration with local
government authorities to ensure a smoothen implementation and delivery of PHC
to all sections of the country as well as to ensure the sustainability of the
budget summary for the years 1993 and 1994.
|
Budget Item
|
1993
|
1994
|
|
Total
revenue
|
26,964
|
59,761
|
|
1.
Capital
|
3,046
(11.30)
|
27,673
(46.31)
|
|
2.
Recurrent
|
23,
918 (88.70)
|
32,088
(53.69)
|
|
Recurrent
expenditure
|
15,694
(98.45)
|
27,178
|
|
1.
Personnel cost
|
6,980
(44.48)
|
16,046
(59.04)
|
|
2.
Over heads
|
8,714
(55.52)
|
11,132
(40.96)
|
|
Capital
expenditure
|
429
(1.55)
|
|
Table:
showing NPHCDA: Budget summary (NM) (%
n bracket) 1993 and 1994 (source: Mbanefoh, Soyibo and Nonyanwu (1997). One
glaring fact from the table is the fact that the agency’s recurrent revenues and
expenditure to exceed capital components. Another observation relates to the
rising proportion of personnel costs relative to overhead costs, in absolute
terms both are increasing.
The
NPHCDA: breakdown of recurrent expenditure (NM),
1993 and 1994.
|
Recurrent
terms
|
1993
|
1994
|
|
Travels
and transport
|
1.355
|
2.827
|
|
Utility
and services
|
.134
|
.189
|
|
Telephone
|
.161
|
.609
|
|
Printing
and stationery
|
1.889
|
3.789
|
|
Maintenance
of office furniture equipment
|
.473
|
.547
|
|
Maintenance
of vehicle and capital assets
|
.849
|
2.285
|
|
Grants,
contribution and subversions
|
|
.635
|
|
Motor
vehicle refurbishing loan
|
.536
|
.933
|
|
Miscellaneous
express
|
|
.081
|
From the table above, it is observed that the largest
chunic of the agency’s recurrent financing resources are devoted to printing
and stationery, followed by travels and transport, and maintenance of vehicle
and capital assets.
NPHCDA: Breakdown of capital expenditure in (NM) 1994
|
Expenditure
|
1994
|
|
PHC
and sustenance of PHC system
|
4.100
|
|
Establishment
of resource centre
|
1.803
|
|
Establishment
of PMER
|
3.735
|
|
Bamako
initiative
|
5.850
|
|
Furniture
and office equipment
|
7.832
|
|
Construction
of office recommendation
|
9.666.
|
This table suggests that NPHCDA has so far devoted the
largest amount of it’s capital accommodation. Other capital expenditure items
that consume substantial amount of funds are furniture and office equipment.
2.5.1 HUMAN
RESOURCES OF THE PRIMARY HEALTH CARE
(PHC)
The PHC human resources include the
following health workers:
·
The medical
officer of health (MOH)
·
The community
health officer (CHO)
·
The senior and
junior community
Health
extension workers (SCHEW or JCHEW)
·
The Public health
nurse (PHN)
·
The environmental
health officer (EHO)
·
Volunteer/village
health workers (V/VHW), which includes the traditional birth attendant (TBA).
Other
PHC support staff includes:
·
Health record
assistants
·
Administration
officers
·
Maintenance
officers
PHC workers training centre on the development of
skills which are relevant in, improving health care delivery in their
respective communities. The eight components of PHC are normally covered in the
training. They include family planning, immunization, environment sanitation,
health education, community participation, treatment of minor ailments,
nutrition and growth monitoring, control of communicable diseases and essential
drug supply. Others are element of planning health programme, management,
monitory and evaluation of health services delivery, history taking, diagnosis
procedures, treatment and referrals.
REFERENCES
Ekukwe,
E. O. (1996) Nigeria Primary Health Care Delivery System, the Challenge of Implementation: Nigeria Blaze Publications.
Federal
Ministry of Health, (2004), “Health sector reform Program’s, Strategic Thrusts, Key Performance Objectives, and Plan of Action, 2004-2007, Abuja Federal
Ministry of Health.
Nonye,
M. O (2005), Health Care Delivery Systems, second edition MEGASOFT Publishers.
Obionu,
C. N. (2007), “Primary Health Care for Developing Countries” Second Edition, Institution for Development Studies University of Nigeria, Enugu
Campus.
Owie,
I and Eke-Huber E. A. (1998), A brief introduction to Mental Health; Benin-City United City Press.
Udo,
C. O. Fawole, J. O.; Ajala, J. A. Okafor, C and Nwanu, O. C. (1991). Gunda Mental Health Education,
Nigeria; Heinemann Education Books Ltd.