Some health stakeholders have said that Nigeria’s Primary Healthcare Centres (PHCs), which serve as the backbone of the country’s healthcare system, are in dire need of revitalization.
The stakeholder said this in an interview with the News Agency of Nigeria (NAN) on Monday in Abuja. They said that despite the country having over 30,000 PHCs, the majority are non-functional due to poor funding, inadequate staffing, and dilapidated infrastructure.
According to them, addressing these challenges is key to achieving Universal Health Coverage (UHC) for Nigerians. NAN reports that according to the National Primary Healthcare Development Agency (NPHCDA), only 20 per cent of PHCs in the country are fully functional.
They added that the situation has left millions of Nigerians, particularly those in rural areas, unable to access basic healthcare services.
Speaking during the interview, Dr. Elizabeth Dasat, a Family Physician, identified inadequate funding as a major hindrance to the effectiveness of PHCs. “While the Basic Healthcare Provision Fund (BHCPF) was established to support PHC financing, implementation challenges have limited its impact.
“There is an urgent need for the government to increase budgetary allocations to PHCs and ensure the effective disbursement of funds to local governments,” Dasat stated.
Dr. Pamela Ajayi, President of, Healthcare Federation of Nigeria (HFN), highlighted the potential of Public-Private Partnerships (PPPs) in bridging funding gaps and upgrading healthcare facilities.
“A shortage of skilled healthcare workers is another critical challenge facing PHCs. “Many rural PHCs are staffed by community health workers rather than qualified medical professionals.”
The Executive Director of the Vaccine Network for Disease Control, Mrs. Chika Offor, called for incentives to attract and retain health workers in underserved areas.
“Providing competitive salaries, housing allowances, and opportunities for professional growth will encourage doctors and nurses to serve in rural communities,” Offor said.
According to her, many PHCs lack basic amenities such as electricity, clean water, and medical equipment, making it difficult to provide essential services.
Meanwhile, Dr. Kemi Oludare, a Health Economist, urged the government to prioritize infrastructure development as part of its healthcare reform agenda.
According to Oludare, in states like Bauchi and Lagos, innovative measures such as solar-powered PHCs have been implemented to address these gaps. She added that such examples should be replicated nationwide.
“Local communities can play a vital role by participating in decision-making, resource mobilization, and monitoring healthcare delivery. “Ward Development Committees (WDCs), are effective tools for fostering community ownership.
“Community participation ensures that PHCs address the unique needs of the people they serve,” Oludare explained.
Dr Gabriel Adakole, a Public Health Expert, recommended the integration of services such as maternal and child health, immunization, family planning, and disease prevention.
“Digital tools like the e-motive approach for maternal care have also been identified as solutions to enhance service delivery.”
During a recent health event, the Ministry of Health and Social Welfare, under Minister Prof. Muhammed Ali Pate, reaffirmed the government’s commitment to strengthening PHCs as a pathway to achieving UHC.
“Strengthening PHCs is essential to ensuring that every Nigerian has access to basic healthcare services, no matter their location or socio-economic status.”
The Chairman of the Health System Reform Coalition of Nigeria (HSRCN), Dr. Mustapha Lecky, called for increased advocacy, accountability, and policy reforms.
Lecky stressed the need for collaboration among government agencies, private-sector players, and civil society Organizations to ensure sustainable improvements.
Most of stakeholders agreed that as Nigeria works toward revitalizing its PHCs, success stories from the sub-nationals offer a glimmer of hope.
However, sustained efforts and investments will be required to replicate such successes across the country.
They agreed that revitalizing PHCs is not just about providing healthcare, but about restoring dignity and hope to millions of Nigerians.
