Ensuring Universal Health Coverage in Gombe
During his inauguration as the fourth executive Governor of Gombe State on
Three years after his inauguration, landmark and remarkable achievements have been recorded placing Gombe state popularly called "Sahel in the Savannah" in a position of light and as one of the fasted growing states, not just in the Northeast sub - region, entire Northern extraction but
While campaigning for the governorship seat on the platform of the
And in his inaugural speech, the governor lamented that "Our healthcare delivery system is in a pitiable condition. We would, therefore, commence building of additional healthcare institutions, provision of medical facilities, equipment, training and retraining of healthcare personnel for better service delivery across the state."
Apparently worried by the decay and poorly functional health system owing to years of neglect of this very important sector by past administrations, the Muhammadu Inuwa Yahaya-led new government upon assuming office also declared a state of emergency in the sector and set up a comprehensive agenda for the holistic overhaul of the system.
The Gombe State Commissioner of Health, Dr. Habu Dahiru described the approach adopted by the administration towards revamping the health sector as broad-based and multi-disciplinary.
"The health sector is one area where the governor covertly declared a state of emergency, and he did so because when he came into office the sector was literally gasping for breath but mid way into his tenure the situation is far much better now and I think you have seen it for yourselves".
To undertake any critical sector of the state for development like the health sector with the intent on making meaningful impact on the lives of the benefiaries in the respective communities across the state, funding remains key and it is in realisation of this fact that the Inuwa Yahaya administration considered it expedient to increase the budgetary allocation to the
Through the
At an interactive session between state governors and high level Gavi delegation on Zero- Dose Children, PHC Coordination and COVID-19 response in
Gavi, the
He told the gathering that Gombe has enacted a law recently that earmarked not less than one per cent of the state's and local government's consolidated revenue as equity fund.
"This fund alongside the BHCPF is being used to enroll poor and vulnerables in our communities to access health care at their ward level PHC. This has created a sustained source of funding to the PHCs enabling them to conduct their activities without hindrance, including the conduct of regular outreaches to underserved communities".
He revealed that over 40,000 poor and vulnerables, including internally displaced persons from the insurgency-wrecked neighbouring states have so far been fully covered under the state health insurance scheme, known as
"Our recent investment that saw the complete revitalisation of 1 PHC in every ward has greatly improved the confidence of the people in our public health system; and as such with the commencement of the formal sector programme, we have witnessed the selection of public PHCs as their primary providers despite having the option to select private facilities by the formal sector employees".
He contended that public trust is a key driver of uptake of essential health services including immunisation, noting that if adequate investment is made to improve the standard of the public health facilities and provide them with basic equipment and manpower, people will continue to have trust in the public heath system.
To ensure quality service delivery of the PHCS across the state, Doctors, Nurses and other medical staff are posted to all the 114 Primary Health Centres.
THISDAY checks revealed thatgovernment embarked on the upgrading of the state specialist hospital including the installation of relevant equipment that were hitherto lacking such as Xrays and Ultrasound machines, ECG, Echo, Endoscopy and equipping of the dialysis centre constructed by the past administration but left unequipped. In addition to that, one general hospital in each of the three senatorial zones is upgraded so as to make available to the people specialized services and reduce the burden on the state specialist hospital.
The general hospital in Kumo is being completely reconstructed while that of Kaltungo and Bajoga are undergoing a state-of-the-art transformation.
Other Cottage hospitals/health clinics are also gradually being renovated and upgraded such as Cottage hospitals in
Also to ensure the realisation of the
To ensure the effective coordination of health personnel, facilities and service delivery, the government, for the first time in the history of the state, established the Hospital Services Management Board and appointed credible, experienced and dedicated personnel to serve on the board, while remodelling of the State Specialist Hospital Gombe, General Hospitals Bajoga, and Kaltungo are testaments to the effort of the Inuwa Government to transform the health sector for the benefit of the people.
Other major strides recorded by the Inuwa Yahaya administration during the period under review include ensuring the commencement of housemanship at the specialist hospital where at least 30 young doctors have been engaged to undergo their internship training. This was a strategic move considering the fact that the housemanship quarters located at the specialist hospital was abandoned for over 20 years. Its construction started in 1999 and all previous governments abandoned the project.
The successful completion of the quarters in addition to the employment of specialist consultants enabled the state to secure accreditation to commence this programme. With this singular achievement, it means having at least 30 doctors every year undergo their training at the hospital thereby boosting the human resource availability at the facility.
Also, employment of Consultants and Senior Registrars is also significant. For the first time in the history of the state, there are close to 20 specialist consultants working at the state specialist hospital. Before the coming of this administration, there were only 2-3 consultants. This was made possible because of the governor's approval of the upward review of consultant's salary in the state. This has made consultants in the state to earn more than their colleagues at the
Government also secured accreditation to commence residency training in Obstetrics/Gynecology and Family Medicine. Securing this accreditation would not have been possible if the necessary infrastructure, equipment and consultants are not available. With this now, the state will attract doctors from all over the country to come for specialist training in these fields of medicine thereby significantly increasing the available manpower to provide services.
The deployment of 147 nurses/midwives to all the 114 renovated PHCS in the state has been quite revolutionary in the state. This move has made available at least 1 nurse/midwife at all the PHCS located in the various wards of the state and drastically reduced the referral rate from the PHCS and reduced the incidence of maternal deaths associated with pregnancy and childhood morbidity/mortality.
While commending the efforts of the Inuwa Yahaya - administration in transforming the state's health sector in the last three years,
He launched the mobile app during a stakeholders engagement meeting on
He declared that "You will recall that on the 18th of March, 2021, I officially flagged off enrolment into the
He maintained that the participation of Gombe State in the BHCPF was made possible because of his administration's commitment towards revamping the health care delivery system following years of neglect by the past administrations.
Quote"To undertake any critical sector of the state for development like the health sector with the intent on making meaningful impact on the lives of the benefiaries in the respective communities across the state, funding remains key"
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