Increasing access to community healthcare

Recently the World Health Organisation (WHO) decried the increasing threat to the right to health of millions of people across the world. The WHO Council on the Economics of Health for All has stated that 140 countries recognise health as a human right. Unfortunately, these countries are not passing and putting into practice laws to ensure that their citizens are entitled to access health services. According to the global health agency, about 4.5 billion people, over half of the world’s population, were not fully covered by essential health services in 2021.

The WHO Regional Director for Africa, Dr. Matshidiso Moeti, in her message underscored the fact that health is not only a fundamental human right, but also central to peace and security. According to her, addressing health inequities requires intentional efforts. Considerations of vulnerable groups must be addressed. Their needs ought to be purposefully integrated into health programmes at all levels to accelerate progress toward Universal Health Coverage (UHC).

‘My health, my right,’ the global agency used the occasion to call for action to uphold the right to health amidst inaction, injustice and crises. The year’s theme, according to the organisers, was chosen to champion the right of everyone, everywhere to have access to quality health services, education, and information, as well as safe drinking water, clean air, good nutrition, quality housing, decent working and environmental conditions, and freedom from discrimination.

Moeti noted that many in the African region still need help with access to quality essential health services due largely to unfulfilled rights. She observed that this is further compounded by protracted and ongoing crises such as conflicts, climate change, food insecurity, disease outbreaks and epidemics.

Available figures show that the number of people aged 15 and over living with HIV is still high at an estimated 24.3 million in 2021 (3.4 percent of the total population) compared to 15.6 million in 2015. This underscores the continued transmission of HIV despite reductions in the incidence of people newly infected and the benefits of significantly expanded access to antiretrovirals. Moeti called on member states to uphold the progress towards fulfilling the right to health, agreed by all nations of the world in 1948 and enshrined in the WHO Constitution.

“The right to health is a universal right of all human beings, regardless of race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth, or another status,” Moeti stated.

Nigeria, the Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, has reiterated the ministry’s commitment to ensure the health and wellbeing of all Nigerians. The minister is of the view that the right to health is not just the ideal, it is a fundamental human right enshrined in the Universal Declaration of Human Rights.

For millions of Nigerians, accessing quality healthcare is a challenge. However, the federal government has mapped out some initiatives to address the challenge. These include Basic Health Care Provision Fund (BHCPF) and the Nigeria Health Sector Renewal and Investment Initiative and strategic partnerships through which the health ministry is ensuring access to health of Nigerians in remote communities across the country.

Unfortunately, the right to health for all Nigerians has not been enshrined in our laws. Therefore, we call on the federal and state lawmakers to make laws that will ensure the right to health of all Nigerians. We need laws that will ensure Universal Health Coverage for all Nigerians.

Such laws will ensure that every Nigerian has access to quality health at all times. These include having access to potable water, clean air, quality nutrition and quality housing, decent working environment and freedom from discrimination.

While the laws that will enforce the right to health of all Nigerians are being awaited, the government must improve access to health by ensuring that quality healthcare services are provided at the Primary Healthcare Centres (PHCs) across the 774 local government areas.

If the primary healthcare centres are functional, the nation’s disease burden would have been reduced by over 70 per cent. The government should provide free health services at the PHC level. For Nigeria to increase access to quality health for millions of Nigerians and ensure UHC, the health funding must be significantly increased.

Pathetically, it has become an eyesore that millions of Nigerians living at the grassroots don’t have access to quality healthcare services. This is a wakeup call to the various state Governors and their Chairpersons to reinvest in the health sector, especially the community people.

Most of the health institutions and healthcare facilities are in a dilapidated stage at the rural communities and there is no motivation for health personnel in terms of incentives, knowledge acquisition such as training and retaining of staff, the equipment in various hospitals and clinics are outdated. The federal government in partnership with international donors should reenergise in the health system for the betterment of the masses.