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Summary Health Policy and Advanced Practice Nursing - NUR 5290
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SUMMARY NOTES 1PHC : Health systems, M & E
and International health
cooperation
Adebimpe Olalekan
FWACP, PhD, FRSPH, MNIM.
, Health plans and systems
• Several attempts to plan for a formidable health care
systems in Nigeria made in the past
• The rationale was a non functional , non- organized
health systems (HS)
• Mortality, morbidity, disability etc indices were
unacceptably high
• Traditional health systems was the order of the day
• Community involvement was not realized on time,
health care was basically for the privileged few
• With WHO coordinating, national governments
recognized the need to plan for health while WHO
assumed the role of straightening HS of nations.
• This was the beginning of the journey to HFA
, National Health Development Plans
• 1st HDP- 1946--1956: British army medical
corps for the army, later spread to their family
and relatives. 10 year health plans
• 2nd NHDP: 1956-1965: overlapped with the
first. Private health care systems springing up,
and governments starts to build public
hospitals
• 3rd NHDP: BHSS, coincides with PHC
declaration
• 4th NHDP: an improvement on the 3rd,
• NHP came into effect with subsequent plans
• Each of these plans have unique contents,
organization, roles, strength and weaknesses
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