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Transformational Partnership for Primary Health Care (TraPP) Model –Kola Daisi Foundation Community Primary Health Centre (KDFC): A 5-year Experience J.O Akinola*, A.O Adebiyi, O.C Uchendu, E.T Owoaje, T.O Alonge. Department of Community Medicine University College Hospital, Ibadan, Nigeria
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Outline Primary Health Care (PHC) and its challenges in Nigeria
Public Private Partnership(PPP) for PHC Types of Public Private Partnership Transformational Partnership for PHC Model Strengths, Gaps and Future Direction
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Primary Health Care and its challenges in Nigeria
• Essential health care based on practical, scientifically sound, & socially acceptable methods & technology made universally accessible to individuals & families in the community through their full participation & at a cost that the community & country can afford to maintain at every stage of their development in the spirit of self- reliance and self-determination (Alma Ata, 1978). • First level of contact with Nigeria Health System & first element of a continuing health care process • PHC is a permanent approach to “Health for All” (Riga,1988)
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Primary Health Care and its challenges in Nigeria II
Lack of political will Poor funding of healthcare system Inadequate human capital for health at primary care level Dearth of highly skilled healthcare workers Execution of PHC projects without need assessment and community participation Insufficient intersectoral collaboration
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Public Private Partnership for PHC: A new Paradigm
PPP initiative as an efficient model of healthcare delivery against the backdrop of poor performance of traditional PHC delivery solely handled by third tier of government- the local governments in Nigeria A pluralistic attempt to improve the performance of the PHC system Adoption of a primary or secondary healthcare facility by a tertiary healthcare facility with highly trained work force
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Types of Public-Private Partnership
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Transformational Partnership for PHC Model
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Transformational Partnership for PHC Model II
Core Partners Role Kola Daisi Foundation Provided the building, furnished it, including providing equipment and social amenities for use at the centre. Also ensure continuous maintenance of the facility UCH Management Department of Community Medicine This is a Federal Government Institution that is responsible for provision of personnel and payment of staff salaries Coordinates the TraPP project The Yemetu Community Full participation and involvement in the planning, implementation, and evaluation of activities at the centre. Strengthen existing security arrangement
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Strengths , Gaps and Future Direction
Key Strengths Identified Gaps Future Direction Builds and fosters community trust Teaching Hospital based resource mobilisation Provision of Family Planning Services based on demand Opens up multi-lateral partnership options Frequent orientation and re-orientation missing Trainings for PHC based workers Complete enumeration of catchment area community Lack of community pharmacy approach Pursuit of limited autonomy Assets leverage Non- availability of research funding Deliberate Targeting of Research funding Improved Health outcomes Lack of electronic medical record linkage Electronic medical records Improves beneficiary capacity Scaling –up to 1-2 more communities Sustainability Training in Health leadership and PHC management attachment programme Translates to community empowerment and development
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