1. 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

2. 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

3. 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)

4. 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

5. 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

6. Types of Public-Private Partnership

7. Transformational Partnership for PHC Model

8. 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

9. 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

11. Thank you for listening