Support to Seven Northern LGAs affected by Boko Haram Insurgency
Adamawa State is one of the three States in Nigeria implementing the Performance Based Financing (PBF) strategy to strengthen her health system. The Minimum Ward Healthcare Packages as predetermined sets of service is contracted-in to the health units within each of the 226 wards by the Adamawa State Primary Health Care Development Agency (ADSPHCDA) after agreeing on the targets for each of the service components.
PBF was started in December 2011 as a pilot in Fufore LGA and later scaled up to all the other 20 LGAs from January 2014. However, in October 2014, seven (7) LGAs were completed overran and occupied by the Boko Haram insurgents. This led to the massive displacement of the population and destruction of means of livelihood to many people and their supportive infrastructure, including health facilities. The Nigerian government regained her territories of 6 out of the 7 LGAs by April 2015, which made it possible for large displaced persons self return. Madagali remained under siege until November 2015 before being liberated of the insurgents’ elements.
Most the components of the basic PHC packages are delivered at cost to the beneficiaries. However, as the result of the displacements by the Boko Haram insurgents, many more indigents patients who cannot afford the cost now emerge.
UNFPA Supported Activities
UNFPA supports all the reproductive health components of the basic packages implemented the ADSPHCDA. Hopefully, UNFPA will support the cost to access the important elements of the reproductive health components of the basic health care package. It is also assumed that UNFPA shall continue to provide free reproductive health commodities during the implementation period.
The Basic Packages
The basic PHC packages contracted-in to the PHC health units are summarized in the table below. The highlighted rows are the areas UNFPA is expected to sponsor.