Primary Health Care and Family Medicine

Primary Health Care (PHC) is defined by the World Health Organisation (WHO) as "essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination" (1978).

EPOS implements PHC projects based on the recognition that holistic approach Is needed. We contribute to health care reform and policy development, provide qualitative and quantitative baselines to allow informed primary health care decision-making, and support the development of effective, equitable and efficient PHC delivery systems. The objective is to improve and increase the quality and utilisation of PHC services as well as their accessibility, with the following main elements:

  • Decentralisation of planning and management, including budgeting

  • Development basic packages of health care

  • Quality Management

  • Community involvement in health, and capacity building

  • Training of PHC staff

  • Health Management Information System

  • Human Resource Development Systems and Strategies

From 2003 to 2009, EPOS implemented the Nigerian “Partnership to Reinforce Immunisation Efficiency (PRIME)”, funded by the European Development Fund (EDF). The project developed and strengthened management capacity on immunisation services at local government area (LGA), state, and federal levels leading to a progressive increase of funds allocation and utilisation. Initially covering 6 States, the project was later expanded to 17 States due to the clear success shown in immunisation services. This success was reached through the provision of training, the organization of eight international study tours, visibility and communication, support to the Federal Ministry of Health to develop policy documents as well as logistical support. Key outputs reached were:

  • Improved health facility infrastructure in selected LGAs

  • Improved knowledge and skills of health workers to conduct quality and safe immunisation services.

  • Improved local capacity to maintain cold chain equipment in the context of ensuring sustainability.

  • Developed coherent linkages between initial 6 focal states and the new 17 states through sharing of experiences and best practices on immunization.

  • Increased government spending on routine immunization.

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