Novel Basic Health Care Provision Fund in Nigeria: Can Workforce for Service Delivery Improve?
2021
Uchenna Eugenes Ewelike, Kurfi Abubakar, Obinna Onwujekwe, Eric Obikeze, Kenneth Ogbu + 1 more author

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Abstract

Health financing policies are political decisions that involve all stakeholders because of its potentials in altering allocations in the budget and statuesque. This important economic tool should always be used in economic policies of nations especially in developing economies because of the wrongly perceived notion that there is no investment case for health. The government of Nigeria in 2014 signed into law the National Health Act. This Act made provision for additional funding to the health sector through earmarking to the tune of about $200 million annually, with the fund called the Basic Healthcare Provision Fund (BHCPF). The study aims to determine how many more health workers will be employed in the Nigerian health force using the earmarked funds in the health sector at the primary level of care. The study is a quantitative study design that involved the use of primary data from the BHCPF's implementation tracking tool. Data was collected during a health facility assessment in four systematically selected states in a random manner, which is in the first phase of the BHCPF implementation. This study showed that about 91,946 people will be employed directly into the Nigeria's health system if the Basic Health care Provision Fund is successfully implemented. This will in turn bridge the gap in human resource for health especially in the rural areas and improve the quality of service delivery at primary health care level in Nigeria. Therefore more funds should be allocated to the health sector to create jobs and bridge the gap in human resource for health in the underserved areas.

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