A communique issued at the end of a one day policy dialogue with the “Keep the Promise: Achieving Universal Health Coverage through Primary Health Care” organized by Ukana West 2 Community Based Health Initiative (CBHI) in partnership with Akwa Ibom State Primary Health Care Development Agency (AKPHCDA), Policy Alert, Akwa Ibom State Medical Women Association of Nigeria (MWAN), Akwa Ibom State Nigerian Medical Association (NMA) and other health stakeholders.


In line with the United Nations’ Sustainable Development Goal (SDG) 3 which emphasizes the need for Universal Health Coverage (UHC) and healthcare funding in Nigeria. CBHI and its partners organized this year’s State Health Dialogue with the theme “Keep the Promise: Achieving Universal Health Coverage through Primary Health Care”. The policy dialogue, first in the series, attracted experts, policy makers, media and civil society organizations.

The Honorable Commissioner for Health, Dr. Dominic Ukpong, declared the event opened. Keynote and opening speeches were delivered by Chief Michael Akpabio (Community Based Health Initiative, Board of Trustee Chairman), Dr. Martin Akpan (Chairman, Akwa Ibom State Primary Health Care Development Agency – AKPHCDA), Dr. Sylvester Agwai (State Coordinator, World Health Organization (WHO) and Dr. Ekaette Mbah (Vice President Nigerian Medical Association, Uyo – NMA.

Dr. Olugbemi Motilewa (Head of Department, Community health Department, University of Uyo Teaching Hospital (UUTH) presented the lecture on “Achieving Universal Health Coverage through Primary Health Care”. There was a panel of discussion which was anchored by Dr. Anyiekere Ekanem (Chairman, Association of Public Health Physicians of Nigeria, Uyo) and the Panelist were Mr. Ekong Samuel (Secretary Red Cross Nigeria), Chief Michael Akpabio (CBHI, BOT Chairman), Dr. Martin Akpan (Chairman, AKPHCDA), Dr. Sylvester Agwai (State Coordinator, WHO), Dr. Ekaette Mbah (Vice President NMA), Dr. Nse Udoh (CSO), Dr. Eno Attah (Executive Secretary – AKSPHCDA), Mr. Emmanuel Ononokpono (National Health Insurance Scheme (NHIS State Coordinator), Mrs. Grace Uyoe (State Secretary Primary Health Centre Directors), Mr. Peter Akpan (Director of Statistics Minsitry of Economic Development and Ibom Deep Sea Port), Mrs. Ekaette Kelvin (Traditional Birth Attendance Coordinator, Uyo) and other AKSPHCDA Board members.

At the end of the event, participants made the following observations and recommendations:

Low access to quality healthcare services Government current Health funding is not sufficient to attain universal Health coverage
PHCs requires the commitment of the government to increase utilization and achieve Universal health coverage.
Low qualify medical personnel in PHCs.

•Government have a role to play in healthcare by providing policies through increase funding, renovation and equipment of facilities across the state.

•Government has been able to create agencies and manpower through massive recruitments, we demand that family planning units, Immunization programs , HIV counselling and Rapid Diagnostic test should be properly done and encouraged.

•The state health insurance bill should be assented to and political will should be encouraged to achieve Universal healthcare Coverage.

•Promote Advocacy and sensitisations at all government levels to increase commitments to Universal Health Coverage.

•Political commitment in improving rural health services should be encouraged by all stakeholders.

•To achieve UHC basic infrastructures, effective manpower should be put in place. Civil society organizations should be carried along in health issues and citizens’ participation should be encouraged.

•Stakeholders should collaborate with the health sectors and CSOs for effective policy implementation.

•Community health workers should be trained and sensitized on the right attitude to work.

•The ministry of economic development and productivity should consider an increase in health expenditure during budget planning and implementation.

•Health insurance coverage should be made compulsory at all levels of the sectors in other to achieve the call Universal Health Coverage
CSOs should also support in massive social sensitization and advocacy in communities to enable people from the communities embraced health insurance.

•Partnership among health stakeholders to achieve the UHC in the state to have the state health insurance bill assented to in the first quarter of next year.

•Ministry of Health to form Basic Healthcare Provision Fund (BHCPF) Committee immediately. Save One Million Lives (SOML) State Program Manager promised to continue to support PHCs and bring it to standard.

•The WHO State Coordinator promised to join in advocating for employment of more medical personnel in the state.

Health is a right, and we must ensure that services are universally available, accessible, affordable and of quality, and that they are provided without discrimination.


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