  The National Health Bill – When this is passed and signed into law, will provide an additional source of revenue to fund healthcare for the poor in Nigeria. Subsidy Reinvestment and Empowerment Programme Fund (SURE-P) earmarked for universal health coverage. A portion of the SURE-P fund should be used for financing the Fund for the vulnerable groups. Robust System for Strengthening Primary Health Care Under the auspices of PHC Under One Roof, the NPHCDA has been in the forefront as an advocate for the establishment of State Primary Health Care Development Agencies/Boards, a platform that is seen as a necessary step for alignment and harmonization of the functions of multiple ministries, departments and agencies (MDAs) at the state level with overlapping responsibility for primary health care. It is expected that this development will improve PHC governance and performance in general. Towards this end, guidelines have been developed and circulated. The National Health requires that states establish State PHC Agencies/Boards to have access to the National PHC funds. So far, 17 states have set up Primary Health Care Development Agencies/Boards. Increasing access to required health care facilities There are 34,173 health facilities all over Nigeria, of which 30,098 are primary health care facilities located in rural areas, 3,992 secondary facilities and 83 tertiary facilities. In terms of Ownership; Government owns 22,850 while 11,323 are private owned. While the number of available health care facilities are still in-adequate. Government has been investing in the refurbishment/upgrading as well as construction of health care facilities to meet the required needs, Debt Relief Grant funded Conditional Grant Scheme managed by the Office of the senior Special Assistant to the President on MSGs, as well as the GAVI and Global Fund grants. CHALLENGES Human Resources for Health Human Resources for Health in the country are beset by the following issues and challenges: a) Shortages, mal-distribution and under-utilization of health professionals as a result of persistent brain-drain, skewed rural/urban disparity in the distribution of health service providers and inefficiencies in the rational deployment and utilization of staff on the basis of workload. b) The overall HRH picture in Nigeria is inconsistent and lacks integrity as HR information and data collection are fragmented and incomplete, with various stakeholders collecting and collating bits and pieces in the absence of any common data source or human resource management information system (HRMIS). c) Production of health professionals is not related to the requirements of the country as there is no mechanism in place to inform health training institution intake and output targets on the basis of service demand and staffing projections. d) There are systemic deficiencies in the planning, management, development and administration of the health workforce. Health Care Financing Acc 83

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