The Governor Seyi Makinde-led administration’s achievements in healthcare include the completion of the upgrade of 206 Primary Healthcare Centres out of the 299 awarded in 2021. All 299 PHCs will be fully equipped and staffed. Also, secondary healthcare facilities such as Ring Road State Hospital, Adeoyo, Ibadan, General Hospital, Tede and Aremo Maternity Hospital, Ibadan were upgraded.
In addition, the Free Health Mission which was started in 2020 provided medical and surgical interventions to over 500,000 residents of Oyo State in 2022.
Let us now track Governor Seyi Makinde’s achievements in healthcare for his third year in the office against his Roadmap to Accelerated Development in Oyo State, 2019-2023. You can read his second-year promises kept in healthcare here. You can also read about all the three years in office ongoing and completed projects here.
Review of Governor Seyi Makinde’s Achievements in Healthcare for Three Years in Office
- Evaluation of existing healthcare system; structures, personnel, current funding modality, utilisation of resources and expenditure on health.
In the past one year, the following actions were taken as a result of these evaluations:
Structures:
- Renovating and equipping 299 Primary Healthcare Centres (206 have been completed and 93 are ongoing)
- Renovation of Aremo Maternity Hospital (ongoing).
- Renovation of General Hospital, Tede (ongoing).
- Renovation of Infectious Disease Centre, Olodo.
- Renovation of Jericho Nursing Home (ongoing).
- Renovation of Renal Dialysis ward and installation of water treatment Unit and Renal Dialysis Machine completed at Ring Road State Hospital, Adeoyo, Ibadan.
- Renovation and equipping High Dependency unit at Ring Road State Hospital, Adeoyo, Ibadan.
- Installation of 64 Slice CT scanner at Ring Road State Hospital, Adeoyo, Ibadan.
Personnel:
Recruitment of 525 different categories of Health Workers; Consultants, Medical and Dental Officers, Nurses, and others by the Oyo State Hospitals Management Board.
Employment of 17 doctors, 14 adhoc staff and deployment of 4 Civil Servants to the Oyo State Health Insurance Agency (OYSHIA).
Funding modalities:
- Budgetary allocation.
- Basic Health Care Provision Fund.
- Saving One Million Lives Program for Result.
- Capitation and fee for service at OYSHIA accredited facilities.
- Cost-benefit analysis (CBA) of current expenditure on healthcare for individuals and the state, to compare with CBA using health insurance.
In the past one year, 30,490 enrolees (6,863 from the formal sector and 23,627 from the informal sector) were registered by the Oyo State Health Insurance Agency (OYSHIA). OYSHIA has continued with sensitisation on the CBA of using health insurance and mobilisation in all zones of the state.
- Meeting with all stakeholders for a stakeholders’ analysis (representatives of associations, NHIS, selected representatives of communities, representatives of workers, etc.), planning, implementation and evaluation of the various strategies.
The following meetings were held in the last one year:
- Quarterly Health Partners Consultative Forum.
- Quarterly Steering Committee on Basic Health Care Provision Fund.
- Oyo State Health Care Retreat: Three days retreat was held at the Ilaji Hotels and Sports Resort, Ibadan, where all the agencies under Ministry of Health and partners including WHO, UNICEF, PMI-S and others met to deliberate on the programmes that will move the health sector forward. The communique at the meeting is attached.
- Eventual involvement of all the levels of healthcare in Oyo State.
- Regular meetings with all the health MDAs: Oyo State Hospital Management Board, Oyo State Health Insurance Agency, Oyo State Primary Health Care Board, LAUTECH, Oyo State College of Nursing and Oyo State College of Health Science and Technology.
- Registration of private healthcare facilities.
- Regular meetings and supervision of private healthcare facilities.
- Finally, to give it the highest form of political will and support from the government, an Oyo State Strategic Health Development Plan with constitutional backing and approval using the National Strategic Health Plan as a template, will be developed, circulated, implemented and also, evaluated with the full participation of all stakeholders.
The Oyo State Strategic Health Development Plan II (SHDPII) 2018-2022 was launched and disseminated in 2019 while Annual Operation Plan derived from the SHDP II was launched and disseminated in 2020-2021. The Annual Operation Plan 2021-22 has been developed.
- Establishment of appropriate health boards for the primary and secondary facilities. (First 3 months of the administration).
The Oyo State Primary Health Care Board is fully established and backed by law.
- Eliminating multiplicity and duplication of roles by establishing a committee to merge duplicate units and recommend terms of reference. (First 6 months to final executive approval).
An Annual Operation Plan was jointly developed by all departments and agencies in the Ministry of Health and with the support and participation of Developmental Partners where activities and responsibilities of all stakeholders were identified.
- Developing linkage framework for partners involved in providing resources for health delivery in Oyo State. (First 3 months).
Oyo State, in conjunction with Management Science for Health (GF), developed a linkage framework for all partners working in the area of health sector during the first year in office. This is still in operation.
- Institutionalization of non-partisan Ward Development Committees for the PHC and Facility Development Committee (FDC) for Secondary Health Care which will be fully involved in the planning, implementation and evaluation of health programmes and services. (first 3 months of the administration).
There was reactivation of Ward Development Committees of the PHCs where they existed and creation of WDCs where they didn’t exist in all 351 wards of the state during the first year in office. For the second year in office, the Executives of Ward Development Committee in all the 351 wards in the State were trained to enable them carry out their functions effectively.
For the third year in office, the Chairmen, Secretaries and Treasurers of Ward Development Committee were made the signatories to the PHC accounts.
The Ministry is yet to establish Facility Development Committees (FDC) for Secondary Health Care.
- Integration of health programmes and services especially for PHC programmes. (First 6 months of the administration).
The obligation of having PHC Under One Roof (PHCUOR) by the full redeployment of the PHC staff into the Primary Health Care Board was achieved during the first year in office and is in operation.
- Appropriate counterpart funding and timely resource allocation.
The Oyo State Government has provided counterpart funds of N50 million for the Accelerating Nutrition Result in Nigeria (ANRIN). However, the matching grant is yet to be released.
- Establishing appropriate job description and setting up workplace systems.
The following has been done in the past one year:
Setting up of workplace system in collaboration with HSCL-MCH (GF).
- Developing policies backed by legislature on issues pertaining to job description, motivation and remuneration
This was achieved during the first year in office.
- Needs based distribution of personnel to health facilities.
The Oyo State in conjunction with HSCL- MSH for Health (GF) has done the following in the past one year:
- Technical Working Group was set up including all the representatives of the MDAs.
- Desk officer was appointed in the Ministry of Health.
- Focal Officer was appointed in each of the MDAs.
- Workforce Registry was developed and disseminated and launched on the web.
- Appropriate job motivation.
In the past one year, the Oyo State Government has ensured that the best workers are rewarded at the yearly merit award.
- Opportunities for training and retraining of personnel as job progression strategy.
The following trainings were conducted during the third year in office:
- Training on e-procurement.
- Computer training on Advance Excel for the staff.
- Legislation backing minimum budgetary allocation to and execution of released funds for health.
The Ministry of Budget and Planning is saddled with minimum budgetary allocation responsibility.
- Establishing a budget implementation and execution committee within the ministry that reports to a state budget implementation and execution committee.
The Committee has been established and inaugurated during the first year in office. However, the members have not been trained yet to enable them commence work.
- Committee-based system of allocation of funds based on evidence of health reports, monitoring and evaluation of health programmes.
The Committee was established and inaugurated to partner with HSCL – MSH during the first year in office. However, their training it yet to be done to enable them commence work.
- Introduction of health insurance scheme (CBHI to commence within the first six months of the administration).
The Oyo State Health Insurance Agency (OYSHIA) commenced community-based health insurance mobilisation and enrolment. In the past one year, the following were achieved:
- Flag off of CBHI at Eyin Grammar community in Ibadan South/West LGA which has translated into enrolment of 42 people and still counting
- Also, extension of CBHI to Odo Ona Elewe Community at mobilization level
- CBHI at Sango Area, still at the advocacy level.
- CBHI with religious organisations:
- CAC Oke Ibukun, Oke Ado, Ibadan.
- Divine Mercy Catholic Church, Monatan IGEM
- Oreofe Baptist Church, Alakia
- Sabo Muslim Community
- Fiscal policies to ensure that the amount budgeted will also be the amount released.
There is no fiscal policy. However, the Ministry of Budget and Planning always ensures that the amount budgeted is equal to amount released.
- Elimination of kickbacks.
All transactions are done through the bank.
- Budget monitoring.
The work is in progress with committee and HSCL –MSH on budget monitoring.
- WDC and FDCs to be fully functional in all health facilities and local governments in Oyo State.
There are functional Ward Development Committees across the 351 political in the state. There are also Community Development Committee as well as the facility development committees in most of primary health care facilities.
- Everybody would be carried along and should know what to expect in all health care facilities in Oyo State i.e., patients’ bill of rights.
The Oyo State Health Insurance Agency (OYSHIA) has been sensitising members of the public through radio and television programmes.
Also, the Primary Health Care Board has featured on several radio and television programs to enlighten the general public on government’s health policies and programs. There has also been series of informal engagement with community members in a bid to strengthen community involvement in health service delivery.
However, a patients’ bill of right has not been created yet.
- Human Capital Development
- Tomotiya initiative to reduce maternal, child and newborn morbidity and mortality. The capacity of different officers involved in maternal health was improved through mentoring and training.
- Completion of the requirement for commencement of BHCPF activities. This made available funds for executing various activities at the PHC level.
- Community Health Insurance for all civil and public servants in the state. This will reduce the burden of health expenditure and eventually lead to spending the available funds for their individual development.
- Establishment of Public Private Partner Unit in the Ministry of Health.
- Accreditation of Adeoyo Maternity Hospital and Jericho Specialist Hospital for manpower development in the areas of Obstetrics and Gynaecology and General Medicine.
- Coordinating mechanism for private and partners working in the state.
Other Achievements
- Free Health Mission 2022 with medical and surgical interventions provided to over 500,000 Oyo State residents.