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• W822940539 abstract "The Federal Government of Nigeria (FGN) introduced the Ward Health System (WHS) in200 I to facilitate the provision of sustainable and integrated Primary Health Care (PHC)services by revitalising the principle of community co-ownership and co-management ofPHC facilities. To date, the extent to which the WHS scheme has achieved its objectivesremains questionable and a strong case for further re-examination of its structure, processand function, including its overall place in the PHC subsystem has been made. The FGNhas also shown considerable interest in attracting the private sector to boost investmentand efficiency in the healthcare sector, although it is yet to formulate any strategiestowards actualising that desire.Accordingly, this research aimed at developing a sustainable procurement strategy thatwill facilitate the achievement of community co-ownership or co-management of PHCfacilities in Nigeria, was launched. The research utilised the best practices within the UKLocal Improvement Finance Trust (LIFT) procurement strategy for integrated primary andsocial care facilities to recommend practices that can facilitate the achievement ofsustained improvement in the Nigerian context. A variety of qualitative and quantitativeresearch methods were employed including interviews, questionnaire survey and focusgroups.Strategic evaluation of the WHS model was conducted in Nigeria through exploratoryinterviews. The investigations indicated that the planning and implementation of on-goingstrategies lack focus, impact and sustainability. Consequently, further exploratoryinterviews were undertaken in the UK to investigate some key implementation issues onthe LIFT schemes that can be used to promote sustained improvements in the Nigeriancontext. The best practices identified relate to stakeholder identification, analysis,engagement and aligrunent; defmition of processes, roles, responsibilities andaccountabilities; periodic reviews throughout the whole-life cycle of each project; andsome new project roles and tasks. Accordingly, a procurement strategy based on thePublic-Private Partnership (PPP) principle that will be responsive to the peculiar needs ofthe host community and have adequate accountability structure for sustaining PHCfacilities in Nigeria was proposed. This proposal falls in line with the new macroeconomicstrategy adopted for growth and the health reform agenda of the presentgovernment, which have variously emphasised the expansion of the approach toimproving healthcare delivery through increased private sector participation, wheneverfeasible. It is expected that the active participation of various components of thecommunities will offer considerable social and economic benefits such as social inclusion,employment and training opportunities for the members of the host communities inaddition to the attainment of other fundamental philosophies of PHC provisioning.In addition, a supplementary questionnaire survey was carried out in Nigeria toinvestigate the perceptions of Nigerian professionals on the success and risk factorsassociated with the use of PPPs for infrastructural developments in Nigeria. The resultsshow that seven out of the top ten most important PPP risk factors in Nigeria areendogenous (risk events and consequences of which occur within the system boundariesof the project being considered). The results also show that while the majority of theendogenous risk factors could be assigned to the private sector partner, the public sectorshould retain political and site acquisition risks, while relationship-based risks should beshared between the private and public sector partners. The three most important PPPsuccess factors in Nigeria were found to be favourable legal framework, well-organisedpublic agency to negotiate on behalf of government and strong private consortium: Thecomparison of the fmdings of this study with similar previous study in the UK suggestscommonalities in the success factors of PPP projects. On the basis of the results of theexploratory interviews and questionnaire survey, focus groups were held to assess theappropriateness of the proposed procurement strategy in the light of on-goingprocurement and healthcare reforms and recent legislative developments. On the basis ofthe positive feedback obtained from the validation, a modified procurement strategy wasput forward.However, the. need for developing a comprehensive framework for achieving continuousimprovement that will make learning followed-through from plarming, design andconstruction into occupancy, and post occupancy to become a natural part of the processof procuring PHC facilities was highlighted." @default.
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• W822940539 date "2007-01-01" @default.
• W822940539 modified "2023-09-26" @default.
• W822940539 title "The development of a procurement strategy for primary health care facilities in Nigeria" @default.
• W822940539 hasPublicationYear "2007" @default.
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