In line with the national guideline of having Primary Health care (PHC) under one roof for a smooth and robust coordination of the PHC system and improve the quality of care to the people across the nooks and crannies of the state, LAGOS STATE CIVIL SOCIETY PARTNERSHIP (LACSOP) is advocating for the inauguration of the local government Heath authorities in order to adopt Community Participation in Health (CPH) as a vital strategy in delivering primary health-care to its citizens
It would be recalled that the Lagos State LGHAs were previously inaugurated during the previous administration by the office of the Commissioner for Health on 4th Aug 2010 but their three-year tenures (S.104) have all lapsed almost 4 years ago without inauguration of new LGHAs.
In keeping with the principles of Universal Health Coverage (UHC) which positions Primary Health Care as the key global strategy for sustainable health care delivery, the Lagos Health Sector Reform Law has set out four structures for the operation of its health system, of which the LGHA is a fundamental part.
The Lagos State Primary Health Care Board (PHCB), LG Health Authorities (LGHAs), Ward Health Committees (WHCs), Health Facility Management Teams (HFMTs) are the structures set out by the Law, charged with responsibilities of setting targets for Primary Healthcare Centres (PHCs), implementing policies on primary health care, coordination and integration of Health Services, delegating to the WHC the responsibilities for delivery of health-care services that meet community needs and satisfaction, among Others.
Stating the Challenges so far, the Coordinator LAGOS STATE CIVIL SOCIETY PARTNERSHIP (LACSOP) Ayo Adebusoye (A Barrister at Law) said, “though the WHCs have recorded remarkable successes in executing their dues – ensuring facility improvement, involving community in decision making and ensuring that the poorest take up their health entitlements, and particularly in engaging with members of their immediate communities to mobilise for support and resources but the greatest and most common challenge reported by the WHCs in all the wards supported previously by PATHS 2, has been lack of recognition by Local Government Authorities. LGHAs are the missing link in closing this preventable gap between the Government and its own duly c o n s t u t e d W H C s . The inauguration of the LGHAs would solve this challenge to our Primary Health-Care system.”
Miss Omolara Olusaiye, the Media Coordinator for LACSOP said, “Membership of the LGHA are determined by residency of the LGA from which individuals are selected. All members are to be appointed on the recommendation of the LGA Chairman, and comprise 6 members.
The LGHA operates under the auspices of the State Primary Health Care Board (PHCB), and is responsible for the coordination and integration of various health services within Local Governments Areas (LGA s) and Local Council Development Areas (LCDAs) in Lagos State.“
Olusaiye further said,the inauguration of the LGHAs would solve this challenge to our Primary Health Care System.The revitalization of the LGHA as a key primary health care structure is critical to sustaining the entire healthcare delivery system. It would establish clearer lines of reporting and accountability between the community structures and the Government.