This research seeks to highlights the recent activities of Local Government in health care delivery. The study reveals the connection between local government and the sustenance of primary health care in Nigeria. The study traced the historical antecedent of health service delivery from the colonial era to the present day. It identifies the major contradictions in the management of primary health care implementation. Using a local government as a case study. They include employment or shortage of qualified personal, finance, inadequate transportation, inaccessibility to communities, lack of maintenance culture, political instability, high degree of leadership turn-over. For the sustainability of health care service delivery at the grassroots, the study recommends increase financial allocation, community mobilization, improved health education, policy consistency and provision of qualified health workers.
This report presents findings from a survey of 252 primary health facilities and 30 local governments carried out in the States of Kogi and Lagos in Nigeria in the latter part of 2002. Nigeria is one of the few countries in the developing world to systematically decentralize the delivery of basic health and education services to locally elected governments.
ITS health policy has also been guided by the Bamako Initiative to encourage and sustain community participation in primary health care services. The survey data provide systematic evidence on how these institutions of decentralization are functioning at the level local governments and community based organizations – to deliver primary health service.
The evidence shows that locally elected governments indeed do assume responsibility for services provided in primary health care facilities. However, the service delivery environments between the two States and strikingly different. In largely urban Lagos, public delivery by local governments is influenced by the availability of private facilities and proximity to referral centre in the State. In largely rural Kogi, primary health services are predominantly provided in public facilities but with extensive community participation in the maintenance of service delivery. The survey identified on issue which is highly relevant for decentralized policies – the non-payment of health staff salaries in Kogi which is suggestive of problems with local governments are heavily dependent on fiscal transfers from higher tiers of government.
Traditionally, local government is the government established at the local level to carry out specific functions.
It is more closer to the people thus often described as the “government at the grassroots level”. Local government as a concept with the three tier of governance as generally conceived as government at the local level exercising power through elected representative council establish by law to so exercise function jurisdictional allotted.
Thus, this project work present to examine local government as the closet arm of government with the realm of providing health care to the grass root. To achieve this object attempt there is need for proper foundation.
Definition of local government with its project, the historical foundation of local government system in Nigeria and the status of local government vis-à-vis the basic constitutional provision shall be explored.
The major focus of the project is the examination of the local government primary health care delivery in Nigeria that shall be adequately examined. At the end of the project, there should be summary to finding as to how the primary health care delivery has succeeded in improving the health at the grass root, their shall be conclusion and summary.
OTHER SIMILAR LAW PROJECTS AND MATERIALS
‘DO JUDGES MAKE LAW?’ A CURSORY LOOK AT THE RECURRING QUESTION
ABSTRACT It is common knowledge that the age long principle of Separation of powers allocates the governmental functions of law making, law implementation and law interpretation to the Legislative, E...Continue reading »
A COMPARATIVE ANALYSIS OF THE CONFLICT SITUATIONS AND CHOICE OF LAWS IN THE NIGERIAN LEGAL SYSTEM AND OTHER LEGAL SYSTEMS
ABSTRACT Private International Law is that part of a law of a country which deals with cases having foreign element and usually comes into operation whenever courts are seized with such cases. The t...Continue reading »
CONVENTIONAL AND ISLAMIC MORTGAGE FINANCING: A LEGAL COMPARISON
ABSTRACT Home ownership has been a problem to many people in Nigeria. This is the more reason why efforts are being made from all quarters to alleviate this problem. The two most prominent of these e...Continue reading »
CRITICAL ANALYSIS OF CORROBORATION UNDER THE NIGERIAN LAW OF EVIDENCE
ABSTRACT There is no law that says the plaintiff or the prosecution must bring a million witnesses or evidence to court before he can succeed in his case. A court can convict on a single witness. A c...Continue reading »
A CRITICAL ANALYSIS OF PRESUMPTIONS IN RELATION TO THE LAW OF EVIDENCE
ABSTRACT Presumption either of law or of fact, is an independent piece of evidence which may or must be drawn from a given sets of facts until the contrary is proved. In general sense, it has cut a n...Continue reading »
A CRITICAL ANALYSIS OF THE SECTION 144 OF THE 1999 CONSTITUTION: MUSA YAR’ADUA AS A CASE STUDY
ABSTRACT On the 23rd of November, 2009, President Musa Yar’Adua left Nigeria for treatment abroad in an undisclosed country. For the next 80 days, nobody heard from or saw the federal republic ...Continue reading »
What are looking for today?
THE EFFECT OF TREASURY SINGLE ACCOUNT ON THE ECONOMY OF NIGERIA
36,999 people found this useful
THE IMPACT OF HUMAN RESOURCE PLANNING ON ORGANIZATIONAL PERFORMANCE
33,832 people found this useful
THE EFFECT OF SOCIAL MEDIA ON STUDENTS PERFORMANCE IN LEARNING LISTENING COMPREHENSION
30,791 people found this useful
TAX ADMINISTRATION IN NIGERIA: CHALLENGES AND PROSPECTS, A CASE STUDY OF LAGOS STATE BOARD OF INTERN...
29,271 people found this useful
FACTORS AFFECTING LANGUAGE CHOICE IN A MULTILINGUAL SOCIETY
23,736 people found this useful
CAUSES AND EFFECTS OF COMMUNICATION BREAKDOWN IN AN ORGANIZATION (A case study of champions’ brewe...
23,582 people found this useful