A Director in the National Primary Health Care Development Agency (NPHCD), Dr. Mohd Addullahi , has said that only functional and effective primary health care (PHC) would guarantee the full realisation of the MDGs goals in the country.

Abdullahi, who made the assertion in an interview with the newsmen in Benin, Edo, said that “all MDGs are already in the domain of PHC system.

“And what that means is that if you improve on the PHC system so that it can deliver effective service equitable and responsive to the needs of the people, you are sure that you can attain all the MDGs goals.”

Addullahi explained that what needed to be done was to link the MDGs with PHC service delivery system.

He said: “MDGs are goals which require a system to actualise these goals. And fortunately, PHC has been around for some years now.

“Everything the MDGs are aiming at, are clearly enunciated in the PHC policy.

“And while the MDGs talk about poverty and hunger, the PHC talks about nutrition. You can see the linkage which the nutritional goal and PHC have been positing is the same as that the MDGs want to address.

“When you talk about MDG four and MDG five, it is about maternal and child health while the PHC is concerned about immunisation, maternal and child health, including family planning.

“You can clearly see that these goals have been enunciated in the PHC planning declaration.

The NPHCD director further said that all aspects of water, sanitation and environmental sustainability enshrined in the MDGs goals were clearly enunciated in the PHC policy.

“If you look at it in detail, what they mean by environmental sustainability, we are still talking about water and basic sanitation.

“If you talk about global partnership which MDGs is promoting, you will see things like essential drugs which can only be promoted through partnership: So, all MDGs are in the domain of PHC.

Abdullahi said that the PHC system, being the only declaration that had happened globally since 1978, “tries to address fairness, social justice and equity which had as its slogan health for all.

He, however, lamented that not much has been achieved since then, and attributed this to politics, policies and structural issues within the sector.

“There are lots of politics, policies and structural issues militating against the PHC success.

“If you look at Nigeria, we have a three-tier system which has been assigned to the three-tier administrative structure.

“The Federal which enjoys the biggest in terms of resources and capacity takes care of the tertiary health sector.

According to Abdullahi, the PHC is not just anything but a system that has its own skills and knowledge for its management.

“PHC has worked in China and Cuba and even in Africa, Ghana, where the health indicators have improved greatly.

“And if you go to Malawi and Rwanda, you will see that PHC is working very well.