In order for Nigeria to ensure progress in the control of HIV/AIDS, Tuberculosis (TB), and Malaria (ATM) in the country there is the need for government at all levels, and other stakeholders to adopt combined measures.
The Rivers State Chairman, of the Association of Civil Societies in Malaria Control, Immunisation, and Nutrition (ACOMIN), Pastor John Ihua-Maduenyi, made this disclosure, midweek, at a media meeting in ACOMIN’s office in Port Harcourt.
Ihua-Maduenyi said the combination of measures should include “prevention and treatment, health education and promotion, and community partnership”.
Towards this end, the State ACOMIN boss urged governments, the private sector, and other stakeholders to commit to ensuring that funding and financing for primary health delivery should be carefully mapped out and sanctioned against any misappropriation or mismanagement, to enable a robust public health programme at all award levels in the Local Government Areas.
He listed other measures, saying, “ the National Health Insurance programme enjoyed by the formal sector should be extended to other citizens of Nigeria, particularly the poor and most vulnerable.
“The poor often are less educated and unemployed, and consequently lack ability to pay out-of-pocket for high costs associated with frequent illnesses.
“Communication and education programmes can raise knowledge and awareness, and, in turn, improve testing and care-seeking. There’s a great need to educate, engage, and empower the communities to embrace any behaviour change relevant to achieving success in Malaria, HIV, and TB control in Nigeria.
“Every Ward should commit to health promotion and education programmes to increase awareness of prevention measures, and promote community participation and adherence to evidence-based strategies.
“Commit adequate resources through advocacy and partnerships, for the full and effective implementation of all planned interventions, including through involving of the private sector, and community participatory approaches.
“Community members should actively support and advocate for their local Primary Healthcare Centres (PHCs). Community involvement is crucial in ensuring the sustainability and effectiveness of these centres.
“Additionally, community support can manifest through volunteering, donating resources, or participating in advocacy efforts to secure increased funding and resources for PHCs”.
To further enhance instilling the importance of effectively instituting the listed measures, Ihua-Maduenyi emphasized the urgent need for “strengthening health systems, providing needed financial resources, renewing political leadership, and fostering collaborations”.
According to him, “evidence-based cost-effective interventions such as community-led monitoring need to be scaled up and include community-based differentiated service delivery models, less frequent visits to a health facility with less frequent and an improved focus on people-centred care.
“Finally, innovations in service delivery and technology adaptations remain critical as countries aim to limit disruptions to routine services”.
On factors debilitating effective service delivery in some Local Government Areas, raised by some stakeholders at the meeting, the HIV Desk Officer, Rivers State Health Care Management Board (RSPHCMB), Dr. Mekele Igwe, assured that the issues will be excallated with a view to resolving them.

By: Soibi Max-Alalibo