Kano state performance in the area of health system strengthening programme, was rated high by stakeholders at the 2019 Mid Year Review meeting that was held via teleconferencing at Africa House, Government House, Kano, between the Kano state governor Dr Abdulahi Umar Ganduje, Aliko Dangote and Bill Gates, alongside other stakeholders with the representative from the National Primary Health Care Development Agency.
The system strengthening efforts, according to the Kano State Executive Secretary of Primary Health Care Management Board, Dr Tijjani Hussaini, "...have evolved over the years with the primary aim of improving Primary Health Care (PHC) service delivery."
Adding that, the efforts were expanded from Routine Immunization to broader health in agencies under the state ministry of health, wishing further that, "By the year 2021, most public health programmes would have been covered by the Kano health system strengthening efforts."
During his discussion on how Kano paired Dr Hussaini reveals that, from January to June this year, 2019, parts of their priority areas included scaling up of fruitful synergy between primary and secondary health facilities. Which ultimately resulted into rolling out a Phase 1 referral linkage between the two stages of the health facilities.
Among such priorities he mentioned include, "Assessing facilities operating the Drug Revolving Fund (DRF) scheme to validate compliance with the State's guidelines. And assessment has been conducted in 132 health facilities with highest DRF transactions."
Another encouraging January-June 2019 milestone according to him, was that of developing and commencing implementation of "Smart Integrated Community Engagement Plan for Health in all 44 local government areas," he said.
Commenting further that, to achieve optimally in this area, efforts were made to the extent that community personnel have already been coopted to support other important health programmes that walk beyond the immunization space.
Dr Hussaini said, "We now have a draft plan that has already been developed, on a plan to further improve quality care. The draft only awaits finalisation now."
He assured that, the comparison of survey between administrative data, was indicative and suggestive to the explanation that there is very glaring improvement in the quality administrative data.
While observing that, he also gave reasons as to why the disparities between administrative and survey data. Which he largely attaches to such explanations, which he terms as interventions, like "Conduct of monthly data validation meetings across all the local government areas for RI and PHC data."
Explaining further that, "Conduct of state and zonal levels data quality control room meetings with focus on validating PHC indicators. Inaccurate estimation of the target population has also been identified as a key shortcoming of the administrative data."
When Dangote raised the issue of data disparity, Dr Hussaini referred back to the above explanations, which he earlier discussed during his (Dr Hussaini) slide show presentation. But he assured that, "The state is committed to further increase the quality of administrative data and its use for programmatic decision making."
As part of the success stories brought to the hearings of all during the teleconferencing, Dr Hussaini stated that, "Kano state has not recorded and Wild Polio Virus cases since 2014. Only 3 environmental cVDPV cases were identified in Tarauni LGA since the outbreak in July 2018."
Adding that, "A total of 7 mOPV2 campaigns and 1 state wide campaign have been conducted since July 2018. Additionally, a fractional IPV campaign was conducted in November 2018. It has now been 16 weeks since the last environmental sample was identified in Tarauni LGA."
On the aspects of financial management, discipline, openness and accountability among others, Dr Hussaini discloses that, according to the FWG Team Analysis of Kano State Annual Budget, which reveals that under PHC Under One Roof, the availability of funding source and structure for the purposes of tracking fund release and experience, gets 71 percent as its earned status.
While under Budgeting and Planning, the harmonised health Annual Operational Plan (AOP) development and PHC budget that is aligned with AOP, all achieve 71 percent.
At the level of financial management strengthening "PHC facilities with bank accounts are 100 percent. PHC facilities retiring funds on time have 90 percent and PHC facilities with valid retirement have 92 percent."
On the accountability standpoint state Ministry of Health finance working group tracking retirement validation and funds reimbursement across all the ministries, departments and agencies have achieved 92 percent also.
To further strengthen hopes and reiterate commitment by the state government, Dr Hussaini listed, among top priorities for July to December, 2019, that "Operationalize the Minimum Service Package (MSP) implementation plan. To conduct a landscape analysis of the Human Resource for Health in Kano."
Others, as he postulates include engaging the Data Management Team (DMT) to improve service delivery data collation, harmonisation, analysis and use as SHFs and HMB headquarters, adding that, "To develop 2020 Health Sector Annual Operational Plan (AOP). To also achieve 6 months with no detection or circulating Vaccine Derived Polio Viruses (cVDPV) from last positive isolation."
He concludes that other top priorities are to finalise, roll out and operationalise Quality of Care (QoC) strategy and sustain and strengthen insourced last mile direct vaccines delivery, "To harmonise state task force committees on Polio Eradication, Routine Immunisation and PHC, and revitalise its technical component," he disclosed.
Governor Ganduje in his closing remarks, commended Dangote, Gates and all other stakeholders for finding it worthy to support the state health sector for quality delivery system. He vows to continue doing more than what is obtained presently.
After assuring all for finding strategies to allow for lasting sustainability of all the project, he made it known that his administration's partnership with all the stakeholders is being strengthened.
Dangote and Gates commended Governor Ganduje for being so serious about the health care delivery system in the state. They both reiterated their commitment towards further giving their helping hands for many more success stories to come out from the state.
The Emir of Rano Alhaji Tafida Abubakar Ila (Autan Bawo) who represented and spoke on behalf of all the Kano Emirs, expressed their satisfaction on how the state government is taking seriously the issue of public health and primary health care delivery system particularly.
Urging all other community leaders to always get ready for supporting Ganduje's initiatives in the sector.
Representatives of NPHCDA and African Field Epidemiology Network (AFENET) Dr Adamu Nuhu, North West Zonal Director NPHCDA and Dr Patrick Mboya Nguku, spoke delightfully about Ganduje's serious interventions in the health sector.
Chief Press Secretary to the Kano State Governor