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USAID Governance Initiative in Nigeria: A Strategic Assessment of Primary HealthCare and Local Government

机译:尼日利亚的美国国际开发署治理倡议:初级卫生保健和地方政府的战略评估

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摘要

Findings are presented of a November 1993 study of primary health care (PHC)management by Nigeria's Local Government Authorities (LGAs). Following an introduction, Chapter 2 examines government initiatives in decentralization to local government and in the health sector. Chapter 3 reviews current health conditions and the implementation of PHC policy. Chapters 4-6 examine management and organizational issues related to PHC planning and programming; budgeting and financial sustainability; and monitoring, evaluation, and supervision. Chapters 7 and 8 treat grassroots participation and intergovernmental relations issues as they affect PHC delivery. Chapter 9 identifies the systemic problems facing local governance of PHC, while Chapter 10 presents detailed discussion of the study's main recommendation: that the US Agency for International Development (USAID) establish, over 3 years, centers at four regionally diverse Nigerian universities with the goal of training PHC, LGA, and community leaders in PHC policy, planning management, applied problem solving, financing, and community mobilization.

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