Open AccessFrom decentralization to commonization of HIV healthcare resources: keys to reduction in health disparity and equitable distribution of health services in Nigeria
Author(s) -
Obinna Ositadimma Oleribe,
Olabisi Oladipo,
Iheaka Paul Ezieme,
Mary Margaret Elizabeth Crossey,
Simon D Taylor-Robinson
Publication year - 2016
Publication title -
the pan african medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.287
H-Index - 30
ISSN - 1937-8688
DOI - 10.11604/pamj.2016.24.266.6286
Subject(s) - decentralization , restructuring , health care , medicine , excellence , inequality , health policy , population , health services , economic growth , public health , nursing , business , environmental health , economics , finance , political science , mathematical analysis , mathematics , law , market economy
Access to quality care is essential for improved health outcomes. Decentralization improves access to healthcare services at lower levels of care, but it does not dismantle structural, funding and programming restrictions to access, resulting in inequity and inequality in population health. Unlike decentralization, Commonization Model of care reduces health inequalities and inequity, dismantles structural, funding and other program related obstacles to population health. Excellence and Friends Management Care Center (EFMC) using Commonization Model (CM), fully integrated HIV services into core health services in 121 supported facilities. This initiative improved access to care, treatment, support services, reduced stigmatization/discrimination, and improved uptake of HTC. We call on governments to adequately finance CM for health systems restructuring towards better health outcomes.