The Nigerian health system is pluralistic, including orthodox, alternative, and traditional systems. Healthcare is administered through three tiers - primary run by local government, secondary by state government, and tertiary by the federal government. Nigeria has a large stock of health workers, but faces many health challenges like malaria, HIV/AIDS, and lacks adequate sanitation and access to clean water. Healthcare is financed through taxes, out-of-pocket payments, donors, and health insurance though coverage of the National Health Insurance Scheme remains low, only covering formal sector employees.
This document provides an overview of primary health care principles including:
- The Alma-Ata Declaration of 1978 established primary health care as the key to achieving Health for All. It defined primary health care and outlined principles.
- Principles of primary health care include equitable distribution of resources, community participation, intersectoral coordination, and use of appropriate technology.
- Primary health care aims to provide essential health services universally and affordably through primary-level facilities as the first point of contact for communities.
- India has evolved its primary health care system over time to strengthen delivery of services in alignment with the goals of Alma-Ata and Health for All.
- Male 1
- Female 1
Nurse 1
Lab Technician 1
ANM 2
Health Worker (F) 2
Health Assistant (M) 1
Total 11 14
SIHFW: an ISO 9001: 2008 certified Institution 37
Urban Health Services
- Urban Health Centers
- Dispensaries
- Maternity Homes
- Special Clinics
- Mobile Units
- School Health
- Environmental Sanitation
- Health Education
- Slum Health Programs
- Referral Services
SIHFW: an ISO 9001: 2008 certified Institution 38
The course offers an opportunity to develop a holistic understanding of Global health, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
1. The study evaluated a community-based intervention for dengue control in Cuba that strengthened intersectoral coordination and community empowerment.
2. Surveys found that levels of community participation and positive behavioral changes increased more in pilot areas with the coordination and empowerment interventions compared to the control area.
3. Entomological surveillance data showed that the pilot and extension areas achieved lower Breteau indices, indicating greater effectiveness at controlling the Aedes mosquito, compared to the control area over the six-year period.
The document defines a health system as organizations, actions, and people that work together with the goal of restoring, maintaining, and promoting health. It outlines the five pillars of health systems as providers, individuals, finance, information, and management. The document then provides an overview of Egypt's health system, noting that the Ministry of Health and Population provides around 40% of health services, health insurance organizations provide 50%, and the private sector and university/research institutions provide the remaining 12% and 10% respectively. It also describes Egypt's levels of healthcare as primary (80% of services, cheap and cost-effective), secondary (15% of services, more expensive), and tertiary (5% of services, highly expensive).
The International Health Regulations originated in 1851 to promote international cooperation and limit interference with trade during disease outbreaks. The IHR have been revised multiple times to address new public health challenges, including the 2005 revision to strengthen surveillance and response systems for infectious diseases and public health emergencies. The IHR (2005) require countries to develop core surveillance and response capacities and obligate information sharing during public health events of international concern in order to rapidly detect and respond to global health threats.
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
The document summarizes key points from the 1994 International Conference on Population and Development (ICPD) held in Cairo, Egypt. Over 179 countries took part in negotiations to agree on a Programme of Action to guide population and development policies for 20 years. Some achievements included decreasing mortality rates, increased acceptance of reproductive health and family planning, and more educational and economic opportunities for women. However, lack of resources and political support posed financial barriers to fully implementing the Programme of Action.
The document discusses healthcare systems and financing in Bangladesh. It provides an overview of Bangladesh's healthcare system, which is led by the Ministry of Health and Family Welfare and delivers services through two branches - the Directorate General of Health Services and the Directorate General of Family Planning. Non-governmental organizations also play an important role in service delivery. The system includes various types of public health facilities at the national, divisional, district, upazila, union and ward levels. It also discusses urban health systems managed by city corporations, and describes the main organizations responsible for health financing in Bangladesh, including the Ministry of Health, social security organizations, and private health insurance funds.
This document discusses primary health care (PHC), including its definition, levels, concept, elements, and principles. PHC is defined as essential health care that is scientifically sound, socially acceptable, and universally accessible to communities at an affordable cost. It focuses on health promotion and disease prevention through community participation and appropriate technologies. The principles of PHC are equitable distribution of services, community participation, coordination between health and other sectors, and an emphasis on prevention over treatment.
Equity is the absence of avoidable, unfair, or remediable differences among groups of people, whether those groups are defined socially, economically, demographically or geographically or by other means of stratification. "Health equity” or “equity in health” implies that ideally, everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential.
The current five year plan in Nepal's health services aims to increase rural access to basic primary health services and doctors. It focuses on effective implementation of population control through mother and child health and family planning services. The plan also seeks to develop specialized health services within the country. Key targets include establishing more health posts, primary health care centers, and Ayurvedic dispensaries. It also aims to reduce the total fertility rate and cases of leprosy.
Health for all- primary health care- millennium development goalsAhmed-Refat Refat
PHC is the essential care based on practical, scientifically sound and socially acceptable method and technology made universally accessible to individuals and families in the community through their full participation and at a cost they and the country can afford to maintain in the spirit of self reliance and self determination.
Al
This document discusses primary health care, beginning with an introduction and overview of health care levels. It then covers the evolution of primary health care including the Alma-Ata Declaration, attributes, components, and principles of primary health care. The principles discussed in detail are equitable distribution, community participation, and intersectoral coordination. Examples from India are provided to illustrate community health workers and mechanisms for coordination between sectors. Challenges to intersectoral coordination are also outlined.
Health financing within the overall health systemHFG Project
Presented during Day One of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Prof. Tanimola Akande and Dr. Francis Ukwuije. More: https://www.hfgproject.org/hcf-training-nigeria
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
The document presents the key aspects of India's National Health Policy of 2017. The policy was introduced to address the changing health priorities in India and the growing burden of non-communicable diseases. It aims to achieve universal health coverage and increase trust in the public health system by focusing on quality. The policy's objectives include progressively achieving universal health coverage and increasing life expectancy to 70 years by 2025. It proposes increasing public health expenditure to 2.5% of GDP and focuses on preventive healthcare, communicable diseases, mental health, and programs for mothers, children, adolescents and immunization. The conclusion emphasizes developing new vaccines and digital tools to improve healthcare efficiency.
Balancing demand, quality and efficiency in nigerian health care delivery systemAlexander Decker
The document discusses several challenges facing Nigeria's health care system that reduce progress and universal access to health care. Some key issues include inadequate health facilities and infrastructure, poor human resources and management, low government spending on health, and high out-of-pocket costs for citizens. Nigeria's health indicators, such as maternal mortality and child mortality, are among the worst in the world. Many factors contribute to these problems, including a lack of integrated disease prevention and treatment systems, shortages of essential drugs and supplies, and inadequate supervision of health care providers. Overall, the health system in Nigeria faces significant issues that must be addressed to improve quality, access, and efficiency of care.
This document provides an outline for a presentation on healthcare in Saudi Arabia. It begins with an introduction quoting a Prophet Mohammed saying about health. It then discusses Saudi Arabia's political system and demographics. Key health indicators and the major health needs and risks are presented. The organization of healthcare is described as being primarily managed by the Ministry of Health across three tiers. Service delivery faces challenges of staffing shortages. Healthcare is financed through the government budget with private health insurance being introduced.
Olamide Okulaja_Creating synergy for PPP_PPP Conference2019Atinuke Akande
At the health policy dialogue organised by PharmAccess Foundation and Nigeria Health Watch on the 11th April 2019, Olamide Okulaja discussed Creating Synergy for public-private partnership in Nigeria.
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
This document provides an overview of the health care delivery system in India. It describes the organizational structure at the central, state, district, block, primary health center, and village levels. The key shortcomings are discussed as inverse care, impoverishing care, fragmented care, unsafe care, and misdirected care. Reforms proposed by the WHO are also outlined, including universal coverage, service delivery, public policy, and leadership reforms. The objectives and importance of establishing Indian Public Health Standards are also presented. In conclusion, it acknowledges advances but notes the system remains ineffective and discusses needed reforms and decentralization to improve healthcare quality and delivery.
The document provides an overview of the Indian health system, including its political and economic context, organizational structure, health financing, coverage patterns, and current status of health and healthcare in India. It discusses the complex mixed public-private health system and describes the various levels of the government health system from the central and state ministries down to primary care facilities. It also outlines the principles of primary health care and highlights significant health inequities across economic classes, geographic areas, and gender in India.
Understanding the concept of Universal Health Coverage (UHC) and how can we reach it, both globally and also in India. The presentation also includes HLEG report , which is the proposed architecture for India's guide to reach UHC.
This document provides a stakeholder and landscape analysis of integrated community care management in Nigeria, conducted for the Bill & Melinda Gates Foundation. It summarizes key partners and child health activities in Nigeria. Over 30 interviews were conducted with principal partners and NGOs working in child health. The analysis finds that pneumonia and diarrhea remain the top killers of children in Nigeria. Despite economic growth, health outcomes have not improved significantly, with under-five mortality still high. The document outlines Nigeria's government health structure and key child health policies and initiatives.
An Overview and a SWOT Analysis of The Libyan National Health System Ghada Elmasuri
The document provides an overview of Libya's national healthcare system, including its structure, resources, and performance indicators. It notes that Libya has achieved many health goals but the system faces weaknesses like poor management, lack of data and planning, and uneven resource distribution. It identifies opportunities like increased funding and private sector growth, as well as threats such as human resource shortages and high rates of injuries and disease. Priorities for reform include restructuring human resources, improving facilities, adopting management protocols, strengthening coordination and information systems, and focusing on public health programs.
This National Health Policy addresses the urgent need to improve the performance of health systems. India today possesses as never before, a sophisticated arsenal of interventions, technologies and knowledge required for providing health care to her people. It is being formulated at the last year of the Millennium Declaration and its Goals, in the global context of all nations committed to moving towards universal health coverage.
This document outlines India's National Health Policy for 2015. It begins with an introduction noting the changes in context since the previous 2002 policy, including progress on health indicators but persisting inequities, a growing private healthcare industry, and rising costs of care.
Section 2 provides a situation analysis, noting achievements in reducing maternal and child mortality but the need to address quality of care issues. It also discusses mixed progress in disease control programs, developments under the National Rural Health Mission including expanded infrastructure and services but uneven implementation, and the growing burden of non-communicable diseases.
Section 3 will outline the goal, principles and objectives of the new policy.
This document provides an overview of the Israeli healthcare system. It discusses the country's population demographics, economic context, and health status. The healthcare system has universal coverage provided through non-profit health plans financed by taxes. It emphasizes primary care, public health programs, and hospital care. Challenges include physician and nurse shortages as well as efforts to contain rising costs.
Decentralization of health services in Nigeria by Dr Daniel Gobgab, CHANachapkenya
Nigeria has a population of 173 million people governed across 36 states and 774 local government areas. Health services are decentralized across three levels of government - federal, state, and local. The new National Health Act aims to improve healthcare access and quality through a basic healthcare provision fund and universal health coverage. Key challenges to decentralization include a lack of political will, limited local capacity and resources, and inequities in service distribution across areas.
This document discusses community-based health insurance (CBHI) in Nigeria, including its prospects and challenges. CBHI is advocated as a strategy to achieve universal health coverage, though uptake in Nigeria remains poor. The document examines different types of CBHI schemes, including those initiated by communities, healthcare providers, and governments. It notes that while CBHI could help reduce out-of-pocket costs that deter healthcare access, many schemes fail due to lack of sufficient contributions to maintain themselves financially. Government support may be needed for CBHI to be sustainable and benefit more Nigerians.
The document provides information on healthcare delivery in China. It begins with definitions of healthcare delivery systems and their components. It then provides demographic profiles of China and India, comparing various metrics like population size, density, health outcomes, expenditures, and common health problems. The profile sections of China and India are quite extensive. It also provides historical background on China's healthcare system, from the pre-revolutionary era to the establishment of the basic health insurance system in recent decades. It describes the key reforms to China's healthcare system over time that aimed to decentralize control and increase coverage. It outlines China's current universal healthcare system, which utilizes a mix of public health programs, primary care facilities, hospitals, and basic medical insurance schemes to cover
This document lists the health financing mechanisms of the UK, USA, Peru, Kenya, and Sri Lanka. It provides details on:
- Who pays for healthcare in each country through taxes, insurance, or out-of-pocket payments. Funds are often pooled.
- Which population groups are covered or left behind by different financing systems in each country. Coverage of the poor and informal sectors varies.
- The services included in benefit packages, which range from primary to tertiary care depending on the country.
- The extent of financial protection, with out-of-pocket payments threatening household budgets in some countries. Pooled funding and universal coverage provide greater protection in others.
This document discusses health systems around the world. It defines a health system and describes key metrics for evaluating health systems like life expectancy, infant mortality rate, and access to resources. Developed countries generally have stronger health systems as evidenced by higher rankings on metrics like life expectancy. Barriers to strong health systems in developing countries include lack of funding, resources, and infrastructure as well as issues like corruption and brain drain. The document recommends strategies for improving health systems like increasing funding for primary care, public-private partnerships, and focusing on preventative healthcare and sanitation.
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Concerned About HIV or STDs? Get Tested in Dubaigettestedqwik
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Maximize efficiency and accuracy in medical billing with our comprehensive solutions tailored to your practice's needs. Our expert team ensures timely reimbursements and minimized denials, so you can focus on providing quality patient care. visit: www.velanhcs..com
https://www.biomedscidirect.com/journalfiles/IJBMRF2024345/prevalence-and-drug-susceptibility-of-e-coli-campylobacter-and-citrobacter-from-the-eggshell-surface-of-table-and-hatchable-eggs-in-lahore-pakistan.pdf
Authors: Muhammad Danish Mehmood, Shan E Fatima, Huma Anwar Ul-Haq, Rabia Habib, Muhammad Usman Ghani
Int J Biol Med Res. 2024; 15(3): 7825-7832
Abstract
Eggs, a staple food consumed globally, are at risk of contamination, posing a severe threat to their safety and quality. The bacterial load on the eggshell surface is crucial in predicting bacterial penetration and egg interior contamination. Exposure to nesting material and faecal matter can introduce egg-borne pathogens, some of which can lead to food-borne illnesses. The global scale of epidemics caused by egg-borne pathogens underscores the criticality of egg safety. A comprehensive study was conducted in Punjab, Pakistan, to assess the potential risk of contamination. A total of 360 eggs from various breeds of hens were tested and categorized as unclean, soiled and clean. The bacteria Salmonella, Proteus and Staphylococcus were isolated from the eggs. The highest percentage of isolates were found in unclean eggs: Salmonella (26.7%), Proteus (24.5%) and Staphylococcus (33%). In soiled eggs, the highest percentage of isolates were Salmonella (22.6%), Proteus (17.6%) and Staphylococcus (10.9%). In cleaned eggs, Proteus showed the highest prevalence (15.5%), followed by Salmonella (10.3%) and Staphylococcus (9.4%). The antibiotic susceptibility test (AST) results showed that all bacterial isolates were sensitive to the drugs Ofloxacin (5 µg/ml) and Cefotaxime (30 µg/ml). However, Staphylococcus and Proteus also showed sensitivity to Trimethoprim + Sulphamethoxazole (2.25/23.75 µg/ml). The study aimed not only to raise awareness about the importance of egg safety and identify the most common pathogens found on eggshells but also to develop effective strategies to reduce the risk of contamination of eggs and egg products. Once implemented, these strategies will ensure the safety and quality of this essential food source, offering a promising solution to the current challenges.
Cost-Effective Hospital Marketing Strategies Maximize your reach without Brea...HMS Advisors Pvt Ltd
In today's competitive healthcare landscape, effective marketing is essential for attracting and retaining patients, but budget constraints can make extensive campaigns challenging. This article explores affordable marketing solutions to help healthcare providers maximize their reach without breaking the bank.
Module 7- Care Planning, Restorative Care, Documentation, Working in the Comm...Reliable Assignments Help
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Positive Parenting: Raising Happy, Confident Children | UCSinfo513572
This presentation explores Positive Parenting: strategies, benefits, and how United Community Solution (UCS) classes empower parents with expert guidance, interactive learning, and support to raise happy, confident children. Read more: https://unitedcommunitysolution.com/service/parenting-classes/
Benefits:
The joined thumbs accentuate
all the manifestations of the fire
element within your body and mind,
and accelerate their effects, improving
eyesight and digestion, among other
things.
At the same time, the pressure applied to the backs of the fingers serves to decrease the effects of the air and space elements.
How Digital Marketing for Healthcare Can Increase Your Patient Count (1).pdfHMS Advisors Pvt Ltd
The article by HMS Consultants underscores the importance of digital marketing in healthcare for attracting and retaining patients. Key strategies include SEO and SEM for better online visibility, and social media marketing to connect with patients. Effective digital marketing involves understanding the target audience, creating platform-specific content, optimizing websites, and conducting regular audits and analytics. Engaging with patients to understand their needs and hiring a knowledgeable marketing consultant are also crucial. The article concludes by emphasizing the necessity of implementing these strategies to boost patient numbers and improve online presence.
CYLIC MEDITATION - STRESS MANAGEMENT CORPORATE YOGA
Step-I: Starting Prayer
• Lie on your back. Relax and collapse the whole body on the ground legs apart, hands apart, palms facing the roof, smiling face, let go all parts of the body. As you repeat the prayer feel the resonance throughout the body.
Prayer
Laye sombhodayeth chittam
vikshiptham shamayeth punaha
sakaashaayam vijaneeyat
Samapraptam na chalayet
Om shaanti shaanti shaantihi
Meaning: In the state of oblivion awaken the mind, when agitated pacify it, in between the mind is full of desires. If the mind has reached the state of perfect equilibrium, then do not disturb it again.
Step-II(A): Immediate Relaxation
• Bring your legs together, join the heels, toes together, palms by the side of the thighs. Keep your face smiling till the end. Gently bring your awareness to the tip of the toes. Stretch the toes, tighten the ankle joints, tighten the calf muscles. Pull up the kneecaps. Tighten the thigh muscles. Compress and squeeze the buttocks. Exhale and suck in the abdomen. Make the fists of the palms and tighten the arms. Inhale and expand the chest.
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World Health Organization Guidelines on Nutrition .pptxMopideviSravani
WHO is the directing and coordinating authority for health. It is responsible for providing
leadership on global health matters, shaping the health research agenda, setting norms and
standards, articulating evidence-based policy options, providing technical support to countries
and monitoring and assessing health trends.
WHO guidelines on Nutrition:
1. Guideline: iron and folic acid supplementation in menstruating women
2. Guideline: iron supplementation in preschool and school-age children
3. Guideline: Neonatal vitamin A supplementation
4. Guideline: Vitamin A supplementation during pregnancy for reducing the risk of mother-tochild transmission of HIV
5. Guideline: Vitamin A supplementation for infants 1-5 months of age
6. Guideline: Vitamin A supplementation in postpartum women
Motivational Interviewing (MI) is a therapeutic approach that helps individuals find the motivation to make positive behavioral changes. By fostering a collaborative, empathetic, and non-judgmental dialogue, MI empowers clients to explore their ambivalence about change and strengthen their commitment to personal goals. This method is effective in various settings, including addiction treatment, health behavior change, and mental health.
1. HEALTH SYSTEMS IN NIGERIA
Presented by:
WINFRED AKPLAGAH
GLOBAL HEALTH
2. OUTLINE
Introduction
Key health indicators
Health needs
Healthcare in Nigeria
Service delivery
Health financing
3. Introduction – Political
background
Nigeria is a Federal Republic
composed of 36 States, and a
Capital Territory, with an elected
President and a Bi-cameral
Legislature.
The Senate President is the
Head of the Federal Legislature.
There is a National Assembly
made up of the Senate and
House of Representatives.
At the State level, the Legislature
4. Introduction-Demographics
Demographic characteristics
Population (millions) UN, 2012, total 166.6
Population annual growth rate (%), 2011 2
Crude death rate, 2011 14
Crude birth rate, 2011 40
Life expectancy, 2011 52
Total fertility rate, 2011 5
Urbanized population (%), 2011 50
Average annual growth rate of urban population (%), 2011 3
Population density (per sq. km), 2010 173.94
Adult literacy rate (%), 2011 61
5. Key Health Indicators
Under-5 mortality rate (U5MR), 2011 124
Probability of dying b/n 15&60 m/f per 1,000 pop. 393/360
Total expenditure on health as % of GDP 5.3
Total expenditure on health per capital (US$) 139
Deaths due to HIV/AIDS, 2012 210,000
HIV prevalence (%), 2011 3.7
Annual no. of under-5 deaths (thousands) 2011 756
GNI per capita (US$) 2011 1200
Life expectancy at birth ( m/f years) 2011 52/53
GNI per capita (PPP US$) 2300
8. Healthcare
Nigerian health system is pluralistic. It
includes orthodox, alternative and
traditional health care delivery systems
operating alongside each other.
The Government recognizes and
regulates these three systems.
A world health report ranked Nigeria 177
out of a total of 191 countries, on its
degree of responsiveness to healthcare
9. The Nigerian healthcare
administration is
organized in to three (3)
tiered of Government
namely Federal, State
and Local.
Health care in Nigeria is
administered through
three tiers: primary,
secondary and tertiary
levels.
The primary level is run
by the local government,
the secondary by the
state, while the tertiary is
run by the federal
government
(FRN/FMOH, 2000).
10. Organizational Pyramid of the Nigerian Health Services
Structure
ADMINISTRATIVE
LEVELS
SERVICE STRUCTURE PERSON IN
CHARGE
Federal
Government
Tertiary Health
Services
Federal Ministry
of Health
Secondary
Health Services
State Ministry of
Health
State
Government
Local
Government
Areas
Primary Health
Services
Private Sector Private Services Private
Providers
11. CABINET
National Advisory Council on Health
Inter Sectoral Collaboration
Federal Ministry of Health
Private sector, NGOs, Traditional/Faith healersTeaching Hospitals, Federal Medical Centres
State Ministry of Health
General Hospitals
Local Government Department for Health
Primary Health Clinics and Health Posts
12. Service delivery
Nigeria has one of the largest
stocks of health workers in Africa
comparable to Egypt and South
Africa.
About 60% of the states in Nigeria,
provide rural incentives to health
workers that volunteer to serve in
the rural areas, while others make
rural service a condition for some
critical promotion.
National Youth Service Corps
13. Total health workers and densities in 2008
Categories Number
Density per 1000
population
Physicians 55 376 0.37
Nurses and midwives 224 943 1.49
Dentists and technicians 3 781 0.02
Pharmacists and technicians 18 682 0.12
Environ, and public health 4 280 0.03
Laboratory technicians 22 683 0.15
Other health workers 2313 0.02
Community health 19 268 0.13
Total 351 326 2.32
14. Health financing
Health care in Nigeria is financed by a
combination of:
Tax revenue from the sale of oil and gas
Out of pocket payments
Donor funding
Health insurance (private, public, social and
community).
The TGHE as % of GDP in 2011 was 5.3
Per capita GGHE (2012) was US$ 29.2
Per capita THE (PPP int. $) was 139.3
NHIS in Nigeria covers only the formal sector
employees (mandatory). 90% coverage has been
15. NHIS contribution represent 15% of basic
salary
The employer pays 10% and the employee
pays 5%
The package covers the contributor, a spouse,
and four (4) biological children below age 18.
Services under the NHIS are:
Out-patient care including necessary consumables.
Prescribed drugs.
Maternity care up to four (4) live births.
preventive care.
Hospital care up to 15 days per year.
Consultations with specialists
Eye examinations
A range of prostheses (limited to artificial limbs
produced in Nigeria)