The Mobile Primary Health Care Programme ‘mailafiya’ in partnership with Intel Corporation is an innovative approach to address the challenge of shifting care beyond the traditional institutional setting to where ICT is helping to increase access and quality and reduce the costs of care. How technology could be used to bring health care to people in great need in remote areas.
By 2007 there abound data from Cross Sectional Country Surveys and Studies by Development Partners (e.g. National Health and Reproductive Country Survey, 2005) in the Health Sector demonstrating poor health indices in the country.
There was the general perception that the Millennium Development Goals 4, 5 and 6 targets will not be met by 2015
Within the Federal Capital Territory (FCT), 2008 multi-variable community baseline survey demonstrated that:
60% of residents of over 800 communities belonged to the lowest poor
336 Communities out of 858 identified do not have access to health care services
WHO estimated that, in FCT
adequately serving the population
would require 434 Primary Health
Centers (PHCs), but only 179 existed,
many of which were operating at
sub-optimal levels or located long
distances from rural populations
Abound in the communities were unorthodox healthcare practices;
To embark on a large expansion of the number of traditional PHC facilities was clearly cost prohibitive. Effectively meeting MDGs and treating chronic illnesses would require a very different approach, it was clear that ICT could play a major role if it could be effectively implemented to deliver a more cohesive continuum of care.
The FCT was committed to pursuing improvements in Millennium Development Goals 4 (reduce child mortality), 5 (improve maternal health) and 6 (combat HIV/AIDS, malaria, and other diseases).
In early 2009, the Nigerian Federal Capital Territory Millennium Development Goals Unit (FCTMDGU), health officials, traditional institutions and Intel Corporation began discussing ways that mobile health and Information and Communication Technology (ICT) could be used to improve health and healthcare delivery in rural areas.
Mailafiya, an integrated data managed mobile Primary Health Care programme, serves the following purposes:
•Delivering health care to the unreached rural and indigent poor population in the FCT.
•Improves quality of Primary health care services,
•Increases access to quality Primary health care services
•enhances health system evaluation and planning,
•controls loss of medical inventory and
•Fast tracking attainment of the MDGs 4, 5 and 6 targets.
The programme is achieving all these through sensitization, Technical training and process automation.