From decentralization to commonization of HIV healthcare resources: keys to reduction in health disparity and equitable distribution of health services in Nigeria.
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.
Excellence &Friends Management Care Centre (EFMC), Abuja, Nigeria.
Obinna Ositadimma
OO
Oleribe
Excellence &Friends Management Care Centre (EFMC), Abuja, Nigeria.
Olabisi Abiodun
OA
Oladipo
Excellence &Friends Management Care Centre (EFMC), Abuja, Nigeria.
Iheaka Paul
IP
Ezieme
Hepatology Unit, Imperial College London, 10th Floor, QEQM Building, St Mary's Hospital Campus, South Wharf Road, W2 1NY, London, United Kingdom; Department of Medicine, Jos University Teaching Hospital, 2, Murtala Mohammed Way, Jos, Plateau State, Nigeria.
Mary Margaret Elizabeth
MM
Crossey
Hepatology Unit, Imperial College London, 10th Floor, QEQM Building, St Mary's Hospital Campus, South Wharf Road, W2 1NY, London, United Kingdom.
Simon David
SD
Taylor-Robinson
D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D005380:Financing, Government; D015658:HIV Infections / Q000191:economics / Q000628:therapy*; D006297:Health Services Accessibility / Q000191:economics; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D009549:Nigeria; D011057:Politics
Commonization; Decentralization; HIV/AIDS; Health disparity; Nigeria