A Research study undertaken by Demographic Surveillance System (HDSS), Directorate of Research, University of Calabar (Unical) had advocated synergy and strict supervision by regulators to improve healthcare delivery.
The team led by Dr Ekpereonne Esu, during the presentation of its recommendations in Calabar on Tuesday, said a robust synergy between the private and public sector was needed as catalyst in this regard.
The research study also recommended availability of adequate and competent manpower to boost the quality of healthcare in the country.
Esu said the study was meant to assist the government in evaluating the management and use of quality of care data as it relates to Reproductive, Maternal, and Newborn, Child, Adolescent, Elderly Health and Nutrition (RMNCAEH+N).
According to him, “The study was conducted to produce a data-based blueprint tailored towards assisting the government in improving the quality of healthcare services provided at health facilities within the focal states of Cross River and Rivers.”
“It is also intended to assist the government and other health stakeholders in using the findings to improve the quality of healthcare services provided to patients in public healthcare facilities.”
Other suggestions listed include the provision of revolving grants to private operators to optimise operational efficiency, timely release and sufficient budgetary allocation to the health sector by the government.
Esu further listed others to be provisions of standard medical facilities, seamless data collection and sharing, and a conducive working environment.
In his remarks, the principal investigator, Prof. Martin Meremikwu, opined that the study was prompted by the need to identify gaps in quality and efficient healthcare services available in health facilities in both states.
“arising from data management and data use practices to evolve trendy strategies to aid the government in addressing these challenges,” he said.
According to Meremikwu, “This is a commissioned work facilitated by the Federal Ministry of Health and their counterparts in Cross River and River States aimed at providing workable solutions towards enhancing the quality of health services obtainable in public health facilities in the two states.
“We also examined the process of timely and accurate collection of quantitative and qualitative data and the professional competence of the workforce from 110 primary, secondary, and tertiary health facilities selected across the three senatorial districts in Cross River State and 59 health facilities in Rivers State.
“Our focal point was RMNCAEH+N quality of care. We used the RMNCAEH+N indicators as a yardstick in assessing the selected public health facilities to find out the barriers that influence the quality of care and the process of gathering, sharing, and applying data in the area of practice.
“Having completed the fieldwork, we are here to present and discuss the data from the study and bring it to the attention of the government and relevant stakeholders.
“We are optimistic that the findings will provide a reliable barometer in policy formulation and implementation as we strive to reposition our health sector in tandem with the global best standards for the well-being of our people.”
Also speaking, another member of the team, Dr Iwara Arikpo, said” To arrive at these empirical findings, reliable study methods and the sampling procedure were adopted, followed by the rigorous training of data collectors before their deployment to the field, to ensure quality data collection.”
He revealed that preparations for the study began in August 2022 while the actual fieldwork started in June 2023 and ended in December 2023.
The Director-General of the Cross River Primary Health Care Development Agency, Dr Vivien Otu, applauded the research team for their meticulous efforts in conducting the research,
He described the findings as apt and timely given the commitment of Governor Bassey Otu led administration to reposition the health sector in the state for efficiency and affordability in line with global best practices.
The Unical Vice-Chancellor, Prof Florence Obi, represented by Prof. Angela Oyo-Ita, said, “The study findings will assist in providing evidence-based medical treatment needed for positive results in line with the global trend.”
The Director of Public Health in Cross River, Dr Jonah Offor, described the outcome of the research as a crystal reflection of the situation on the ground, which requires a collective approach to achieving the desired results.
According to him, “The manpower deficiency threatening to cripple the health sector is not peculiar to Cross River State as evidenced in the research findings.
“The brain drain that is ravaging our health sector as a country must be tackled urgently to avert an imminent collapse of the health sector, probably in the next few years.”
NAn reports that the research was supported by the Federal and State Ministries of Health in Cross River and Rivers.
The project was also supported by Primary Health Care Development Agencies in both states, the Johns Hopkins Programme for International Education in Gynecology and Obstetrics(JHPIEGO) and the United States Agency for International Development (USAID)

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