ABU Journal, Department Of Public Administration
Volume No: 1|
Page No: 52
Title: ASSESSMENT OF MATERNAL AND CHILD HEALTH CARE POLICY AND THE ATTAINMENT OF THE MILLENNIUM DEVELOPMENT GOALS (MDGS) IN SOME SELECTED LOCAL GOVERNMENTS IN KADUNA STATE, NIGERIA
DALHATU MOHAMMED JUMARE
DEPARTMENT LOCAL GOVERNMENT AND DEVELOPMENT STUDIES ABU, ZARIA, NIGERIA.
Nigeria has now crossed the midpoint between adoption of MDGs and the 2015 target date. Yet available data indicates that the country is unlikely to meet the MDGs, despite concerted efforts by many players, progress in child survival and maternal mortality have remained clearly slow and virtually very low. This paper examines the state of health care delivery at Local Government levels in Nigeria. The aim is to assess the promotion and provision of maternal and child health care and its implication to the attainment of the MDGs. Using secondary data via content analysis which is complimented with personal interview and observation technique, the study was able to find out that, promotion of maternal and child health care has been entangled in the wave of acute shortage of personnel, and infrastructures both in quantity and quality. It is also bedeviled by weak managerial skills; absence of community participation, weak regulatory structure and absence of inter sect oral mechanism for health care delivery. All these are influenced by low level of political and financial commitment of the local government. However, if local policy makers and administrators are to accelerate and scale-up their level of commitment to the promotion and provision of maternal and child health care, the attainment of the MDGs is therefore guaranteed.
This paper has tried to provide answers to the questions posed in the beginning. What is the rate of child and maternal mortality at local government level? What is the level of local government commitment in that direction? To what extent have these commitment translate into increased access to child and maternal health care services at local level. At what level of the policy continuum did we go wrong? And how can we reposition ourselves for better and effective promotion of M & CH care services that will ensure the attainment of MDGs at local levels in Nigeria? We have examined the rate and analyzed the factors responsible for the increase in M & CH mortality. And have identified where we went wrong in the promotion of M & CH care and subsequently the attainment of MDGs. Finally, we offer suggestions on how to reposition ourselves for better results. We are of the candid opinion that until policy makers, planners and administrators scale-up commitment on the promotion and provision of M & CH care services, reducing the rate of maternal and child mortality may remain an illusion and thus makes the attainment of MDGs a myth and Utopian in Nigeria generally and at local government in particular.
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