The Obafemi Awolowo Foundation established in honour of the late sage and premier of the western region seeks to use this symposium to further highlight the healthcare needs of rural dwellers.

The symposium was declared open by His Excellency the Governor of Ogun State, represented by the Deputy Governor Chief Mrs Yetunde Onanuga. Five (5) presentations covering aspects of rural healthcare in Nigeria were made by different speakers. The keynote lecture was delivered by Professor Akin Osibogun, former CMD of LUTH.

Rising from the symposium, the participants observed the following:

1 The neglected role of Public Private Partnership in providing primary healthcare

2 The importance of occupational health in the rural areas regarding the use of fertilizers and other toxic chemicals in the agriculture industry

3 The absence of a focus on Geriatric care in the rural areas

4 The challenges of funding the Primary Health Care Centres (PHC's) by the Local Governments in light of the dwindling funds accruable to them

5 The lack of sufficient investments for PHC to deliver the right results for our rural dwellers

6 It is unacceptable that 72% of health expenditure comes from the private pockets of individuals. There is therefore the need to embrace managed care via health insurance for better delivery of medical services to the poor and underserved.

7 There needs to be a strategy to promote accountability and stewardship in community involvement in the management of healthcare services.

8 The need for integrated healthcare service delivery and development

9 The linkage between poverty and ill health needs to be broken in order for economic development to occur in our rural areas .

10 The provision of resources, in order to meet health goals and objectives, chief of which include manpower, equipment and training.

11 The challenges of financing healthcare services in Nigeria in terms of allocated inefficiencies across the three tiers of Government

12 The need for planned funding of public healthcare to take into consideration consumables and infrastructure

13 There is also the issue of mass migration of Doctors out of the country thereby leading to a huge vacuum in the healthcare sector

14 Non-incorporation of rapidly evolving medical technology in an ethical manner so as to give patients the right treatment for the right diseases

15 Policy inconsistencies have made investments by the private sector a herculean task as they are unsure of returns on their investments

16 A more scientific approach needs to be applied to traditional medicines in Nigeria as such agents are in widespread use across the country as we see a lot of patients are coming down with organ complications such as kidney damage.

17 There is also the need to address the issue of supernatural connotations to disease leading to delayed seeking of healthcare from which complications may arise.

18 Addressing the long waiting times of patients at our Government hospitals before the populace are able to access healthcare

19 Traditional rulers are not sufficiently involved in Local Government health issues

21 The non-inclusion of mental health care in our PHCs

22 The absence of a visible National plan in the country for mitigating the spate of road traffic accidents


1 The Obafemi Awolowo Foundation seeks for increased funding for the PHC's located across the country

2 Motivation of healthcare workers and prevention of out of stock syndromes at our PHC's

3 Designing a healthcare financing mechanism that aids the poor in accessing treatment at the early stage of illness and assures all Nigerians access to care beyond the 5% coverage in place as of today.

4 The impact of Road Traffic Accidents on the population needs to be urgently addressed. This may be done by assessing the visual acuity and mental competence of intending drivers.

5 Development of an innovative Public Health Care component that is ready to rapidly address disease surveillance issues in order to detect epidemics on time.

6 A robust partially decentralized system that will help to bridge funding gap s especially at the Local Government level.

7 Funding gaps in Community Based Health Insurance Scheme that will address the shortfalls in delivery

8 The need to provide adequate Medical Officers of Health across the nation in all the 774 Local Government areas and also addressing the issue of inadequate and misappropriation of funds.

9 Institutionalizing a rural/community health insurance scheme which targets children under five years of age and women.

10 The need for collaboration on healthcare by the three tiers of Government in order to actualize the delivery of quality services to those in the rural areas.


The Obafemi Awolowo Foundation acknowledges with thanks the support received from the Ogun State Government towards the success of the symposium.

Executive Director, OAF ..........................................................Professor Akin Osibogun


© Obafemi Awolowo Foundation. All rights reserved. 2012.
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