Investigation conducted by the rule of law and empowerment initiative also known as Partners West Africa Nigeria (PWAN) has indicated that 97 percent of Primary Healthcare Centers (PHCs) in Demsa Local Government of Adamawa State do not have ambulances while 56.4% don’t have toilet facilities.
PWAN which is supported by the United States Bureau of International Narcotics and Law Enforcement (INL) carried out assessment of the local government service delivery in the areas of health, security, education and socioeconomic welfare made the disclosure Friday during the presentation of the report which was conducted between of August – September 2020.
In its bid to strengthen and improve service delivery within the local government structure PWAN through ACCESS Nigeria (II ) project partnered with two LGAs in Adamawa namely; Numan and Demsa to conduct an assessment of services they delivered to the citizens in the four areas.
The research according to Tobiloba Adekunle, Program intern of PWAN said 91 primary schools, 46 PHCs and 53 communities were covered by the investigators.
He said in the process of the research advocacy visits were undertaken, and assessment score card was developed while collaborative meetings with LGA was held.
Other procedures adopted in compiling the report include observer recruitment and training, observer deployment and questionnaires were developed and distributed.
Presenting the scorecard, Ijeoma Igwe, program assistant, PWAN said, “97% of the PHCs admitted to not having ambulance services while 3.4% of t PHCs have ambulance services.
” When further asked, about the functionally of the ambulance services, all the assessed PHCs confirmed that the ambulances are not functional.
“From the above analysis, most of the PHCs do not have functional ambulances, thus cannot offer urgent medical services to citizens that need it.
” The local government can draw the attention of the ministry of health to provide at least one ambulance to all PHCs that do not have so that they can carry out such a vital service to the citizens.”
The report also noted that 56.4% of the PHCs do not have toilets, 28.1% have between 1-3 toilets and 15.5% have between 4-8 toilets. 82.5% of the PHCs have toilets designated for staff and patients while 17.5% of PHCs do not have such designation.
” During the observation, the number of available toilets in the PHCs was also assessed and it was reported that 56.4% of the PHCs do not have toilets, 28.1% have between 4-8 toilets. 82.5% of the PHCs have toilets designated for staff and patients while 17.5% of the PHCs do not have such designation. It was also observed that 60% do not have such gender proportion while 40% of the PHCs have toilets for males and females.
“From the above observation, it is evident that the PHCs lack toilet facilities and this can increase the infection rate of patients that visists the centers.
” To prevent this, the local government is advised to build more toilets separately for staff and patients,” Igwe said.
Responding, the Chairman of Demsa local government Chief Elkanah Kados Fwa said, the outcome was an eye opener for him promising to do the needful to address some of the grey areas observed by the report.
He however blamed past administrations for not doing enough to enthrone progressive leadership saying that he will blaze the trail at ensuring accountable and responsive leadership that hankers to the yearnings and aspirations of all citizens.