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CGH13_ebook

T h e U N P u b l i c S e r v i c e Awa r d s : C ommo nwe a l t h wi n n e r s f r om 2 0 1 3 and water systems and are provided on 350 sites in informal settlements. More than 1,000 households, and an estimated 200,000 residents of informal settlements in Durban, now have access to sanitation services. This initiative has significantly reduced costs of building and maintaining sanitation facilities in the informal settlements and reduced environmental pollution. Nigeria Initiative: Federal Capital Territory Administration Mobile Integrated Primary Health Care Service Delivery ‘MAILAFIYA’ Institution: Federal Capital Territory Administration, Abuja, Nigeria The Federal Capital Territory (FCT), Abuja, faced challenges on the provision of primary health care services. At the forefront of these challenges were limited availability of medical commodities, lack of comprehensive policies, poor data management practices and poor inter-departmental co-operation. A baseline survey conducted within the FCT in 2008 revealed that 60 per cent of residents of over 800 communities were poor and 74 per cent of communities did not have access to health care services. The World Health Organization (WHO) estimated that, in the FCT, adequately serving the population would require 434 primary health centres (PHCs). Only 179 existed, many of which were operating at sub-optimal levels. Rural populations had to travel long distances to reach these centres. The project sought to address this through integrating data banks into a central database and improving health care services using mobile teams to reach remote areas with extremely difficult terrain. The programme generates real-time data from the field. This resulted in the reduction of the cost of providing health care and delivery of services, and enhanced the planning and evaluation of the health system. A preliminary survey report revealed that there has been an increase in access to health care from 17 per cent to 71 per cent in all the communities of the FCT. The programme has created a dependable database for improved management of health care. Commonwealth Governance Handbook 2013/14 83 Makeshift HIV testing station, Africa. Informal settlements are a major health governance challenge Victoria Holdsworth/Commonwealth Secretariat


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