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A half-century check-up for child neurology training.

Authors: Roach ES
Journal: Annals of the Child Neurology Society
mental health psychology open access

Abstract

On a global scale, primary healthcare forms the backbone of public health, integrating physical, social, and mental needs of communities []. As health systems shift towards universal health coverage, primary health contributes to achieving 75% of the Sustainable Development Goals (SDGs), as outlined by the World Health Organization (WHO) []. Primary healthcare centres (PHCs) are designed to function as the first point of contact within the health system, delivering comprehensive, community-oriented care within developing countries, such as Nigeria. In Nigeria, PHCs play a central role in healthcare delivery, with approximately 70% of the population relying on PHCs for care, which represents 85% of health facilities nationwide []. Despite approximately 34,000 PHC facilities nationwide, these serve a population exceeding 227.6 million [3.4]. Demand-side barriers contribute substantially to underutilisation. Service costs, poor perceived quality of care, medicine shortages, long waiting times, and limited equipment have been identified as key deterrents [,]. Communities frequently view facilities as poorly equipped or unreliable, resulting in a preference for higher-level or alternative healthcare providers [].