Monitoring and Evaluation (M&E) of Akwa Ibom State Primary Healthcare
Akwa Ibom has constantly recorded poor healthcare indices around primary healthcare, evidenced by its’ placement as the least-performing state on the Primary Healthcare under the One Roof (PHCUOR) Scorecards 3 & 4. Of note are its’ dismal scores in 2 key domains: Minimum Service Package (MSP) and Systems Development. As regards systems development, the Akwa Ibom State Primary Healthcare Development Agency (AKSPHCDA) is tasked with the management of resources for the delivery of effective primary healthcare (PHC) services. As such, we recently conducted a M&E system assessment to review the M&E system in the state. The assessment was conducted at various cadres of the AKSPHCDA which includes the state, 7 implementation LGAs and 14 primary health care facilities of AKSPHCDA. Upon data validation and approval, we recommended the following,
• Production and distribution of the National M&E plan to guide activities.
• A Technical Working Group or Committee should be set up to coordinate all M&E activities.
• A yearly costed work plan should be developed to guide M&E activities and implemented accordingly.
• Routine capacity building activities for all M&E personnel across all components of M&E.
• Provision of technical and IT equipment to improve electronic data collection.
• A clear channel or platform for discipline, grievance and conflict resolution should be established.
Furthermore, 360 HSDI organized a one-day stakeholders engagement meeting and dialogue session to share results from our findings and develop remediation plans to strengthen the M&E system relating to primary healthcare services in the state.