Ayoleyi IJATUYI
Healthcare Financing Specialist who is passionate about Universal Health Coverage and Health Security in LMICs with a view to achieving Health Equity. MBBS (Ilorin); MScPH (Lagos); MBA Candidate (Ife)
Location Abuja, Nigeria
Activity
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Hi! Initially a Clinician but presently a Researcher at the Intersection of Public Health; Health Economics and Financing; and Public Policy. Unwinds with Chess.
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Ayoleyi IJATUYI made a comment
Glory to God for achieving this milestone. Many thanks to all active participants on this platform. Special thanks to the facilitators and organisers of this course.
This was an insightful experience with great lessons.
Thank you all.
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Ayoleyi IJATUYI made a comment
I still stick with option 2 because it seems barely possible to use a light regulation to achieve meaningful results in a highly disorganised setting which caters for most of the population. Again, healthcare is a very sensitive issue that needs decisive strategies and actions.
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Ayoleyi IJATUYI made a comment
The second option offers a better approach because the first option would most likely lead to an improved public-funded health system which only caters for a small proportion of the population thereby leading to a widening health inequity.
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Quality of healthcare services is one key driver of mixed health systems in LMICs. Hence, inclusive and patient-centred reforms are critical to health systems strengthening in such settings.
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As a DHO in a LMIC, I will consider implementing the third approach provided.
That would not only improve quality in most of its dimensions but also ensure sustainability via health systemd strengthening.
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As a junior medical doctor, I worked in one of the FCT General Hospitals where the consultant I was reporting to mandated that we have a proper documentation (although manually) on most of these data discussed in the article.
That was during the era of SURE-P programme. Again, I recall we recorded excellent facility health outcomes in the review of...
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Can barely be said better. Insightful thought.
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Ayoleyi IJATUYI made a comment
I opine the approach should be a delayed gratification of financial incentives. The community nurses are already motivated by the special training on NCDs as well as being licensed to prescribe medications. However, because they would become easy targets of recruiters soon after, they may need to sign a service bond with the government. Again, their...
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Ayoleyi IJATUYI made a comment
There is no dichotomy between organisational culture and attitude of the health workers to their various duties and assignments. As much as motivations and/or incentives are good to attract, retain and spur on employees, the organisational culture is also key.
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Ayoleyi IJATUYI made a comment
Nice analysis. I'm interested in seeing a detailed breakdown of the nation's private spending on health as that may be revealing of areas to improve the efficiency of the total health expenditure.
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Ayoleyi IJATUYI made a comment
Not at all. Such indirect taxes are often fixed amount of money on transactions done. Since, it is fixed, everyone pays equal amount of money regardless of financial status. Hence, it is a regressive taxation system which leads to inequitable redistribution of wealth.
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Ayoleyi IJATUYI made a comment
Initially, societal inequity appears to be it. However, a second look points toward impoverishment. Although all the highlighted issues are quite important but for the sake of advocacy, impoverishment presents the strongest argument to win and secure a strong political will and commitment to UHC.
How? While low utilisation of health services or societal...
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Ayoleyi IJATUYI replied to Ayoleyi IJATUYI
The feeling is mutual. Thank you, Love.
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Ayoleyi IJATUYI made a comment
Interesting module.
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The ability to distinguish between a problem and the cause of the problem goes a long way in determining the outcomes and impacts of health systems strengthening strategies.
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Ayoleyi IJATUYI made a comment
Involve the local community people in the design, implementation as well as monitoring and evaluation of the service. Secondly, provide adequate resources for the service with a view to ensuring sustainability. Empowering and continued training of the community people.
Constraints are political interests, conflicts of interests and sabotage.
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Ayoleyi IJATUYI made a comment
Decentralisation is more likely to succeed and promote equity in a mature setting where there is social cohesion and solidarity. If not, it could likewise worsen inequities.
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@AbdulMuminAhmed thank you for sharing this insightful thought.
Again, just like in the case of Indonesia, Nigeria is currently seeking to address the inequalities in health outcomes among state governments via the new Basic Health Care Povision Fund, a.k.a Huwe, a centralised programme involving counterpart funding model with each state government....
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Ayoleyi IJATUYI made a comment
Across board, decision space in Ruritania is largely narrow while Elbonia operates in a moderate decision space.
The former only performs implementation role while the latter makes her decisions in line with the national guidelines under the supervision of the central government.
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Ayoleyi IJATUYI made a comment
To a large extent, the behaviour of the health staff at county level could have been foreseen during the designing, formulation and drafting of the national health policy if it was inclusive enough to accommodate them and the healthcare users.
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@AbdulMuminAhmed, indeed, exclusion of the front-line workers and also the beneficiaries of the policies (healthcare users) largely accounts for the continued failures of the national health policies in Nigeria.
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Ayoleyi IJATUYI made a comment
The Thai model was well designed and excellently implemented. It is not surprising that they have achieved 98% coverage with good health outcomes.
Clarity is key.
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Ayoleyi IJATUYI made a comment
So far, Nigeria appears as one with little or no interest in equity. However, the political actors try to pay lip-service to equity in a bid to gain local and global popularity.
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Ayoleyi IJATUYI made a comment
The Osibogun's equation on cost of illness at an individual level states that:
Cost of Illness = Cost of treatment + Cost of treatment-seeking activities + Cost of Opportunities Forgone + Hidden social and personal cost + Cost of Misery and Pain.
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@KellybestDavids, there is a health startup in Nigeria called 'Market Doctor' which is already pioneering that business model.
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Ayoleyi IJATUYI made a comment
No. Without multi-sectoral involvement, the results would be ineffective, inefficient and inadequate. Hence, the use of data-driven decision-making process to address inequity is key to strengthening the weak links in the health systems.
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Presently, healthcare financing in Nigeria is largely regressive. However, efforts are underway to revolutionise this inequity system.
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Interesting insight.
Thank you for sharing @EmmaPencheon.
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Ayoleyi IJATUYI made a comment
According to the article shared above, 'financing is regarded as equitable if contributions are in line with the ability to pay, while health service use is equitable if benefits are distributed according to need for health care.'
However, in many LMICs (Nigeria inclusive) the reverse is the case. Healthcare users pay for services based on needs just as...
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Ayoleyi IJATUYI replied to Cheryl Chia
One beautiful social disruption technology uptake is bringing to the table is equity.
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Ayoleyi IJATUYI made a comment
I'm grateful to everyone who has been sharing valuable insights on this platform.
The week one module was impactful.
Thank you all.
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Ayoleyi IJATUYI replied to Ngwa Chris Fuh
@BenjaminUZOCHUKWU Again, with the increasing commitment to mandatory health insurance, OOP expenditure would be phased out. Likewise, PHC gatekeeping would prevent healthcare users from direct access to higher health facilities without referral from a lower one.
OOP expenditure has been a critical determinant of inequitable health system or inverted...
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Ayoleyi IJATUYI made a comment
My first exposure to systems thinking was in Sociology class where the lecturer related the health system to the human body in terms of structures and functions.
Indeed, activities and productivity within the health system rarely follow a linear pattern. Therefore, careful clarity on the context is key to addressing the local health system issues.
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Ayoleyi IJATUYI made a comment
One key feature of a good mass communication is the ability to be understood by the target audience. Hence, the need to keep it short and simple, KISS!
Good understanding of public initiatives tend to enhance community participation and subsequently, sustainability.
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Health systems strengthening is fluid and a continued process. Hence, the adopted strategies need to be adapted to the changing changing context of that particular geographical location.
The role of good data cannot be overemphasized.
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Ayoleyi IJATUYI made a comment
Context is key as there is no magic bullet approach for all situations. However, direct cost is critical to the health-seeking behaviour of healthcare users.
Once healthcare services are affordable, there is an elimination of financial barrier to access, a key determinant to achieving UHC objectives or goals.
The overall impact is that there would be...
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Ayoleyi IJATUYI made a comment
Building a career in health system strengthening in LMICs.
A medical doctor who is currently a postgraduate student in public health with special interest in health policy and management.
Seek to improve his knowledge base along with social network with a view to building strong and resilient health systems in Nigeria.
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Ayoleyi IJATUYI made a comment
The three pilars highlighted in the article only addressed one of the six building blocks of health system strengthening: sustainable health financing.
Others include:
1. Leadership/governance
2. Health workforce
3. Health information systems
4. Service delivery and
5. Access to essential medicinesMoreover, there is no silver bullet for all...
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Ayoleyi IJATUYI made a comment
Most challenges of health systems are largely local with some bits of global perspectives. Likewise, adequate response often involves emphasis on socio-cultural context.
Understanding the relationship between poverty, ignorance and ill-health is critical to addressing local health systems challenges.
Again, insights into global political economy...
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Ayoleyi IJATUYI made a comment
Hello everyone!
Although this course started a couple of weeks ago, but I'm grateful and glad that I could join now.
Here is another opportunity to galvanise my knowledge on this topical concept which I am passionate about.
I anticipate learning copiously from the wealth of experience of everyone.
Thank you.
