Abstract : Health care financing involves huge economic burden, which cannot be borne by the government alone. Breaking even in health care financing in the 21st century demands that government corporate with agencies, donors, individuals, and communities to finance health care services in their domains. This article presents a view of rational approach to health care financing and discussed ways of promoting and fostering health development through partnership. Literature search using Embase, Medline and relevant official documents was conducted based on identified criteria. Current trends in health care financing was driven by determination to change the poor health indices, rising need for health care and huge economic burden it places on the government and the realization that most countries with better health care services use different types of public private partnership (PPP) for health care development and sustainability. This is being driven by policy reforms to improve access for affordable health care while ensuring sustainability. This study suggests that improved health care development, financing, and sustainability are possible through public private partnership. It underscored the need to explore other methods of funding apart from the traditional government budgetary spending, which has not greatly favoured our health care development.
Keyword : Health Care, Financing Mechanism, Partnership, Community, Policy, Nigeria
Abstract : The millennium development goals which was pursued for 15 years by many countries globally has elapsed with many countries which grappled with their inability to achieve up to 30% of their desired goals due to poor planning , implementation, monitoring and evaluation. This article organized and synthesized literatures on the effects of Millennium Development Goals (MDGs) and ways of translating the key health related Sustainable Development Goals (SDGs) number three targets to realities. Electronic search of relevant materials and articles was conducted with focus on millennium development goals (MDGs) and SDGs in Cochrane, Google, PubMed, and official publications of relevant agencies electronically. PubMed, Materials that met the eligibility criteria were extracted, and summarized based predominantly on qualitative level. More than 80% of the MDGs targets were not actualized with huge resources expended. Poor of planning, strict monitoring and evaluation, poor funding, government policies and sociopolitical instabilities were the major pitfalls in the past dispensation of MDG. MDG interventions in Nigeria were grossly unrealized due to political, structural, and systemic failure. Institutionalization of short, medium, and long-term plans and framework will enhance translation of the goal to achievements by 2030.
Keyword : SDGs, MDGs, health coverage, population, policy, Nigeria
Abstract : Diabetes is a chronic metabolic disorder with high incidence of non-traumatic limb amputations, morbidity, and mortality. the study investigated the hypoglycemic properties of the methanolic leaf extract of Tetracapidium conophorus on alloxane-induced diabetic rat. Diabetes was induced in Wister rat using 150mg/kg of alloxan. Groups A and B were the test groups and received 200mg/kg and 400mg/kg of methanolic leaf extract respectively through the oral route, while Group C received glibenclamide. Group D served as the diabetic negative control. The leaf extract significantly reduced the blood sugar from 569.50±10.43 mg/dl to 368.60 ±22.93mg/dl in 2hours compared to the fasting blood sugar (FBS) level of 499.20 ± 25.4mg/dl, a positive control of 490.20 ±9.75 mg/dl and a negative control of 556.40 ± 29.69 mg/dl (p<0.05). In 4 hours, there was a significant reduction of blood glucose to 340.20 ±46.93mg/dl with same dose of 200mg/kg (p<0.01). The RBS dropped to 306.20±30.96mg/dl in 2hours and 216.00±28.58mg/dl in 4hours respectively at a dose of 400mg/kg when compared to a fasting level of 526.60 ±11.36mg/dl (p<0.01) and positive control of 490.20 ±7.75mg/dl. A 200mg/kg dose of the extract in sub-acute study showed a significant reduction of RBS on the 8th day with a value of 378.00 ±24.64mg/dl when compared to a negative control of 569.50 ± 10.48mg/dl. Administration of 400mg/kg caused a reduction of 262.75 ±66.58mg/dl when compared to a positive control of 462 25 ±27.51mg/dl and a negative control of 569.50 ±10.43mg/dl (p<0.01). The result indicated that the methanolic leaf extract of Tetracarpidium conophorum has hypoglycemic effects in alloxane induced diabetic rat.