Primary Health Care (PHC) is the backbone of any functional health system, and in Nigeria, it represents the first line of defense for millions of citizens. Yet, while some states have made impressive strides, others continue to lag behind, struggling with weak systems, poor funding, and limited capacity. A glaring example is the contrast between Kogi and Kaduna States.
Kogi State’s PHC sector, though recognized as an essential pillar for community health, remains plagued by challenges. Many facilities across its 21 Local Government Areas lack adequate infrastructure, essential drugs, and trained health workers. Rural communities are the worst hit, with pregnant women and children under five bearing the brunt of the deficiencies. In many instances, locals are forced to travel long distances to secondary or tertiary hospitals for ailments that should ordinarily be handled at the community level.
On the other hand, Kaduna State has emerged as a model in PHC development and delivery. The state has invested heavily in rehabilitating health facilities, scaling up recruitment and training of frontline health workers, and strengthening the governance framework that ensures accountability at all levels. Most importantly, Kaduna has shown consistency in funding its PHC system, including timely disbursement of funds and prioritization of maternal and child health.
Kaduna also stands out with recognized excellence in PHC infrastructure and delivery. Many of its primary health centres have been upgraded with modern facilities, technology-driven data systems, and reliable drug supply chains. This has translated into improved immunization coverage, reduction in maternal and infant mortality, and overall confidence in the state’s healthcare system. Development partners often cite Kaduna as an example of how political will and structured planning can transform healthcare delivery at the grassroots.
Kogi State cannot afford to continue on its current trajectory. The health of its citizens, particularly the most vulnerable, demands a new sense of urgency. The state government must prioritize PHC reform by investing in infrastructure, ensuring equitable distribution of health workers, and committing to regular and adequate funding of its health system.
Most importantly, Kogi should look to Kaduna as a model. Replicating Kaduna’s strategy—centered on strong governance, sustainable financing, and infrastructural renewal—can help transform the state’s PHC landscape. With political will and proper planning, Kogi can reposition itself to deliver quality health care at the grassroots, reduce preventable deaths, and improve the overall wellbeing of its people.
The health of a state is the health of its people. For Kogi, the lesson is clear: follow Kaduna’s example and build a stronger, more reliable primary health care system.
– Moses Emani Salami
