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Year : 2011  |  Volume : 14  |  Issue : 4  |  Page : 166-173

National health bill: Implication on public health law and ethics in population


1 Department of Epidemiology and Community Health (Health Management Unit) University of llorin, Kwara State, Nigeria
2 Managing Partner, Hafsayah Health System Consultants. White house No. 79 Adetokunbo Ademola crescent, Nigeria
3 Department of Paedatric and Child Health University of llorin, Kwara State, Nigeria
4 No 9, Abubakar Rimi Crescent, NASS Quarters, Abuja, Nigeria
5 Kogi State University, Lokoja, Nigeria

Correspondence Address:
M J Saka
Department of Epidemiology and Community Health (Health Management Unit), University of llorin, Kwara State
Nigeria
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Source of Support: None, Conflict of Interest: None


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Objectives: The lack of clear provision for health in the 1999 constitution as amended in 2011 has implications on health system. In 2004, Federal Ministry of Health (FMoH) in collaboration with the National Assembly of Nigeria proposed a National Health Bill (Public Health Law). The research was conducted to identify the constitutional gap on health systems and discussed the implication for the provision of tertiary health care systems in National Health Bill. Methods: Systematic and comprehensive assessment of the National health policy and constitution provision for health systems were reviewed. Key Informant Interview (Kll) was also carried out among the policy makers and desk review of documents and records. Results: The lack of clarity and specificity in the constitutional provision makes it possible for all tiers of government at all level to engage in all the three types of health care. The National Health Bill was developed as an instrument for correcting the gaps in the 1999 constitution of Federal Republic of Nigeria as it relates to the health sector. Its provisions have effects on all three levels of care and subsystems (primary, secondary and tertiary). Many provisions have implications on the tertiary health system in either directly or indirectly. However the sections that have most profound effects on the tertiary health system operation are sections 8 and 9, which provide for the establishment of National Tertiary Hospital Commission. The commission would bring all the tertiary facilities owned by Federal Government its control. Conclusion: The coming into being of National Tertiary Hospital Commission will lead to improved funding, management, regulation and coordination of tertiary health system.


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