Evaluation of a primary health care project in Nigeria

Despite the international prestige accorded primary health care (PHC) as evidenced by the numerous philosophical papers, workshops and projects carried out in its name, the impact of PHC is still relatively unknown. In many cases, the effectiveness of a PHC project is difficult to assess, particularly when it involves multisectoral interventions and different health outcomes. Cross-sectional studies often falter when trying to gauge the long-term effects of specific interventions. The reasons could be that the vital statistics and records were poorly kept or that the PHC success is evaluated in terms of rural clinics constructed rather than in population health parameters. Below is an evaluation of a PHC project that was a success. Jointly sponsored by ICN, UNICEF and the National Association of Nigeria Nurses and Midwives (NANNM), this project, when evaluated, clearly shows that nurses can capably plan, implement and evaluate a PHC project at the community level with very modest resources. It is hoped that the successful outcome will instigate the setting up of similar community projects.