By Moses Gbatta, Lafia
The healthcare system in Nasarawa State is grappling with challenges related to the distribution of healthcare responsibilities across its tiered structure. At the heart of this issue is the Federal University Teaching Hospital in Lafia, the apex medical facility in the region. This institution is tasked with managing complex medical cases, serving as the final referral point within the state’s healthcare hierarchy.
In an ideal system, the teaching hospital’s role should be supported by a state-owned facility—such as a general or specialist hospital—that provides accessible care at a secondary level. This collaboration is crucial for alleviating the burden on the teaching hospital, ensuring that it remains focused on advanced and specialized treatments rather than being overwhelmed by cases that could be effectively managed at lower tiers.
The healthcare system in Nasarawa State operates on a three-tiered structure, thus;
• Primary Health Care (PHC)
The first point of contact for individuals seeking medical attention, PHCs are community-based centers offering essential services, including immunizations, maternal and child healthcare, treatment of common illnesses, and health education.
• Secondary Health Care
This level includes general hospitals and specialist clinics that handle more specialized care and manage cases referred from PHCs. These facilities are equipped with more advanced diagnostic and treatment capabilities.
• Tertiary Health Care
Represented by institutions like the Federal University Teaching Hospital, this is the highest level of care. It encompasses complex cases and specialized services such as advanced surgeries, cancer treatment, and comprehensive management of serious health conditions.
In Lafia, where the Federal University Teaching Hospital is located, the absence of a fully operational state hospital complicates the healthcare system’s functionality. A state-owned hospital, whether a general or specialist facility, is essential for distributing the patient load and ensuring that healthcare services are delivered efficiently at every level. The lack of such a facility in close proximity to the teaching hospital places undue strain on the tertiary institution, leading to potential overcrowding and a dilution of the quality of care. This situation underscores the need for a well-integrated healthcare system in Nasarawa State, where each tier is adequately equipped to handle its respective responsibilities, thereby preventing the overwhelming of higher-level facilities and ensuring comprehensive care for all.
Peoplesmind