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FG moves to integrate self-care into primary healthcare to decongest hospitals
Helen Oji
The federal government has said it will integrate evidence-based self-care into primary healthcare as part of measures to decongest hospitals, strengthen disease prevention and advance Universal Health Coverage (UHC).
Minister of State for Health and Social Welfare, Dr Iziaq Adekunle Salako, disclosed this on Wednesday in Abuja at the inaugural Nigeria National Self-Care Conference held at the Nigerian Army Conference Centre and Suites (NACCAS).
The conference, convened by the National Self-Care Coordination Committee (NSCC), had as its theme: “Self-Care Puts Your Health in Your Hands: Test. Track. Thrive.”
Salako, who was appointed National Self-Care Ambassador at the event, said the theme captures a fundamental principle of modern healthcare which empowers people with knowledge, skills and tools to own their health.
He said self-care extends healthcare beyond hospitals and clinics into homes, workplaces and communities, encompassing healthy living, disease prevention, appropriate self-testing and responsible management of well-being.
The minister, however, clarified that self-care does not replace professional healthcare nor absolve the government of its responsibility to provide accessible, affordable and quality health services, but rather complements the system.
He disclosed that his recent research awaiting publication found that electronic self-management education and support promotes self-care in people living with Type 2 diabetes in the domains of self-monitoring, diet, physical activity and medication.
According to him, self-care presents an opportunity to strengthen primary healthcare, support maternal and reproductive health, improve management of non-communicable diseases, promote mental well-being and extend health information to underserved communities.
The minister emphasised that self-care is also critical in the prevention and control of infectious diseases including Ebola Virus Disease (EVD), following the imported case reported in Abuja.
“I call on the Nigerian public to observe self-care like hand hygiene, appropriate disinfection and cooperate fully with public health officials to contain the reported Ebola index case,” he said.
Salako explained that the three action words in the theme — Test, Track, Thrive — provide a practical framework for translating self-care into everyday behaviour.
He said TEST allows individuals to know their health status early, especially for silent conditions like hypertension and diabetes, while TRACK requires consistent monitoring of indicators such as blood pressure, blood glucose, medication adherence and physical activity.
THRIVE, he added, is the ultimate goal of healthier individuals, stronger families, more resilient communities and a more productive country.
He called for deliberate action by all tiers of government to integrate self-care into PHC services, train healthcare workers, strengthen community education, improve access to quality-assured health products and protect the public from misinformation.
With over 195 million active mobile lines, the minister said government will leverage digital communication and AI to take self-care applications closer to the people, ensuring no Nigerian is excluded on account of income, disability, gender or location.
“The success of this conference depends on our ability to translate discussions into practical, measurable commitments,” he said.
Salako urged state governments to integrate self-care into health policies, health professionals to guide safe use of self-care interventions, development partners to support sustainable financing, researchers to generate local evidence, private sector to prioritise quality and affordability, and traditional leaders and media to build trust.
He affirmed the ministry’s commitment to promote self-care through supportive policies, public education, regulation of self-care products and integration of self-care tools at the primary care level.
“Test. Track. Thrive. Together, let us put health in every Nigerian hands,” he added.
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