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is at loggerheads with either the LGA chairman or<br />

the state government as shown in the box.<br />

Federal Ministry <strong>of</strong> Women Affairs<br />

In spite <strong>of</strong> 100% completion rate <strong>of</strong> the FMoWA‘s<br />

projects, reports from some states indicated they<br />

were yet <strong>to</strong> receive their ambulances meant <strong>to</strong> be<br />

delivered <strong>to</strong> the cluster general hospitals despite<br />

the fact that the State First Ladies had witnessed<br />

their formal launch and presentation by the<br />

FMoWA. The ambulances are supposed <strong>to</strong> be<br />

utilised <strong>to</strong> evacuate emergency obstetric cases<br />

from the MSS PHCs <strong>to</strong> the cluster GHs. Fuelling<br />

and maintaining the ambulances were two major<br />

issues that hindered the effective use <strong>of</strong> these<br />

ambulances in most locations.<br />

In one particularly unfortunate instance, the<br />

Executive Chairman <strong>of</strong> an LCDA in Alimosho LGA<br />

(Lagos State) exchanged fiery words with the site<br />

facilita<strong>to</strong>r, a staff <strong>of</strong> the NASS sponsor regarding<br />

the location <strong>of</strong> the project when he discovered<br />

during our field visit that the approved location <strong>of</strong><br />

the project had been changed by the project<br />

facilita<strong>to</strong>r, without his knowledge.<br />

“ ...I have nothing <strong>to</strong> do with that project, and I<br />

have vowed never <strong>to</strong> visit the project location, nor<br />

deploy any staff <strong>to</strong> the place when<br />

completed...but [because <strong>of</strong>] the manner [in which<br />

] you talked <strong>to</strong> me now, I will lead you <strong>to</strong> the<br />

project site right now...” Executive Chairman,<br />

Pas<strong>to</strong>r (Mr) Kenny Okunmuyide (08033436466),<br />

Agbado-OkeOdo LCDA, Alimosho LGA....during<br />

M&E team entry visit <strong>to</strong> the council secretariat.<br />

“... What you said will not be successful! You will<br />

live and see the success <strong>of</strong> this project! We will<br />

do it, and there is nothing you can do about it!”<br />

Site Facilita<strong>to</strong>r, Mrs. AjokeYinusa (08023120966),<br />

Computer Centre at Model College, Meiran,<br />

AgabadoOke-Odo LCDA, Alimosho LGA,<br />

exchanging words with Executive Chairman <strong>of</strong><br />

AgabadoOke-Odo LCDA, during the M&E team<br />

visit <strong>to</strong> the Project site in company <strong>of</strong> the<br />

chairman.<br />

Lagos State SMET Report<br />

Federal Ministry <strong>of</strong> Health<br />

NHIS and NPHCDA: These are MDAs that are<br />

under the FMOH but are self-accounting. Getting<br />

details <strong>of</strong> their projects from them was not<br />

difficult. They appear <strong>to</strong> have also made the<br />

greatest contributions <strong>to</strong> the achievements <strong>of</strong><br />

health-related goals.<br />

Inspite <strong>of</strong> this, the following observations are<br />

worthy <strong>of</strong> note:<br />

The rate <strong>of</strong> completion <strong>of</strong> the PHCs under the<br />

NPHCDA was only 26.7%, in comparison <strong>to</strong><br />

its other projects that were virtually all<br />

completed. With slow completion rate <strong>of</strong> the<br />

PHCs, drugs and equipment supplies <strong>to</strong> these<br />

PHCs suffer as in most cases, the equipment<br />

had <strong>to</strong> be taken somewhere else for<br />

safekeeping, and the drugs had <strong>to</strong> be taken <strong>to</strong> a<br />

nearby health facility <strong>to</strong> be utilised. With<br />

these challenges, NMET is optimistic <strong>of</strong><br />

recommending CGS modus operandi as a way<br />

out in handling the PHC construction, since<br />

even when completed; the PHCs would have<br />

<strong>to</strong> be handed over <strong>to</strong> the states and LGAs who<br />

would provide staff <strong>to</strong> run them. The<br />

NPHCDA would then be left <strong>to</strong> handle its core<br />

competence, which they do so well;<br />

Page 40 <strong>of</strong> 150

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