Enabling Collaborative Leverage for Reaching Universal Health Coverage Targets for Enrollee, Vulnerable and Hard-to-Reach Population in Kogi State by 2030 (A Scoping Review)

This descriptive exploratory study was funded by the Kogi State Basic Health Care Provision Fund (BHCPF) – National Primary Health Care Development Agency (NPHCDA) Gateway and the integrated supportive supervisory (ISS) survey for Q2, 2025 was a scoping review conducted to observe the status of the revitalization projects at ward focal Basic Health Care Provision Fund (BHCPF) PHCs (n=51) between the 16th to 19th of July, 2025. The non-exposure assigning descriptive study was focused on the tracking and analysis of strategic system performance covering quarter two of 2025 as a criterion for management decision making for action to be taken towards the improvement of equitable and qualitative uptake of BMPHS by enrollee and vulnerable and hard-to-reach population in line with the improvement of universal health coverage (UCH) and compliance with all stipulated project timelines provided by funders to contractors of projects (NPHCDA, Global Fund and PSHAN) in 18 LGAs from the 3 senatorial districts of Kogi State. The data was obtained through a semi-structured checklist that was deployed online for real-time capture by 15 supervisors and monitors on the link: https://ee.kobotoolbox.org/x/CzKEK3Of. The process that provided the quantitative and qualitative data for the analytical epidemiology on the revitalization project status of PHCs (n=51) adhered to the PRISMA-ScR guideline for the scoping review of qualitative observations obtained during the exercise where the PHCs (n=51) were visited. The results are representative of 10% of projects nearing completion with finishing touches required compared to 25% of sites with activity on-site, but with insufficient pace. Lack of accommodation affects staff retention and performance observed in 60% of PHCs visited, while 40% of the PHCs visited have boreholes are that are dysfunctional or community-funded. The identification and quantification of proximate socio-ecological moderators and mediators is towards enabling one-health environment for the scale-up of risk-pooling in line with the goals of the SDG 3.8.