Abstract

The Alma-Ata declaration of the World Health Organization, written over three decades ago, clearly charted a new course for the health system of many countries. The historic meeting was the official launching of primary health care, whose principles are explicit equity, appropriate technology, integrated services, community participation and intersectoral collaboration. Nigerian had had her health system evolve through various phases, finally adopting primary health care (PHC), as the basis for healthcare delivery in all parts of the country. In spite of concerted public health efforts aimed at “health for all” a wide disparity persists in the health status of people across regions in the country. A much overlooked concept, when discussing equity, is sexual orientation. The legal status of various forms of sexual orientation has hindered healthcare programmes and initiatives for individuals with minority orientations. This is in addition to widespread discrimination and stigmatization. Policy makers, health providers and other stakeholders need to ensure formulation of equity based policies, which protect the health of all citizens. This is the only way that sustainable development can be achieved in developing countries like Nigeria.

Key words: Primary healthcare, health systems, principles, equity, sexual orientation, stigmatization, policy.