Family Medicine in Nigeria: The Journey,Challenges, and Future Prospects

Abstract

Family Medicine in Nigeria has evolved from humble beginnings to become a vital component of the nation's healthcare system. This review article provides an in-depth analysis of this journey, highlighting the contributions of pioneers and current leaders who have shaped the speciality. It emphasises the importance of Family Medicine as a cornerstone of Nigeria's healthcare system, advocating for increased public and stakeholder awareness of its role and benefits.

The historical context of Family Medicine worldwide can be traced back to its roots in General Practice (GP), which evolved into a recognised speciality in 1969. The establishment of the National Postgraduate Medical College of Nigeria (NPMCN) and the inclusion of General Medical Practice (GMP) as one of its faculties marked a significant milestone. The transition from GMP to Family Medicine is well documented, with the adoption of a training curriculum and the eventual renaming of the faculty to Family Medicine in 2006.

Current challenges facing Family Medicine in Nigeria include low awareness, weak primary healthcare systems, inadequate collaboration with health stakeholders, and insufficient training and resources. The document advocates for policy reforms, improved infrastructure, and strengthened cooperation to address these issues. It also emphasises the necessity for standardised operating procedures, increased credit units for training, and a larger number of family physicians to meet the country's healthcare needs.

In conclusion, it is necessary to build a future where Family Medicine plays a pivotal role in Nigeria's Primary Healthcare and overall healthcare system. We advocate for the Society of Family Physicians of Nigeria (SOFPON) to collaborate with relevant agencies to facilitate the accreditation of FM programmes, the establishment of Family Medicine undergraduate programmes in all the nation's universities, and residency training programmes throughout the country's secondary and tertiary care centres. The document emphasises the importance of public awareness, research, and active participation in health management to enhance the speciality's relevance and impact.