Professional Programme Design for Biomedical Engineering Service Delivery in Primary Health Care Under the Nigerian Basic Health Care Provision Fund

The Nigerian Basic Health Care Provision Fund represents a transformative financing mechanism for primary health care, but its implementation framework lacks a structured biomedical engineering service delivery component, leaving primary health care equipment management without dedicated professional support. This study professionally designs a biomedical engineering service delivery programme integrated with the Basic Health Care Provision Fund implementation framework, with design informed by fieldwork in Oyo, Plateau, and Yobe states representing South West, North Central, and North East zones respectively. Design methodology combined review of the BHCPF programme guidelines and state implementation plans, structured consultations with State Primary Health Care Development Agency directors and BHCPF programme managers, analysis of primary health care facility equipment inventories and maintenance histories, and benchmarking against primary health care equipment management models from Kenya, Ghana, and Ethiopia. The designed programme specifies a local government area-based biomedical technician deployment model providing scheduled preventive maintenance visits to all BHCPF-enrolled facilities, an equipment repair fund mechanism within the BHCPF financial architecture, a basic equipment replacement cycle tied to national standard primary health care equipment lists, and a digital equipment management reporting tool compatible with the DHIS2 national health information platform. Programme cost modelling demonstrates per-facility costs achievable within existing BHCPF capitation allocations through efficiency gains. The programme design was reviewed and validated by BHCPF National Programme Coordination Committee technical staff. Keywords: primary health care, BHCPF, biomedical engineering service, equipment management, Nigeria.