"In a global health crisis, the world is only as strong as its weakest health system." Where is ACCESS to HEALTH INFORMATION weakest? (2)

21 May, 2020

Dear All

Julie asks a very important question: 'where is the world's weakest link for receiving health information'. If all 20,000 of us HIFA members put our minds to it we shall soon elevate that question to the top or near the top of current global health discussions at a time of COVID19 Pandemic.

Let's do it, let's look at our own system, the system bear us, and beyond: where is the worlds weakest link for receiving health information?

For me, I wish I had seen the question before yesterday when I was the Lead Speaker at a virtual international discussion on UHC2030 in Nigeria during and after COVID19 Pandemic. Over 200 people joined the discussion on zoom. The focus and aim was to get the Nigeria National Response to covid19, extend its intervention beyond tertiary hospitals where all the isolation and treatment centres are located at present, to PHC and general hospitals that are in rural and suburban areas of the country where over 80% of the population live and work and pray. Apart from using the 'flattening the curve phase of mitigation and containment to get the run down PHCs ready should the infection rates suddenly escalate, and retrain the staff on COVID19, extension will get the population better informed with correct information (counter Infodemic) and thereby improve compliance to government messages about lockdown, palliatives, etc.

I liked the phrase in Julie's posting because I would have adopted it for my lecture and said, the OHC is the weakest link in Nigeria's health system. And I believe in Africa and other LMICs too.

Joseph Ana

HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.



Email: jneana AT yahoo.co.uk