Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study (3)

18 March, 2019

Yes Elisabeth it is 'mind boggling and very very sad' indeed which is what many of us have been screaming from any roof top we find anywhere in the world but more so in Africa itself. It would be worse without the assistance of the development partners. Every pressure needs to be applied to Africa governments to prioritise healthcare to the top of their agendas and most importantly they should all in practical ways work to spend the 15% of their GDPs on health as manded by African Union (meeting of all 54 African nations Heads of State) in Abuja, Nigeria in 2000. That will be a very good start to reverse the tragic statistics.

Joseph Ana


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

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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: Joseph is a member of the HIFA Steering Group: Email: jneana AT