Thank you so much for sharing your personal rich experience on this subject matter.
I am particularly touched by the similarity in most of the postings on the topic of the experience of many other members, when you said '----- During the war years many came to help and brought their own ideas and distorted the program instead of building on it, creating even more challenges. This was also couple with global Maternal health experts making a decision not to support TMs because they causes of maternal mortality could only be managed in hospitals.----'.
I am glad that your MOH and UNICEF support your efforts. I hope other countries will follow your example.
Not to use a resource (adopt them, train them, equip them, monitor them) that is already on the ground but rather only build newer cadres like CHW (as laudable as it is) is a big missed opportunity in LMICs.
AFRICA CENTRE FOR CLINICAL GOVERNANCE RESEARCH & PATIENT SAFETY
@Health Resources International (HRI) WA. .
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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: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group: http://www.hifa.org/people/steering-group
jneana AT yahoo.co.uk