The value of librarians for clinical and health governance (2)

10 January, 2019

Hi Irina and all,

Thank you for sharing this article. We find even this extract informative.

We read the final sentence, ‘The article is not in open access, but we are planning to submit a pre-print version to one of the relevant open access repositories.’, but can’t wait for when it becomes open access so that we read the full text.

In 2003 under the BMJ West Africa edition, supported by Richard Smith (Editor in Chief) and BMJ, we were lucky to open a 'model' Health Information Resource Centre (HIRC) in Calabar, Nigeria for our colleagues and local policy makers to show how print and electronic information can be brought together in a relatively small space but create access to a huge reservoir of health information ( it was revolutionary at that time because upto that time libraries were known to be multi-storey huge buildings stocking mostly out of date books and periodicals only, Librarians and users yearned for more resent and up to date information but could not afford the subscriptions). The internet was just arriving Nigeria, therefore the reception by the health and medical community including librarians was ecstatic. In 2004 in the same Calabar, but under the Cross River state Ministry of Health we mounted the pilot for 12-Pillar Clinical Governance programme as a TOOL for sustainable Health improvement, and the HIRC was one of the 12-Pillars. That remains the case even now as we promote Clinical Governance across Nigeria and West Africa. Because we believed that primary health care must be the effective gateway to Nigeria's health system and the foundation on which other tiers are built, we established the College of Health Technology to train the personnel for the State PHC, and established an HIRC in the campus with the help of CIDA ( Canadian International Development Agency) in 2005. We elevated the Librarian position to senior management cadre to seat alongside the Provost, Registrar and Bursa of the College. On a visit to the college recently there were multiple anecdotes of the positive impact on students and lecturers by the HIRC.

The 12-Pillar Clinical Governance Approach: Strengthening health systems in Nigeria

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: Joseph is a member of the HIFA Steering Group:

jneana AT