Zoom meeting: Implementing PACK Nigeria programme in PHC

7 July, 2020

Implementing PACK Nigeria programme in PHC [*see note below]

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When: Jul 9, 2020 05:00 PM London

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National Implementing Organisation: 12-Pillar Clinical Governance

National Standards and Quality Monitor and Assessor

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

Nigeria: 8 Amaku Street, State Housing & 20 Eta Agbor Road, Calabar.

Tel: +234 (0) 8063600642

Website: www.hriwestafrica.com email: jneana@yahoo.co.uk ; hriwestafrica@gmail.com

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

[*Note from HIFA moderator (Neil PW): Here is some information about Primary Approach to Care Kit, Nigeria, from www.hriwestafrica.com

'In 2014 a survey commissioned by the Nigerian Federal Ministry of Health highlighted serious shortcomings in the quality of clinical care available at primary health care level. Only 37% of primary health care workers were able to correctly diagnose seven tracer cases and only 17% recommended appropriate treatments. Prompted by discussions at the World Bank Nigeria, BMJ proposed a pilot of PACK Nigeria to see whether clinicians could improve their ability to manage their adult patients if they received a package of support comprising a comprehensive clinical practice guide and a structured programme of on-site, in-service training and monitoring (the Practical Approach to Care Kit or PACK).

'The PACK programme has been developed, refined, tested and scaled-up over a period of two decades by the University of Cape Town’s Knowledge Translation Unit (KTU). It currently supports more than 30,000 nurses working in South Africa’s 3,500 primary care clinics. BMJ partnered with KTU and the Nigerian NGO, HRI West Africa (HRIWA), to localise PACK for Nigeria and pilot it in 51 primary care facilities in the three states participating in the Nigerian State Health Investment Project (NSHIP): Adamawa (22), Nasarawa (11) and Ondo (18). Localisation and preparatory work was supported by BMJ and Oxford Policy Management (OPM), and training and implementation at state level by the states themselves. This report covers the 16 month period during which the PACK programme was localised to the Nigerian context and implemented in the 51 primary health centres (PHCs).']