EHS-COVID (450) WHO: Tuberculosis deaths rise for the first time in more than a decade due to the COVID-19 pandemic (2)

21 October, 2021

On reading the comment by DG, WHO (“This is alarming news that must serve as a global wake-up call to the urgent need for investments and innovation to close the gaps in diagnosis, treatment ----) and that by Neil ( ‘----- Part of the reason for this is that health workers' needs, including their information needs, are not adequately supported-----‘), I feel the need to return to one of our earlier posts about the transformational impact of PACK (Practical Approach to Care Kit) developed by Knowledge Translation Unit, University of Cape Town, in South Africa over two decades period and now helping primary health care clinicians in other countries (Nigeria, Ethiopia, Brazil and others) to improve on their system (including during Lockdowns), improve clinicians’ clinical competence so that they make better diagnosis and also give the correct treatment in primary health centres.

We currently have almost completed the analysis of a patient experience / satisfaction survey in the PHC facilities in Buachi State, Nigeria where PACK is used and the result seems to be excellent to all the questions about the care they (patients) received. Using tools like PACK to establish strong systems and improve clinical competence of clinicians shall ensure that even after disruptions by situations like lockdowns, patients can continue to receive great care and the system shall always be ready to cope. (Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Nigeria. DOI: 10.1136/bmjgh-2018-001079)

Joseph Ana.


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Healthcare 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

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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 and the HIFA working group on Community Health Workers.

Email: jneana AT