EHS-COVID (503) Global Health Security Index (2) NCDs and health system strengthening

9 December, 2021

Neil thank you for sharing this interesting report.

And it is not just only about non preparedness for the next epidemic or surges of this pandemic, but it is also about the silent epidemic that has ravaged sub Saharan Africa for decades and may just get worse as resources (rightly) are pumped into fighting this pandemic: the silent epidemic is the non communicable diseases, NCDs, including mental illness. Some have termed it triple whammy but it remains the case that before COVID19 some countries in Africa were beginning to make some improvement in their health indices but COVID19 may have almost wiped out any such progress, even with the relatively lower number of Covid morbidity and mortality. The reason is that African countries have remained almost at ground zero for decades with very weak health systems. What is needed are interventions that enable whole health sector and system change for better. Especially interventions that are context-designed and fit for purpose. Such interventions include the 12-Pillar Clinical Governance Programme that is suitable for the whole system, and PACK Programme that is tailored specifically for the primary health care tier. (PACK is Practical Approach to Care Kit). Both can be viewed for more information at:

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, established by HRI Global (former HRIWA). 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.

Website: Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.

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