The PACK Nigeria team is glad that Moses Orfega found our post on the quality improvement tool 'very useful'. On the specific questions that he asked, I can respond as follows: The introduction phase of the implementation of PACK Nigeria in Bauchi state started in November 2020 and is about to conclude this month. Already discussions on scale up has started with the relevant stakeholders in the state. PACK Nigeria is going National, already discussions are advanced in four other states. The programme is aligned to at least 14 existing guidelines in use in Nigeria health system including the PHC, including the 2014 National Policy on Task Shifting. This is the unique attribute of PACK NIgeria as it provides a practical solution to the access and quality care challenges exacerbated by the acute Human for Health shortage. This why the Federal Ministry of Health (FMOH) and the National Primary Health Care Development Agency (NPHCDA), the Community Health Practitioners Regulatory Board (CHPRB), the Nursing and Midwifery Council (NMC), the Medical and Dental Council of Nigeria (MDCN), etc acclaimed the pilot report.
When the Hon Minister of Health, Prof Isaac Adewale, launched the National Strategic Health Plan II on 5th September 2018 (one year after the PACK Nigeria pilot report was released), he said, and I quote, that ' ------- the Plan was approved at the National Council of Health’s meeting that took place in Kano on June 21. He explained that the plan had five strategic pillars and 15 priority areas, saying the five pillars included enabling environment for attainment of health sector goals and increased utilisation of essential package of health services. Others are strengthening the health system and protection from health emergencies as well as health financing'. That is precisely the advantages that PACK Nigeria demonstrated in States PHC during pilot and now in Bauchi State PHC as contained in the Interim Report.
“In total, this new plan has 15 thematic areas, 48 strategic objectives and 282 interventions that will help us to really improve the healthcare delivery that will offer our people.
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