I was glad to read Kingsley George's comments from Nigeria and the various points he made [ https://www.hifa.org/dgroups-rss/quality-113-improving-quality-and-safet... ]. Very useful because these are some of the points that have dominated public and professional discussion for years. I can say that in its response to these points, guideline production, evidence and context informed, improving diagnosis accuracy and concordance between specialists, decision about when to do CS for delivery, and advocacy for more domestic funding for health, the Nigerian Medical Association (NMA) established a Standing Committee on Clinical Governance which as at this has a Clinical Governance Coordinator in all 36 states and the Federal Capital territory (FCT) to advocate the necessary changes working with the relevant State Ministry of Health.
So, changing is coming in the near term in all these areas.
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