[Re: https://www.hifa.org/dgroups-rss/why-destruction-usaid-harms-access-heal... ]
Neil, you can say that again, not just you but the whole world and especially the Global Health community and stakeholders, that 'The Trump Administration's dismantling of USAID is a catastrophe for global health, the consequences of which will be felt for generations.'.
Many have always called on the LLMICs to depend less on Aid and donations to run their health systems. So Trump Administration's wrecking policies is not totally unexpected, it is the speed of implementation that is the problem.
Efforts to get Trump's Administration to roll back, may be more likely to succeed if it is urged to slow down its speed of implementation. As for LLMICs and the rest of the world outside Trump's USA, as they face up to more mortality and morbidity numbers, caused by the wake up shock action by Trump's Administration for the next four years, they must in a hurry re-align their domestic resources and tighten spending belts, if the catastrophe shall be short-lived. African countries should not use the shock action as reason to abandon their own Declaration in 2001 (Abuja Declaration) which called on all African countries to allocate at least 15% of their annual budgets to Health. If they had heeded and implemented their own Declaration, the effects of the Trump's Administration policies would have been much less damaging.
Joseph Ana.
Prof Joseph Ana
Lead Senior Fellow/ medical consultant.
Center for Clinical Governance Research & Patient Safety (ACCGR&PS) @ HRI GLOBAL
P: +234 (0) 8063600642
E: info@hri-global.org
8 Amaku Street, State Housing, Calabar, Nigeria.
www.hri-global.org
HIFA profile: Joseph Ana is the Lead Senior Fellow/Medical Consultant at the Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria, established by HRI Global (former HRIWA). He is a member of the World Health Organisation’s Technical Advisory Group on Integrated Care in primary, emergency, operative, and critical care (TAG-IC2). As the Cross River State Commissioner for Health, he led the introduction of the Homegrown Quality Tool, the 12-Pillar Clinical Governance Programme, in Nigeria (2004-2008). For sustainability, he established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria. His main interest is in whole health sector and system strengthening in Lower, Low and Middle Income Countries (LLMICs). He has written six books on the 12-Pillar Clinical Governance programme, suitable for LLMICs, including the TOOLS for Implementation. He served as Chairman of the Nigerian Medical Association’s Standing Committee on Clinical Governance (2012-2022), and he won the Nigeria Medical Association’s Award of Excellence on three consecutive occasions for the innovation. He served as Chairman, Quality & Performance, of the Technical Working Group for the implementation of the Nigeria Health Act 2014. He is member, National Tertiary Health Institutions Standards Committee of the Federal Ministry of Health. He is the pioneer Secretary General/Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. (http://www.hifa.org/support/members/joseph-0 http://www.hifa.org/people/steering-group).