The Astana Declaration (11)

30 October, 2018


Thank you for sharing this information. []

As many members have said already I echo their views that this is a Declaration and could not possibly have contained (satisfied) every group that contributed to its formation because it is not possible to state every contributors word/sentence/paragraph. Also as others have urged, now that the Declaration is out it is left for groups like HIFA to work with it for the next 40 years and see how it can be used to achieve HIFA objectives.

Whether in research and sharing knowledge and experience, building capacity, competences and improving the delivery of quality health services and care, and/or investing in the education, training, recruitment, development, motivation and retention of the PHC workforce, with appropriate skill mix and task shifting, and/or promoting digital and other technologies, working with individuals and communities to identify their health needs, encourage them to participate in the planning and delivery of services and to play an active and positive role in maintaining their own health and well-being.

There are opportunities in the Declaration for everyone.

Joseph Ana.


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

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

Website: email: ;

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:

jneana AT