How Lagos used community influencers to bridge gaps in its measles vaccination drive (2)

10 July, 2018

Dear CHIFA members,

In our centre this encouraging news story from Lagos, Nigeria was of interest because of our experience in working with TBAs. One of the lines of the story stated, that 'The influence of community mobilizers was effective because people respond to faces and voices they are familiar with.'.

We have found over the years that TBAs and in fact volunteer community health helpers, in general, bring out the people to receive useful health information and intervention, because they are always there in the community and the people identify with them and respect them. They are not a substitute for skilled health workers, but they fill an obvious gap until enough skilled workers are available and the rural areas are developed enough to attract them to live and work there.

The key to sustaining any gains from engaging these community volunteer groups is to engage them, train them, equip them e.g. for TBAs with materials for clean cord care practices, and finally monitor their activities. 

Joseph Ana. 

Africa Center for Clin Gov Research & Patient Safety

@ HRI West Africa Group - HRI WAConsultants in Clinical Governance ImplementationPublisher: Health and Medical Journals 8 Amaku Street Housing Estate, Calabar

Cross River State, Nigeria

Phone No. +234 (0) 8063600642Visit Website:


CHIFA 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