Prof Cunningham thank you for your contribution to this debate.
True, Nigeria is not an Island but Africa is. The continent of Africa is an Island, a very big one compared to Sri Lanka but it is an Island. In 2005 when we submitted our proposal, the Nigerian President had just been re-elected to a second Tenure as the Chairman of African Union (AU). As the largest, most populated and 'richest' country on the African continent we pressed for him to lead the AU in a Marshall plan that would have eliminated malaria or at least diminished the disease to an extent that it would not be the greatest killer of pregnant women and children in the continent. Eradicating malaria would also have impacted the economy of African countries positively because Malaria is the commonest cause of workers medical excuse duty.
We were encouraged to make our submission by the fact that countries in the West that eradicated malaria are not all Islands and they were able to achieve the feat by concerted, continent-wide action at the same time - whether from Mexico to USA to Canada or across Western Europe (during the Cold War era). Africa was not included in the plan perhaps because it was still under Colonisation and therefore unimportant.
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: http://www.hifa.org/people/steering-group
jneana AT yahoo.co.uk