South Africa: Towards evidence-informed policy and practice (2)

31 October, 2018

Very interesting and gladdens the heart to read - the Thambo Mbeki government-led denial is a good example of how not to run a country's health care system!. A lesson that other African countries and LMIC must avoid if they are to achieve UHC and SDGs.

Another organisation that shepherded South Africa through that period of denial and after that period to date is the Knowledge Translation Unit (KTU) of the Lung Institute of the University of Cape Town. Over the last 20 years it has produced and implemented clinical point of care tools starting from PALSA (Practical Approach to Lung Health in high-HIV prevalence countries), then PALSA Plus (Practical Approach to Lung Health in high-HIV prevalence countries plus Tuberculosis), and APC (Adult Primary Care) called PACK (Practical Approach to Care Kit) in Nigeria. Participants at the recently concluded Alma Ata and PACK Congress organised by KTU in its offices and the South African Medical Research Council on 25th and 26th October 2018 saw and received information spanning the period and evidence of how it has impacted massively on quality and safe care especially in primary health care. Today, the PACK Global Family is applying these tools in Brazil, Nigeria, Ethiopia, Botswana, etc to achieve similar results.

Lack of Political Will on Health in any country especially in LMICs enhances denial at policy making level and during implementation whilst providers of care and patients suffer the frustration and morbidity/mortality respectively.

Joseph Ana.

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