I am not surprised, infact I am thrilled and joyed, that Lagos state is infact promoting proper and practical solution to the matter of the role of TBAs in child birth in Nigeria. We piloted the similar policy in Cross River state in 2005 and received a visitation from the ministry of health of Lagos state when we launched the post pilot TBA policy. It is gratifying to read that the current commissioner for health, also a friend, continued the policy when he took over all those years ago. Pregnant women and their babies and families are better cared for through the policy.
Another lesson for all of Nigiris is the benefit of continuity and sustainability both of policies that are shown to work and for the personnel in certain positions. The current commissioner for health is the longest serving commissioner for health in Nigeria: in that position having been there for almost 12 years: he has had time to design/inherit workable policies and implement them and now can see them to fruition, monitoring and evaluation.
Lagis state example is worthy of emulation by all other states and the FCT in Nigeria.
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.
Joseph is a member of the HIFA Steering Group: http://www.hifa.org/people/steering-group: http://www.hifa.org/support/members/joseph-0
Email: jneana AT yahoo.co.uk