I found this paper Title inviting because of the work we are embarked on in Nigeria, both the 'PACK Nigeria programme for Primary Health Care' and the 1'2-Pillar Clinical Governance programme' suitable for all the three tiers of the health system. Then I read, the authors comment that, 'We have noted a number of factors that are identified at the nurses / midwives stage. It turns out that this is a very sensitive area that requires training and further research. Nurses are very often the "second victim". Often, despite the illegible order, they rely on their intuition and experience and administer the drug.', a statement that I agree with based on our experience in the field and at the point of care in health facilities across Nigeria.
We shall be reading the whole paper and coming back with our considered responses.
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 and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk