Wow, it is really refreshing to read this WHO/UNICEF statement about lack of hygiene in health facilities in LMICs. [ https://www.hifa.org/dgroups-rss/support-systems-83-whounicef-half-healt... ] This why the homegrown 12-Pillar clinical governance Programme printed since 2004 has it as one of the pillars.
We (www.hri-global.org) have held the view that it is not possible to achieve any quality and safe care in these countries without sorting out the first five pillars: legally backed health policy; adequate funding-mix; appropriate physical infrastructure and access; appropriate equipment for each level / tier of the Health system; 24/7 utilities/sanitation/ambience.
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, established by HRI Global (former HRIWA). 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.hri-global.org. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Website: www.hri-global.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
http://www.hifa.org/support/members/joseph-0
http://www.hifa.org/people/steering-group Email: info@hri-global.org and jneana@yahoo.co.uk