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Nigeria’s Private Sector Coalition: Leading Sustainable Healthcare Delivery in Africa -By Mariam Saleh

PSHAN is currently leading the operationalization of the private-sector driven initiative –
Adopt-A-Health-Facility Program (“ADHFP”) – to provide universal health access for low income citizens residing in rural, sub-urban, and urban areas.

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The Private Sector Health Alliance of Nigeria (PSHAN) is an alliance of companies and
non-governmental organizations that mobilizes private sector’s resources and capabilities
and leverages same to support the improvement of Nigeria’s healthcare system.

Founded by Alhaji Aliko Dangote, Mr. Jim Ovia, Mr. Aigboje Aig-Imoukhuede, and other business leaders, is a business-led platform that mobilizes private sector’s resources and capabilities and leverages same to support the improvement of Nigeria’s healthcare system. PSHAN has based its strategic approach on the premise that the vibrant and fast growing private corporate sector in Nigeria with its business techniques, innovative approaches, influence, reach, resources, and capabilities can yield huge gains in the health sector, if harnessed strategically and aligned to government’s priorities.

PSHAN focuses on 4 core strategic objectives which reflect the Alliance’s pathways to success: this includes;

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• To convene and mobilize private sector organizations to contribute significant resources
in supporting government’s delivery of public healthcare
• To inform and educate private sector organizations on optimal approaches to healthcare
philanthropy, healthcare in the workplace, and the design and delivery of PPPs in health
care
• To identify opportunities for enhancing value chains in healthcare delivery
• To establish a nation-wide understanding of what is required to transform the health
sector end-to-end.

PSHAN is currently leading the operationalization of the private-sector driven initiative –
Adopt-A-Health-Facility Program (“ADHFP”) – to provide universal health access for low income citizens residing in rural, sub-urban, and urban areas.

The ADHFP initiative is a transformative vehicle aimed at addressing deficiencies in Primary HealthCare (PHC) service delivery. The objectives of the ADHFP include, Improvement of Health Indices, Equitable access to quality health care services, Compliance with clinical standards, Gender empowerment from improved women’s health services, Job creation and a more reliable health care value chain, Civic engagement and government accountability, Health policy reforms, Increased uptake of micro health insurance. The Core beneficiaries would also include the communities within which these PHCs will be adopted and the PHCs who would benefit from structural transformation and improvement.

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The Program Delivery and Key Stakeholder Engagements includes;
▪ Potential Funders/Adopters
▪ Local, State, & Federal Governments
▪ Donor Organizations/Philanthropists
▪ Community Activists
▪ PHC Operators
▪ Suppliers & Contractors
▪ Governmental Bodies & Policy makers
Key Implementation Activities also include;
▪ Advocacy & Communications
▪ Fundraising
▪ State Government approvals and permits
▪ Comprehensive PHC audits
▪ Designing/updating PHC operational guidelines
▪ ERP setup
▪ Local community engagement
▪ Performance monitoring & evaluation
Key Material Requirements to enable an upscale of this project are also under listed as
▪ PHC Staffing
▪ Medical commodities
▪ Equipment and drugs
▪ ERP systems
▪ Centralized process for monitoring & evaluation
Scope of proposed clinical services will include:
• Promotive care – Health education; Immunization awareness; Pandemic
prevention
• Curative care – Antibiotics; Cast for broken limbs
• Preventive care – Nutrition; Sanitation; Immunization; Screening
• Rehabilitative care – Occupational Therapy; Physical Therapy; Speech Therapy
The scope of clinical services, infrastructure, resources and technology required will
depend on the specifications of these 2 models:
1) Brownfield model: Enhancements to existing structures.
2) Greenfield model: Purpose-built structures from scratch.
Key Expected Outcomes of the ADHFP also include;
▪ Increased funder participation & better consolidation of donations for PHCs
▪ Uptake of community/State Health Insurance Schemes
▪ Recognition for HNIs
▪ Improved health outcomes in Nigeria
▪ Peer-reviewed optimal best practices
▪ Accelerated interventions in primary healthcare
▪ Access to market for medical consumables and equipment suppliers.

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