HEALTH ACCESS COVENANT FOUNDATION 

Universal Health Coverage; From Policy to Reality

HEALTH ACCESS COVENANT FOUNDATION 

Universal Health Coverage; From Policy to Reality

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Contribute to Universal Health Coverage in Ekiti: Sponsor vulnerable person; Donate time; Donate a building; Donate resouces.


Attaining Universal Health Coverage in Nigeria should not be left for the government alone. We are soliciting support from individuals and organisations.

    Medical doctors can donate 5 to 10 hours of their time.

    Retired Nurses can volunteer some time to treat our members.

    Local drivers can take our members to hospital. 

    Phillantropists can give us money or donate buildings for our clinics

    Research Institutes can give us research grants for epidemiological study     of  our huge population.


The Scope of Support Is Limitless. 


Contact us today.

Contact us by Email
Map of Ekiti State

Map of Ekiti State

Ekiti is Primed to pilot Community Cooperatives Combined with primary health services delivery 

Regulatory enablement


In 2016, Ekiti State enacted a law mandating community based health insurance for all citizens, providing legal backing to belong to a mutual health association. The law still exists but cannot be enforced because there is no mechanism to systematically enrol residents for health insurance.

Our Model bridges this gap and provides the practical platform to enrol all residents of Ekiti and the law can then be enforced.


Systems Strengthening and UHC Advocacy Initiative

One of the barriers to UHC in Ekiti is the lack of a well coordinated, even compulsory referral system from primary health care to secondary health institutions. Anyone with any illness cam go to hospitals without any referral letter.

Our  neighbourhood mutual health association Model bridges this gap. The patient will come to the clinic and upon assessment, be referred to hospital

This open, easy access, cooperative neighbourhood clinics in close liaison with hospital consultans will establish a referral system that will strengthen the health system.

Ekiti health system will function better by making it compulsory for all citizens to attend such neighbourhood  clinics before going to secondary care institutions, except in an emergency. 

We will provide evidence for advocacy of a compulsory referral system.  This will make primary healthcare based Universal Health Coverage more easily attainable. 


Alluring Charateristics of Ekiti

1, Manageable population size of 3.5 million requiring about 220 modules of our health personnel to scale up universal health coverage for the whole state. We are piloting 8 modules.

2, Strong PHC structures exist for collaborative working.

3, High literacy and civic engagement making the people receptive to public campaign for community contributory health insurance campaigns. 

4, Ekiti people would be proud of the visibility of this pilot programme being conducted in the state.

5, Many citizens of the state are in the diaspora and do remit money to thier  kith and kin back home for health and general maintenance. Our mutual health approach provides a cost effective mechanism to achieve their purpose.

6, Ekiti State Ministry of Health is committed unversal health coverage with which the pilot programme would easily align.

7, Ekiti State Primary Health Care Development Agency is very active in the state.

8, National Health Insurance Authority is conspicuous in encouraging health insurance enrollment in the state, particularly the community model that we have chosen to focus on.

9. Ekiti traditional anthem emphasises cooperativism for progress

10. Many citizens of Ekiti State already participate in copperative contribution in one form or the other, but currently not for health gains.

11. Ekiti has a large population of peoole in rural areas who would benefit from neighbourhood clinics near their places of abode.




OUR OFFICES

HEAD OFFICE

Our head office is located at 17 Abuja Quarters, off NTA Road, Ado-Ekiti.


email: dunnibram@gmail.com

            info.hac@gmail.com

            healthaccess@gmail.com

Tel: +2347059121111

website: https://hac.simdif.com

                https://healthaccess.uk

                www.healthaccesscovenant.org


OTHER OFFICES

We have doctors's Clinics in our Pilot sites at Ijesa-Isu Ekiti and in neighnourhoods around Ado-Ekiti


PROGRAMMES

Community Health Access Initiative


We have offices in several neigbourhoods in our Pilot Local Government Development Areas. This brings health access as physically close to the people as possible. Each of the offices has opening hours when our health workers are available to enroll members and coordinate their health needs. The Health Worker enrolling the Member becomes the Key Worker for the Member. This bridges an existing gap in the health system where patients can be anonymous to the system.

Doctors' visiting hours when a qualified and registered medical officer will be available to attend to people, are also displayed at the Clinics. 

This Model bridges the gap in the existing health systems where patients do not know the availability of doctors in their Primary Health Care Centres.

The rest of the opening hours, when doctors are not available, are covered by trained health workers who have ready telephone communications with the doctor. In essence, the doctor takes responsibility for the health and welfare of all members of the association in that neigbourhood.


All Members have open access to the Clinics. The first visit for Open Members is completely free when their basic biodata and health status will be recorded for future reference. Blood pressure, blood glucose, snell's chart vision, weight and height, urinalysis etc, will be recorded at the first visit without the need for any fee payment. This will be followed up by Medical Review by qualified doctors.  The first medical review and one subsequent review are free of consultation fees.


Open Members can come to the clinic as many times as is required in the first month and will be attended to.

After the first month, the an Open Member will be required to pay the current membership fees to become Insured Member. This will cover their treatment for the year.


Become an Open Member today


Insured Members  shall be have a medical review at the Clinic at least once in a year. Those who do not keep review clinic appointments would be visited at home. This is made feasible by the clinic being sited within the neighbourhood.


Become an Insured Member today


Health Financing Equity Initiative

All members pay the same membership fees although some members will be reviewed more regularly than others. This ensures equity of health access for members. The contributions of all Members are pooled to cover the primary health risks of all Members.


Assumption:

We assume that our services, to the extent that they are free, will be covered by donations and grants.


Critical Mass

For this initiative to work, each neighbourhood clinic must have a critical mass of registered Insured Members, both currently ill and currently healthy in order to avoid adverse selection. In essence, the target population of each Cooperative Clinic is every resident of that community.

              

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