About Us
Non-Governmental Organisation registered in Nigeria
We are registered as a Non-Governmental, not for profit organization with the purpose of providing health insurance, community by community, until universal health coverage is achieved in Ekiti State, Nigeria.
THE PRINCIPAL OBJECTIVE IS TO IMPROVE ACCESS TO HEALTHCARE:
INCREASE ACCESS TO EVIDENCE BASED HEALTHCARE SERVICES FOR VULNERABLE POPULATIONS SUCH AS POOR PEOPLE, CHILDREN, AND MARGINALIZED MEMBERS OF THE COMMUNITY
TO REDUCE HEALTH INEQUALITIES: BY ADDRESSING DISPARITIES IN HEALTHCARE ACCESS, ENSURING THAT EVERYONE HAS EQUITABLE OPPORTUNITY TO ATTAIN GOOD HEALTH.
TO OFFER PSYCHOLOGICAL AND SOCIAL SUPPORT: FOR PEOPLE WHO MAY BE SUFFERING FROM EMOTIONAL DISORDERS.
Healthcare Access Covenant Foundation
Is built on decades of national advocacy and published work on health financing reform, self-sustaining, cooperative-based primary healthcare model in Ekiti State.
We advance Universal Health Coverage by integrating:
a) AI based Walk-In Clinics in people's neighbourhoods
b) Structured Mutual financial protection mechanisms using community based health insurance
c) Modular Health Personnel responsible for a specified number of people
d) People involvement in governance
Our Core Philosophy
Sustainable Universal Health Coverage can only be achieved when communities are structurally integrated into health financing, service delivery, and accountability systems and not treated as passive beneficiaries. People involvement is primary to a sustainable health system.
Health of the people. By the people. For the people.
Our Vision
To develop an accessible, affordable, evidence-based, culturally appropriate, self-sustaining, and AI technology-enabled primary healthcare model that contributes measurably to the attainment of Universal Health Coverage in Nigeria.
Our Mission
To establish a Mutual Health Association-based primary healthcare network of spoke Walk-In Clinics, neighbourhood by neighbourhood, with integrated contributory health insurance, linked to the hub Mutual Medical Centre. This provides AI enabled open access community medical services, including telemedicine with referral pathways that achieves universal health coverage.
🤝 We believe in mutual efforts for mutual benefits. Commmmunity AI Enabled RuralMind Clinics is run by Mutual Health Associations.
HAC designs RuralMind AI Clinics run by Community Mutual Health Associations (MHAs), as neighbourhood-based primary healthcare AI clinics owned and governed cooperatively by their members.
Primary Healthcare Based Universal Health Coverage through membership of Mutual Health Associations
Benefits of Membership of Mutual Health Association:
Free Walk-In service
Annual preventive health checks, screening for prevalent conditions
Preventive care and health promotion services
Primary care consultations (diabetes, hypertension, malaria etc)
Essential medicines within approved treatment protocols
Counselling and psychosocial support
Coordinated referral to specialist care
Community-based follow-up after hospital discharge
Services are delivered by trained Community Key Workers enrolling residents neighbourhood by neighbourhood, supervised by registered nurses who are Task Sharing and Task Shifting with qualified medical doctors.
💳 Membership Structure
HAC operates two membership pathways:
1. Open Membership
Entry-level community registration available to all residents in participating neighbourhoods. Residents are encouraged to walk in and be engaged.
All the benefits of MHA are available for Open Members but for one month
This Open Membership enables structured onboarding into the cooperative system that ultimately lead into insured membership.
2. Insured Membership
Prepaid annual contribution transforms Open Membership into Insured Membership in which the member enjoys all benefits for one year after paying MHA Membership fees.
Subscription fees
In 2026 the National Health Insurance Authority premium is #38,500 per capital. But come in and find out what subsidy you can receive.
🛡 Subsidy Framework
HAC is committed to ensuring that inability to pay membership fees does not exclude vulnerable individuals from healthcare access and care.
Our enrollment drive is to recruit a critical mass of members into mutual health association, MHA, for a module of health personnel, so that resources and risks can be pooled for members of the MHA. Our assumption is that 60% membership subscription paid by all residents will form a critical mass that will sustain each MHA.
There is a community-validated, means-tested vulnerability assessment tool to identify individuals eligible for membership fee subsidy and contribution support.
This assessment protocol will ensure:
Accurate identification of vulnerability
Objective Inter-rater reliability of the tool
Transparency and community oversight
💼 Sustainability Model
In order to sustain universal health coverage, HAC operates a blended financing structure combining:
*Membership contributions from members of the association.
*Capitation payments through NHIA-aligned insurance mechanisms
*Institutional grants
*Support from philanthropists
*Diasporan sponsorship of family members.
The Investment Opportunity
HAC seeks institutional partnerships to:
Support initial establishment of RuralMind Mutual Walk-in AI clinics
Subsidise membership fees for vulnerable individuals for the initial period
Strengthen monitoring and evaluation systems
Scale the model across Ekiti State.
Install necessary technology like AI and Telemedicine in clinics
Partnerships
We seek partnership with government, philanthropists, and institutional donors to support vulnerable households with contribution sponsorship.
Modes of Partnership
An individual can be targeted for support
Diaspora relatives can pay for health and well-being of their kith and kin
Subsidies can be offered to vulnerable households by philanthropists
Support can be given to people with mental illness
Grants can be offered to support enrollment of a the critical mass
Grants can be offered to children, women and other vulnerable individuals
Research grants for epidemiological studies
Grants to deliver primary healthcare services
This model promotes long-term stability, reduces dependence on episodic outreach funding, and reduces the risk of catastrophic out-of-pocket health expenditures.
Measuring Impact & Accountability
HAC is committed to measurable, transparent performance reporting.
We will track:
Enrollment and retention growth
Primary care service utilisation rates
Financial protection outcomes
Key health indicators
Participation and involvement of people from rural areas
Comparative trends with similar non-participating communities where feasible.
Financial Transparency
To allay the fears of members, Mutual Health Associations will elect a local management committee responsible for monitoring revenues and expenditures.
Financial statements will be independently reviewed and made publicly accessible at the association office.
Monitoring & Evaluation
Community Mutual Health Committees will publish periodic performance reports covering:
Enrollment and retention
Service access indicators
Financial performance
Member satisfaction
Reports will be available to members and institutional partners.
Impact Objectives (First 3 Years)
HAC aims to achieve:
Significant enrollment growth in participating Ekiti communities
Measurable improvement in primary care utilisation
Measurable improvement in population health indices in participating communities.
Increased financial protection among members with measurable reduction in out-of-pocket health expenditures
Importantly, a demonstrable progress toward Sustainable Development Goal 3 of the United Nations.
Where feasible, outcomes will be compared with similar non-participating communities to assess measurable impact.
Conflict-of-Interest Policy
Conflict-of-interest and financial disclosure policies are in place for all governance bodies.
We are committed to professionalism, transparency, and constructive engagement with public institutions while advocating for expanded, inclusive health coverage.
Our Contribution to Sustainable Development Goals
🌱
Our long-term objective is to achieve a measurable advancement toward Universal Health Coverage in alignment with Sustainable Development Goal 3.8 of the United Nations.
A key measure of progress will be the percentage of residents in participating Ekiti communities enrolled in structured primary healthcare and contributory insurance within three years thereby improving population health.
Our medium term objective is to enrol all residents in the neigbourhood of our Clinics to achieve health for all in that neighbourhood.
The Problem of the last mile: solved.
Despite national commitment to Universal Health Coverage, many Nigerians remain outside structured health financing systems because of:
Low insurance enrollment
Fragmented primary healthcare delivery
Chaotic referral to secondary care
High out-of-pocket expenditure
Limited integration of communities into governance and financing mechanisms
All these are solved by our model of community involvement
We are confident that we have the Solution to the last mile conundrum
Governance & Institutional Integrity
Healthcare Access Covenant Foundation operates under:
A Board of Trustees
Medical Advisory Support overseeing clinical and ethical audits
Community-elected committees members as Mutual Health Association Committee
Independent financial oversight
Conflict of interest
Conflict-of-interest and financial disclosure policies are in place for all governance bodies.
We are committed to professionalism, transparency, and constructive engagement with public institutions while advocating for expanded, inclusive hea
lth coverage.
Position Statement: Enduring, sustainable Services
Healthcare Access Covenant Foundation is not an outreach programme.
We are building a structured, cooperative, community-owned primary healthcare system designed to advance Universal Health Coverage sustainably and at scale that is sustainable by the commitment of the local community

