The Opportunity for Partners

Healthcare Access Covenant Foundation (HAC) seeks strategic government , institutional and individual partnerships to establish and scale up a Mutual Health Association based primary healthcare financing and primary health care service delivery model in Ekiti State.

Our objective is to operationalise Universal Health Coverage (UHC) through structured community enrollment, prepaid financing, and evidence based service delivery aligned with the National Health Insurance Authority and global UHC principles promoted by the World Health Organization.

This initiative will serve as a scalable strategic model to achieve universal health coverage in Southwestern Nigeria.

Funding Request

Total Initial Investment being sought (36 Months): USD $1.2 – 1.8 million

Flexible partnership structures are available, including co-funding arrangements and sponsoring one individual vulnerable person.

Use of Funds

1️⃣ Establishment of 100 Community Mutual Health Association Clinics each registering 16000 residents living side by side in neighbouring households. 

        Facility setup and basic equipment

        Digital enrollment and health records systems

        Human Capital DDevelopment: To train 1,600 Key Workers.

        Clinical staffing support: Too pay for 100 Modules of health workers

        Telemedicine integration: To acquire simple electronic equipment

2️⃣ Vulnerable Household Subsidy Pool

To create a pool of resources from which Means-Tested vulnerable people can gain sponsorship of their annual membership fees of their local neighbourhood Mutual Health Associations.

3️⃣ Systems Strengthening, Monitoring & Evalluation

        Enrollment tracking infrastructure

        Financial performance monitoring

        Conducting Clinical and Ethical Audits into service delivery

        Independent evaluation and impact assessment

        Comparative community analysis

4️⃣ Community Governance & Capacity Building

        Establishment of Mutual Health Association Committees

        Cooperative governance training as members of MHA Committee

        Financial oversight training

        Clinical and Ethical Audit Systems

Projected 3-Year Outcomes

10,000–16,000 local residents trained as Key Workers , working Task Shifting and Task Sharing clinical care under nurses and medical doctors within Modules of personnel to enrolling individuals for structured primary health care services.

1,600,000 residents enrolled iin their neighourhoods as members of MHA for primary health care services.

Significant reduction, (target of 65%), in out-of-pocket primary care expenditure among members of the Mutual Health Associations.

Measurable improvement in service utilization rates by MHA members

Increased insurance participation within target communities

Demonstrable progress toward Sustainable Development Goal 3 of the United Nations

Sustainability Strategy

By Year 3, the model is projected to transition toward operational sustainability through:

    Cooperative membership contributions

    Capitation payments via NHIA-aligned insurance mechanisms

    Gradual reduction in external subsidy dependence

External funding is required to catalyse system establishment — not to perpetuate service dependency. Not to establish a Health Mision.  HAC is not an outreach programme. It is a structured health financing and delivery reform initiative.

Why Invest in HAC?

Policy-aligned with national insurance reform

Community-owned governance structure

Community owned Clinical and Ethical governance structure

Blended financing model reducing long-term donor reliance

Clear measurable outcomes towards Universal Health Coverage

Replicable and Scalable Model

Partnership Modalities

We welcome:

        Multilateral and bilateral grants

        Foundation partnerships

        Matching-fund arrangements

        Technical assistance and collaborations

        Results-based financing pilots

   

Detailed budgets, governance documentation, and implementation      timelines are available upon request.

In Sum

An investment in HAC is an investment in a replicable, community focused, community-governed pathway to Universal Health Coverage in Nigeria.

We seek partners ready to move from policy commitment to practical, measurable implementation of universal health coverage in Nigeria.

Healthcare Access Covenant Foundation (HAC) seeks strategic institutional and partnerships to establish and scale up a Mutual Health Association based primary healthcare financing and primary health care service delivery model in Ekiti State.

Our objective is to operationalise Universal Health Coverage (UHC) through structured community enrollment, prepaid financing, and evidence based service delivery aligned with the National Health Insurance Authority and global UHC principles promoted by the World Health Organization.

This initiative will serve as a scalable strategic model to achieve universal health coverage in Southwestern Nigeria.

Funding Request

Total Initial Investment being sought (36 Months): USD $1.2 – 1.8 million

Flexible partnership structures are available, including co-funding arrangements and sponsoring one individual vulnerable person.

Use of Funds

1️⃣ Establishment of 100 Community Mutual Health Association Clinics each registering 16000 residents living side by side in neighbouring households. 

        Facility setup and basic equipment

        Digital enrollment and health records systems

        Human Capital DDevelopment: To train 1,600 Key Workers.

        Clinical staffing support: Too pay for 100 Modules of health workers

        Telemedicine integration: To acquire simple electronic equipment

2️⃣ Vulnerable Household Subsidy Pool

To create a pool of resources from which Means-Tested vulnerable people can gain sponsorship of their annual membership fees of their local neighbourhood Mutual Health Associations.

3️⃣ Systems Strengthening, Monitoring & Evalluation

        Enrollment tracking infrastructure

        Financial performance monitoring

        Conducting Clinical and Ethical Audits into service delivery

        Independent evaluation and impact assessment

        Comparative community analysis

4️⃣ Community Governance & Capacity Building

        Establishment of Mutual Health Association Committees

        Cooperative governance training as members of MHA Committee

        Financial oversight training

        Clinical and Ethical Audit Systems

Projected 3-Year Outcomes

10,000–16,000 local residents trained as Key Workers , working Task Shifting and Task Sharing clinical care under nurses and medical doctors within Modules of personnel to enrolling individuals for structured primary health care services.

1,600,000 residents enrolled iin their neighourhoods as members of MHA for primary health care services.

Significant reduction, (target of 65%), in out-of-pocket primary care expenditure among members of the Mutual Health Associations.

Measurable improvement in service utilization rates by MHA members

Increased insurance participation within target communities

Demonstrable progress toward Sustainable Development Goal 3 of the United Nations

Sustainability Strategy

By Year 3, the model is projected to transition toward operational sustainability through:

    Cooperative membership contributions

    Capitation payments via NHIA-aligned insurance mechanisms

    Gradual reduction in external subsidy dependence

External funding is required to catalyse system establishment — not to perpetuate service dependency. Not to establish a Health Mision.  HAC is not an outreach programme. It is a structured health financing and delivery reform initiative.

Why Invest in HAC?

Policy-aligned with national insurance reform

Community-owned governance structure

Community owned Clinical and Ethical governance structure

Blended financing model reducing long-term donor reliance

Clear measurable outcomes towards Universal Health Coverage

Replicable and Scalable Model

Partnership Modalities

We welcome:

        Multilateral and bilateral grants

        Foundation partnerships

        Matching-fund arrangements

        Technical assistance and collaborations

        Results-based financing pilots

   

Detailed budgets, governance documentation, and implementation      timelines are available upon request.

In Sum

An investment in HAC is an investment in a replicable, community focused, community-governed pathway to Universal Health Coverage in Nigeria.

We seek partners ready to move from policy commitment to practical, measurable implementation of universal health coverage in Nigeria.