HEALTH ACCESS COVENANT FOUNDATION

Universal Health Coverage From Policy To People 
Bridging the gap of the last mile

  HEALTH ACCESS COVENANT FOUNDATION

Universal Health Coverage From Policy To People 
Bridging the gap of the last mile

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Ekiti is Primed to pilot Community Mutual Health Associations Combining health insurance with primary health services delivery






Alluring Charateristics of Ekiti that will leverage this project 


1, Manageable population size of 3.5 million requiring about 220 modules of our health personnel to scale up universal health coverage to cover the whole state. One Module of health personnel is responsible for primary health care needs of 16,000 people.  We are piloting 10 modules for 160,000 people.

2, Strong PHC structures exist for collaborative working. Collaboration with the government will allow medical doctors to visit MHA Clinics as outreach duties.

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. One traditional king has expressed that pride to us.

5, Ekiti people are known to generously rise up to support financial campaigns for health needs of their townsmen.

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

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

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

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

10. Ekiti traditional anthem emphasises cooperativism for progress. 

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

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



Administrative Map of Ekiti State

Administrative Map of Ekiti State

Find Us In Ekiti 



HEAD OFFICE

17 Abuja Quarters, off NTA Road, Ado-Ekiti.


email: info@healthaccesscovenant.org

            contact@healthaccesscovenant.org

            Info@healthaccess.uk

Tel: +2347059121111

        +2349117934474


website: www healthaccesscovenant.org

                 www.healthaccesscovenant.com

                 https://healthaccess.uk


OTHER OFFICES

We have doctors's Clinics in our Pilot sites at:

25 Igbede Street, Ijesa-Isu Ekiti,

4 Abuja Quarters, Ado-Ekiti

We are developing neighourhood clinics around Ado-Ekiti. 

                            


PROGRAMMES

Community Health Access Initiatives

We are developing Clinic offices in several neigbourhoods in our Pilot Local 

Government Development Areas. This will bring health access as physically 

close to the people as possible. Each of the offices has opening hours 

when our community health workers are available to enroll members and coordinate their health needs. The Community Health Worker enrolling the Member will become the Community Key Worker for the Member. This bridges an existing last mile 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 HealthCare Centres.

The rest of the opening hours, when doctors are not available, are 

covered by registered nurses supervising community key workers. The nurse will be in regular 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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