The public Nigerian National Health Insurance Scheme was launched by the government in 1999, but took more than a decade to become fully operational. All three tiers of government – federal, state and local – have responsibility for providing health care. The federal government provides policy guidance, planning and technical assistance, managing state-level implementation of the National Health Policy and establishing health management information systems. It is also in charge of disease surveillance, drug regulation, vaccine management and the training of health professionals, as well as directly managing some medical centres, teaching hospitals, psychiatric facilities and orthopaedic hospitals. Individual states operate general (secondary) hospitals, some tertiary hospitals and some primary health care facilities. The training of nurses, midwives and technicians is also managed by state authorities. There is a local pharmaceutical manufacturing industry meeting up to 30 per cent of local demand. The most recent act relating to mental health in Nigeria is the Lunacy Act 1958. A new Mental Health Act has been drafted, but has been slow to be brought into law. Health MDGs: The Millennium Development Goals (MDGs) mature in 2015, but monitoring of progress is ongoing due to the time it takes to collect and analyse data from each country. Mortality by cause of death (% of all deaths), 2012 Injuries Communicable diseases, maternal, perinatal and nutritional conditions Non-communicable diseases Tuberculosis: Incidence and mortality 1990 2000 2010 Mortality excluding cases comorbid with HIV (per100,000 people) Incidence of tuberculosis (per 100,000 people) – including cases comorbid with HIV Adonai has a strong research inclination 350 300 250 200 150 100 50 ADONAI HOSPITAL Founded over two decades ago as a private initiative, Adonai Hospital is an ultramodern, multi-specialist and multi-practice medical facility located in Mararaba, Nasarawa State near Abuja, Nigeria’s federal capital. Supported by comprehensive state-ofthe art medical hardware and a highly motivated team of experienced health professionals, the facility provides care for thousands of residents and has a growing clientele profile of medical tourists from other parts of Nigeria, West-Africa and beyond. Clinicians and other health professionals at Adonai are constantly evolving new strategies and approaches to patient care based on the most recent and up-to-date scientific evidences. The hospital has a strong research inclination and health personnel at Adonai have a long-standing With state-of-the-art medical hardware, Adonai’s expertise is reinforced in Obstetrics and Gynaecology, Paediatrics, Surgery and Dentistry, Medicine, Ophthalmology, Family Planning and ancillary services tradition of rigorous peer engagement via constant seminars, mortality and morbidity reviews and other clinical meetings. Adonai is committed to health advocacy for the vulnerable in resource-poor settings. Under its Widows, Children-of-the-Poor & Indigent Aged (WICOPIA) project, eligible patients are offered alternatively funded access to life-saving healthcare services. In all, patient care and positive clinical outcomes are the key objectives to activities at our centre and we are proud to have the privilege of being acclaimed as one of the leading, multi-specialist medical practices and destinations of choice for medical tourism in the Abuja-Nassarawa axis of Nigeria. Dr Godwin Adakole Obute, CEO www.adonaihospital.org
Commonwealth Health Partnerships 2015
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