12 Pillar Clinical Governance
The 12-Pillar Clinical Governance Approach: Strengthening health system in Nigeria
By Professor Joseph Ana, Africa Centre for Clinical Governance Research & Patient Safety, Calabar, Nigeria.
A response to address a weak health system
A comprehensive approach to effective service delivery for developing countries.
Why 12 Pillars Clinical Governance for developing countries
Why the Policy matters
Where the homegrown 12-Pillar Clinical Governance Approach has been introduced in Nigeria, whether in public or private health facilities, the positive outcomes have been rapid, including a stronger health system anchored on best ethics, professional conduct and practice leading to Accreditation and Quality Marker Awards, concomitant cost control and sustaining quality and safe care outcome.
Reviews of an evaluation of the pilot (which were published in the book titled ‘Whole system 2009 change of failing health systems’) were positive. The pilot defined the 12-Pillar Clinical Governance Approach as a ‘comprehensive amalgam of context-aware policies and procedures that ensure quality and safe outcome in health care by protecting patients and supporting practitioners in tandem’.
The 12 Pillar Clinical Governance approach recognizes that the health and well being of the citizen is influenced by factors beyond direct health intervention, including level of education, income, housing, work place conditions and ambience, infrastructure, culture and religion etc. In turn, these are determined by social, environmental, economic and policy factors. Government policies therefore have significant direct and indirect impact on the health of the population, including around issues relating to accessibility, affordability, Transperiency, Intergrity, disparity and equity. It engenders multidisciplinary and multi-sectoral collaboration, recognition and respect to achieve better results.