A new model
We are piloting a new way of providing Primary Health Care in Nigeria. We believe that in the private sector, the traditional model of a standalone clinic or a few individual branches owned by a practitioner may not be able to meet the demands of quality and efficiency of todays healthcare environment while remaining affordable by the average Nigerian.
PHC and UHC
Universal Health Coverage is an important target for Nigeria in its quest for better health for her citizens. UHC will not be achieved if our lower income groups do not have affordable access to healthcare of acceptable quality. Only effective primary health care services, will be able to have a significant impact on maternal and child health and common burdens on our national health such as malaria, HIV/AIDS TB etc.
The PCQ team has experience in running PHCs and medical facilities. We rely on efficient organisation, the appropriate use of technology and excellent client relations to attract sustainable patient flows and thus revenues. With our new model which includes effective financing, (health insurance, health cooperatives etc) we plan to revolutionise the provision of services in the PHCs that we run. We hope that we can also catalyse a similar revolution in healthcare provision in the country.
Building the network
We are at the beginning of the process of acquiring facilities. We are also widening our pool of technical experts who can help us realise our dream. Both locally and internationally there are healthcare professionals who are eager to see healthcare improve in Nigeria and we will encourage some of them to join us on this journey.
Our network of Primary Care centres will provide care to a population in a defined geographical area. Costs will be kept low by operating according to strict efficiencies in procurement, training, and operations to enable an affordable high level of quality service delivery.
The PHCs will be members of an integrated and coordinated whole managed with PCQ’s proprietary ICT which will include appointment booking, and EMR. We will also deploy telemedicine services to enable affordable specialist consultations and reporting.
In each facility, the aim is to reverse the negative service delivery cycle, in which low standards leads to reduced patronage, falling revenues and a resultant inability to invest in quality improvement.
Each PHC will provide the full range of basic essential PHC services daily. Eventually, selected PHCs will share certain services which are offered on rotation according to schedule (eg weekly specialist clinics). This will include Primary Care Dentistry, Ophthalmology Services, minor surgery (lumps and bumps), paediatrics, etc.
PCQ has experience in running PHCs and medical facilities. We rely on efficient organisation, the appropriate use of technology and excellent client relations to create facilities which attract sustainable patient flows and thus revenues. We call this the Virtuous Quality Cycle
The rationale behind the PCQ project design is to address the current, mostly dysfunctional, system. For a system to deliver quality and efficiency in healthcare, there must be sustainable finance and the availability of well-trained people who will drive the activities at every level.
There must also be active community engagement to ensure ownership, local participation and to increase the impact of health promotion activities. A patient centred facility offering quality primary healthcare services will attract users, gain insured lives and create a financially viable centre that can invest for the future and stay ahead of the competition.
The diagram above shows the 'Virtuous Quality Cycle'.