Health Architecture Redesign - One End of the Spectrum

Maternal and Child Mortality in Nigeriathinking organization's recommendation called for
For the most part, Nigeria is doing poorly in the healthpractical, scientifically sound, socially acceptable and
industry. Given its developmental stage however, thetechnologically empowered system of health
country is not expected to perform at the samepromotion and care delivery. It also suggests
level of excellence with Industrialized countries. But itsdevelopment methods and strategies for spirited self
poor and jeopardized developmental pathway hasreliance and determination. Now, data collation will
retarded its overall socioeconomic progress. Thelargely involve community participation.
statistics is high for a country that has the amountThere is no better form of promoting self
of human and natural resources Nigeria is blesseddetermination; which is the ability of a group to
with. Loads of institutional patterns of error hadmanage their resources as they see fit: Without
plagued the most populous black nation of the world.countervailing harmful effects on its immediate
Malaria, tuberculosis and other third world infectiousenvironment or extended neighbours. Based on their
diseases are still threatening the productivity of thecore values and norms, the communities can assist in
country. With "recovery" system of governance anddescribing and designing an intervention platform,
institutional ignorance, life expectancy in the countrysuitable for their developmental status. With such
is estimated at 47-50 years of age. Nevertheless, lifelevel of inter-participation, reformers can readily
above 50 is characterized by affluence, education,identify what part of a community's capacity tool-set
nutritional intelligence or ability to drag on to the end.needs assistance and which requires reorientation.
As globally attractive as Nigeria may seem, especiallyHealth promotion and care delivery education and its
in oil and gas drilling, the human development reportneeds can be communicated easily; in a community's
of 2007/2008 did put the black nation in its place.frame of reference.
The UNDP report ranked Nigeria close to bottom inNigeria is a signatory to various conventions and
the maternal mortality index. The country was onlydeclarations on women. For example the UN
ahead of low income countries under stress (LICUS)conventions on the rights of women and children; as
like Rwanda, Angola, Chad, Niger, and Sierra Leone.well as the Bamako declaration that adopted the
The political argument behind this ranking is rested onwomen and children health services initiative as a
the nation's population and human density; whichstrategy towards attainment of vision 2010.
allows higher contact rates and rapid spread. As muchBut these legal rights issue on women and children
as that part is true; the nation has no clear view onshould be communicated to fundamentalist
how to keep its citizens healthy.communities with ease and cohesive diplomacy. Direct
There is no shared vision amongst the health careuse of any kind of force, intellectual or economic, will
stakeholders. This includes care delivery organizations,reduce the chances of success in such locations.
clinicians, health care consumers and policy makers.Achieving health care best practices in Nigeria requires
Undoubtedly, with higher population comes increase inrobust collaboration, shared vision, competitive
disease spread. Nevertheless, for Nigeria, there is nomarket development, technological awareness,
in depth profiling of the health of its citizens. The oilconsumer profiling, responsive policy prescriptions,
rich nation lacks proper information gathering andcorporate alignment between capital spending and
dissemination systems. These 21st centurycorporate goals, and finance. These sets of
multi-dimensional development tools inform a countryinteraction should target core value proposition,
on required patterns of intervention. Everyinteroperability and reduction in silo effects.
citizen-within accountability age brackets - shouldRecommendations:
understand how much of health care remains a civilAcross health care market are actors in practice that
right against what is available.will determine the trajectory of its institutional future.
The country needs to get the politics and economicsHealth care providers' current concentrations in Africa
of the situation right. Health promotion and careare basically on episodic and acute medicine.
delivery in the nation needs audacious, practical andExpansion on these scales of concern is imperative
quick impact development projects.for public health. However, best practices and
Statistics on Maternal and Child mortality:competitive global health care market will respond
According to a national estimate, the Nigerianmore to enhanced management of chronic diseases
population is at 140 million; 1 in 5 Africans is a Nigerian.and life-long prediction and prevention of illness. On
By the same report, 23% are women of child bearingpredictive and preventive medicine, consumers will
age. In 2006, a national report estimated that 65need to assume responsibility for their health, as well
million Nigerians were females. 30 million of thatas establish demands for a transformed health care
number is within reproductive age -15-49 years. 6system. By this attempt, health care blueprints will
million Nigerian women are expected to get pregnantshowcase higher value delivery.
every year. In 2007, WHO, UNICEF, UNDP estimatedGiven this awareness, product suppliers will find it
only 5 million of those pregnancies to result intoimperative to collaborate with clinicians and care
childbirth.delivery organizations in the development of products
Other statistics emerged in diverse directions. Quickly,that improve outcomes or provide equivalent
these hard numbers may not completely capture theoutcomes at lower cost. These functions are
whole picture. And in this writing, they serve as anrelatively dependent upon norms and values of a
indicator of what the actual might be. Moderngiven society. Societies on their part ought to engage
contraceptive prevalence rate is at 8% andrealistic and rational decisions regarding lifestyle
unwanted pregnancy among adolescent is put atexpectations. They will also need to prescribe
60%. The use of antenatal care, by trained provideracceptable behaviour, and lastly understand how
is calculated at 64%; while proportion of pregnantmuch health care should be a societal right versus
women delivered by a trained provider is at 37%.market service. Health care governance best
Proportion of women delivered at home is 57%; andpractices underline disease prevention, early detection
almost half of teenage mothers do not receiveand health promotion as a given. As a result, societies
antenatal care.will play a bigger role in enhancing and in carrying the
On nutrition and drugs; 58% receive iron supplementsprofessional message of preventive medicine.
and 30% receive malaria drugs. 50% receive two orGovernment on the other hand will need to raise
more doses of tetanus. In all, urban women are morevarious levels and scales of un-sustainability
on the positive side of things than their ruralawareness on national health care system. Best
counterparts. For instance, urban women are 3 timespractices assigns governments in leadership the role
likely to receive antenatal than rural women. Thoughof establishing political will power needed to remove
improvements are recorded in a recent nationalobstacles. They must encourage innovation through
publication, a lot needs to be done.development of competitive health care market
Enlarged perspective:place, suitable and conducive for direct foreign
This is what the global mortality rate on womeninvestments. This can be achieved with well
looks like. Globally-536,000 women die annually.integrated and robust development pathways.
Though Nigeria contributes 1.7% of the globalEfforts at rebranding or reimagining Africa's economic
population; yet on maternal deaths statistics, itperformances may not yield appropriate fruit without
represents 10% of the world's population. Here is thestrong financial systems.
scary part. Since Nigeria represents 10% of maternalFinancial institutions in Africa have the highest lending
deaths, it translates to at least 53,000 women dyinginterest rates. Consequently, there are all sorts of
annually. That is the equivalent of 10 jumbo jetssystematic crises in the region's economies. Optimized
crashing every month and one 737 jet every day orfinancial systems will reduce systematic corporate
one woman dying every 10-15 minutes. A Nigerianand household debt crises. This is an algorithmic
woman is 500 times more likely to die in childbirthpathway to regenerate entrepreneurship,
than her European counterpart.public-private partnership, as well as improved
On the part of children, about 5.3 million of them areeconomic security on wellbeing and livelihood. Health
born yearly in Nigeria, that- at least 11,000 every day.care governance best practices points towards
1 million of these children die before the age of 5"commoditization" of health promotion and care
years. A total 0f 2,300 children die daily. This is equaldelivery. The health care market is evolving rapidly
to 23 plane crashes daily. More than a quarter (25%)and like technology, countries that refuse to adapt
of the estimated 1 million children who die under thewill continue on dependency syndrome. There is high
age of 5 years annually in Nigeria, die during theconfidence that businesses who understand the
neonatal period. (Source; Academic Report ondevelopment of health care will lead their industries in
Improving Maternal, New Born and Child Health)the future. Dilatory management decisions against this
Granted socio-cultural and economic status of womentruth may reduce future corporate profitability. This is
constitutes major part of this statistics. For instanceparticularly true for the financial institutions-bank and
low status of women, poverty, poor nutrition (innon-bank. To really address content issues, health
childhood, adolescence and adulthood), ignorance andcare market development requires the same priority
illiteracy; then again we can also consider religiousIT was obliged during its emergence.
beliefs-often times this acts as barrier to utilization ofMostly, development of successful health care
available health services-and lastly, harmful traditionalmarket place is beyond infrastructural and IT
practices. Generally there are multi-dimensional causesintroductions. It is far above specialist centres
that contribute to health care difficulties in theintroduction. Successful market development requires
country. But if Nigeria can improve on its datacoordination and integration across
generation, collection and distribution, in line withsector-stakeholders. Health care governance best
socio-cultural, economic and educational differences;practices cannot be achieved without a competitive
such data management and governance will allowmarket place. Purposely, win-win scenarios should be
reformers to practically evaluate and monitortargeted for all stakeholders, businesses and care
intervention programmes. Progress in this format willdelivery organizations. But market leadership and
mean successfully executed intervention proceduresinstitutional largesse will belong to businesses and
against institutional targets and original understandingCDOs that inform their operational, financial, and
of crises.management visions of this - globally integrated -
This process can be weighed in the WHO's aims andemerging market.
objectives for primary health care. The forward