An introduction to the OPM Nigerian RBF fellowship

An introduction to the OPM Nigerian RBF fellowship

My dream is that our country, and by
extension Africa, achieves universal health coverage where
nobody has to suffer catastrophic spendings when you go to access health
care. I am up Abdu Kareem Aihero. I’m a medical
doctor and I am currently with the OPM RBF fellowship as a full-time fellow. The biggest success of the fellowship
has been bringing people together who have a common understanding of the
project, so that we don’t have diverse understanding on the field that can
create the dichotomy in the implementation of the project. Running a fellowship program like this, the one-year fellowship program that will
put together both theoretical coursework and field application of the principles
is so wonderful. So you have to design a curriculum that would take into
consideration both a theoretical aspect of it rid that in crochet into the
fellows and monitor and tutor the fellows on the field for field
application. all the 14 fellows both in-service and full times they have this
common objective of serving the country for the development of health services,
mostly in health enhancing by saving lives at the community level and at all
the structural level of the health system in Nigeria. An in service fellow is one who is working with his organization so for instance I am
working with the steep primary healthcare development agency, I don’t have to take
a leave of absence like the full-time fellows. So I work
with my regular organization and then come for the learning blocks and then
during the field work experiences I returned back to my B’s. The fellowship
exposes you to what is the best practice in terms of result, least financing and
then how can you contextualize what you are learning through the fellowship to
impart on your people, creating in us champions for RBF and we have seen out
there in the field that the way to go for the Nigerian health system is
actually true result beats financing. I think, in the fellowship, we got exposed
to very great materials, and we also got exposed to the highest level of expertise. We had consultants who were the very best at
what they do internationally come and share the
experiences with us and we take learning points from there to implement where we
carry out our activities. This for me is the greatest part of this fellowship
program. You see what is the best practice in class, and then you go to the
field you see what is actually happening currently on the field, and what are the
learning points looking at the best practice and see how we can correct some
of these deficiencies that we see in the field. The result based technical
assistance has been on in Nigeria for the past four years and we thought a
better way to build local capacity could be through a fellowship program, where we
can kind of transfer competencies in a classroom environment. We have
fellows who have been trained to become TAs that can easily take up the
positions of technical assistance in the various states: the projecting implementing
states, and the pilot states, and the scale-up states, because as we are we
have five new states coming into the project. We think that the fellowship
will go a long way to capacitate the health care providers, so that they’ll be
able to provide better quality of care to the end users, to the mothers and
especially the children RBF has helped to improve in engaging
people to work, that is engaging manpower. The qualified Midwife
is there to attend to them, they don’t waste time. We attend to them on time so
that they go back these are what we have seen in the
antenatal care and to credit or deliver a successful alive born baby. That’s what we are seeing. They really arose community interest to participate fully in the
activities of the primary care. The number of the antenatal people we used to see have
improved. Their drugs is also available for our women. The people were really
helplessly lost, they were trying to use a patrograph which we are not using before.
now we can shoot patrograph. They come different times to check our patrograph,
to put us through the new things we go through measures of the patrograph and
then we also ensure that all women believe as servants and because truly
the patrograph will be able to know if it’s something that we can hand you or
something that we can now undo is transfer them to the nice system. That is the
secondary system, which transfer them there and we measure that we and follow
them home to measure that the referral would get back the feedback from the
hospitals that we send them to. During delivery, the the price is not high,
it is affordable. So we love the place. Through this project, the poor have been
able to have access to health care and I think this is a way forward to reaching
universal health coverage where people should not die because they don’t have
access to health care services. In Nigeria, there’s certainly going to be a
ripple effect because these guys are going to be able to transfer competence
to other Nigerian experts. So we are sure that they are going to influence that
general scale-up and continuous capacity building to other Nigerian expanse. I believe at the end of this fellowship we will have 14 capable
individuals internationally who would hold their own at any time and place, and
also be able to deliver high-impact services or technical supports. In three words I would describe the fellowship as efficient, innovative, and effective. Quality, theoretical, and practical training. It’s timely because it’s what
we actually need as a country. Nigerian Health System needs people that
can advocate for result based financing. The effectiveness of this fellowship is
that we have a limited number of people trained in a limited time to maximize
resources and to get the well trained people.

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About the Author: Oren Garnes

1 Comment

  1. A big congrats to my popsi mi, Dr. Shu Joseph Atanga and the entire team. I am super proud of what you have been able to accomplish towards fostering universal health coverage. God richly bless you all.

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