Our head office is located at 17 Abuja Quarters, off NTA Road, Ado-Ekiti.

email: [email protected]

            [email protected]

            [email protected]

Tel: +2347059121111

website: https://hac.simdif.com

                https://healthaccess.uk

OTHER OFFICES

We have doctors's Clinics, The Cooperative Clinics, in several neighnourhoods throughout in Ado-Ekiti, and many more are planned.

*Community Health Access Initiative

We have offices in several neigbourhoods in our Pilot Local Government Development Areas. This brings health access as physically close to the people as possible. Each of the offices has opening hours when our health workers are available to enroll members and coordinate their health needs. The Health Worker enrolling the Member becomes the Key Worker for the Member. This bridges an existing gap in the health system where patients can be anonymous to the system.

Doctors' visiting hours when a qualified and registered medical officer will be available to attend to people, are also displayed at the Clinics. 

This Model bridges the gap in the existing health systems where patients do not know the availability of doctors in their Primary Health Care Centres.

The rest of the opening hours, when doctors are not available, are covered by trained health workers who have ready telephone communications with the doctor. In essence, the doctor takes responsibility for the health and welfare of all members of the association in that neigbourhood.

All Members have open access to the Clinics. The first visit for Open Members is completely free when their basic biodata and health status will be recorded for future reference. Blood pressure, blood glucose, snell's chart vision, weight and height, urinalysis etc, will be recorded at the first visit without the need for any fee payment. This will be followed up by Medical Review by qualified doctors.  The first medical review and one subsequent review are free of consultation fees.

Open Members can come to the clinic as many times as is required in the first month and will be attended to.

After the first month, the an Open Member will be required to pay the current membership fees to become Insured Member. This will cover their treatment for the year.

Become an Open Member today

Insured Members  shall be have a medical review at the Clinic at least once in a year. Those who do not keep review clinic appointments would be visited at home. This is made feasible by the clinic being sited within the neighbourhood.

Become an Insured Member today

Health Financing Equity Initiative

All members pay the same membership fees although some members will be reviewed more regularly than others. This ensures equity of health access for members. The contributions of all Members are pooled to cover the primary health risks of all Members.

Assumption:

We assume that our services, to the extent that they are free, will be covered by donations and grants.

Critical Mass

For this initiative to work, each neighbourhood clinic must have a critical mass of registered Insured Members, both currently ill and currently healthy in order to avoid adverse selection. In essence, the target population of each Cooperative Clinic is every resident of that community.

WHY EKITI IS A SMART CHOICE FOR PILOTING HYBRID MODEL OF HEALTH FINANCING AND SERVICE DELIVERY

Regulatory enablement

Since 2016, a statute exists in the laws of Ekiti State that makes membership of community based health insurance organisation mandatory for all residemts of Ekiti State. This has not been enforced because there is no mechanism to systematically enrol residents for health insurance. Our Model bridges this gap and provides the practical platform to enforce the law.

Systems Strengthening and UHC Advocacy Initiative

Our open, easy access, cooperative neighbourhood clinics immeasurably strengthen the health system. Ekiti health system will function better by making it compulsory for all citizens to attend such neighbourhood  clinics before going to secondary care institutions. 

One of the barriers to UHC in Ekiti is the lack of a compulsory referral system from primary health care to secondary health institutions. Our  neighbourhood mutual health association Model bridges this gap and will provide evidence for advocacy of a compulsory referral system.  This will make primary healthcare based Universal Health Coverage easily attainable. 

Why Ekiti Is a Smart Entry Point

1, Manageable population size of 3.5 million requiring about 220 modules of our health personnel to scale up universal health coverage for the whole state .

2, In 2016, Ekiti State enacted a law mandating community based health insurance for all citizens, providing legal backing to belong to a mutual health association to scale up.

3, Existing Strong PHC structure for collaborative working.

4, High literacy and civic engagement making the people receptive to public campaign for community contributory health insurance campaigns. 

5, Ekiti people would be proud of the visibility of this pilot programme being conducted in the state.

6, Many citizens of the state are in the diaspora and would be willing to assist their kith and kin back home with donations.

7, Ekiti State Ministry of Health has a policy on unversal health coverage to which the pilot programme would easily align.

8, Ekiti State Primary Health Care Development Agency is very active in the state.

9, National Health Insurance Authority is conspicuous in encouraging health insurance enrollment in the state, particularly the community model that we have chosen to focus on.

10. Ekiti traditional anthem emphasises cooperativism for progress

Ekiti hybrid model combines direct care, financial protection, and health systems strengthening campaign of leading by example.

Health Access Covenant Foundation Pillar 1: Direct Service Delivery

Rural medical clinics in underserved LGAs

Maternal ante-natal and post-natal services

Child health access 

Chronic disease screening (hypertension, diabetes)

Emergency referral support

Focus will be 3–4 LGAs in first 24 months. 

Pillar 2: Financial Protection for Vulnerable Households

NHIA enrollment drives for capitation fees to look after enrolled members

Premium subsidy for indigent families

Pillar 3: Systems Strengthening Campaign by example

PHC facility support partnerships

Equipment gap support (strategic, not random donations)

Health data collection & monitoring

Policy engagement at state level to use the success of the pilot scheme to advocate for policy changes.  

HACF advances evidence-informed dialogue and stakeholder engagement to promote equitable health financing and universal enrollment in Ekiti State.

Advocacy will be predicated on:

                Publication of Ekiti Health Access Reports

                Stakeholder roundtables

                Community listening forums

                Technical briefs and publication of monographs

                Insurance literacy campaigns

                Media engagement grounded in data

Year 1:

Select 3 LGAs

Enroll 16,000 community members into membership of a mutual health association, including vulnerable individuals.

Establish 20 Neighbourhood Cooperative Clinics for this purpose.

Build PHC partnerships and integrations

To achieve our strategic goals, HACF will create:

    Ekiti UHC Observatory

    A data and policy platform hosted by HACF