Sustainable Agriculture through Enhanced Access to Quality Healthcare
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1 Sustainable Agriculture through Enhanced Access to Quality Healthcare Presented by: Dr. Dupe Oludipe SafeCare Nigeria Program Director May 2014
2 What Impacts Sustainable Agriculture & Biodiversity? Climate change is a major threat to bio-diversity. Modern industrial agriculture can have extremely negative impacts on biodiversity. Often a crop is genetically engineered to withstand high-levels of herbicides or other poisons that are designed to kill weeds or animal pests. Unfortunately, the pesticides routinely applied to these crops also kill many other plants and animals, including many non-target species. Thus negatively impacting biodiversity & human health.
3 Sustaining Agriculture & Bio-diversity Worldwide, there is a resurgence of interest in more traditional forms of agriculture that incorporate the wealth of knowledge of sustainable, life-friendly, agricultural practices that have accumulated over the hundreds of years of human development. However, agricultural practice in Nigeria still relies on traditional methods which make use of a lot of human capital. While we as a nation are incorporating modernized agricultural methodologies, we need to ensure that the present human capital on the various farmlands of Nigeria are kept healthy.
4 Sustainable Agriculture through Enhanced Access to Quality Healthcare PharmAccess Foundation develops programs that cater for the healthcare needs of groups of people and communities, creating access to healthcare delivery systems which are safe and sustainable. PharmAccess Foundation focuses on ü Insurance programs ü Capacity building ü M-health
5 Sustainable Agriculture through Enhanced Access to Quality Healthcare. SafeCare - a sister company of PharmAccess Foundation is concerned with Healthcare quality. Its focus is to move facilities along the journey towards excellent healthcare delivery through: ü The use of standards ü Capacity building ü Monitoring & Evaluation
6 Healthcare in Africa - a vicious circle Most African health care systems are stuck in a vicious circle of low demand and low supply Access to quality basic health care among the poor is also low Demand Financing Low Supply Solidarity Quality and capacity Out-of-pocket expenses Efficiency Access to health care Ownership Delivery Low Availability data Risk for owners and investors Patient Catastrophic spending Low utilization
7 Breaking the vicious circle - Premium subsidies - Education and marketing Introducing Health Insurance - Upgrading - Capacity Building - Quality Assurance - Certification & Accreditation Donors / governments (tax) Government (public) Demand Financing Higher Supply Solidarity Out-of-pocket expenses Access to health care Ownership Delivery Trust Higher Quality Efficiency Availability of data Risk Investment opportunities Prepayment (contribution) by users Patient Increased willingness to pre-pay Decreased financial risk - Investment Fund for Health in Africa - Medical Credit Fund
8 PharmAccess Foundation Nigeria Was established in In partnership with the Kwara State Government established a Health Insurance Scheme for the Farmers in Shonga in This scheme has transformed to a state wide community based health insurance program for rural dwellers with over 60,000 lives having access to care.
9 SafeCare In Nigeria ü The SafeCare standards have been used to assess over 80 facilities. ü Presently a total of 53 facilities have adopted the SafeCare methodology as their QI strategy. ü SafeCare has signed an MoU with the NPHCDA to help achieve the objectives of the National Quality Initiative. ü We have concluded talks with the Ogun State government on institutionalizing Quality Standards state-wide.
10 Sustainable Agriculture through Enhanced Access to Quality Healthcare because Health is Wealth Healthy Farmers = Sustainable Agriculture & Sustainable Wealth
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