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For government & decision makers

A framework for accountable healthcare transformation

Explore the policy, governance, measurement, workforce, accreditation, and implementation structures proposed by ASQAT for strengthening healthcare delivery in Nigeria.

Senior Nigerian health leaders reviewing healthcare quality reports and national transformation priorities around a meeting table.

Decisions the framework informs

The questions it answers

  • 01What minimum standards should healthcare institutions meet?
  • 02How should institutional performance be measured?
  • 03What governance structures strengthen accountability?
  • 04What conditions are required to retain and support the healthcare workforce?
  • 05How can accreditation become a pathway for continuous improvement?
Read the executive overview

Immediate horizon

Recommendations requiring decisions first

  1. 01

    Approve the three-pillar structure as the backbone of the ASQAT framework.

  2. 02

    Assign subcommittees to each pillar.

  3. 03

    Develop detailed standards for each domain.

  4. 04

    Define pilot hospital criteria.

  5. 05

    Create a draft national healthcare quality scorecard.

  6. 06

    Develop a stakeholder engagement plan.

View all recommendations by horizon

National accountability

What would be measured

  • Clinical Safety

    5 indicators

  • Emergency Care

    5 indicators

  • Inpatient Safety

    5 indicators

  • Outpatient and Preventive Care

    4 indicators

  • Maternal and Neonatal Care

    4 indicators

  • Credentialing and CPD

    4 indicators

  • Governance

    4 indicators

  • Infrastructure and Equipment

    4 indicators

  • Data and Transparency

    4 indicators

  • Workforce and Culture

    5 indicators

  • Patient Rights and Experience

    4 indicators

Open the national scorecard Review the accreditation pathway

Where to go next

Curated entry points

National Framework

Understand the three pillars and the national transformation architecture.

Open

Governance & Accountability

Explore leadership, institutional governance, transparency, enforcement, and regulatory priorities.

Open

Accreditation

Review the proposed institutional progression from foundational compliance to Center of Excellence.

Open

National Measurement

Understand the proposed scorecard domains and how measurable performance can support accountability.

Open

Implementation Roadmap

See how the framework progresses from consensus building through pilot implementation and national institutionalization.

Open

Workforce Policy

Explore recommendations addressing workforce welfare, migration, remuneration, leadership, culture, and task sharing.

Open

Financing & Sustainability

Review the framework's recommendations for sustainable financing, NHIA alignment, accountability, and partnership.

Open

Evidence & Impact

Review approved implementation evidence as institutional examples become available.

Open