ASQAT sealASQATSafety, Quality & Accreditation

An ANPA Taskforce

Executive overview

ASQAT in three minutes

A briefing for decision makers: the mandate, the problem, the structure proposed, how it would be implemented, and what would have to be true for it to work.

The mandate

Why this taskforce exists

To develop a National Healthcare Transformation Framework that redefines safety, quality, accountability, workforce sustainability, and public trust in Nigerian healthcare through measurable, enforceable, and globally aligned standards.

3
Pillars
39
Domains
5
Implementation phases
4
Proposed accreditation levels

Current stage

  1. 01 · Established

    Framework Established

    Three pillars and 39 domains organised.

  2. 02 · Established

    Implementation Architecture Established

    Standards, implementation packs, measurement, resources and evidence infrastructure created.

  3. 03 · Current focus

    Pilot Design

    Current focus.

  4. 04 · Future

    Pilot Implementation

    Next.

  5. 05 · Future

    Evidence and Scale

    Future.

The case

Healthcare outcomes are shaped by more than clinical expertise.

  • 01Patient safety and quality variation
  • 02Emergency and referral failures
  • 03Governance and accountability gaps
  • 04Infrastructure and operational reliability
  • 05Workforce pressure and migration
  • 06Public trust and transparency

The structure

Three pillars

Framework to implementation
  1. 01

    Framework

    Shared direction

  2. 02

    Institution

    Local priorities

  3. 03

    Action

    Tools and practice

  4. 04

    Measurement

    Comparable indicators

  5. 05

    Evidence

    Documented learning

Pillar 01

Clinical Excellence, Patient Safety & Quality of Care

Every Nigerian patient receives safe, standardized, compassionate, and accountable healthcare.

Pillar 02

Health Systems, Governance & Infrastructure Transformation

Hospitals become resilient, transparent, efficient, technology-enabled institutions.

Pillar 03

Workforce, Culture & National Healthcare Transformation

Healthcare workers are respected, motivated, supported, and globally competitive.

Authority and adoption

ASQAT develops the framework, standards, implementation guidance, measurement architecture and pilot methodology. These materials are advisory unless formally adopted by the appropriate Nigerian governmental, regulatory or institutional authority. ASQAT will pursue alignment and partnership with the relevant authorities as implementation advances.

  1. ASQAT technical framework
  2. Pilot evidence
  3. Stakeholder and regulatory alignment
  4. Potential formal adoption

Implementation path

How the framework reaches institutions

  1. Framework
  2. Pilot
  3. Implement
  4. Assess
  5. Scale
Know
Institutions can see the standard they are expected to meet.
Implement
Tools and pathways translate the standard into daily practice.
Measure
Agreed indicators show whether practice is changing.
Prove
Documented evidence supports institutional claims.
Improve
Findings feed back into standards, training and priorities.

Accreditation and measurement

How recognition and progress would work

Accreditation concept

  1. 1Foundational Compliance
  2. 2Quality Advancement
  3. 3Accreditation Ready
  4. 4Center of Excellence
Review the Accreditation Model

Measurement

Progress is judged on indicators applied identically across institutions, not on self description. No institutional results are published yet.

See how progress is measured

Current priorities

What is being asked for now

  1. 01Confirm the initial flagship pilot institution
  2. 02Define the first pilot domains and manageable scope
  3. 03Establish government and regulatory alignment
  4. 04Identify implementation partners and required capabilities
  5. 05Establish baseline measures and reporting
  6. 06Define pilot governance, accountability and learning

Implementation evidence and institutional case studies will be published as they are formally documented and approved.

Explore the proposed pilot Read the White Paper