What should happen, and in what order

Actions that require agreement and coordination rather than new funding.

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.

7. 07

   Prepare a draft accreditation readiness tool.

8. 08

   Establish a timeline for the first full guideline draft.

9. 09

   Appoint implementation partners.

Work that depends on the structures established in the first horizon.

1. 10

   Launch pilot implementation in selected hospitals.

2. 11

   Develop a national patient rights charter.

3. 12

   Create a medical mission credentialing framework.

4. 13

   Develop CPD and recertification recommendations.

5. 14

   Build strategic partnerships with Nigerian and international institutions.

6. 15

   Create a digital dashboard strategy.

7. 16

   Begin workforce welfare and retention planning.

Reforms that only hold once measurement and oversight are functioning.

1. 17

   Support creation of a national accreditation authority or equivalent structure.

2. 18

   Establish Centers of Excellence.

3. 19

   Create a global Nigerian healthcare workforce database.

4. 20

   Develop sustainable financing mechanisms.

5. 21

   Advocate for legal reforms supporting enforcement and accountability.

6. 22

   Publish annual national healthcare transformation reports.