ABSTRACT

Nigeria, a country comprising about 177 million people from 371 different ethnic groups, has come a long way in efforts to build resilient healthcare. The Nigerian Federal Ministry of Health (FMoH) has the mandate to formulate, disseminate, promote, implement, monitor, and evaluate the health policies of the federal government of Nigeria. The development of a national health quality strategy is an indication of the government's commitment to building a responsive health system. The health financing structures of most states in the federation were designed with heavy reliance on the federal government. One of the innovative models of health design and delivery in Nigeria involves modified "last mile" health delivery initiatives, which provide quality primary healthcare services to those living in remote areas. The uniqueness of the initiative is the integration of access to healthcare in a "last mile" community at an affordable price with regular monitoring of quality improvement and patient safety practices by the provider of healthcare.