Evaluation of the Econo-Synergistic Model of International Research Network And School Of Health System Management And Economics In South-Eastern Nigeria

Abstract

The concerns of escalating disease burden with limited donor funds and debates of sustainability are legitimate due to the magnitude of expenditure on health services which account for as much as 5 % of GDP and between 5% and 10% of government expenditures in developing countries , though this falls below the Abuja target of 15% of government expenditure allocated to the health sector. Methodologically, the leadership of the Cashville Group of Companies and Partners empathized with the situation of incessant under-subventions to public health facilities including Nnamdi Azikiwe University Teaching Hospital ,Nnewi, Aanambra State (NAUTH), thus, initiated this hybridized model of sustainability as alternative to funding of institutions ,the NAUTH in particular. The Cashville Group of Companies and Partners  had partnership with the Nnamdi Azikiwe University Teaching Hospital (NAUTH) Management Board. The Steering Committee constituted of the Cashville Group and Partners and NAUTH management. The agreed approaches were institutionalization of sustainability instruments by research, inter-professional journals, enterprises and  Institutes (including Centres and schools). The results were that the public-private partnership model inspired the institutionalization of the International Research Network with worldwide membership distribution approximated by the NAUTH Research Group(domiciled in the office of and chaired by the Chairman, Medical Advisory Committee) with all heads of departments of NAUTH appointing their departmental representatives as well as the Cashville Group of Companies and Partners  doing same appointments of their representatives for routinized fora participation and contribution. Membership registration of all departmental representatives and other researchers as well as trainees applications processed for admission to undertake diploma courses in the School of Health System Management and Economics worldwide improved internally generated revenue for NAUTH to address their increasing budget deficit gap over the years. Entrepreneurially, there was also realization of the following inter-dependent business models, which have been / are now incorporated at the Corporate Affairs Commission of the Federal Government of Nigeria. They include the following: International Institute of Leadership, Management and Economics  LTD/GTE; International Institute of Science, Education and Technology LTD/GTE; International Centre of Leadership, Management and Economics LTD/GTE; Journal of Global Community Inter-professional Practices LTD; Cashville Multipurpose Cooperative Society International LTD;Cashville Consults LTD;The Brethren Centre International Ministry; Cashville University with proposed locations in Delta , Ekiti and Anambra States, Nigeria; Aminu Kano-Cashville University with proposed location in Kano State, Nigeria; Global Community University with proposed locations in Federal Capital Territory-Abuja, Nasarawa , Bauchi and Benue States, Nigeria; Cashville Modular Refinery with proposed locations in Kano, Bauchi, Nasarawa, ,FCT-Abuja, Benue and  Ekiti  States; Cashville Farms LTD with spread over all states of Nigeria; Cashville Insurance Ltd; International Association of Professionals of Leadership, Management and Economics; International Association of Professionals of Science, Education and Technology; International Association of Consultants of Leadership, Management and Economics; International Association of Consultants of Science, Education and Technology. In conclusion, the workability of the model is in no doubt successful, customizable, adoptable  and adaptable to any system, more so that the up-scalability increased from the Southeastern Nigeria to different geo-political zones of Nigeria. Therefore, its highly needful to boost income generating revenue (IGR) of health and non-health facilities. Its universally workplace friendly -Its not limited to healthcare space  only. It enforces management of resources in an economic manner. Its, therefore, recommended all systems should embrace its adoption and adaptation for managerial economic sustainability of resources in the light of the Sustainable Development Goals (post-2015) pontificated at the United Nations Third International Conference on Financing for Development July 2015 at Addis Ababa attended by the Cashville Group of Companies and Partners . All interested researcher(s) and trainee(s)/ applicants and facilities managers  to apply their correspondence of request addressed to Dr. Efegbere, H.A. via email and mobile. This is because the model has been patented and trademarked. Any violat(ion)/tor of this information shall be legally and appropriately related with.

The full list of authors of the article:

Efegbere, H.A. ^1,2 , Igwegbe, A.O. ³, Afiadigwe, E.E. ⁴, Efegbere,  E.K.^{1 ,}, Ebenebe, U.E. ^1,2, Anyabolu, A.E.⁵ , Enemuo, E.H.⁵ , Ezejiofor, O.I.⁵,  Sani-Gwarzo, N., mni ^1,6,  Omoniyi, A. ^1,7 , ,Onyeyili, A.N. ⁸, Ichoku, J.N.⁹, Modebe, I.² , Oguwuike, M.U.⁵ ,Ohameme, M.C.² ,

Igwebike, U.², Ikpeze, C. N.², Okpali, S.¹⁰, Osiatuma, V.¹¹, Odogu, E. J. ¹²,  Oyibo, P.¹³,

Ilika, A.L.^1,2 ,  Oyeka C.E. ¹⁴, Tabowei, B.I. ¹⁵, Osinowo, O.¹⁵ , Adebanjo, M.¹⁶ , Edoumiekumo , S.G.¹⁷

(1) Department of Research and Training , Cashville Group of Companies and Partners

(28 registered inter-dependent firms, worldwide)¹,

(2) Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi ²

(3) Department of Obstetrics and Gynecology,  Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi ³

(4) Department of Surgery,  Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi⁴

(5) Department of Internal Medicine,  Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi ⁵

(6) Department of Ports Health Services, Federal Ministry of Health Abuja, Nigeria ⁶

(7) National Tuberculosis and Leprosy Control Programme, Federal Ministry of Health Abuja, Nigeria ⁷

(8)Department of Nursing Services,  Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi ⁸

(9) Department of Pharmacy Services,  Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi ⁹

(10) Department of Administration, Nnamdi Azikiwe University Teaching Hospital (NAUTH) , Nnewi¹⁰

(11) Department of Radiology, Federal Medical Centre, Asaba, Delta State ¹¹

(12)Department of Obstetrics and Gynaecology, Federal Medical Centre, Asaba, Delta State ¹²

(13)Department of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State ¹³

(14) Department of Statistics,  Nnamdi Azikiwe University , Awka, Anambra State ¹⁴

(15) Department of Surgery, Niger Delta University Teaching Hospital, Bayelsa State¹⁵

(16) Department of Human Resources, University of Abuja Teaching Hospital, Gwagwalada, Federal Capital Territory, Nigeria¹⁶

(17) Department of Economics, Niger Delta University, Wilberforce Island, Bayelsa State¹⁷