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Obio Community Health Model “Wipes Away Tears” in Nigeria

“I regard universal health coverage as the single most powerful concept that public health has to offer. It is inclusive. It unifies services and delivers them in a comprehensive and integrated way, based on primary health care.” — Dr Margaret Chan, Director-General, World Health Organization (WHO)

Nigeria’s health care system is weak, ranking a dismal 187 out of 194 WHO member countries. The vast majority of 170 million Nigerians have no access to affordable and quality health care. Most must pay out of their own pocket for basic health care of doubtful quality. In Nigeria, therefore, the goal of universal health coverage (UHC) envisioned by the United Nations General Assembly on December 12, 2012 remains an unreachable dream.

One of the most devastating consequences of this lack of access to basic health care is high mortality and morbidity for mothers and infants. In Nigeria, as in many other parts of Africa, women are literally dying to have babies and many newborns will not reach their first birthdays. This profound tragedy impacts hundreds of millions of people and undermines the future of the entire continent.

A key underlying driver of this sorry state of affairs is the lack of financial resources when and where it is needed most – at the point of care.

Community Health Insurance Model

To bridge the critical gap in African health systems, governments need to create the conditions for UHC. I have the evidence of how a UHC model works successfully, providing access to tens of thousands of people who previously had no access at all to even the most basic health care. It is found in Port Harcourt, Nigeria, where my former employer, Shell Petroleum Development Company (SPDC), worked with the local community and the government of Rivers State to create the Obio Community Health Insurance Scheme. The goal was to provide quality care to people who would otherwise not be able to afford it. The Obio project took off in 2010 and recently celebrated its fifth anniversary.

The Strategy

The Obio Community Health Insurance program is a product of partnership of state government, SPDC and the community at the center playing a key role in identifying the most important health needs through a community development board.

Based on the community needs assessment and actuarial studies, the partners agreed an annual premium of N7,200 [U.S. $36] per participant. Every enrolled member receives access to essential primary and secondary health care — with special focus on the needs of mothers and their children. It is an insurance package which covers more than 95 percent of community health care needs, including emergency obstetrics.

The partners competitively selected three health maintenance organizations to market the scheme and underwrite the risk. To manage the client enrollment and claims, we developed a cloud-based software – the Community Health Insurance Enrollment and Authentication System (CHI-EASY), with authentication being done through fingerprints.

The location chosen to deliver the actual care was the centrally located Obio Cottage Hospital, a hospital so small it would fit on a third of a football pitch. To bring the hospital up to the required standard, SPDC funded upgrades in facility infrastructure, utility and equipment. We helped set up departments for Client Relations and Quality/Safety. A transparent and easy-to-verify performance-based financing (PBF) scheme increases staff “ownership” and promotes the right behaviours. Obio funds the scheme from its own budget.

 

Obio6
Obio Cottage Hospital building. Photograph courtesy of SPDC Ltd.

 

Together, we fostered a business atmosphere that supports innovation and culture of service, with zero tolerance for corruption. As a result, Obio attracts and retains highly professional and motivated staff. The staff number has increased steadily from 4 to 156, including 18 volunteers.

Today, the Obio Cottage Hospital serves as a one-stop health shop with the capacity to provide high quality routine and complex maternal and child health services.

 

Obio 3
Caesarian section in progress. Photograph courtesy of SPDC Ltd.

 

Maternal and Infant Mortality Rates Fall

Soon after take-off, the scheme recorded an unprecedented and exponential increase in utilization in all the service areas. For example, the average monthly outpatient attendance jumped from 644 per month in 2010 to 3,754 in 2012 — and 27,798 by 2015. Monthly antenatal attendance also rose to an average of 2,272 from the 181 in 2010. The number of hospital baby deliveries now hover around 335 each month, compared with 14 deliveries before the scheme.

 

Quadruplets born at Obio Cottage Hospital.
Quadruplets born at Obio Cottage Hospital. Photograph courtesy of SPDC Ltd.

 

Multiple deliveries are now common and routine. During the first half of 2015, Obio has had 29 multiple deliveries: one set of quadruplets, one set of triplets and 27 sets of twins, all delivered hale and hearty.

Surgical Caesareans and other complicated deliveries have become routine procedures. Maternal and infant mortality rates have dropped several notches below the regional and national average and now compare with the best in the world. In total, nearly 12,000 babies were safely delivered at Obio from program inception to date.

 

Obio 2
Professor Augustine Omoigberale with a medical officer in the paediatric ward. Photograph courtesy of SPDC Ltd.
Obio5
Obio volunteers. Photograph courtesy of SPDC Ltd.

 

Equally important, people’s health-seeking behaviors changed for the better. For instance, virtually all the pregnant women attending antenatal clinics accept HIV counseling and testing. HIV-positive expectant mothers enroll into the hospital’s Prevention of Mother to Child Transmission program. To date, no baby born at Obio has tested positive for HIV, a feat that has drawn attention to Obio in conferences and journals.

A recent increase in the insurance premium from N7,200 to N10,000 [U.S. $36 to $50] has not affected enrollment figures. Today, five years after the scheme was launched, more than 45,000 people have benefited. The yearly program evaluation reveals that client satisfaction is high and that the scheme is adding tremendous value to people’s lives. Some 99 percent of the clients surveyed say they would recommend the scheme to others.

 

Obio 4
Chief Matron Dorathy Odujobi and team inspecting the maternity ward. Photograph courtesy of SPDC Ltd.

Watch a brief video about the Obio Healthcare project:

Video courtesy of Shell Petroleum Development Company, an investor in the Obio Community Health Insurance Scheme. Disclosure: Shell also partners with National Geographic in the Great Energy Challenge.

Obio also shows that Nigerians are willing to pay for quality service. In Obio, 30 percent of revenue comes from the 70 percent of the hospital’s patients who are enrolled as CHIS members, while the remaining 70 percent of the income comes from relatively wealthy patients paying out-of-pocket fees for services. These are the economics. In terms of care, all patients are equal.

The Obio Cottage Hospital has sufficient managerial, technical and financial muscle to run a successful, quality assured and safe health care service. It can manage small- to medium-capital infrastructure projects. Obio is also providing crucial technical, managerial, and in some cases, financial support to sister facilities and communities that have adopted the model.

Time to Step Up

The Obio model has been endorsed by the World Health Organisation and other key organizations, as well as independent experts, politicians and our own patients. As one patient says: “This scheme has wiped away our tears.” All over Africa, many tears are still flowing that we could wipe away with the right policies and incentives. It is high time we brought universal health care to Nigeria and Africa. It is time for governments to step up and show they really care about health care. Corporate organizations like my former employer can offer support, but governments will be key. If we want our people to thrive, we have to start with the basics: keep them healthy.

Babatunde Fakunle is committed to improving the quality of healthcare in Nigeria and Africa and to making it affordable and accessible to all.

Fakunle3
Dr. Babatunde Fakunle. Photograph courtesy of SPDC Ltd.

“Tunde”, as he is known to friends and colleagues, is the founder and executive director of the nonprofit startup Centre for Sustainable Access to Health in Africa, which has a mission to promote and facilitate universal health care and poverty alleviation across the continent. He is also an advisory board member of Purple Source, a private organization focused on transforming sub-Sahara society by creating fully integrated affordable world-class health services for everyone.

Dr Fakunle holds an MBBS from The University of Ibadan, Nigeria, and is a Fellow of the West African College of Physicians (Faculty of Paediatrics). He is a member of the Paediatric Association of Nigeria and former Secretary General of the Association. He obtained a post-graduate diploma in Public Health from University of London and is an honorary member of the Association of Public Health Physicians of Nigeria.

He attended health management and related courses and training at Tropical Institute in Basel, Harvard School of Public Health in Boston, the World Bank Institute in Washington, D.C., Royal Tropical Institute in Amsterdam, Galilee International Management Institute in Israel, and other management and leadership programs in Nigeria and abroad. He has presented papers in the areas of strategic health communication, health systems strengthening, HIV/AIDS, malaria, immunization, and sustainable health financing at local, national and international conferences. He is a sole and joint author of several research works published in peer-review journals.

Dr. Fakunle has practiced as a paediatrician in prestigious public and private hospitals in Nigeria including the University College Hospital, Ibadan, Providence Hospital for Women and Children, Lagos, First Consultants Medical Centre, Lagos, and Shell Industrial Area Hospital, Port Harcourt. He is the former Regional Community Health Manager,  Shell Sub-Sahara Africa.

He is happily married to Tunmise and the union is blessed with three wonderful daughters.

Dr Babatunde Fakunle and representatives of Pharmaccess and the Netherlands Government during “Africa Works” Conference in Leiden, Netherlands. Photograph courtesy of Shell Netherlands.
Dr Babatunde Fakunle and representatives of PharmAccess Foundation and the Netherlands Government during “Africa Works” Conference in Leiden, Netherlands. Photograph courtesy of Shell Netherlands.

Comments

  1. Dr Salmon Omokanye; FMCOG, FRCOG
    England
    August 7, 4:01 pm

    The success story of Healthcare at Obio is a glowing tribute to the zeal, competence and commitment of Tunde. It seems similar to the Success story of Healthcare at Ibarapa, Ogun State that was entirely funded by the University of Ibadan but the success was attributable to the commitment of an English doctor that lived in Igbo Ora and devoted his entire professional life to the Ibarapa project. Healthcare champions are needed in every district of Nigeria who may replicate the success of Obio. This model will also be the cheapest for basic healthcare all over Nigeria if Nigerian Government would ever show a political will to address public health. At the moment, the so called Health Commissioners have no framework for Healthcare delivery and no reasonable budget to deliver basic healthcare outside State capitals.

  2. Dr Salmon Omokanye
    England
    August 7, 3:58 pm

    The success story of Healthcare at Obio is a glowing tribute to the zeal, competence and commitment of Tunde. It seems similar to the Success story of Healthcare at Ibarapa, Ogun State that was entirely funded by the University of Ibadan but the success was attributable to the commitment of an English doctor that lived in Igbo Ora and devoted his entire professional life to the Ibarapa project. Healthcare champions are needed in every district of Nigeria who may replicate the success of Obio. This model will also be the cheapest for basic healthcare all over Nigeria if Nigerian Government would ever show a political will to address public health. At the moment, the so called Health Commissioners have no framework for Healthcare delivery and no reasonable budget to deliver basic healthcare outside State capitals.

  3. Dr Salmon Omokanye
    England
    August 7, 3:47 pm

    I am impressed by the success story of the Healthcare delivery Model at Obio. It is a glowing tribute to the commitment of the leadership and clinical staff that are the Public Health Champions. We hope Government will have the political will to adopt the Obio model through out Nigeria and identify competent and commited Public Health Champions like Dr Fakunle to provide leadership in each district. Currently, the health ministries headed by commissioners are not sufficiently funded to deliver basic health services across the states.

  4. Adedokun Adeyemo
    Lagos
    February 2, 1:09 pm

    I will like to add my voice to the success story of the Obio Cottage Hospital. I am particularly proud that such a scheme could be initiated and developed to the Cottage hospital is today, many thanks to the Community Health Team of Shell who made this possible. God bless you all.
    I will like to mention the commitment shown by Dr Babatunde Fakunle to the success of the project and the single minded resolve to ensure success and sustainability by installing systems that will endure. I am real proud to be part of the project that I know can be replicated anywhere in Nigeria and other 3rd world communities. Well done all!

  5. Ovwe
    Toronto
    January 26, 1:05 pm

    Great model and I will hope for more such models across the country. The private sector health facilities should also consider similar models as a way of improving access to healthcare for more community members. The fact that 70% of revenues comes from out-of-pocket fees paid by non-enrolles shows community acceptance and that should motivate more private practitioners to try new models. The Federal Government should implement more community based models to increase access to care across the country at an affordable rate to those who desperately need it. Congrats Sir on your inspirational work at Obio.

  6. Kelechi Emeronye
    Canada
    January 14, 10:40 am

    The Obio model is a simple example to show that something well intended, well thought through, well run, can produce excellent results that can go a long way in improving the lot of the people. It is a seed of change sown by Shell which has gone a long way in making big impacts on health care provision in Obio/Akpor and suroundings. Thanks to Dr Fakunle and his team for driving this change to a success story on behalf of Shell.

  7. andrew ayabam
    jos, nigeria
    January 10, 9:51 am

    This is commendable and goes to prove that making a difference does not cost an arm or leg. Best wishes to everyone that has made this possible and the beneficiary communities. I recommend that this be implemented nationwide, as, in my opinion, this may yet be one of the avenues to engage youth labour in the proposed employment scheme

  8. Chike Chizea
    October 19, 2015, 6:02 pm

    I am excited we have a community clinic is operating very successfully in Nigeria. Fantastic model, yet so simple.

    I am particularly impressed with how the clinic ensures accountability with handling of funds and provision of Health care. That is what I thought would be a caveat for operating such a clinic but Dr Fakunle got it covered.

    Hopefully this model of community partnership will take off in other parts of Nigeria especially with ICT. This will go a long way to attain one of the Sustainable development goals, “ensure healthy lives and promote well-being for all ages.

  9. Emmanuel Etomi
    Lagos, Nigeria
    October 15, 2015, 10:08 am

    The Obio Community Health project is a success story worth replicating across Nigeria and in most 3rd world countries. This project goes on to demonstrate what can achieved if all developmental parties are aligned and committed to deliver sustainable development projects to communities. I congratulate the Shell Community Health and GMoU teams and the Obio Community Development Board who had the foresight and willingness to commit seed funds to get this project going.

    Let me also single out Dr Fakunle for his dogged commitment to ensure the success of this project and other health projects in the Niger Delta. Your positive disposition is infectious. Kudos everyone.

  10. Oluwatosin A. Adeyemo
    Abuja
    September 15, 2015, 1:45 am

    This Obio Cottage Hospital testimony again demonstrates the invaluable difference access to healthcare can make for the poor. It assures us that under the right conditions including visionary health care leadership, universal health coverage (UHC) is a possibility even in resource poor settings like ours. Kudos to everyone that has made this a reality in Obio especially Dr. Fakunle.

    Be that as it may, the general evidence emanating from the review of community-based health insurance schemes across sub-Saharan Africa even though reveals reduction in out of pocket expenditure for health costs and improvement in health care utilisation of targeted and even non-targeted health care services as we have seen from the Obio testimony, however the evidence of the sustainability of these schemes is equivocal as most of these schemes are heavily donor subsidised. It will be interesting to see the elements of sustainability Obio health initiative has inculcated into its model of health financing and how replicable that is in other similar settings.

    UHC can only be achieved via prepayment form of health cost recovery mechanism as in health insurance. No country has ever achieved UHC via voluntary health insurance like we have in Nigeria. In sub-Saharan Africa for example, Rwanda, Ethiopia, Ghana, Senegal and even Mali are all at the forefront of achieving universal health coverage for their citizenry in sub-Saharan Africa. All these poorer countries except Ghana are using different models of community-based health financing harnessed with the powers of PPP and performance-based financing. Nigeria has no excuse for allowing more than 95% of the Nigerian residents to be without any form of health insurance cover in 2015. What a shame!

    Obio health initiative is a clarion call to all of us in Nigeria and particularly the government to wake up and intensify efforts to tackle this herculean task of UHC of which there are many solutions and answers all around us, Obio health initiative being one of them.

  11. Dr Akin Fajola
    Portharcourt
    September 9, 2015, 4:23 am

    Hi Dr Tarry, relevant comment. However, there have been 3 independent evaluations of the program. Your earlier request was not documented. Kindly follow up with the facility lead regarding your proposal.

  12. Tarry Asoka
    Port Harcourt, Nigeria
    September 8, 2015, 8:23 am

    No doubt there are a lot of good things to say about the Obio Cottage Hospital’s approach to healthcare delivery that is supported by the Shell Petroleum Development Company. However, no independent evaluation of the sustainability of this model has been carried out. A request to undertake such an exercise made to the authorities for over two years is still pending. It would be a major risk to replicate and/or scale up this approach without fully understanding what works and what does not in the specific context that exists.

  13. Dr Ufuoma Ovwigho
    Gamba
    August 26, 2015, 12:25 pm

    Obio is a success because all the key stakeholders and especially the community recognised impairment in health care access as a key challenge for the people and took decisions individually and collectively to seek ways to improve their own health. One cannot but realise and acknowledge the dedication, focus and doggedness of the core Shell team that managed this laudable health care scheme that is a demonstration of what is possible in all of Africa when we all – public and private sectors and the people – collectively have a shared vision and work to improve the health of our people. Interestingly, meaningful development is a slow process, takes time and involves change in human behaviour. As a result, models in one community cannot be transplanted to another as communities are at different levels of the development echelon. Our experience at the Gamba Medical Centre in Gabon stresses the need to harness existing structures and realities to develop a model that can yield positive and sustainable results.

  14. Danlami Basharu
    Lagos Nigeria
    August 12, 2015, 3:27 pm

    This is absolutely wonderfulnews and kudos to Dr. Fakunle. Goes to show that with support, Nigherians can be their brother’s keepers. How I wish we could replicte this in the area of education for children with disabilities, especially the blind.

  15. John Price
    Boston, Massachusetts, USA
    August 12, 2015, 2:41 pm

    Thank you for this professional assessment of the work Dr. Fakunle and Obio Cottage Hospital are doing in Nigeria. Here in the USA, universal healthcare can be a divisive subject and it takes an incredible amount of courage and strength to even imagine making a dent in the problem. This blog affected me as statistical information, as well as how you approached the problem is easy to understand and the impact of your work makes such a huge difference in the valuable lives that are affected by your efforts. My immediate reaction is “How can the world take this model and use it to transform health care all over Nigeria and beyond.” We all have a lot to learn from your example.
    John Price
    Perkins School for the Blind

  16. John Price
    Boston, Massachusetts, USA
    August 12, 2015, 2:29 pm

    Thank you for this professional assessment of the work Dr. Fakunle and Obio Cottage Hospital are doing in Nigeria. Here in the USA, universal healthcare can be a divisive subject and it takes an incredible amount of courage and strength to even imagine making a dent in the problem. This blog affected me as statistical information, as well as how you approached the problem is easy to understand and the impact of your work makes such a huge difference in the valuable lives that are affected by your efforts. My immediate reaction is “How can the world take this model and use it to transform health care all over Nigeria and beyond.” We all have a lot to learn from your example.
    John Price
    Perkins School for the Blind

  17. Ugbah Ngadonye Stephanie
    Porthcourt, Rivers Sate
    July 31, 2015, 5:15 am

    Obio cottage hospital is richly endowed with committed personnel whom are basically self motivated and evidently, the facility management team and strategy is a push factor in accounting for the success margin recorded in the facility. Dr. Babatunde Fakunle indeed left an exemplary footprint which is worthy of emulation.

  18. Christopher K. Williams, MD, FRCPC
    Port Angeles, WA, USA
    July 24, 2015, 9:17 pm

    Congratulations for the role that you have played in the creation of Public-Private-People Partnership (PPPP), a model of healthcare, which is worthy of emulation by all communities, not only in Nigeria, but also in Africa and other resource-poor parts of the world. Thanks again for sharing the news of your great work.

  19. onakpoya ufuoma
    Port Harcourt
    July 22, 2015, 9:02 am

    This indeed is a beautiful story of how one man’s dream and dedication has led to wiping away tears from the eyes of mothers in obio community. Thanks to the Obio Community development board, SHell Nigeria and Dr Fakunle in particular. God bless and continue to enpower you to do more at such a time as this for our country.

  20. Deborah Oyewole
    Obio cottage hospital, Port harcourt.
    July 16, 2015, 8:06 am

    Obio cottage hospital, where miracles, signs and wonders happen is a reality, because someone decided to let his “little light shine”. We appreciate you sir(Dr Fakunle)!…and pray this light will not be put out. Let it shine!! Let it shine!!!

  21. Deborah Oyewole
    Obio cottage hospital, Port harcourt.
    July 16, 2015, 7:54 am

    Obio cottage hospital, where miracles, signs and wonders happen is a reality because someone decided to let his” little light shine”. We appreciate you sir (Dr Fakunle)!..and pray this light will not be put out. Let it shine! Let it shine!!!

  22. Dr Moji Arulefela
    UK
    July 15, 2015, 6:55 pm

    This report is quite infomative about the innovative approach in Obio leading to equittable health care delivery in this fairly deprived area of Nigeria. Running such a programme successfully fills me as a medic in diaspora with fresh optimism about the future of health care not only in Obio but in Nigeria altogether.

  23. femi sunmonu
    Nigeria
    July 15, 2015, 11:32 am

    I’ve been following Obio Clinic for about 5 years and was the inspiration for my move back to Nigeria and my foray into health systems improvement. The leadership team (Dr Fakunle, Dr Fajola, Dr Edet, Dr Ovwigho) played a crucial part in the success of this amazing program. I’m honored to have Dr Fakunle as an advisor as I believe the principles that the Obio program embodies are the future of healthcare delivery in Nigeria. Congratulations to everyone involved in the conception and implementation of the program…you’ve truly wiped away the tears and shone a light for the rest of us.

  24. Dr. Anikara S. Atamunotoru
    Port Harcourt
    July 14, 2015, 9:32 am

    Thanks Chief Dr. B. Fakunle for the beautiful write up. The Obio CHIS success story is one of the ‘wonders’ of health care delivery in Rivers State. You have indeed planted the seed for attaining universal health coverage (UHC) in the state, and there is no going back. Your legacy with SPDC as regards this programme will live on. We in government wish you could have stayed a bit longer with SPDC before stepping out. But then it was all your informed decision. We thank you for everything you did for us in the state, we thank Obio community for their understanding and also thank the government for supporting the concept.

  25. Babatunde Ogunshote
    Abuja, Nigeria.
    July 9, 2015, 4:26 am

    Dear Tunde, congratulations on the successful implementation of this laudable community health project. Please keep up the good work by spreading the successful model to other communities.

  26. Chioma Okpoechi
    Port Harcourt, Nigeria
    July 7, 2015, 9:34 am

    This is just one of many success stories. I have had the priviledge to associate with the Indefatigable Chief Dr. Fakunle earlier when he was a paediatrician at the Shell Hospital. As the Port Harcourt Lead for the Shell Women Network, we partnered with him and the Regional Community Health Team to take the CHIS initiative to another location within the SPDC operating environment. It was a huge success. Dr. Fakunle and his team’s commitment towards a sustainable healthcare delivery system in Nigeria is unfeigned. Thank God for Shell Nigeria. Thank God for the crop of excellent and committed people in Shell Nigeria’s Community Health stable taking this life-saving initiative forward. God bless you all.

  27. Dr Annastecia Ozioma-Amechi
    Port Harcourt, Nigeria
    July 7, 2015, 7:29 am

    Obio CHIS is really a model for Africa. It is a “mustard seed”; a very small seed when planted, germinated and grew up to become a giant tree on which the birds of the air made nests and found solace. Dr Fakunle’s great vision kicked the ball rolling. What is left for us who were opportuned to work with him is to continuously make inputs to keep the light glowing for the poor masses.

  28. Dr Dennis Oyakhire
    Port Harcourt
    July 7, 2015, 5:48 am

    Dr Fakunle aptly coined this very successful scheme a ‘PPPP initiative’ meaning Public-Private-People Partnership initiative. The “People” here refers to the Shell Industrial Area Landlords Global MoU cluster which is a Community based organisation. The role played by the Chief Joseph Amadi-led GMoU exco should also be highlighted for, without it, the story of the success of Obio cottage hospital may probably never be told. Chief Amadi’s exco commitment to this unique project was very commendable. Whilst other GMoU clusters were more interested in building stand-alone physical infrastructures, this one quickly bought into the vision of a people-driven and owned health programme. Today, the result is there for all to see. Now, every GMoU cluster wants to have it own Community Heath Insurance Programme – KUDOS to Chief Amadi and his team

  29. Oyinkro Olobio
    Port Harcourt
    July 7, 2015, 3:23 am

    Every time I drive past The Obio Community Health Center I wonder why we are not seeing more of such landmark Public Private Partnership initiatives. Great initiative by SPDC, and I hope to see Chief (Dr.) Fakunle drive more of such initiatives from his current position.

  30. Dr Akinwumi Fajola
    Portharcourt, Nigeria
    July 6, 2015, 12:27 am

    This is a concise and well written summary by an insider and facilitator. It’s great seeing the giant strides Obio has made in the delivery of quality assured, accessible and affordable health care in the Delta. Obio’s success story can not be complete without highlighting the the role of community ownership and participation. The community took the “drivers seat” and owned the process through the SPDC GMOU initiative with the Shell Industrial Area neighbouring communities. The state also threw their weight behind the programme. This is Public Private People Partnership at its best.
    Definitely, this successful pilot health financing model will stimulate more “oasis of hope” such as this in other parts of Nigeria and Africa. The attainment of Universal Health Coverage for our people is real and Obio has shown what is possible. Kudos

  31. Chief Kunle Ogulnmlade
    ADO EKITI. NIGERIA
    July 5, 2015, 9:31 am

    Very interesting reading. No doubt Obio is a model and should be a good reference point in partnership and community health and would be happy to see more of such replicated in nigeria and indeed most of sub-Saharan Africa. Quite a satisfying service to humanity. May God bless u. Amen

  32. Chief Mrs Funmi Opaleye
    LAGOS, NIGERIA
    July 5, 2015, 7:03 am

    This kind of service rendered at OBIO Cottage Hospital Rivers State, Nigeria, sponsored by SPDC, PORT HARCOURT, under one of Shell’s Staff, former Regional Manager Sub Sahara Community Health, is really feasible to be successful in other parts of the country. The government of Nigeria should wake up for God’s sake and care for the HEALTH of her citizens.

  33. Idowu Babalola
    Obio Cottage Hospital, Port Harcourt
    July 3, 2015, 11:46 am

    Chief, through your vision you have made Obio cottage Hospital an employer of labour. In the trying times that Nigeria is in now, government staff wish they could be Obio staff because of prompt payment of salary. You have created in us an attitude of excellence. We are equipped to face any challenge because we know that impossibility is nothing.
    Obio, with a dedicated Clients relations department, home visiting unit and the mighty community health Insurance Scheme is run by Managers that have been impacted by you.
    Your principle that a place should not be built around people has given you the rest that you deserve otherwise calls on how you manage the place wouldn’t have made you to rest in your retirement.
    I am not surprised that you are coming out in a grand style because I know you retired in order to refire.
    Thank you sir for giving birth to a facility that has employed all of us in Obio Cottage Hospital where “only the courageous can work”.

  34. RICHARD ANYANWU
    I.A. PORT HARCOURT
    July 3, 2015, 10:56 am

    How Dr Babatunde Fakunle conceived this Obio CHIS Model that is the talk of trhe town even the whole of Nigeria today is still a mirage to me. People like him that are born planners and leaders should be given a chance to run this our country for us, or at least be appointed to strengthen Health Care System delivery in Nigeria and Africa as a whole. I am particularly happy that what you did in Nigeria will now be extended to Africa. Geniuses like Dr Fakunle are very rare to find. We, your team you left behind are really missing you.

  35. Vera Ogulu
    Nigeria
    July 3, 2015, 10:43 am

    This is a compelling and iconic achievement and a glaring example of what can be achieved through sustainable partnership and commitment to overarching goals.
    Once again, a big thanks to Chief Dr. Fakunle, our enviable Shell and crew that worked tirelessly, Community and staff of Obio, Rivers State Government and all other beneficiaries who have become the ambassadors of the project.
    It is time to roll out this strategy unto other sectors.

  36. Engr. Julius Ogieva,PMP
    Shell IA, Port-Harcourt, Nigeria
    July 3, 2015, 10:06 am

    Dr. Fakunle (fondly called Chief), you are again being modest with the success story of Obio Cottage Hospital. SPDC Community Health under your leadership, introduced very efficient renewable energy and other innovative ideas to make healthcare very affordable in Obio Cottage Hospital and many health facilities supported by Shell in the Niger Delta States of Nigeria. I hope that the Obio Model you passionately brought to birth will be replicated/adopted by Nigeria and other developing countries. Kudos.

  37. AMADI BLESSING
    PORT-HARCOURT,NIGERIA
    July 3, 2015, 9:44 am

    You came, saw and conquered.You were so committed and enthusistic about your dreams to transform Obio Cottage Hospital and save lives. Obio story will be incomplete without the mention of Dr Babatunde Fakunle. We shall keep the flag flying
    Cheers

  38. ALABOSON COLLINS
    Shell IA Rumuobioakani, Port Harcourt, Nigeria
    July 3, 2015, 9:32 am

    The Obio story has been told and retold on many platforms. That you were the the vision bearer of Obio CHIS, is an understatement. You dreamt Obio, ate Obio, slept Obio and mobilised your carefully selected team for this sustainable and replicable novel concept in this part of the world. We called you Mr OBIO, BECAUSE YOU CONCEIVED IT. HENCE WE NEED TO PAY SPECIAL ATTENTION FROM THE OBIO CHIS STORY FROM THE SOURCE ITSELF. Rgds.

  39. DOKUBO, TORUBA IBISO
    PORT HARCOURT NIGERIA.
    July 3, 2015, 9:00 am

    This is an excellent and comprehensive write up. I also know that, in this facility, they also have renewable energy, Solar power etc.

  40. Chioma Uduma
    Port-Harcourt, Nigeria
    July 3, 2015, 8:33 am

    This is an excellent innovation that reaches the masses undeniably. I pray we get to see much more of this spread across Nigeria, much much more. Kudos SPDC!!! Kudos Obio Cottage Hospital and Staff!!! Kudos Dr Fakunle!!!

  41. Prof. Alfred E. Ehigiegba
    London
    July 3, 2015, 5:06 am

    I had a wonderful 15 month Sabbatical experience in this Cottage Hospital, helping to build capacity in comprehensive Obstetric service (maternity services, including surgical obstetrics and gynecology, Family Planning, PMTCT, immunization for mothers and infants, Community cervical screening, etc). This project is hugely successful and can be replicated in any low resource setting in the developing world. The moral satisfaction I got from my sabbatical year surpasses all previous work experience!

  42. Dorgbaa Stella
    Port Harcourt, Nigeria
    July 3, 2015, 4:35 am

    Indeed it is all about resourcefulness and not resources. God bless Shell, God bless the entire Community Health Team, God bless our former Regional Community Health Manager Sub-Saharan Africa (SHELL) ‘Dr Fakunle’ and God bless the entire Obio Cottage Hospital workforce for dedication and commitment to the success of the scheme