Healthcare Access Covenant Foundation.
Universal Health Coverage: from Policy to Reality
Transforming primary healthcare in Nigeria through evidence, innovation, and partnerships—starting with Ekiti State.
Health Access Covenant Foundation is a non-profit organization committed to making quality healthcare accessible and affordable for every Nigerian. We work with governments, communities, development partners, and the private sector to strengthen health systems and accelerate progress toward Universal Health Coverage.
The Challenge
Millions of Nigerians still face barriers to accessing quality healthcare. High out-of-pocket expenses, weak primary healthcare systems, and unequal access continue to leave many families behind in evidence-based healthcare.
Our Solution
We bridge the gap between health policy and implementation by:
-Strengthening Primary Health Care systems through our hub-and-spoke approach.
-Supporting Universal Health Coverage reforms
-Conducting health systems research
-Building the capacity of primary healthcare workers
-Promoting community engagement and accountability
-Developing innovative, sustainable health financing approaches.
Why We Exist
We believe that access to quality healthcare is a fundamental human right. How to finance it should not pose catastrophic burden on individuals. People can work together for mutual benefits. We believe that, at primary health care level, healthcare should not be what is done to the people but what people can do for themselves.
Welcome to the home of primary healthcare based universal health coverage
We use a Hub-and-Spoke network of AI assisted primary healthcare facilities to reach rural areas and urban areas with community health workers, who enrol people neighbourhood by neighbourhood, into cooperative, community contributory health insurance shceme.
We support governments to implement mandatory contributory health insurance because universal health coverage cannot be achieved unless health insurance is compulsory. Through our Hub-and-Spoke structural organisation, we ensure that a critical mass of people is enrolled in community health insurance in order to generate a sufficient Equity Fund in the pooled resources.

