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 a scalable hub-and-spoke model.

Supporting universal health coverage reforms through strategic partnerships and policy engagement.

Producing evidence through health systems research to guide effective implementation.

Equipping primary health care workers with the skills and tools to deliver quality care.

Promoting community engagement and accountability to improve local ownership and service delivery.

Developing innovative, sustainable health financing solutions that protect families from catastrophic health costs

Why We Exist

We believe that access to quality healthcare is a fundamental human right and should not depend on a person’s ability to pay. Our mission is to help build a health system where communities are empowered, financing is fair and sustainable, and primary healthcare enables people to take an active role in protecting their own health.

This can be done when people work together for mutual benefits. We believe that, at primary health care level, healthcare should be less about what is done to the people but more about what people can do for themselves.

Whilst healthcare is a human right, we believe that communities should be empowered to participate actively in the systems that protect their health.

We use a Hub-and-Spoke network of AI assisted primary healthcare facilities to reach rural areas and urban areas through community health workers, who enrol people neighbourhood by neighbourhood, into community contributory health insurance scheme.

We support governments to implement mandatory health insurance because we believe that universal health coverage cannot be achieved unless health insurance is made 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 into the pooled resources.