The Requirement And Registration Policy For Establishing Health Care Facility In Nigeria By Osagie Merry

Hospital bed

The establishing and running of health care facility in Nigeria are stringently regulated by the government agencies. An Health care facility is a lucrative and above all service to humanity.

Nigeria population is unarguably estimated 191 million (2017) everyone needs health care services, even when the government has provided some Primary Health care centers, Secondary Hospitals and Tertiary Hospitals, these centers are not meeting the needs of this population rising on daily bases.

Quests for quality health services will make her citizen circumvent the public Health facility to mission hospitals or privately own Hospitals.

Most of the public Health facility in rural areas of the Country Nigeria has been marginalized due to the dilapidated state of the facility with no adequate qualified man power, lack of standard medical equipment, no power supply, this is a precursor to consumers seeking private health facilities.

With my years of experience in Hospital investment, I shall be mentoring you as well as guide you through this article on HOW YOU CAN ESTABLISH YOUR OWN PRIVATE HEALTH FACILITY IN ANY STATE IN NIGERIA.

Before we dive into the requirements, it’s sacrosanct and unassailable to know the various types of health care facility and their differences.

Type Of Health Care Facility In Nigeria As Projected By Ministry Of Health

Hospitals (Private)

This hospital is very common in towns and cities. It is a big establishment in terms of structure. It can occupy a single big building or a couple of blocks. They can treat any kind of illness or injury. For those that are more than what they can handle, they refer.

They have more equipment for carrying out operations, emergency conditions with wards for inpatients and outpatient care. They have so many units such as pharmacy unit, medical laboratory etc. Most private hospitals have between 10 to 50 beds for in-patients. They may have an ambulance for rescue operation.

Unit Hospitals (Clinic)

They are established in schools, factories, hotels, companies or firms. They can treat minor ailments including simple burns, wounds etc. They may have a room or two (SICK BAY) with a bed to admit and treat a patient for some days. However, the majority of their cases are outpatient.

Staffs are made up of a doctor (who likely is not a specialist), a couple of nurses, mid wives and health care assistants. However, the doctors can be up to two in some locations.

Maternity/Pediatric Hospital

This type of health care facility is established by a Registered Midwife only Just for women, children below 18years, pregnant women, for taking delivery and nursing mothers. Some have added family planning to the list of their services although it is still legal. But surgery cannot be done in a maternity home.

This type of health care facility is managed and operated by a Registered Midwife with the Nursing and Midwifery Council of Nigeria.

Nursing Home/convalescent centre.

It was formerly known as a Nursing Home before it was revamp to Convalescent centre; this type of health care facility is managed and operated by a Registered Nurse with the Nursing and Midwifery Council of Nigeria. Some of the activities carried out caring for the wounded citizens, admitting all sexes, but surgery cannot be done in a maternity home, all other activities can be carried out.

Requirements to set up hospital in Nigeria

The following are requirements for setting up a Health care facility in Nigeria

Before you set up any business in Nigeria, it’s expected that you have a business name (E.G.THE MUNDESI HOSPITAL LTD, TITILAYO CONVERLESCENT HOME, EMEKA NURSING HOME, IDRIS CLINIC E.T.C.) duly registered with the Corporate Affairs Commission (CAC).

Requirement for an Hospital In Nigeria

√ Business Registration: It is necessary that you begin by registering your business with the Corporate Affairs Commission (CAC).

√ Practicing License: All hospitals are expected to have a practicing license issued to the doctor which is authorized by Medical and Dental Council of Nigeria (MDCN) and is subject to annual renewal

√ Professional Association: The doctor will need to get a clearance from association of General private medical practitioner (AGPMP)at the zonal office of where he want to established his facility

√ Authorization: The Federal Ministry of Health will have to confirm that you have the required qualifications that give you the legal right to operate a hospital in Nigeria.

Educational Qualifications/ Staffing for hospital

Doctors: He/ she should possess a minimum educational qualification of Bachelor of Medicine and Bachelor of Surgery (MBBS), and must have completed his/ her medical internship programmed it is expected that the doctor will have a minimum of 5years working experience as the operating officer of the facility.

Nurses: He/ she should be a Registered Nurse with the Nursing and Midwifery Council of Nigeria (NMCN). According to NMCN, any registered and properly trained nurse with a minimum of five years working experience can set up a hospital to handle only minor cases.

Staffing: The significance of employing the right staff cannot be over emphasized. In Lagos for instance, qualified professionals required to be employed in your hospital include:

  1. One Medical Practitioner in-charge with a minimum of 5 years post qualification experience.
  2. One Medical Practitioner per shift.
  3. One Registered Nurse in-charge of Nursing Services.
  4. One Registered Staff Nurse/Midwife or Staff Nurse per 8 in-patients beds per shift.
  5. One Laboratory Assistant/Technician.
  6. One Registered Pharmacist for a Hospital/Pharmacy Technician.
  7. Medical Records and Secretarial Staff.
  8. Ward Assistant or Aides (optional).
Establishing health care in Nigeria

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Requirement for an Maternity Home

Business Registration: It is necessary that you begin by registering your business with the Corporate Affairs Commission (CAC).

Practicing License: All Maternity Home are expected to have a practicing license issued to the Midwife which is authorized by Nursing and Midwifery Council of Nigeria (NMCN) and is subject to renewal every 3years.

Professional Association: The Midwife will need to get a clearance from association of General private medical practitioner (AGPNP)at the zonal office of where he want to established his facility

Authorization: The Federal Ministry of Health will have to confirm that you have the required qualifications that give you the legal right to operate a hospital in Nigeria.

Educational Qualifications/ Staffing

Midwife: He/ she should be a Registered Midwife with the Nursing and Midwifery Council of Nigeria (NMCN). According to NMCN, any registered and properly trained Midwife with a minimum of five years working experience can set up a Maternity Home to handle only minor cases.

Staffing: The significance of employing the right staff cannot be over emphasized. In Lagos for instance, qualified professionals required to be employed in your hospital include:

  1. One Registered Nurse in-charge of Nursing Services.
  2. One Registered Staff Nurse/Midwife or Staff Nurse per 8 in-patients beds per shift.
  3. One Laboratory Assistant/Technician. (if need be)
  4. One Registered Pharmacist for a Hospital/Pharmacy Technician. (if need be)
  5. Medical Records and Secretarial Staff. (if need be)
  6. Ward Assistant or Aides (optional). (if need be)

Requirements to establish a Nursing Home/Convalescent Centre In Nigeria

√ Business Registration: It is necessary that you begin by registering your business with the Corporate Affairs Commission (CAC).

√ Practicing License: All Nursing Home are expected to have a practicing license issued to the Nurse which is authorized by Nursing and Midwifery Council of Nigeria (NMCN) and is subject to renewal every 3years.

√ Professional Association: The Registered Nurse will need to get a clearance from association of General private Nursing practitioner (AGPNP)at the zonal office of where he want to established his facility

√ Authorization: The Federal Ministry of Health will have to confirm that you have the required qualifications that give you the legal right to operate a hospital in Nigeria.

Educational Qualifications/ Staffing

Nurse: He/ she should be a Registered Nurse with the Nursing and Midwifery Council of Nigeria (NMCN). According to NMCN, any registered and properly trained Midwife with a minimum of five years working experience can set up a Maternity Home to handle only minor cases.

Staffing: The significance of employing the right staff cannot be over emphasized. In Lagos for instance, qualified professionals required to be employed in your hospital include:

  1. One Registered Nurse in-charge of Nursing Services.
  2. One Registered Staff Nurse/Midwife or Staff Nurse per 8 in-patients beds per shift.
  3. One Laboratory Assistant/Technician. (if need be)
  4. One Registered Pharmacist for a Hospital/Pharmacy Technician. (if need be)
  5. Medical Records and Secretarial Staff. (if need be)
  6. Ward Assistant or Aides (optional). (if need be)
Establishing Healthcare facility in Nigeria

Photo Credit: Pexels.com

Infrastructural Requirements for Nursing home

The minimum basic facility requirements according to the Health Facility Monitoring and Accreditation Agency (HEFAMAA) include:

Building

Your building which must be composite not forming part of normal residential accommodation must have:

For Out-Patient

  • Waiting / reception room of 4x3meters with sitting facilities, registration table.
  • Medical record facilities.
  • Consulting room (s) of 4x3meters with examination couches wash-hand basin, towels and basic diagnostic tools.
  • Treatment room of 4x3metres with Instrument / drug cabinet, pedal bin and wash-hand basin and towels.
  • Toilet facilities with water closet.
    Staff / cloak room.
  • Dispensing room with pharmacy technician dispensing if compounding a registered Pharmacist is required.
  • Oxygen cylinder with gauge and mask and suction machine.
  • Other services – ambulance and fire extinguisher.

For In-Patient

  • Lying-in ward with minimum distance of one meter between two adjoining beds of 1x3metres between two rows of beds.
  • Ward(s) with locker and over-bed table for each bed (separate Rooms for male and female patients).
  • Delivery rooms (where applicable) of 12 sq. meters.
  • First stage labour room (where applicable).
  • Suitably equipped theatre with floor to ceiling ceramic tiling.
  • Sluice room.
  • Toilet facilities – 1 water closet per 8 beds (separate for male and female).
  • Bathroom facilities – 1 bathroom per 8 beds (separate for male and female).
  • Nurse bay.

Equipment

Your hospital facility is expected to be equipped amongst others with:

  1. Adequate and suitable theatre equipment/instruments for minor/ major surgeries.
  2. Suction machine
  3. Oxygen cylinder with gauge and mask
  4. Anaesthetic machine (arrangement with
  5. Anaesthetist may be made to provide when needed
  6. Operating lamp
  7. Adequate delivery/ labour room equipments.
  8. Autoclaving machine
  9. Refrigerator
  10. Delivery/Surgical Equipment

Other minimum facility requirements according to HEFAMAA include:

  1. Clean and adequate water supply pipe borne, borehole water tank
  2. Washable floors
  3. Adequate drainage
  4. Adequate ventilation
  5. Adequate illumination.
  6. Laundry
  7. Kitchen
  8. Fire extinguisher
  9. Generator

Health Regulatory Authorities in Nigeria

Health regulatory authorities in Nigeria have been put in place to ensure the quality, safety, and efficacy of all clinical establishments in the country.

According to the Federal Ministry of Health, the authorised health regulatory bodies in Nigeria among others include:

  1. Medical and Dental Council of Nigeria (MDCN)
  2. Nursing and Midwifery Council of Nigeria (NMCN)
  3. Pharmacist Council of Nigeria (PCN)

Each state in the country has its own regulatory body for monitoring health facilities in its state. In Lagos state for instance, the Health Facility Monitoring and Accreditation Agency (HEFAMAA) have been positioned to ensure that health facilities meet required standard.

In conclusion, it is paramount when starting a hospital business that you comply with regulatory requirements so that you are in a position to offer quality healthcare services.

How much is needed to open an Health care facility in Nigeria

I can’t be specific because a health care facility can consume million of naira depends on the sophistication of the health care facility you have in mind.

The location of your health care facility will determine the cost too. An health care facility in Lekki will be more expensive than an health care facility in Ikorodu area of Lagos. Where rents and landed properties are cheaper than the aforementioned cities.

My recommendation is to budget a total of #1.5million which am sure will be enough.

Concluding The Requirement And Registration Policy For Establishing Health Care Facility In Nigeria

An health care facility needs a lot of planning strategic mentorship, there are monitoring agency to check your modus operandi therefore, you need to study this article very well to prepare the requirement.

I, Osagie Merry also offer mentorship to Doctors, Nurses who are willing to invest into the private health sector and other health business as I have done for over 72 Medical personnel’s.

TO GET YOUR HOSPITAL BUSINESS PLAN, FEASIBILITY STUDY AND MENTORSHIP GUIDIANCE,

Enroll now by paying N50,000 to:
BANK NAME: ZENITH BANK
ACCOUNT NAME:  OSAGIE OSEMWENGIE ENDURANCE
ACCOUNT NUMBER: 2081198649

After payment, Text your full name, email address and selected health care facility plan plan (i.e. hospital/Maternity/Converlescent business plan sample pdf) to 09071046490 or osagiegab@gmail.com

The complete business plan/feasibility study will be sent to your email 30 minutes after payment and call Osagie Merry on 08106290273 to begin your mentorship journey to Greatness.

For Inquiries call – 09071046490 or 08106290273 Whatsapp Preferred over Calls.

Do you have any questions? Kindly use the comment section below and I shall respond swiftly.

2 thoughts on “The Requirement And Registration Policy For Establishing Health Care Facility In Nigeria By Osagie Merry”

  1. The step is not right.community nursing program should be added to the already general nursing program, a nurse is a nurse and can work anywhere.lnnaugurating community nursing only is lowering standard and promoting quackery. NMCN should learnt to protect the interest of their nurses wherever they are working,

  2. Pingback: 40 Healthprenuership Business Opportunities For Nurses, Doctors And Lab Scientist » Osagie Merry

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