Assignment task:
Oil rich Nigeria is located in western Africa and lies between Benin and the Cameroons. It is Africa's most populous country with a population of 200 million (2019).
Nigeria has one of the largest stocks of human resources for health (HRH) in Africa but, like the other 57 HRH crisis countries, has densities of nurses, midwives and doctors that are still too low to effectively deliver essential health services (1.95 per 1,000). In recent years migration to foreign countries has declined and the primary challenge for Nigeria is inadequate production and inequitable distribution of health workers. The health workforce is concentrated in urban tertiary health care services delivery in the southern part of the country, particularly in Lagos (HRH Country Profile: Nigeria, WHO GHWA, 2008). This inequity has been attributed to:
- lack of public and private sector coordination;
- favoring indigenous hires;
- commercial pressures in the private sector that lead to poor quality work;
- work environments that contribute to low motivation, less-than-optimal productivity, high attrition - especially from rural areas; and
- lack of planning based on staffing projection needs resulting in an overproduction of some categories of health workers and a lack of others (Federal Republic of Nigeria HRH Strategic Plan 2008-2012).
Over the years, business practices in Nigeria have been of some concern to the international community. In 2018 Nigeria was ranked 144th out of 180 countries on Transparency International's Corruption Perception Index (CPI).
The Partnership for Transforming Health System 2 (PATHS 2), a CIDA-funded program in Nigeria, aims to improve the planning, financing and delivery of sustainable and replicable pro-poor health services for common health problems, focusing on six states and the federal government. The project is being funded by the Canadian Government to the tune of CAN$20 million and by the Nigerian Government to the tune of CAN$5 million.
Pro-Health Dynamics has partnered with a Nigerian company, Ubuntu INC. to work with them as their local counterparts. Ubuntu INC is a medium sized company with a good reputation for on-time service and within budget project delivery in Nigeria. Ubuntu combines the necessary experience and competence with a significant cost advantage over other local competing vendors.
Your company, Pro-Health Dynamics, located here in Scarborough, has many years of experience as project management specialists in Public Health and Health Administration in Ontario. Pro-Health Dynamics was awarded the contract of providing project management services for the PATHS 2 project.
The project is expected to start in March of 2021 and is expected to last 3 years. Your company expects to have a project team working on the ground in Abuja, the capital of Nigeria, for a period of no less than 2 years. During the first two years of the project, your team will work hand in hand with Nigerian experts from Ubuntu, do institutional strengthening and knowledge transfer and basically hand over day to day operations of the project to Ubuntu by the end of the second year. During the final year of the project, you and your team will assume a more supervisory role but will primarily be operating from the home base in Scarborough.
1) What risk involved in this case study?
2) Assessment plan for the same case study?
3) What is assumptions and risk for the above mentioned case study?