Muhammad Ali Pate

Muhammad Ali Pate (born 6 September 1968) is a Nigerian physician and politician who currently serves as the Global Director for Health, Nutrition and Population at the World Bank Group and Director of the Global Financing Facility for Women, Children and Adolescents (GFF).[1] Pate is also the former Minister of Health in Nigeria.

Muhammad Ali Pate
Muhammad Ali Pate at the World Economic Forum Annual Meeting of the New Champions in Tianjin, China 2012
Minister of State for Health
In office
14 July 2011 – 23 July 2013
Succeeded byDr. Khaliru Alhassan
Chief Executive Director of the National Primary Health Care Development Agency
In office
14 November 2008 – 11 July 2011
Assumed office
September 2013
Personal details
Born (1968-09-06) 6 September 1968
Misau, Nigeria
Alma materUniversity of Rochester
Ahmadu Bello University
Duke University
University College London

In 2019, Pate was appointed Julio Frenk Professor of Public Health Leadership at the Harvard T. H. Chan School of Public Health.[2]

Pate is also the former Minister of Health in Nigeria. His appointment in July 2011[3] follows his success as the Executive Director of the National Primary Health Care Development Agency (NPHCDA), in Abuja, Nigeria.[4][5] He resigned as Nigeria's Minister of State for Health effective 24 July 2013 to take up the position of Professor in Duke University's Global Health Institute, USA.[6] He is formerly the Chief Executive Officer of Big Win Philanthropy and an Adjunct Professor of Global Health of the Duke University Global Health Institute.

Early life and education

Pate was born in the Misau local government area of Bauchi State in Nigeria and was raised in the north of the country.[7] He is the son of a fulani herdsman.

The first in his family to complete a secondary school education, Pate graduated from high school to enter the Ahmadu Bello University (ABU) medical school in Kaduna State, Nigeria. He graduated from ABU and moved to Gambia where he worked in rural hospitals for a few years. He went on to complete his residency at the University of Rochester in the United States. He is an American Board-Certified MD in both Internal Medicine and Infectious Diseases, with an MBA (Health Sector Concentration) from Duke University USA. Prior to this he studied at the University College London.[8] He also has a Masters in Health System Management from the London School of Hygiene & Tropical Medicine, UK.

Early career

Prior to his appointment to the NPHCDA in 2008, Pate had an extensive career spanning over 10 years at the World Bank in Washington DC and held several senior positions including Senior Health Specialist and Human Development Sector Coordinator for the East Asia/Pacific Region and Senior Health Specialist for the African Region. While at the World Bank, a major project led by Pate was the far-reaching health sector reform programmes in Africa, East Asia and other regions of the World Bank. Of note is his initiation of landmark Public Private Partnership to replace a National Referral Hospital in Lesotho, Africa.

Head of the NPHCDA, 2008–2011

Pate was appointed to run the NPHCDA at the peak of the polio epidemic crisis in Nigeria. Nigeria is one of the four PAIN countries – Pakistan, Afghanistan, India and Nigeria – where polio still exists and can thus be transmitted to other countries.[9] Poliomyelities can be prevented through multiple immunisation with the polio vaccine. Receiving a minimum of four doses of the vaccine almost certainly provides lifelong immunity in children.

In Nigeria the wild poliovirus WPV is mainly prevalent in the north of the country.[10] In June 2009 Pate instigated a policy of engaging respected traditional rulers in the north under the leadership of the Sultan of Sokoto to help deliver the immunisation programme message, along with the development of an effective primary health care system which had failed in the previous decade. The cases of WPV reduced from 803 at the end of 2008 to only 11 cases in 2010.

Primary health care implementation in Nigeria

Pate led the development of a transformation agenda for the NPHCDA, dealing with outstanding issues following its merger with the old NPI (National Programme on Immunisation). This involved core diagnostics, systems development and human resources capacity development within the Agency.[11]

Pate identified the key failings in the healthcare system as structural constraint, fiscal decentralisation, mismatched burden of disease and low quality spending, poor and inequitable intermediate and long-term health outcomes, multiplicity of vertical initiatives, fragmented, inefficient service delivery, dilapidated health infrastructure, lack of skilled manpower in the frontlines; basic drugs and supplies and inadequate financial protection.

During his time in office, Pate also implemented innovative strategies including the training of middle level management for primary health care and collaboration with the private sector through public private partnerships. He has facilitated the introduction of new vaccines to improve routine immunisation; and engaged with the governors and local government agencies to ensure improvements in Primary Health Care. Furthermore, Pate pushed the agenda for decentralisation and integration and improved the quality and quantity of human resources at the frontlines.[12]

Midwives service scheme

Pate pioneered the implementation of a national Midwives’ Service Scheme (MSS) to address the high maternal and child morbidity and mortality.[13] The scheme is designed to mobilise midwives to selected primary health care facilities in rural communities to facilitate increase in skilled birth attendance and delivery of services. The MSS uses a cluster model of hub and spoke arrangement in which four selected primary health care facilities with capacity to provide Basic Essential Obstetric Care (BEOC) are clustered around a General Hospital with the capacity to provide Comprehensive Emergency Obstetric Care (CEOC) and which serves as a referral facility.[14]

The scheme has mobilised a total of 4000 midwives covered 1,000 PHC facilities and 400 general hospitals in the last 12 months. The MSS is also a vehicle for development of mHealth. Dedicated mobile phones are provided to all participating PHCs in the scheme, while fixed post internet telephony and video conference facilities have been deployed to a subset of facilities in the scheme.

Big Win Philanthropy, 2015–2018

From 2015 until 2018, Pate served as Chief Executive Officer of Big Win Philanthropy, an independent foundation that invests in children and young people in developing countries to improve their lives and to maximize demographic dividends for long term economic growth.[15] Big Win Philanthropy partners with leaders who have a stake in the outcome to achieve transformational change.

In addition to his role at Big Win Philanthropy, Pate served as a Richard L. and Ronay A. Menschel Senior Leadership Fellow at Harvard T.H. Chan School of Public Health in 2016. He taught a course in the Department of Global Health and Population called, "Leadership Development in Global Health: Building Community Trust Networks."[16]

In 2017, Pate was one of the final candidates for the post as director of the Global Fund to Fight AIDS, Tuberculosis and Malaria.[17][18]

Other activities

Pate has served on several national and international expert panels, including the Pacific Health Summit 2011, Seattle WA, USA, First WHO Health Systems Research Forum, Montreux, Switzerland 2009, Mckinsey's Geneva Health Forum 2009, Switzerland, Ernst Strungman Forum, Frankfurt, Germany 2010 and China-Africa Roundtable for Health 2010.

Additional activities include:

Recognition
  • 2012 – Harvard Health Leader, awarded by the Harvard Ministerial Leadership Program[28]

Personal life

Pate is married with four daughters and two sons and resides in northern Virginia. He is a practicing Muslim. Pate holds the equivalent of a knighthood title as "Chigarin Misau" from the village where he was born.

Recent publications

Abimbola S, Okoli U, Olubajo O, Abdullahi M.J., Pate M.A.. The Midwives Service Scheme in Nigeria. PLoS Medicine 2012: 9(5): e1001211.

Gupta N., Maliqi B., Franca A., Nyonator F., Pate M.A. Sanders D., et al., Human resources for maternal, newborn and child health: from measurement planning to performance for improved health outcomes. Human Resources for Health 2011, 9.16.

Pate M.A. in: Cochi, Stephen L, Walter R.Dowdle, editors. Disease Eradication in the 21st Century: Implications for Global Health. Strungmann Forum Report vol 7. Cambridge 2011, MA:MIT Press.

Wassilak S., Pate M.A., Wannemuehler K., et al.: Outbreak of Type 2 Vaccine-Derived Poliovirus in Nigeria: Emergence and Widespread Circulation in an under-immunised population. J Infectious Diseases 2011. 203 (7).

Jenkins H.E. Aylward B.R., Pate M.A. et al.: Implications of a Circulating Vaccine-Derived Poliovirus in Nigeria. New England Journal of Medicine 362. 24 June 2010.

Personal website: https://muhammadpate.com

Lancet Global Health Commission profile: https://www.hqsscommission.org/people/muhammad-a-pate/

References
  1. "Nigeria: World Bank Appoints Prof Pate Global Director". Daily Trust (Abuja). 20 May 2019. Retrieved 9 June 2019.
  2. "Former Nigeria Minister gets World Bank, Harvard appointments -". 28 May 2019. Retrieved 9 June 2019.
  3. "Dr. Pate Assumes Duty, Promises Efficient Service Delivery". Retrieved 24 July 2011.
  4. Dugger, Celia W. "A Campaign Shows Signs of Progress Against Polio". Herald Tribune. Retrieved 19 May 2011.
  5. Getting the "Last Hair" in Nigeria – Muhammad Pate | Bill & Melinda Gates Foundation Archived 24 June 2011 at the Wayback Machine
  6. http://www.dailytimes.com.ng/article/ali-pate-minister-state-health-resigns
  7. Celia W. Dugger (April 12, 2010), A Campaign Shows Signs of Progress Against Polio New York Times
  8. http://www.fuqua.duke.edu/news_events/feature_stories/nigeria/
  9. "WHO African Region: Nigeria – Polio eradication". Retrieved 16 July 2011.
  10. "The Global Polio Eradication Initiative". Archived from the original on 20 July 2011. Retrieved 16 July 2011.
  11. Ferguson, Janice (28 August 2015). "Feasibility of a brief weight loss intervention for women following childbirth, delivered within the national child immunisation programme". doi:10.1186/isrctn10460064. Cite journal requires |journal= (help)
  12. McKenzie and Enyimayew; Kwame Adogboda, Carole Baekey and Bryan Haddon (2010). "Workshop on 'Bringing PHC under one roof'" (PDF). Partnership for Reviving Routine Immunization in Northern Nigeria; Maternal, Newborn and Child Health Initiative. Retrieved 16 July 2011.
  13. Ferguson, Janice (28 August 2015). "Feasibility of a brief weight loss intervention for women following childbirth, delivered within the national child immunisation programme". doi:10.1186/isrctn10460064. Cite journal requires |journal= (help)
  14. "Nigeria Midwives Service Scheme". National Primary Health Care Development Agency. Retrieved 16 July 2011.
  15. "Conversations in Global Health with Dr. Muhammed Pate | Jan 15 at 4p | Li Ka Shing Center Room 340". Global Health. 4 December 2019. Retrieved 27 May 2020.
  16. Former Fellows. (2017, 24 February). Retrieved 4 April 2017, from https://www.hsph.harvard.edu/policy-translation-leadership-development/senior-leadership-fellows-program/former-fellows/#muhammadpate
  17. Donald G. McNeil Jr. (February 15, 2017), A Contentious List of Finalists for Global Aid Fund Group’s Director New York Times
  18. Donald G. McNeil Jr. (February 28, 2017), Influential Health Fund Reboots Its Search for a Leader New York Times
  19. Pate – World Bank Appointment American International Health Alliance (AIHA), press release of July 1, 2019.
  20. Afsaneh Mashayekhi Global Alliance for Vaccines and Immunization (GAVI).
  21. Board Global Fund to Fight AIDS, Tuberculosis and Malaria.
  22. "Getting the "Last Hair" in Nigeria". Archived from the original on 24 June 2011. Retrieved 16 July 2011.
  23. Advisory Board Merck for Mothers.
  24.  Primary Health Care Performance Initiative (PHCPI).
  25. Board Private Health Sector Alliance of Nigeria (PHSAN).
  26. World Economic Forum
  27. "Muhammad Ali Pate | World Economic Forum-Muhammad Ali Pate". Retrieved 16 July 2011.
  28. "World Bank appoints Nigeria's ex-minister, Muhammad Pate, as global director for health". TheCable. 16 May 2019. Retrieved 27 May 2020.
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