The Pada Initiative — Return & Give

Japa brought you here.
Japada brings you back.

Structured diaspora GP placements delivering measurable improvements in Nigerian primary care.

LONDON LAGOS / ABUJA 3-WEEK QI PLACEMENT
12,000+
Nigerian-trained doctors now practising in the UK
1 : 3,500
Nigeria's doctor-to-patient ratio (WHO benchmark 1:600)
28.5%
Of global maternal deaths occur in Nigeria
55 vs 81
Years — life expectancy in Nigeria vs the UK
Why Pada exists

Brain drain has a return path.

Nigeria's primary care crisis is deepening while the diaspora of clinicians who could help it grows every year. Public health spending sits at roughly 4% of the national budget well short of the 15% Abuja Declaration target and the clinicians most likely to leave are often the experienced ones who train and supervise others. Pada turns that outward flow into a structured, repeatable channel back in.

Week One

Immersion

Baseline assessment, project scoping and local team co-design at the host facility.

Week Two

Implementation

Delivery of the quality-improvement project — audit, clinical training, protocol development.

Week Three

Handover

Results review, documentation, and remote support of local champion enabled to sustain the change.

2026 – 2027

The pilot, at a glance

A 12-month pilot deploying 3–4 UK-based Nigerian GPs across four host facilities in Lagos and Abuja built to establish the evidence base for scale-up, institutional recognition, and future government partnership.

Who can apply

  • Registered with the GMC (UK) and MDCN (Nigeria, no additional licensing needed to practise
  • Member of the Royal College of General Practitioners
  • Minimum two years' post-CCT UK practice experience
  • Nigerian-born or of Nigerian heritage
  • Available for a minimum three-week placement within the pilot period
  • Committed to QI-focused engagement and MEL data participation
GPs deployed3–4
Host facilities4
Placement length3 weeks
LocationsLagos + Abuja
Pilot period12 months
Year 2 scale10 GPs / yr
Pilot timeline

Twelve months, four stages

Months 1–3

Discovery surveys with UK-based Nigerian GPs and host facilities; organisational setup; host MoUs; GP application and selection; continued engagement with stakeholders.

Months 4–9

Three-week QI placements delivered; peer learning exchange launched; mentoring pairs established; MEL data collected throughout.

Months 10–12

Cohort debrief, outcome data analysis, funder impact reports, pilot evaluation published, and Year 2 planning begins.

Ongoing

Mentoring follow-ups at 1, 3 and 6 months post-placement sustain each UK–Nigeria pairing beyond the three-week engagement.

Impact framework

Year 1 targets

013–4 GPs deployed across pilot host sites in Lagos and Abuja
023–4 documented QI projects completed with baseline and outcome data
03Local clinical staff trained across participating facilities
04Over 80% participant satisfaction, GPs and host facilities alike
05Mentoring and peer relationships active at the end of the pilot period
06Pilot evaluation report published and shared with funders and partners
Who makes it work

Stakeholders and roles

RCGP

In-principle support for the pilot phase.

Global Health Partnerships

Positions Pada within the global health workforce agenda.

MANSAG

Provides professional legitimacy within the Nigerian and UK diaspora medical community.

NGPUK

Supports dissemination of the discovery survey and co-promotes the GP application call to eligible doctors.

Host facilities

Delivery partners: nominating a project lead, providing access, and agreeing a defined QI project with the Pada team.

Funders

A diversified, milestone-based funding base spanning corporate CSR, health philanthropy and diaspora contributions.

Founders

Built by the diaspora, for the system that trained them

MF

Dr Mamsallah Faal-Omisore FRCGP

Co-founder, The Pada Initiative

A UK and Nigeria-based practising family physician and global health expert with over 25 years of clinical, strategic and advisory experience across the NHS, Nigeria, South Africa, the Caribbean and the wider Global South. She trained at UCL, holds an MSc in Global Health Policy from LSHTM, and spent over a decade as Strategy and Clinical Director of Primary Care International, leading technical programmes for WHO, PAHO, UNHCR, GIZ and the EU. Mamsallah founded Pada from a conviction that a structured, well-supported diaspora return is the most powerful untapped resource for transforming Nigerian primary care.

IO

Dr Ikunna Onwuanibe FRCGP

Co-founder, The Pada Initiative

A compassionate and mission-driven General Practitioner with over three decades of clinical and global health experience. A Fellow of the Royal College of General Practitioners and holder of an MSc in Public Health from LSHTM, she combines frontline clinical expertise with strategic public health leadership across the NHS in general practice, occupational health and sexual and reproductive health. As a volunteer with the UK Emergency Medical Team she deployed to war-affected Ukrainian villages, and as Co-Founder of the Be a Sister Foundation she has delivered health education to over 5,000 young people across East and West Africa. Ikunna brings to Pada a lifetime of showing up — for patients, for communities across Africa, and for the world's most vulnerable.