This study tour is part of an international cooperation dynamic aimed at supporting ongoing structural reforms at the local level, drawing on the observation of established European models. The Kwara State Health Management Agency KSHMA plays a key role in implementing theUniversal Health Coverage – UHC policy in Kwara State. In a context of strong demographic growth and increasing pressure on resources, KSHMA is developing innovative approaches to improve the efficiency and sustainability of the healthcare system.

This study tour to Paris was designed to address the challenges identified by KSHMA, enabling its representatives to gain an in-depth understanding of the French healthcare system, analyze coordination mechanisms between primary care, hospital services and intermediate structures, explore models of regulation and healthcare financing, identify levers to improve access to specialized care, and draw inspiration from organizational models that could be adapted to the Nigerian context.

The Le Centre de santé Richerand in Paris illustrates a structured model for primary care, based on multidisciplinary organization, simplified access for patients without direct financial barriers, and a territorial approach tailored to local needs. For KSHMA representatives, this visit highlighted practical levers to develop well-organized community-based structures and strengthen access to primary care in Nigeria.

At the Adolphe de Rothschild Foundation Hospital - Hôpital Fondation Adolphe de Rothschild - a reference institution recognized for its excellence in neurology and ophthalmology, KSHMA representatives observed the organization of complex patient pathways, the integration of advanced technologies and clinical research, and the management of highly specialized technical platforms. This model underscores, for the Nigerian context, the relevance of structuring reference centers capable of optimizing specialized care pathways.

The Centre médical Europe represents an intermediate model between community care and hospital services, characterized by rapid access to specialized consultations, flexible patient flow management, and the ability to reduce pressure on hospital structures. This approach offers perspectives for KSHMA representatives in developing alternatives to hospitalization and improving the fluidity of care pathways.

Throughout the visits and exchanges, the study tour provided a space for observation and dialogue between stakeholders operating in different contexts. It forms part of a broader dynamic of international exchange among healthcare professionals.