The Practical Approach to Care Kit (PACK) Nigeria (Adult and Child) provides a single, integrated, comprehensive, evidence-informed clinical guide to support all cadres working in primary healthcare in Nigeria.

PACK Nigeria supports junior community health extension workers (JCHEWs), community health extension workers (CHEWs), community health officers (CHOs), nurses, midwives, and medical officers. Colour-coding clearly delineates scope of practice and referral pathways, enabling consistent and standardized care regardless of cadre.

PACK is a health systems intervention developed by the Knowledge Translation Unit (KTU) in South Africa over 23 years ago and later adopted nationally to strengthen primary care. The programme comprises four pillars: clinical decision support, training, health systems improvement, and monitoring and evaluation.

In 2016, in collaboration with KTU and BMJ, HRI Global localized PACK for Nigeria—developed by Nigerians, for Nigeria—to address gaps in clinical competence in primary health care.

PACK Nigeria demonstrably improves clinical competence, covering over 500 common symptoms, syndromes, and chronic conditions, aligned with local regulations, diagnostic capacity, and available medications.