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138 Margherita Terranova, Valeska Padovese, Aldo MorroneCoordinator to collect all this data. The Health Workers of the interventionweredas have been instructed during the practicum training on how to collectdata. The card’s copies have been distributed to the Health Centres at theend of the training (see a copy in Annex 4).During the months of July and August, the Project Coordinator with the 4medical doctors of TMA went back to the weredas study, for a total of 9 days,to evaluate the work carried out from the HW that received the trainingcourse. They were directly observed and the PHC service checklist were completed.The project coordinator and the medical doctors were present duringout-patient activity and the professionalism was appreciate as good. Skill onDermatology resulted to have improved especially for all that concerned diagnosis,management and treatment of the commonest skin diseases. The cardsfor the “Report of Medical History”, previously distributed at the end of thetraining course, were filled in a variable number of 16-52 for each trainedHW. Not all the cards were completely filled in all their parts. Moreover, somemistakes observed in the management and in the treatment of some skin diseases,were directly discussed with the HW and recorded to be considered andfocused in the next training course. The total number of patients referred tothe IDC in Mekele from the HC of the weredas was of 11 patients. One hundrednew copies of the card for “Report of Medical History” were distributedto each wereda. During the supervision emerged the necessity of an handbookfor practical management of the most common skin diseases, completed withtreatment chapters. This handbook will be distributed during the workshopthat will take place in Mekele during next months.From discussion with the trained health personnel and laboratory techniciansduring the supervision, emerged the necessity of other laboratory supplies(like KOH solution for fungal investigations) and drugs for daily activities;part of them have been already bought and distributed. For example, duringsupervision emerged data for scabies epidemic on the weredas study wherespecific drugs were not available. To limit the spreading of this epidemic, duringthe first week of October, 232 tubes of scabicide treatment (sulphur ointment)were distributed for each wereda study and other 700 will be given tothe Health Centres (HC) with the next supervision. The information regardingthe emerging epidemic of scabies was immediately communicated to theTRHB.About drugs previously distributed in the weredas, a complete account of theamount used for patients until first supervision, has been recorded as showedin Annex 7. In the respective pharmacy of each HC, were still present most
8. Operational research in tigray region 139of the drugs received by the OR, proving low use and low rate of the free distributionof the drugs related to the out-patient activity in the 3 weredas. Forthis reason, the importance of the drugs prescription as well as the regimentof free distribution were discussed and reaffirmed to improve the service forthe patients flow to the HC. Thanks to the supervision, practical and technicalproblems have been noted, recorded and successive measures were providedor are yet to be provided.4.1 Equipment and drugs suppliedAccording to the planned costs established, the PMU in Addis Abeba providedpurchasing and the delivery to the IDC in Mekele of the medical instrumentsreported in Annex 5. All the equipment was received and tested in theIDC and was utilized for the daily activity of the laboratory.PMU has also provided the purchase of the drugs for the pharmacy of theIDC and weredas study , as reported in Annex 6 and Annex 7. The purchasingwas done in Mekele and, when not possible, in Addis Abeba; the distributionto the HC of the weredas was done by the TRHB PharmacyDepartment.4.2 Human resourcesThe choice of humane resource involved in the research was object of somechange and up to now it is going to be modified.At the beginning, we selected the Medical Doctors to be involved in the researchactivities. The availability of Medical Doctors in Tigray is very littleand often they work as medical directors in zonal hospitals without the supportof expert health professionals. For these reasons, we choose the doctorswho are working in the selected sites and for the scarcity of human resourceswe reduced the number of the Medical Doctors to 4 instead of the 6 previouslyforeseen. Presently, completed the first supervision, 2 of the MedicalDoctors of TMA involved in the research, are going to mouver out of Tigray(in Addis Abeba) to start a course of specialization.Moreover, 5 over 12 of the trained health workers are waiting for result of examinationto accede to further course of medical studies. If it occurs, it willlead to the change of personnel and further training courses will be necessaryto provide continuity of the dermatological service in the selected weredas.A Logistic Coordinator was employed at the real beginning of the project butafter 3 months he resigned for personal problems. We started immediately tointerview other candidates for the vacancy of secretary and logistic coordina-
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Introduction: dermatology and human
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1. Introduction: dermatology and hu
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Human resources Human forresources
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important share of household expend
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5. Human resources for health (HRH)
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