PATHS Final programme report: "Togetherness in Health" the Enugu ...
PATHS Final programme report: "Togetherness in Health" the Enugu ... PATHS Final programme report: "Togetherness in Health" the Enugu ...
Combined Entrance to the PATHS Office and the State Health BoardThe programme was initially located in the same building as the DFID Enugu office but it was feltto be too distant from its stakeholders. Therefore in 2003 an agreement was reached with the thenState Hospital Management Board to relocate to their site. This was situated very near to the mainMinistry of Health buildings. Four rooms were released and renovated by PATHS and the office wasofficially inaugurated by the Health Commissioner, Dr. Simon Idike in September 2003. As its workloadincreased PATHS sought additional space and again the State Board came to the rescue by offeringtwo further rooms which were integrated into the main office in 2006. A further small three roomedbuilding was also loaned to the programme and used initially by the production team of the Changeand Smile programme and then subsequently by the Health Commodities Procurement Project (HCP) .This location proved enormously beneficial and did much to promote collaborative working sincethe office was viewed as an integral part of the State Hospital Management Board (now State HealthBoard).Key Stakeholders and InitiativesPATHS worked with a number of Health Commissioners during its lifetime, namely Dr. P.O. Asadu(2002), Dr Simon Idike, (2003-2004 & 2007), Dr Festus Uzor (2004-2007) and Dr. Martin Chukwunweike(2004 & 2007). There were six Permanent Secretaries during the lifetime of the programme: Mr. Okoro(2002-2003), Mr.G.C. Asuke (2003-2004), Dr Mrs B. Orji Chukwu (2004-2006), Sir Sam Umesie (2006), MrC.J.Nnamani (2006-2007) and Mrs C.E.Okenwa (2007).The programme supported 31 different initiatives, which were mainly focused on the public sector.However, the period 2006-2008 saw an increasing emphasis on the development of partnerships withthe faith based sector and with NGOs and CBOs. At its height of busyness (January to June 06 businessplanning period) it was managing 25 different initiatives at the same time, shared across the fourPATHS themes.16 PATHS Final Programme Report
Stakeholder initiatives supported by PATHS were grouped into four key theme areas as follows:Theme 1Improved quality and sustainability of basic services relating to MDGsImprovements to Emergency Obstetric Care (2003-2008)Increasing Routine Immunisation (RI) (2005-2006)Raising awareness of HIV/AIDS & TB/DOTS (2003-2004)Improving Laboratory services - Community Diagnostic Programme (CDP) (2003-2008)Developing and implementing Public Private Partnerships (PPP) (2005-2008)Strengthening local management through PPRHAA/IMPACT (2003-2008)Strengthening Human Resource Management & Development (HRM/HRD) (2004-2006)Development of a Planned Preventive Maintenance (PPM) system (2006-2008)Developing and implementing Packages of Care (PoC) (2004-2008)Establishment of Continuing Professional Development (CPD) Centres (2006)Improvements to hospital infrastructure (2004-2006)Supporting the provision of Health Commodities (2004-2007)Theme 2Sustainable access to quality essential drugsDevelopment of a Drug Directory (2003-2005)Implementation of a Drug Revolving Fund (DRF) (2003-2008)Strengthening Central Medical Stores (CMS) (2003-2007)Theme 3Prioritised, costed, operationalised, government health policies adequatelyreflected in National Economic Empowerment and Development Strategy (NEEDS)and State Economic Empowerment and Development Strategy (SEEDS)Development and implementation of a District Health System (DHS) (2003-2008)Strengthening Financial Management Systems (FMS) (2004-2006)Re-establishing Health Management Information System (HMIS) (2003-2008)Introducing Business Planning (2004-2008)Supporting Public Expenditure Management (PEM) (2004-2008)Development of a Health Strategy (2003-2008)Development of District Health System Legislation (2003-2005)Supporting integrated supportive supervision (ISS) (2006-2008)“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 17
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- Page 13 and 14: KEY FACTSHealth Indices: Comparison
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Stakeholder <strong>in</strong>itiatives supported by <strong>PATHS</strong> were grouped <strong>in</strong>to four key <strong>the</strong>me areas as follows:Theme 1Improved quality and susta<strong>in</strong>ability of basic services relat<strong>in</strong>g to MDGsImprovements to Emergency Obstetric Care (2003-2008)Increas<strong>in</strong>g Rout<strong>in</strong>e Immunisation (RI) (2005-2006)Rais<strong>in</strong>g awareness of HIV/AIDS & TB/DOTS (2003-2004)Improv<strong>in</strong>g Laboratory services - Community Diagnostic Programme (CDP) (2003-2008)Develop<strong>in</strong>g and implement<strong>in</strong>g Public Private Partnerships (PPP) (2005-2008)Streng<strong>the</strong>n<strong>in</strong>g local management through PPRHAA/IMPACT (2003-2008)Streng<strong>the</strong>n<strong>in</strong>g Human Resource Management & Development (HRM/HRD) (2004-2006)Development of a Planned Preventive Ma<strong>in</strong>tenance (PPM) system (2006-2008)Develop<strong>in</strong>g and implement<strong>in</strong>g Packages of Care (PoC) (2004-2008)Establishment of Cont<strong>in</strong>u<strong>in</strong>g Professional Development (CPD) Centres (2006)Improvements to hospital <strong>in</strong>frastructure (2004-2006)Support<strong>in</strong>g <strong>the</strong> provision of Health Commodities (2004-2007)Theme 2Susta<strong>in</strong>able access to quality essential drugsDevelopment of a Drug Directory (2003-2005)Implementation of a Drug Revolv<strong>in</strong>g Fund (DRF) (2003-2008)Streng<strong>the</strong>n<strong>in</strong>g Central Medical Stores (CMS) (2003-2007)Theme 3Prioritised, costed, operationalised, government health policies adequatelyreflected <strong>in</strong> National Economic Empowerment and Development Strategy (NEEDS)and State Economic Empowerment and Development Strategy (SEEDS)Development and implementation of a District Health System (DHS) (2003-2008)Streng<strong>the</strong>n<strong>in</strong>g F<strong>in</strong>ancial Management Systems (FMS) (2004-2006)Re-establish<strong>in</strong>g Health Management Information System (HMIS) (2003-2008)Introduc<strong>in</strong>g Bus<strong>in</strong>ess Plann<strong>in</strong>g (2004-2008)Support<strong>in</strong>g Public Expenditure Management (PEM) (2004-2008)Development of a Health Strategy (2003-2008)Development of District Health System Legislation (2003-2005)Support<strong>in</strong>g <strong>in</strong>tegrated supportive supervision (ISS) (2006-2008)“<strong>Toge<strong>the</strong>rness</strong> <strong>in</strong> Health” <strong>the</strong> <strong>Enugu</strong> Experience <strong>in</strong> Health Sector Reform, 2002-2008 17
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