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 ...
the 56 Executive Secretaries of Local Health Authorities. The Boards and Authorities created their ownsupport networks in order to learn from what worked or did not work well in each district or healthDHS StructureCommissioner for HealthState HealthBoard (SHB)Policy Development andPlanning DirectorateDistrict HealthBoards (7 DHBs)Local HealthAuthorities (56 LHAs)Map Showing Enugu State District Health Boardwith Health Facilities as at February, 2006 Igb o -Eze-N orthIgb o-Eze-So uth U den u Nsu kkaIsi-UzoU zo -Uwan i Ig bo -Etiti En ug u EastU di Ezeag u Enu gu N orth En u gu So uth N kanu W est N kanu East Oji-River Aw gu An in ri LGA boundariesPublic Health FacilitiesPrivate Health FacilitiesDistrict Health BoardEnugu MetroUdiAwguNsukkaIsi-UzoEnugu EzikeAgbani26 PATHS Final Programme Report
authority catchment area. This helped ensure that the Boards and Authorities had a united voice whenadvocating for changes within the DHS.The implementation of the DHS required a fundamental shift in the roles, responsibilities, andapproaches of all the constituent bodies. To facilitate these changes PATHS provided support in thefollowing areas:•The framing of the required legislation to introduce the District Health System;• The establishment of the constituent bodies i.e. the Policy Development and Planning Directorate(PDPD), the State Health Board (SHB), the seven District Health Boards (DHB) and 56 Local HealthAuthorities (LHA);• The establishment of District Headquarters;• Extensive capacity building for 776 members of the constituent bodies to orientate them to theirrevised roles and responsibilities;• Design, development and implementation of the underpinning systems for financialmanagement, human resource management, health management information and drug revolvingfunds, all adapted to reflect the new structure;• Development of business plans and budgets for each of the constituent bodies and the workinginterfaces between them;• Engagement and advocacy aimed at Local Government to improve their knowledge andunderstanding of the new system;• Strengthening the new management lines of accountability to support the shift away from LocalGovernment control of primary care;• Encouragement of reporting channels within and between the constituent bodies;• A study tour to learn from the Ghana District Health System.A newly constructed DHB Headquarters for Enugu Metropolitan District Health BoardConsiderable technical assistance was provided from 2003 onwards in all the above areas. Overtime, increasing responsibility for implementation of the various reform initiatives shifted to the State“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 27
- Page 3 and 4: "Togetherness in Health"the Enugu E
- Page 5 and 6: FORWARDI am very pleased on behalf
- Page 8 and 9: 6 PATHS Final Programme Report
- Page 11 and 12: Section 1:Setting the Enugu Context
- Page 13 and 14: KEY FACTSHealth Indices: Comparison
- Page 15 and 16: PHC centres and cottage hospitals i
- Page 17 and 18: Section 2:Overview of the PATHSProg
- Page 19: Stakeholder initiatives supported b
- Page 22 and 23: PATHS ApproachEngagement Process wi
- Page 24 and 25: Pro-poor FocusPATHS pro-poor focus
- Page 26 and 27: “PATHS has indeed impacted very p
- Page 30 and 31: Health Board and the Districts. The
- Page 32 and 33: it was agreed that the original ide
- Page 34 and 35: •••Working to an agreed timef
- Page 36 and 37: PATHS provided much of the infrastr
- Page 38 and 39: to access for the Ministry of Healt
- Page 40 and 41: and the core DRF models used in oth
- Page 42 and 43: Enabling Service DeliveryDeveloping
- Page 44 and 45: Procurement of Drugs and EquipmentT
- Page 46 and 47: equired in order to ensure that mor
- Page 48 and 49: Training in the laboratory of Annun
- Page 50 and 51: The services to be delivered were a
- Page 52 and 53: Where care is givenEnugu’s health
- Page 54 and 55: Enugu State Total Deliveries in Pub
- Page 56 and 57: The selection process resulted in t
- Page 58 and 59: Reduced maternal andinfant mortalit
- Page 60 and 61: By the conclusion of the second ser
- Page 62 and 63: With the advent of the DHS it was a
- Page 64 and 65: Inter-Personal Communication and Co
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- Page 68 and 69: Intermediate Outputs1) The DHS stru
- Page 70 and 71: 5) A culture of business planning a
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- Page 74 and 75: 4) The tendency for politicians to
- Page 76 and 77: Abbreviations and AcronymsANCBCCBEO
<strong>the</strong> 56 Executive Secretaries of Local Health Authorities. The Boards and Authorities created <strong>the</strong>ir ownsupport networks <strong>in</strong> order to learn from what worked or did not work well <strong>in</strong> each district or healthDHS StructureCommissioner for HealthState HealthBoard (SHB)Policy Development andPlann<strong>in</strong>g DirectorateDistrict HealthBoards (7 DHBs)Local HealthAuthorities (56 LHAs)Map Show<strong>in</strong>g <strong>Enugu</strong> State District Health Boardwith Health Facilities as at February, 2006 Igb o -Eze-N orthIgb o-Eze-So uth U den u Nsu kkaIsi-UzoU zo -Uwan i Ig bo -Etiti En ug u EastU di Ezeag u Enu gu N orth En u gu So uth N kanu W est N kanu East Oji-River Aw gu An <strong>in</strong> ri LGA boundariesPublic Health FacilitiesPrivate Health FacilitiesDistrict Health Board<strong>Enugu</strong> MetroUdiAwguNsukkaIsi-Uzo<strong>Enugu</strong> EzikeAgbani26 <strong>PATHS</strong> <strong>F<strong>in</strong>al</strong> Programme Report
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