PATHS Final programme report: "Togetherness in Health" the Enugu ...

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Training in the laboratory of Annunciation HospitalA core team of nine staff from Enugu was trained as master trainers, from which four were selected tobe state representatives. These and staff from other states were trained with international support.The master trainers trained 43 laboratory staff and 71 facility staff (the latter only in the use of RapidDiagnostic Tests for malaria). A set of standard operating procedures were developed and a rangeof equipment and reagents were procured, centred on improving TB, malaria and Hb estimationdiagnosis.To test the effectiveness of the training, but more importantly to determine the quality of the slideresults, a Quality Assurance Scheme was developed using Annunciation Specialist Hospital’s laboratoryas the reference laboratory.46 PATHS Final Programme Report
Reduced maternal andinfant mortality andincreased consumerdemand in both publicand private managedPromoting Improved Service Delivery incare facilitiesthe Facilitiesprimary and secondaryIn order to improve the quality of health services, systemsstrengthening initiatives need to go hand in hand with initiativesthat aim, directly, to improve services. This section describes anumber of initiatives that focused on working directly with serviceproviders at facility level. These included:•Introduction of a Minimum Service packageDeveloping the DistrictHealth SystemStrengtheningunderpinningsystems••••Development of Packages of CareImproved management of Emergency Obstetric CareImmunisationIntegrated Supportive SupervisionEnablingservice deliveryPromoting improvedservice delivery inthe facilitiesIntroduction of a Minimum ServicePackage (MSP)Given the paucity of service provision in the public sector, theDistrict Chief Executive Officers agreed in late 2004 that everyfacility should be in a position to offer a minimum level of service toits clients.A Minimum Service Package was developed. This was based on fourelements:• A reasonable state of infrastructure, including provision ofelectricity and water• Specific services that should be offered by the facility• Specific drugs and equipment that should be available in the facility• Packages of care that would guide health staff in their delivery of services.Increasing demandfrom communitiesIncreased patientpatronageReduced maternal andinfant mortality andincreased consumerdemand in both publicand private managedprimary and secondarycare facilities“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 47
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 28 and 29: the 56 Executive Secretaries of Loc
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 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
Page 68 and 69: Intermediate Outputs1) The DHS stru
Page 70 and 71: 5) A culture of business planning a
Page 74 and 75: 4) The tendency for politicians to
Page 76 and 77: Abbreviations and AcronymsANCBCCBEO
Page 78 and 79: AcknowledgementsThe PATHS programme
Page 80 and 81: Master trainersSMoH/faith based sec
Page 82: 80 PATHS Final Programme Report

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