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

Where care is givenEnugu’s health system has five different levels of public health facilities, namely: health post,health clinic, health centre, cottage hospital and district hospital. In addition there are a largenumber of varying sized private and faith-based facilities. The packages of care distinguishbetween primary facilities, covering the health post, health clinic, health centre and secondaryfacilities, covering cottage hospital and district hospital.Care providers* * *A number of professional and non-professional staff were assigned roles in the packages,including:DoctorsNursesMidwivesPublic Health NursesPharmacists and Pharmacy TechniciansRadiographers and Radiography TechniciansLaboratory Scientists and Laboratory Technicians Community Health OfficersCommunity Health Extension WorkersEnvironmental Health OfficersRecords OfficersIn September 2005, 36 master trainers were trained, of whom 18 were given responsibility foroverseeing the roll-out to facilities. The medical packages of care were introduced in 2005 and thesurgical packages in 2006. By early 2008, 1,040 people had been trained in their use. It is anticipatedthat additional staff will be trained prior to completion of the programme.Improved Management of Emergency Obstetric CareActivity in this area focused on:••Training of doctors, nurses and CHEWs in life-saving skillsOrientation of TBAs to danger signs and the need for prompt referral• Development of a contracting mechanism through faith-based hospitals for provision ofEmergency Obstetric Care for the public sector• Provision of equipment to both public and faith-based facilitiesTraining in Life Saving Skills (LSS)Given the need to work towards reducing maternal mortality, a reproductive health scoping missionwas undertaken in late 2003 to determine the target issues for the state. In April 2005 a furtherneeds assessment confirmed that one focus should be the provision of life saving skills for doctors,nurses and CHEWS. As a result, 12 doctors and 16 nurses were trained as master trainers in December2005 and February 2006 respectively. The facilities to be used for training purposes were agreedbased on their number of deliveries. This helped to ensure that the participants would benefit fromcompetency-based training. Both public and faith-based facilities were involved in the training.50 PATHS Final Programme Report