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 ...
Inter-Personal Communication and Counselling (IPCC)IPCC was introduced in the state in 2005 asa tool to equip health workers with relevantskills and techniques to relate better to theirclients. Initially IPCC training was delivered bynational consultants but, in 2006, eight SMOHstaff trained as master trainers and assumedresponsibility for the training, which was coordinatedthrough a state focal person. 554providers were trained on IPCC across both thepublic and private sectors .The IPCC training curriculum includes:i) Client centred approach and customerserviceii)iii)Values clarificationInterpersonal communication and stepsin behaviour change;iv)Counselling using the “GATHER” process“Before, the people who were here were notattending to people nicely. They were nottaking good care of me. You would comeand they would not meet you or they wouldtell you that they are not on duty. Now youcan come anytime and get good care.”Patient attending Ozalla Health Clinicv) Use of role-play to demonstrate somechallenging moments in counsellingvi)Role-play using the information andactivities in the Better Health Kit onhealth issues such as Safe Motherhood,DRF, Diarrhoea, TB, and Immunizationvii) Reaching out to the community (apractical guide on community outreach)“Whenever I came here for delivery, the nurseswere always harsh and not friendly, but nowthey are more friendly and humane.”Health providers at IPCC TrainingA patient62 PATHS Final Programme Report
Radio Distant Learning Programme (DLP)The Radio Distance Learning Programme aimed to share common health knowledge withcommunities and health providers. Twenty-six episodes were prepared by PATHS Abuja and thentranslated into Igbo language locally and field-tested. Radio Nigeria FM station Enugu was contractedto air the episodes. Listening groups were established and CBOs/NGOs followed up after the episodes.A total of 62 listening groups were formed, centred on the 56 Early Bird Clinics and six DistrictHospitals. Six CBOs were selected from the local catchment communities and one member fromeach CBO would join the listening group. Two facility staff also participated, bringing the RadioDistance Learning Group membership to eight. In total, 496 individuals were involved. Prior to thecommencement of the DLP programme in Enugu, preparation was undertaken of both the contractedNGOs and a number of CBOs which were to be members of the listening groups. This includedorientation on the use of the Health Kits previously prepared for use by the Community HealthExtension Workers (CHEWs) and other PHC workers in the State.The initiative was managed and monitored by NGOs whose role was to ensure full understanding ofthe content of the programmes.The first series of the DLP began in June 2007 and 13 episodes ran until early August 2007. At the endof the first series, all 62 listening groups were assessed based on:••••attendanceknowledge acquiredcommunity mobilization activities carried outevidence of community engagementA score was allocated and those not achieving 60% were disbanded. This resulted in a reduction from62 groups to 52 for the second series. The latter started in September and ended in December 2007,after which another assessment was carried out. Of the 52 listening groups, four (8%) scored less than60% on average. The overall score for the second series was 97% compared to 90% for the first series.Facility distancelearning group“Yes, our group is very efficient. The Chairman ofour town union is one of us so he makes sure thateverybody attends every class and carries out allwe have agreed to carry out. Before we leave heretoday we will agree on what to do and we will makesure that each representative does it in four of ourcommunities.”Officer In-charge Umuabi PHC“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 63
- 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 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
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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
- Page 78 and 79: AcknowledgementsThe PATHS programme
- Page 80 and 81: Master trainersSMoH/faith based sec
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Radio Distant Learn<strong>in</strong>g Programme (DLP)The Radio Distance Learn<strong>in</strong>g Programme aimed to share common health knowledge withcommunities and health providers. Twenty-six episodes were prepared by <strong>PATHS</strong> Abuja and <strong>the</strong>ntranslated <strong>in</strong>to Igbo language locally and field-tested. Radio Nigeria FM station <strong>Enugu</strong> was contractedto air <strong>the</strong> episodes. Listen<strong>in</strong>g groups were established and CBOs/NGOs followed up after <strong>the</strong> episodes.A total of 62 listen<strong>in</strong>g groups were formed, centred on <strong>the</strong> 56 Early Bird Cl<strong>in</strong>ics and six DistrictHospitals. Six CBOs were selected from <strong>the</strong> local catchment communities and one member fromeach CBO would jo<strong>in</strong> <strong>the</strong> listen<strong>in</strong>g group. Two facility staff also participated, br<strong>in</strong>g<strong>in</strong>g <strong>the</strong> RadioDistance Learn<strong>in</strong>g Group membership to eight. In total, 496 <strong>in</strong>dividuals were <strong>in</strong>volved. Prior to <strong>the</strong>commencement of <strong>the</strong> DLP <strong>programme</strong> <strong>in</strong> <strong>Enugu</strong>, preparation was undertaken of both <strong>the</strong> contractedNGOs and a number of CBOs which were to be members of <strong>the</strong> listen<strong>in</strong>g groups. This <strong>in</strong>cludedorientation on <strong>the</strong> use of <strong>the</strong> Health Kits previously prepared for use by <strong>the</strong> Community HealthExtension Workers (CHEWs) and o<strong>the</strong>r PHC workers <strong>in</strong> <strong>the</strong> State.The <strong>in</strong>itiative was managed and monitored by NGOs whose role was to ensure full understand<strong>in</strong>g of<strong>the</strong> content of <strong>the</strong> <strong>programme</strong>s.The first series of <strong>the</strong> DLP began <strong>in</strong> June 2007 and 13 episodes ran until early August 2007. At <strong>the</strong> endof <strong>the</strong> first series, all 62 listen<strong>in</strong>g groups were assessed based on:••••attendanceknowledge acquiredcommunity mobilization activities carried outevidence of community engagementA score was allocated and those not achiev<strong>in</strong>g 60% were disbanded. This resulted <strong>in</strong> a reduction from62 groups to 52 for <strong>the</strong> second series. The latter started <strong>in</strong> September and ended <strong>in</strong> December 2007,after which ano<strong>the</strong>r assessment was carried out. Of <strong>the</strong> 52 listen<strong>in</strong>g groups, four (8%) scored less than60% on average. The overall score for <strong>the</strong> second series was 97% compared to 90% for <strong>the</strong> first series.Facility distancelearn<strong>in</strong>g group“Yes, our group is very efficient. The Chairman ofour town union is one of us so he makes sure thateverybody attends every class and carries out allwe have agreed to carry out. Before we leave heretoday we will agree on what to do and we will makesure that each representative does it <strong>in</strong> four of ourcommunities.”Officer In-charge Umuabi PHC“<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 63
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