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

Intermediate Outputs1) The DHS structure has:••delegated decision making down to the level of LHAsstrengthened accountability between the LHAs and their DHBs• reduced duplication through the merging of up to eight primary care centres and cottagehospitals, where these were located on the same site• increased access to medical care, particularly primary care, through the rotation of medicalstaff across the districts• enhanced management skills of the members of the SHB, DHB and LHAs• created effective entry points for targeted action• built effective collaborative working relationships between public and private sectors• provided in-depth knowledge of service provision across the state• developed an accurate database of public and private health facilities.From an LHA quarterly review report relating to strengthened accountability:“meetings held with DHB - 3numbers of reports submitted to the DHB - 4”“ I returned to Enugu after two years to findthe District Health System idea had takenroot in the minds, language and actions ofhealth managers at State, district and locallevel to the extent that terms like ‘DistrictHealth System, objectives, goals, outputsand community participation’ had become apart of everyday language.”Nana Enyimayew,PATHS consultant from Ghana“The success story of this integration is thatwhen you want to embark on immunizationthese days, we normally reach out to theseprivate facilities, their staff will come and betrained and they partake in immunization.That makes sure that immunization coverseverywhere, including in their own facilities.”Dr. Eze, CEO, Enugu Ezike DHB66 PATHS Final Programme Report