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 ...
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
2) 100 facilities across the public and faith-based sectors had received drugs, resulting in a numberof tangible benefits:•••••••••A significant increase in the number of patients attending the facilitiesSubstantially increased Internally Generated Revenue (IGR)Improved drug managementRe-engaged and motivated staffImproved infrastructure and more secure facilitiesImproved storage areasIncreased community engagementEstablished Facility Health/DRF CommitteesImplemented DRF/Sustainable Drug Supply Systems (SDSS)• Improved underpinning systems inboth the facilities and CMS• Improved procurement processes• Increased transparency at facility level• Reduced facility staff absenteeism• Improved inventory control• Reduced quantity of expiredmedicines“Before they used to say drugs were notavailable but now drugs are available. I’vewitnessed it. Before, only prescriptions weregiven to us to purchase drugs outside, butnow we are given the drugs here.”Patient attending a health centre3) The same 100 facilities were supplied with equipment and by early 2008 were providing access toan increased number of services including:••••••DeliveriesAntenatal careInpatient careSurgeryHIV/AIDS voluntary counselling and testingLaboratory tests4) Over 2,500 staff have undergone capacity building across an array of skills including:LSSELSSHMISISSMLSSIPCCPPRHAADRF“Trainings like Life Saving Skills, EOC,POC, IPCC have been organized for us, thehealth workers. Since then, the traininghas been helping us to achieve our aimand work together.”FMSPOCHRMPPMMrs Ann Uzoamaka Mgbo, OIC, Agbani PHCLaboratory testingEquipment usage“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 67
- 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
- Page 64 and 65: Inter-Personal Communication and Co
- Page 66 and 67: 64 PATHS Final Programme Report
- Page 70 and 71: 5) A culture of business planning a
- Page 72 and 73: 70 PATHS Final Programme Report
- 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
2) 100 facilities across <strong>the</strong> public and faith-based sectors had received drugs, result<strong>in</strong>g <strong>in</strong> a numberof tangible benefits:•••••••••A significant <strong>in</strong>crease <strong>in</strong> <strong>the</strong> number of patients attend<strong>in</strong>g <strong>the</strong> facilitiesSubstantially <strong>in</strong>creased Internally Generated Revenue (IGR)Improved drug managementRe-engaged and motivated staffImproved <strong>in</strong>frastructure and more secure facilitiesImproved storage areasIncreased community engagementEstablished Facility Health/DRF CommitteesImplemented DRF/Susta<strong>in</strong>able Drug Supply Systems (SDSS)• Improved underp<strong>in</strong>n<strong>in</strong>g systems <strong>in</strong>both <strong>the</strong> facilities and CMS• Improved procurement processes• Increased transparency at facility level• Reduced facility staff absenteeism• Improved <strong>in</strong>ventory control• Reduced quantity of expiredmedic<strong>in</strong>es“Before <strong>the</strong>y used to say drugs were notavailable but now drugs are available. I’vewitnessed it. Before, only prescriptions weregiven to us to purchase drugs outside, butnow we are given <strong>the</strong> drugs here.”Patient attend<strong>in</strong>g a health centre3) The same 100 facilities were supplied with equipment and by early 2008 were provid<strong>in</strong>g access toan <strong>in</strong>creased number of services <strong>in</strong>clud<strong>in</strong>g:••••••DeliveriesAntenatal careInpatient careSurgeryHIV/AIDS voluntary counsell<strong>in</strong>g and test<strong>in</strong>gLaboratory tests4) Over 2,500 staff have undergone capacity build<strong>in</strong>g across an array of skills <strong>in</strong>clud<strong>in</strong>g:LSSELSSHMISISSMLSSIPCCPPRHAADRF“Tra<strong>in</strong><strong>in</strong>gs like Life Sav<strong>in</strong>g Skills, EOC,POC, IPCC have been organized for us, <strong>the</strong>health workers. S<strong>in</strong>ce <strong>the</strong>n, <strong>the</strong> tra<strong>in</strong><strong>in</strong>ghas been help<strong>in</strong>g us to achieve our aimand work toge<strong>the</strong>r.”FMSPOCHRMPPMMrs Ann Uzoamaka Mgbo, OIC, Agbani PHCLaboratory test<strong>in</strong>gEquipment usage“<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 67
Change language