First half-year report 2005-2007 I mma cu la te C o nceptio n H - PowerPoint PPT Presentation

First half-year report 2005-2007 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

The staff I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Maternal and Child Health Centre I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Maternal and Child Health Centre I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Delivery room I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Accommodation for the staff I mma cu la te C o nceptio n H ea lth C entre - Ka leo

PREFACE • A set objectives were made on each area of service delivery for each year. • The half year report is collation and comparison between centre’s health care delivery compiled from 2005, 2006 and 2007. I mma cu la te C o nceptio n H ea lth C entre - Ka leo

OUTLINE • FINANCES • ANTIGENS • OPD REGISTRANTS • TOP TEN DISEASES • SURVEILLANCE • ANC REGISTRANTS • F/ P • ITN • NHIS • PNC • CWC • DELIVERIES • VITAMIN A SUPPLEMENTATION • RATIONAL USE OF MEDICINE • OTHOPEDIC SERVICE DELIVERY • INNOVATION / DHS • THE WAY FORWARD I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Combined presentation This presentation is combined: – Kaleo-sub –CHPS zone I mma cu la te C o nceptio n H ea lth C entre - Ka leo

FINANCE: PURCHASE •Purchase of drugs in the first half of 2007 is 28,417,664 •Purchase of non-drugs in the first half of 2007 is 5,723,000 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

FINANCE/REVENUE X-2 X-1 X Drugs 10,266,000 12,441,440 12,257,500 Non-drugs 7,157,134 4,263,200 6,016,150 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

ITN 2006 2007 Received 144 80 Sold 89 pd 40 Balance 55 40 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

CONDOM • Received 16packs = 1600pcs • Sold 16pack for 160,000 NB: yet to be accounted for I mma cu la te C o nceptio n H ea lth C entre - Ka leo

ORS • Received 16 packs = 400pcs • Sold all @ 500.00 =200,000(GHC 20.00) I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Projected population by DHS 2005 2006 2007 Total pop. 10800 10984 11170 WIFA 2592 2636 2681 Child 0-11mths 432 439 447 Child 0-23 mths 691 703 715 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

ANTIGENS •BCG •DPT3 and OPV3 •Measles •TT2+ YEAR X-2 X-1 X Expected deliveries 432 439 447 Source: Nadowli District Health Services I mma cu la te C o nceptio n H ea lth C entre - Ka leo

ANTIGENS BCG 2005 2006 2007 YEAR 100 70 80 TARG. SET(%) 56 46 47 ACH 1 st half year (%) 81 77 ACH compl.year (%) I mma cu la te C o nceptio n H ea lth C entre - Ka leo

DPT3 and OPV3 2005 2006 2007 YEAR 100 70 80 TARG. SET(%) 48 31 36 ACH 1 st half year (%) 75 71 ACH compl.year (%) I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Measles 2005 2006 2007 YEAR 100 70 80 TARG. SET(%) 35 39 41 ACH 1 st half year (%) 66 74 ACH compl.year (%) I mma cu la te C o nceptio n H ea lth C entre - Ka leo

TT2+ 2005 2006 2007 YEAR 50 50 50 TARG. SET(%) 18 15 13 ACH 1 st half year (%) 35 29 ACH compl.year (%) I mma cu la te C o nceptio n H ea lth C entre - Ka leo

OPD REGISTRANTS # registrants Re-visit referals X-2 1949 232 29 X-1 1720 201 15 X 1484 187 14 total 5153 • projected population of Kaleo = 11170 • 50% of Kaleo inhabitans are using our services I mma cu la te C o nceptio n H ea lth C entre - Ka leo

TOP TEN DISEASES 2005 2006 2007 Malaria 1079 821 822 Skin diseases 245 110 84 ARI 141 128 26 Eye & Ear infection 91 68 91 Pneumonia 79 37 15 Diarrh. Disease 70 102 99 Chicken pox 34 37 27 RTA 22 45 29 Pregnance complication 16 15 15 All others 368 312 413 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

SURVEILLANCE Disease X-1 X Diarrhoea 195 95 Scabies 11 8 Jaundice 0 6 Dysentery 38 40 Chicken Pox 18 21 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

SURVEILLANCE • Zero record of AFP, Measles Yellow Fever, Cholera and CSM within the middle of the three years I mma cu la te C o nceptio n H ea lth C entre - Ka leo

ANC REGISTRANTS YEAR X-2 X-1 X TARG. 70 100 100 SET(%) projected 432 439 447 deliveries ACH 125 150 284 % ACH 41.4 49.7 63.5 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

FAMILY PLANNIG Years New Old CYP 2005 148 491 135.15 2006 313 481 123.35 2007 130 452 127.74 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

DELIVERIES MOH and TBA YEAR X-2 X-1 X TARG. SET(%) 70 80 70 ACTUAL 432 439 447 MOH (%) 22% 20% 12% TBA (%) 13% 13% 11% I mma cu la te C o nceptio n H ea lth C entre - Ka leo

PNC COVERAGE YEAR X-2 X-1 X TARGET TARG. 100 60 70 SET(%) ACTUAL 432 439 447 ACH 131 125 126 % ACH 30.3 47.5 40% I mma cu la te C o nceptio n H ea lth C entre - Ka leo

CWC YEAR X-2 X-1 X TARG. 100% 70% 90% SET(%) ACTUAL 691 703 715 ACH 514 435 480 % ACH 37% 31% 34% I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Vitamine A supplementation 2005 2006 2007 135 107 135 Post-partum women: vit.A 30 118 55 Children 6-11 mths: blue cap 14 596 17 Children 12-59 mths: red cap 179 821 207 TOTAL I mma cu la te C o nceptio n H ea lth C entre - Ka leo

IMCI/ CBAS  38 CBA’s were trained  Packages were given to them for service delivery  A single meeting has been held with them after the training  They had a meeting in the middle of the year  Submission of monthly reports I mma cu la te C o nceptio n H ea lth C entre - Ka leo

IMCI PROBLEMS  How to maintain the bicycles.  Malaria cases are referred due to the lack of anti-malaria drugs.  Plans to meet CBA’s on monthly basis has not been feasible I mma cu la te C o nceptio n H ea lth C entre - Ka leo

CHPS • Donation of an electrical generator and a bicycle I mma cu la te C o nceptio n H ea lth C entre - Ka leo

NHIS Jan Feb Mar April May June total # of 109 87 59 68 123 180 626 clients Drugs 147 141 59 50 161 236 794 (Gh¢) N-drugs 112 100 44 41 131 174 602 (Gh¢) Total 259 241 103 91 292 410 1,396 (Gh¢) I mma cu la te C o nceptio n H ea lth C entre - Ka leo

RATIONAL USE OF MEDICINE REASONS FOR SUCH AN EXERCISE: • To reduce no. of drugs for clients(which might not be that necessary) • Reducing the cost of drugs that will meet clients purchasing power • Enables you to update EML • Enhances compliance I mma cu la te C o nceptio n H ea lth C entre - Ka leo

RATIONAL USE OF MEDICINE Total X-2 X-1 X # OF DRUGS 104 105 111 ANTIBIOTICS 14 29 19 INJECTION 28 14 6 EML 35 46 41 divide by 30 Average X-2 X-1 X # OF DRUGS 3.5 3.5 3.7 0.5 1.0 0.6 ANTIBIOTICS 0.9 0.5 0.2 INJECTION 1.2 1.5 1.4 EML I mma cu la te C o nceptio n H ea lth C entre - Ka leo

RATIONAL USE OF MEDICINE •Sample size = 30 OPD cards (random) •Number of drugs for all cards = 104 104 •Average drug per card = =3.46 30 •Total # injections in group of 30 cards = 28 28  100 •%injections = = 27% 104 I mma cu la te C o nceptio n H ea lth C entre - Ka leo

ORTHOPEDIC SERVICES • An orthopaedic doctor visits the centre twice a year. • First quarter: 46 patients were seen. 15 for operation. • Second quarter: 142 patients were seen. 14 for operation. • The rest received appliances. Hence, the need for orthopedic workshop! I mma cu la te C o nceptio n H ea lth C entre - Ka leo

INNOVATIONS • Replacing Nim trees with economic trees. • Garage for centre vehicle. • Renovation of staff accommodation. • Extension of water supply to staff accommodation. • Extension of electricity to MCH unit. • School Health/ HIV Project in progress. I mma cu la te C o nceptio n H ea lth C entre - Ka leo

Garage and vehicle I mma cu la te C o nceptio n H ea lth C entre - Ka leo

DHMT/DHS SUPPORT • Logistics supply • New engine for centre vehicle • Fuel for outreach service • Supportive visit • Allocation of funds for activities (Gh¢ 517 ) • Regular service of motorbike I mma cu la te C o nceptio n H ea lth C entre - Ka leo

THE WAY FORWARD • VCT centre is envisioned • Building a maternity unit • Centre is involved in setting up an orthopaedic workshop I mma cu la te C o nceptio n H ea lth C entre - Ka leo

The End • Thank you for watching and listening. I mma cu la te C o nceptio n H ea lth C entre - Ka leo