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

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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


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SLIDE 1

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

First half-year report 2005-2007

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SLIDE 2

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

The staff

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SLIDE 3

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

Maternal and Child Health Centre

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SLIDE 4

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

Maternal and Child Health Centre

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SLIDE 5

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

Delivery room

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SLIDE 6

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

Accommodation for the staff

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SLIDE 7

I mma cu la te C

  • 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.

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SLIDE 8

I mma cu la te C

  • 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
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SLIDE 9

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

Combined presentation

This presentation is combined:

– Kaleo-sub

–CHPS zone

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SLIDE 10

I mma cu la te C

  • 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

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SLIDE 11

I mma cu la te C

  • 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

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SLIDE 12

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

ITN

2006 2007 Received 144 80 Sold 89 pd 40 Balance 55 40

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SLIDE 13

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

CONDOM

  • Received 16packs

= 1600pcs

  • Sold 16pack for 160,000

NB: yet to be accounted for

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SLIDE 14

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

ORS

  • Received 16 packs

= 400pcs

  • Sold all @ 500.00

=200,000(GHC 20.00)

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SLIDE 15

I mma cu la te C

  • 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

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SLIDE 16

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

ANTIGENS

YEAR X-2 X-1 X Expected deliveries 432 439 447

  • BCG
  • DPT3 and OPV3
  • Measles
  • TT2+

Source: Nadowli District Health Services

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SLIDE 17

I mma cu la te C

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n H ea lth C entre - Ka leo

ANTIGENS BCG

YEAR

2005 2006 2007

  • TARG. SET(%)

100 70 80

ACH 1st half year (%)

56 46 47

ACH compl.year (%)

81 77

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SLIDE 18

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo YEAR

2005 2006 2007

  • TARG. SET(%)

100 70 80

ACH 1st half year (%)

48 31 36

ACH compl.year (%)

75 71

DPT3 and OPV3

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SLIDE 19

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo YEAR

2005 2006 2007

  • TARG. SET(%)

100 70 80

ACH 1st half year (%)

35 39 41

ACH compl.year (%)

66 74

Measles

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SLIDE 20

I mma cu la te C

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n H ea lth C entre - Ka leo YEAR

2005 2006 2007

  • TARG. SET(%)

50 50 50

ACH 1st half year (%)

18 15 13

ACH compl.year (%)

35 29

TT2+

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SLIDE 21

I mma cu la te C

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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

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SLIDE 22

I mma cu la te C

  • 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

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SLIDE 23

I mma cu la te C

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n H ea lth C entre - Ka leo

SURVEILLANCE

Disease X-1 X Diarrhoea 195 95 Scabies 11 8 Jaundice 6 Dysentery 38 40 Chicken Pox 18 21

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SLIDE 24

I mma cu la te C

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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

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SLIDE 25

I mma cu la te C

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n H ea lth C entre - Ka leo

ANC REGISTRANTS

YEAR X-2 X-1 X TARG. SET(%) 70 100 100 projected deliveries 432 439 447 ACH 125 150 284 % ACH 41.4 49.7 63.5

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SLIDE 26

I mma cu la te C

  • 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

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SLIDE 27

I mma cu la te C

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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%

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SLIDE 28

I mma cu la te C

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n H ea lth C entre - Ka leo

PNC COVERAGE

YEAR TARGET X-2 X-1 X TARG. SET(%) 100 60 70 ACTUAL 432 439 447 ACH 131 125 126 % ACH 30.3 47.5 40%

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SLIDE 29

I mma cu la te C

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n H ea lth C entre - Ka leo

CWC

YEAR X-2 X-1 X TARG. SET(%) 100% 70% 90% ACTUAL 691 703 715 ACH 514 435 480 % ACH 37% 31% 34%

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SLIDE 30

I mma cu la te C

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n H ea lth C entre - Ka leo

Vitamine A supplementation

2005 2006 2007

Post-partum women: vit.A

135 107 135

Children 6-11 mths: blue cap

30 118 55

Children 12-59 mths: red cap

14 596 17

TOTAL

179 821 207

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SLIDE 31

I mma cu la te C

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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
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SLIDE 32

I mma cu la te C

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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

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SLIDE 33

I mma cu la te C

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n H ea lth C entre - Ka leo

CHPS

  • Donation of an electrical

generator and a bicycle

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SLIDE 34

I mma cu la te C

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n H ea lth C entre - Ka leo

NHIS

Jan Feb Mar April May June total # of clients

109 87 59 68 123 180 626

Drugs

(Gh¢)

147 141 59 50 161 236 794 N-drugs

(Gh¢)

112 100 44 41 131 174 602 Total

(Gh¢)

259 241 103 91 292 410 1,396

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SLIDE 35

I mma cu la te C

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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
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SLIDE 36

I mma cu la te C

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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 Average X-2 X-1 X # OF DRUGS 3.5 3.5 3.7 ANTIBIOTICS 0.5 1.0 0.6 INJECTION 0.9 0.5 0.2 EML 1.2 1.5 1.4

divide by 30

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SLIDE 37

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

RATIONAL USE OF MEDICINE

100 104 28 

  • Sample size = 30 OPD cards (random)
  • Number of drugs for all cards = 104
  • Average drug per card = =3.46
  • Total # injections in group of 30 cards = 28
  • %injections = = 27%

30 104

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SLIDE 38

I mma cu la te C

  • 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!

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SLIDE 39

I mma cu la te C

  • 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.
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SLIDE 40

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

Garage and vehicle

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SLIDE 41

I mma cu la te C

  • 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
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SLIDE 42

I mma cu la te C

  • 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
  • rthopaedic workshop
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SLIDE 43

I mma cu la te C

  • nceptio

n H ea lth C entre - Ka leo

The End

  • Thank you for watching and

listening.