reviewed quality in araya community based health insurance scheme - ogun state, nigeria

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1. ARAYA QUALITYASSESSMENT TEAM 2. QUALITY IN HEALTHCARE 3. PROGESS REPORT ON FACILITY ASSESSMENT So far, 14 facilities have been assessed in 5 Local Governments (Abeokuta North, Abeokuta South, Ado-Odo Ota, Ijebu Ode and Obafemi Owode) Assessment was done using the following service elements: 1. Facility Requirement 2. Personnel Requirement 3. Laboratory/Diagnostic Services 4. 4. Risk Management 5. Structural Composition 6. Support Services 7. Labor, Delivery and Family Planning Services 8. Patients Welfare 5. FACILITIES ASSESSED S/ N Name of Facility Type of Facility LGA Ward 1. Iberekodo PHC Public Abeokuta North Iberekodo 5 2. Sabo PHC Public Abeokuta North Sabo 3. Ayobami Hospital Private Abeokuta North Sabo 4. Family Health Centre, Oke- Ilewo Public Abeokuta South Ibara 2 5. Keesi Health Centre Public Abeokuta South Keesi 6. Joseph and Christiannah Hospital Private Abeokuta South Ibara 2 7. Federal Prison, Oba Special Obafemi Owode Oba 6. S/N Name of Facility Type of Facility LGA Ward 1. PHC, Ita-Alapo Public Ijebu-Ode Porogun 2 2. PHC, Oke-Oyinbo Public Ijebu-Ode Odoegbo 3. True Vine Hospital Private Ijebu-Ode 5. PHC, Sango Public Ado-Odo Ota Sango 6. PHC, Ota 3 Public Ado-Odo Ota Ota 3 7. Firstline Clinic Private Ado-Odo Ota 8. Twins Hospital Private Ado-Odo Ota 7. UPDATE Family Health Centre Oke-Ilewo has been renovated. See the after picture in the Next Slide. Family Health Centre, Oke-Ilewo and PHC, Odo-Esa (Ijebu Ode) have been considered for Public Private Partnership SafeCare (Pharm Access Foundation) will be conducting Quality Baseline Survey in some selected facilities. Society for Family Health and Marie Stopes International will be supporting with upgrade of some of the selected facilities. 8. After Renovation Waiting/Reception Room Before Renovation FHC, Oke- Ilewo 9. RECOMMENDATIONS Araya can commence in all the facilities. In Abeokuta North, we recommend that activities can commence but renovations should be done within the shortest time possible to motivate enrollees and enhance enrolment. 10. SHORT TERM GOALS FOR HEALTH CARE FACILITIES De-junking of un-used bad equipment should be done. A standard treatment room should be made available and equipped for use. Restriction signages should be put in essential places. Color coding pedal bins should be made available. Equipped Neonatal Resuscitative area should be created in the Delivery room 11. Phototherapy equipment should be made available in the labor wards. Guidelines on post exposure prophylaxis should be made available. Araya branded patients record forms should be made available. Protective clothing should be made available for health workers. Running tap water should be made available in all essential areas in the facility e.g. Laboratory, Delivery room and Consulting room. Cabinets should be created for medical record keeping. 12. Hazard signs and first aid kits for treatment of injured workers during service delivery should be made available especially in the Laboratory. 13. LONG TERM GOALS (6 MONTHS) Autoclave machine should be procured for use in the Laboratory. Employment of more staffs Continuous Infrastructure Upgrade e.g. replacement of pit toilet with water closets etc. Fencing of Health Facilities without Fence. A bleeding/phlebotomy room should be created in all facilities with Laboratory 14. A mini laboratory can be set up in facilities without in-facility Laboratory Laundry Services should be provided (In-service or Out- Sourced) 15. NEXT STEPS Facility Assessment activities will be commenced in the Local Governments where registration activities have been extended to. Recommendations will be discussed with the Facility Heads to formally initiate the process. 16. THANK YOU