BHU Hopper Report 2014

Peoples
Primary
Healthcare
Initiative
2014
DSU Gilgit is providing Healthcare services at BHU Hopper
since 2008 & providing general OPD, MCH services while
covering preventive component through Community & School
Health sessions with provision of essential medicines and
ambulance service for local communities of far flung & tough
area of Hopper. The aim & goal of PPHI is to enhance &
sustain primary level healthcare with community
participation. This report will reflect PPHI services at BHU
Hopper through tabular data & charts.
BHU
Hopper
Report
from the
year 2008
to 2014
8. Fixed waste disposal system to
mitigate infections and depose
hospital waste systematically.
9. BHU Hopper ambulance repaired
completely for operational usage
during referral cases or to manage
emergencies.
10. Medicines shelve fixed at medicine
store and BIN cards provided.
Peoples Primary Healthcare Initiative
District Support Unit
Gilgit
A. Introduction
PPHI-GB is rendering primary healthcare
services since 2007. BHU Hopper has
been handed over to PPHI – GB in its first
phase. PHC components were rarely found
to exist. Primary healthcare concept/model
has never been focused and implemented
with such
a coherent approach.
Community participation to instill health
seeking behavior for sustained provision
of primary healthcare services displays the
effectiveness of PPHI interventions.
B. Renovation & repair work
Renovation and repair of the health units
remains a challenging episode to cope
with. Ensure hygiene and infection control
are the pre-requisites of healthcare
providers. An enabling environment to the
patients visiting with healthcare problems
rests on the shoulders of the healthcare
providers. The renovations and repair
work covers as:
1.
2.
3.
4.
5.
6.
7.
Complete white washing of basic
health unit (BHU), Medical officer
house and leady health visitor
residence.
Electrification of BHU, MO house,
LHV house that includes fixation of
complete wiring, switch boards,
power plugs, energy savors and main
service line.
Water supply, sanitation, sewerage
and waste disposal system established.
Fixation of carpet, plastic flooring and
curtains in all rooms.
Furniture & fixtures provided are:
sofa set, beds, foam, carpet, curtains,
TV, DVD and Desktop.
Footpath constructed, sign board fixed
and medicines shelves fixed
Raised BHU, MO and LHV house
boundary wall and telephone line
installed.
C. List of Equipments Provided
PHI-GB has equipped the facility with
following mentioned items that have been
issued to the health facility.
No
Equipments
1
2
3
4
5
6
7
8
9
10
11
12
13
BP Apparatus
Stereoscope
Thermometer
Nebulizer
Glucose Meter
Hemoglobin Meter
Baby Weight Scale
Delivery & dressing set
Autoclave
Oxygen Cylinder
Auto scope
Adult Weight scale
Diagnostic Set
Quantity
02
02
10
01
01
01
01
02
01
02
01
01
01
D. Staff Placement
Medical & Para-medical staff placement at
the health facility carried out to ensure
their services. The steps taken are:
1.
2.
3.
Completed staff placement at BHU in
accordance to sanctioned post.
Medical Officer has been appointed
on contract and deputed in the year
January 2010. Four medical officers
were placed till yet.
Female Medical Officer is visiting
BHU Hopper once in a month since
January 2011.
2
4.
5.
6.
LHV & midwife have been placed at
BHU Hopper providing 24 hours
MCH services.
Paramedic Staff attendance is now
95%.
Staff training on protocols and service
deliver carried out regularly
E.
Mini Labs Facility
PPHI has established mini Lab at BHU
Hopper in the year 2010 and following
minor observations/investigations are in
process on routine basis that includes:
1.
2.
3.
4.
5.
6.
7.
8.
Pregnancy Test
Sugar Test
Hemoglobin Test
Tuberculosis Test
Hepatitis A & B
H-pylori Test
Urine Test
Nebulization.
F. Staff Capacity Building
Programs
The following trainings have been
conducted by PPHI to update and enhance
the technical capacity of the paramedic
staff that includes:
1.
2.
3.
4.
5.
6.
7.
8.
9.
IMCI Protocols.
School Health Assessment.
Clinical Examination and
management.
DHMIS Tools.
Mini Lab Management.
Infection Control.
Reproductive healthcare.
Sexually Transmitted Infections.
Rational Use of Drugs.
G. Preventive Services
Preventive services are the core postulate
of PPHI. Preventive services are globally
focused to lessen personal expenditures
and reduce medical complaints. Preventive
services implemented by PPHI through the
following measures.
1.
2.
3.
4.
5.
Health Sessions
Community sessions
School health assessment.
Distribution of IEC material i.e.
leaflets and booklets.
Audio & video sessions.
H. MCH Services
PPHI has provided all services related to MCH
at BHU Hopper since 2008. PPHI has
introduced MCH services through trained
attendants in the health facility. The process of
antenatal
care,
postnatal
care
truly
implemented to seek advices from trained staff
and to decrease mortality ratio.
I. Community Participation
PPHI has ever introduced the stance of
community participatory approach in the
interventions to create ownership among
the people for availability of sustained
health services.
1- Formation of support group.
2- Orientation sessions were been
conducted with support group.
3- Support group plays a vital role
to bridge up inter personal bonds
between PPHI & community.
4- Monthly meetings have been
conducted with community of
Hopper.
5- Support group facilitates field
teams to conduct health sessions
in the community.
J. Procedural Protocols
PPHI strives to provide primary healthcare on
standard procedures to maintain quality of
services. The WHO protocols/guidelines and
routine practices adding to bring continuous
improvement in the quality of primary
healthcare services.
H. Curative Services as
3
Year
2008
2009
Community
Health
Sessions
126
25
School
Health
Sessions
30
9
School
Health
Assessment
0
0
World
Health
Days
1
0
2010
2011
2012
2013
2014
89
159
102
70
24
6
20
16
5
5
0
0
0
0
0
0
1
1
0
1
PPHI is taking curative services as
supplementary healthcare facility available to
the people at their door step. Curative
Services are OPD, Immunization, MCH
services and provision of essential medicines.
Yearly MCH Services
Year
Antenatal
Care
2008
163
Post
Natal
Care
128
2009
61
2010
Family
Planning
Deliveries
110
144
40
38
39
264
90
73
92
2011
218
143
106
138
2012
202
78
1077
73
2013
206
69
60
77
2014
69
2
10
9
Prevention Activities after PPHI
Yearly Health care Services
Year
FMC
OPD
Lab Test
GM
2008
0
18778
8
2009
0
12855
45
0
39
2010
2011
2012
2013
2014
300
287
0
98
0
19106
13338
8467
4520
1378
70
110
60
100
25
92
138
85
77
6
Yearly Quantum of Medicines
issued
Year
2008
2009
2010
2011
2012
2013
2014
App
App
App
App
App
App
App
Amount Rs.
Reference
85,000/70,000/80,000/80,000/90,000/1,00,000/1,15,000/-
Stock Register
Stock Register
Stock Register
Stock Register
Stock Register
Stock Register
Stock Register
4
OPD Chart from year 2008 to 2014
Total Number of deliveries from year 2008 to 2014
5
Total number of SHS,CHS from 2008 to 2014
6
7
CONCLUSION
PPHI has extended sufficient facilitation to make certain availability of curative, preventive
and promotional services in Gilgit-Baltistan. PPHI has inducted pivotal and responsible
role of community in the interventions to create ownership for sustained primary
healthcare services. Community satisfaction towards the services of PPHI in general is
satisfactory. While measuring/referring community satisfaction, we are not ignoring the
inherent risk of some people in present not satisfied due to conflict of interest or any other
reason. This is true and globally accepted that, community as a whole never turns satisfied
due to change in necessities and demands. Logical or materially dissatisfaction is an
opportunity to bring improvements.
PPHI is facing scarcity of resources trying to manage primary level healthcare without any
additional funds. Effective service delivery is fairly a challenging episode to remain at par.
Staff at one end facilitated/rewarded for outstanding performance and on other side
disciplinary action is continuing for appalling performances and deeds. This may craft
resistance at the end of staff and some members of community that leads to displeasure.
PPHI as an organization with public participation will do review the span of services and
cope with the discrepancies in future for the community through the community and with
the community.
8

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