DWU Health Management Department Newsletter this is a monthly newsletter for Divine Word University’s Health Management Departmenet staff and students

Volume 3 Issue 1 February 2013 HM Student wins the nationwide City Pharmacy Young PNG Award

By Jessica Wape powerful people? I strong- ly believe that our gifts can Do you think you can do great ex- create a room for us and ploits? bring us into the presence Have you sometimes wondered if you of important people whom could sit and dine or at least have a we, many times, think we glass of wine with a person of high cannot meet in our entire social standing such as the PNG Prime life. Minister, The Chief Secretary, The The book of Proverbs chap- Chief Justice or even the Governor- ter 18 verse 16 says that: A General? Well, being a simple student, man’s gift maketh room for it would be so complicated and beyond him, and bringeth him be- our imagination to think of such a thing. fore great men.Thus, your Obviously, it is very difficult to have a gift can make room for you chat or even to be recognized by such and you can do exploits. people who have high standing in our I want to share my ex- society. perience with you about However, the good news is your gift can my trip to The Parliament bring you before such great people. Do House on the 15th of No- you believe that your gift can make a vember 2012. I was so for- room for you and bring you before such tunate to receive a Leader- ship Award in the category The Post Courier front page showing the women celebrat- ing with their award certificates. Newsletter Committee Members of Young PNG Women from the Governor General of ronment. Papua New Guinea at Parliament House. The Assistant Editor The most exciting thing that happened award was an initiative headed by the City is that the GG asked me to make a short Pharmacy Limited to empower PNG women speech and the funny thing is that I Mr. Ben Mori in which the Governor General was the Pa- Third Year Health never prepared anything to say. How- tron of this initiative. Being a very young Management student ever, it was a golden opportunity which person and being honored by the GG who is I couldn’t let slip. Thus, I had to say the representative of the Queen in the country something and that was what I said: is one extraordinary event and a memorable “I honestly was not expected to be rec- Committee ocassion in my life. I could not have ever ognized at such a National level like Members and imagined this and I thank my best friend and this. Writers lovely sister Ms. Belinda Wagame for actu- “All I know is that I have a principle Mr. Benajmin Wusik ally nominating me for this category. in life that guides me to do things and The City Pharmacy Limited’s search for the principle is:“It Is Not About Who 2012’s Pride of PNG Awards for Women You Are but It Is about What You Can closed at the end of September with 434 Do” to your family, to your school, to nomination entries received nationwide. The your community and to the society as year 2012 was Pride of PNG’s fifth year in a whole. This principle is in line with recognising the extraordinary efforts of some Ms. Rayleen Wally Ms. Maryanne Idawa the former President of America, John low-profile Papua New Guinean women who F. Kennedy who said: “My fellow have done extraordinary things in their com- Americans, ask not what your country munities. There were six medals awarded can do for you; Ask what you can do for for the six categories: Bravery and Courage, your country”. It is not about who I am Care and Compassion, Young PNG, Commu- nity Spirit, Education-Role Model and Envi- continued on page 2 Mr. Augustine Varil Mr. Joseph Angli HM Department is making a Commitment to Total Quality Assurance!

Hello everyone,

My name is Mr. Tipo and I would like to welcome you all to the first edition of the Health Management Newsletter for 2013. The DWU theme for this year is “Commitment to Total Quality Assurance” and the HM Department will make sure that this theme is acknowledged and implemented in every facet of departmental activities this year. There must be a commitment on our part as staff and students in this department to make sure that teaching and learning, research and community engagements are carried out in a manner that upholds quality and the spirit of DWU. Last year was a huge year for us both the staff and the students. I was very proud of the students who took part in DWU organised activties such as the DWU Open Day and the Cultural Show. This year, 2013, will be as hectic and eventful as well. The academic year has only began but it has started off on Mr. Oreme Tipo, a high note with the second year students undertaking the first unit of the James Cook University’s man- Head of Health agement course - Contemporary Business Communications - with their lecturer, Dr. Tracey Harrison- Management Department, Hill. They will continue to do the seven (7) other JCU units in block mode until the end of the year. in the Faculty of Health I also know that the next few weeks will be very improtant for your studies so please make good use of Sciences, your time. All the year 1, 2, 3 and 4 students, I wish you all the best in the coming weeks. Divine Word University Please read through this newsletter and get a feel of what is happening in this department - it is positive and encouraging. We are training health managers to be proactive, critical thinkers, competent manag- ers, ethical and abiding by the chrisitan principles ingrained into the subjects we teach here at DWU so I hope this is evident in the stories that you read in this newsletter. God Bless You all.....

...... Continued from page 1 wards that purpose. My dear friend, your gift will make room for you and will take you to higher places and you will do great exploits but it is about what I can do to be an influential person in my or things that are remarkable. Trust me, this is not a conspiracy or family, community and the society doing what I can do with delusional theory or something that we can just take our personal in my capacity. I have done nothing but my actions are always gifts for granted but it is something that is real and true to our hu- and being guided by this principle and that is how I got to the man life. point where I am now recognized and it is an honor for me and Do You Think You Can Do Great Exploits? I thank the organizing committeesand the sponsors namely the Jessica Wape is currently a final year Health Management student Air Niugini and PNGFM for their support in this initiative of empowering PNG women. I want to extend my voice by encouraging the young people of PNG to look beyond the negativities and think positively in what you are doing and are aiming for in life. You do not have to undermine yourselves despite the various cultural bar- riers that exists. Your age, gender, educational background, etc. does not matter. You can make a positive impact in your community. I have tried it and it has worked and if I can do it, you can do it too”. “A good example was when I contested the 2013 Presidential Seat for the Student Representative Council for Divine Word University with my male counterparts and came second which I actually lost that seat. Well, that does not make me a looser; I am a leader on my own right. So I am encouraging the young women of PNG to believe in yourself that you can make a change.” Well the speech was very short but captivating. It was out from my heart and was not out from my head and many people was impressed and I was so fortunate to be approached by the wife of the PM, the First Lady Mrs. Linda B. O’Neil, who asked if my speech was written and prepared prior to the gathering. She was amazed when I told her that the speech came straight from the heart and not from my head or from a piece of pa- per. It was a wonderful moment when she congratulated me and acknowledged that my way of preparing my speech was unique and I know that it is my natural ability and a gift from God. It is just one of the very important attributes of my life that comes with a purpose and I have to utilize it to the best of my ability to fulfill that purpose in my life. Each and every Jessica Wape (left) with her best friend, Belinda one of us has a very special gift and we are born for a purpose Wagame so each and every one of us has a responsibility to work to- Winsome spends Valentines Day at United Nations General Assembly Hall By Winsome Nenewa Scientific and Cultural Or- ganization (UNESCO) and What does one do on Valentine’s day?? the Committee of Religious Obviously, buy chocolate, cup cakes, red NGOs at the UN presented roses, perfume, do a special breakfast, the theme: United for a lunch or dinner, go to a romantic site/ Cultural of Peace through place alone with your valentine. Those Interfaith Harmony hosted moments we share love and laughter. For on Valentine’s Day 14th me this day, February 14th in 2013, it February. The Event was wasn’t about Valentine. None did I care composed in three parts: The much about it because I was far from Role of Interfaith Harmony home and my love ones. However, as an in the Peaceful Settlement Intern with the Salvation Army Interna- of Disputes; Symphony of tional Social Justice Commission (ISJC) Peace Prayers and the World in New York, I had the opportunity to be Peace Flag Ceremony. There were part of a significant event at the United various singing groups from performed Nations in the General Assembly Hall. during the event. There were Ambassa- A week in February, the United Nations dors, Diplomats and Religious leaders celebrates the World Interfaith Harmony that gave speeches about peace but one Week. The World Interfaith Harmony of the speech that brought laugher and Week was first proposed at the UN Gen- emthusiasm to the audience; Ambassa- eral Hall on September 23, 2010, by His dor of Iraq His Excellency Mr. Hamid Excellency King Abdullah II of Jordan, Al-Bayati shared about his interfaith less than a month later in October 20, background – a Muslim who began 2010 it was adopted by the UN. How- attending a Christian school and church ever the World Interfaith Harmony Week at age four, and whose father spoke was based on the pioneer work of The positively to him about the Jewish men Common Word Initiative which started he did business with. Mr. Al-Bayati in 2007 called the Muslim and Christian said he has gone on to read the holy leaders engaged in a dialogue on two books of many traditions and believes common fundamental religious com- we are all one family. On the last part, mandments: Love of God and Love of the World Peace Flag Ceremony, each Neighbour then extended the two com- country’s flag was marched to the stage Above: Winsome Nenewa with Mrs Susan Aisi, mandments by adding “Love of Good and then the congregation said May Peace Prevail in (call the name of the country). the wife of His Excellency Mr Robert Aisi, the Love of Neighbour. This formula includes Ambassor Representive to the United Nations. all peoples of goodwill including those of I was a proud Papua New Guinean carry- Top: Winsome standing in the Hall other faith and with no faith. ing the flag to the stage, while pride and This year, His Excellency Mr. Vuk love for my country filled my heart when Harmony to prevail in PNG! Jeremic (President of the 67th Session I heard “May Peace Prevail in Papua Winsome Nenewa is a Health Manage- of the United Nation General Assembly) New Guinea”. That was how I celebrated ment graduate of 2011 with the United Nations Educational, Valentine’s day praying for Peace and Homebrewed alcohol dangerous to Health By Ladonna Babo that occurred over the Christmas and New Year period. These deaths were due to the excessive consumption of homebrew Studies have stated that there is a very high amount of metha- alcohol. The steamed beer as most of the local boys call it can nol (wood alcohol) which is an optic nerve poison, which can kill the body over night. Why? This is because since it is home be present in small, amounts when fermented grains or fruits made it does not go through proper processes or tests before it which are high in pectin (Ackland,2011). is consumed. Methanol is the simplest alcohol compound, comprised of one The homebrew known as ‘matuka’ is popular among the vil- carbon atom, one oxygen atom, one oxygen and four hydro- lagers because it is cheap and extremely strong. The Ingredi- gen atom. It is also referred to as wood alcohol, carbinol and ents range from, yeast, sugar, food flavoring, fruits, ripe banan- methyl alcohol. as, pineapples and coconut. The current mixture that is said to It is poisonous, flammable and relatively volatile. It has no have a great impact after the first sip is with methylated spirit. taste or color, but it does have a slight scent, (Unknown au- Most of the consumers that I interviewed said they take it thor, 2012). when it is has cooled down, some pure while others prefer it This brings me to share my experience of homebrew alcohol to be mixed with tang flavored drinks, coke, cordial and sprite cases in my area during the semester break. It was alarming when I kept track of the number of deaths story continues on page 5

Second Year students complete first unit in joint JCU and DWU program The second year health management students have completedtheir first unit in the joint DWU and James Cook University program. The unit Contemporary Business Communication is the first unit of eight units the 31students will take right until the end of the academic year. The units are divided into block courses where each will take a month to complete. The two week long class was facilitated by Dr. Tracey Har- rison-Hill from James Cook university who was assisted by DWU staff, Mr Kingston Namun. For the next two weeks they will do self paced studies and prepare for their final exam. Twenty students in the class have already been selected last year under the Australia Regional Development Scholarship (ARDS) to continue their study at the James Cook University in Australia in 2014, if they suc- cessfully complete all requirements. The classes will be conducted in the Vi- sion2050 Building all through the year.

Top right: students do a role play in class. Right: the HM2 with their facilitator Dr Tracey Harrison-Hil after the last class earlier this month

.....story continued from page 3 for taste. A relative of mine who was an regular consumer, suffered chronic stomach ache for three days and later was taken to the health centre and was admitted because of a failure in the urinary tract. Not only did he suffer with a failure in passing urine but he developed ulcers in his stomach. He died because of a failure in the excretory system.

How do we as health mangers and elites of our commu- nities address this issue? The challenge for us is not to turn a blind eye and deaf ears to the implications of the consumption of illegal alcohol in the community where we live in. By keeping up with our local health centers reports and statistics on health problems as well as social problems that is affecting the lives of our people we can be able to come up with better action plans and operations to help our local population. We also need to be proactive and let our people know of the dangers. We are tertiary students therefore much is required of us. Do not act as you know nothing but be a helpful hand when you go back to their villages and com- munities.

Reference Ackland, T. (2011). Home Distillation of Alcohol. Retrived from http://www.homedistiller.org/intro/methanol.htm on the 16th of February,2012 Unknown Author, (2012). What is methanol? Retrived from http:// www.wisegeek.com/what-is-methanol.htm on February,16 2012.

Ladonna Babo is currently a third year Health Manage- ment student

The ‘Waiting House’ is must JIWAKA conducts a Provin- for better maternal health cial Health Facility Survey By Benjamin Wusik By Melanie Palili

In 2007 I worked with Capacity Building Service Centre (CBSC) in Jiwaka was officially declared as a new Province on 17 May its Service Improvement Program (SIT) and I was based in Vanimo, 2012 by the Na�onal Government of Papua New Guinea Sandaun province for a six month period. The non-government when Peter O’Neil was the Prime Minister. organisation wanted to train Health Management students to one day The province now consists of three Districts - Anglimp be in management roles and effectively manage health facilities in South Waghi, North Waghi and Jimi District while the the country. I had to work with and learn from an expatriate mid- provincial capital is Minj (Mal Taime, 2010). The provinces wife. Our role was to provide both clinical and management support covers 4, 800 square kilo meters, and there are 341, 928 to health centre staff and help kick start services that weren’t being inhabitants (census Provincial figures, 2010) with 184 wards carried out at health centre level. Together we were sent to Oksapmin and 6 Local Level Governments (LLGs) areas. Jiwaka is a Health Centre in Telefomin district whose only means of transport portmanteau word combining the first two letters each of was by air travel. Jimi, Waghi and Kambia. (National Research Institute, 2010). There were so many things I learnt back then but the initiative of a Jiwaka is located in the Waghi valley along the Waghi River Waiting House and the positive difference this initiative made in the and up to north and south separated by Kumbo range to Jimi lives of pregnant women in this remote location made a big impres- District and Bismarck rage to Kambia which is part of Ang- sion in my life. limp south Waghi District and sharing border with Western Few years back Professor Glen Mola also wrote a brief article in the Highlands, Simbu and Madang province. Some of its main Post Courier’s View Point stressing the importance of a ‘Waiting forms of income include both coffee and tea production. House’ and its impact on pregnant women especially in remote areas There a number of ways in which the Health care system of this country. of Papua New Guinea can use a management tool to as- From what I saw and learnt at Telefomin, The Waiting House was sess situations at the health facility level The Health Facil- built specifically to accommodate pregnant mothers. These pregnant ity Survey is one of the key Health Management tools that mothers may have come from very far villages for antenatal checks at can be utilised to evaluate the access, avalability, status and the health centre. Those mothers that have high risk pregnancies and conditions at the health care facility. The Health Facility are close to their due dates are encouraged to remain at the waiting Survey is defined as a representative sample of facilities that house and not to return back to their village. They may be asked to generally aims to assess the standard of all the requirements stay for a month or two so that the health centre staffs monitor their of facilities that provide services and other aspects of care. It condition closely until they give birth at the health facility then they includes basic infrastructure, drugs, equipment, test kits, reg- can return home. They may have a relative stay over to take care of isters, and delivery of services that staff trained. Furthermore, them. The health centre as well as the woman’s family is responsible it consists of units of observation of facilities of varies types to feed her but other necessities that she may want or need are to be and levels in the same health system (Facility Survey, 2013). provided by her family. The health centre may have at the waiting The current Governor, Dr William Tongamp of the New house cooking utensils and rations as well but that is supplied either Jiwaka Province, allocated K 100,000 availabe to funbd a on daily or monthly basis, depending on each facilities program. Health Facility Survey for the province. The main aim of Oksapmin is a very remote area, located in the mountains of Telefo- the survey was find out how to allocate services equally to min District. One can imagine how difficult it can be for a pregnant the LLGs especially in the remote areas of the province. The mother to walk the bush tracks up hill and down to the health centre. activity was carried by a team consisting of different health During the time I was at the health centre, a pregnant mother suffer- professional; staff within the province; students from Divine ing from “short of blood” came for antenatal checks. She was going ....story continues to page 10 to have twins but her physical condition and her health problems clearly indicated that she needed proper medical attention for herself and the babies or either one of them would die. She and her husband agreed that she would stay up to two months at the waiting house along with few other pregnant women. She was well taken care of by her husband and the health centre staff, she looked better each pass- ing day. Before she was due to have her babies I left the health cen- tre, but I’d like to believe she was one lucky woman to have listened to advice and stayed and must have delivered well.

The Waiting House at Oksapmin was traditionally built with a separate pit latrine for the women to use, not to be shared with other inpatients. The house was erected some metres from the health centre within the hospital grounds.The health centre when ordering rations would budget for a little more for the pregnant women. The OIC at the health facility was responsible for ordering drugs and rations and made sure the pregnant women got the support they needed. Jiwaka Governor Dr. William Tongamp in his first visit to DWU The National Health Plan2011- 2020 Key Result Area (KRA) 5 during Culture show in 2012 and he promised to work with stu- states Improve Maternal Health. Under its objective 5.2 “Increase dents to develop the province. Photo shows DWU students with Continues on page 8 their concerned Leader at PAU Hall, Paramad campus, Madang. Be proactive when learning Health Management By Ben Mori Medical Church Health service (MCH), Business Firms and overseas donors (AID Firstly, from myself as part of the edito- donors) and the World Health Organiza- rial team, I would like to give a very spe- tion (WHO). How this organizations cial warm welcome to the new intakes, operate in a systematic procedure, dealing Health Management Year 1s for 2013. with changes, to both internal and external Welcome to Divine Word University and environment plus the ever changing global to the Health Management Department economy to make it possible for health plus welcome wishes also to all continu- service programs to be practiced as part of ing and returning students for yet another the country’s NDoH Vision 2050 plan to academic year. improve healthy living standards. The Health Management was formerly Fourth Year Health Management students You will also get to know health regula- known as Health Administration and it do in class. Each HM student is to wear was only a two year program. Today the blue on Wednesday to encourage a cul- tions and policies, acts and laws. You will name has changed and is now become a ture of hard work and neatness. also learn about required professional four year program with over a 100 stu- ethical behaviors that are necessary to be dents from all over the country. . setbacks and strategic improvement poli- ahonest and loyal member of the health To the HM1s, this program, (HM) ac- cies, thus providing you with necessary workforce. Knowing the necessary Acts cording to my own observation over the knowledge that enables you to adapt to and Policies puts you in a better position past two years, is like a flexible course, the administrative system of organiza- to know what your roles and responsibili- offering various interesting, yet critical tions either in the Health Sector or the ties are and when do you come in play learning that lets you to have a clear and Business Sector . when situations arise. They are guidelines precise understanding of not onlythe The course also gives a common un- that we as health workers should abide by. Health Care System of the country and its derstanding ofthe economic systems in This program after all, is basically about relationship with the outside world. But the country and the complex relation- health administrative learning and not the also teaches you about how to cope and ship between the National Government, clinical side of the health System.Specifi- deal with every day health administrative National Department of Health (NDoH), cally it relates to the management aspect and generally more about organizational Non-Government Organizations (NGO), of the Health care system whether it be private of public. It will also show you how you can manage a health facility, the Continued from page 7 human resource, resources and enabling the capacity of the health sector to provide safe and supervised deliveries” it has the quality healthcare service to everyone and following strategies; equally important, managing yourself as an active individual in the health sector. 5.2.1 Increase the number of facilities capable of providing supervised deliveries The more you begin to understand this 5.2.2 Increase the numbers of health workers skilled in obstetrics care course, the more interesting, learning 5.2.3 Ensure every health facility is capable of providing quality service/support becomes. before, during and after pregnancy. Apart from the academic advantages, I Notice I’ve underlined the third strategy because I believe the idea of a waiting know we have a very friendly and quali- house would support this strategy. It will aid facilities to monitor and support well fied staff that are committed and are ready many pregnant women in rural locations. The waiting house initiative may work to help students in any way they can. Thus effectively in isolated locations where women have difficulty in accessing a health it helps students to be more open and ea- facility quickly. ger to learn. So don’t sit and be idle but be This can be a community led project if the health centre staff and communities have proactive in your learning. Ask questions a good working relationship and common understanding. The health centre with and challenge what you learn. support from the province and national level can provide rations, drugs, medical This is another year… another climb equipment while the community takes the responsibility to provide raw materi- blended with highs and lows, butyou must als and do the actual construction of the house plus from time to time may supply keep on striving for the best. With that, garden food. you all have a successful beginning and may that continue on as the year progress- I believe some facilities in the country may have this working for them however es. We will meet again in our next issue for many, this might be a new thing. It would be great to see if the Government of for the Health Management Newsletter. the day could have a clear understanding of a ‘Waiting House’ and create a policy that this initiative is made compulsory for health sub centres, health centres, district Cheers to you all this year! hospitals all throughout the country. As future Health Managers, it is worth knowing this information so that one day Ben Mori is currently a third year Health when we are in a position to make decisions to improve health services, this might Management student also the assistant edi- be one initiative worth pursuing. tor in this month’s HM Newsletter issue.

Melanie Palili is currently a third year Health Management student Helping to make Eye Care possible By Joseph Angli the HM program to be helpful in finding him a This is a successful story of a former Health Man- place in the workforce. agement student, Terence Wilo, who is currently These units include Social and Profes- working with Fred Hollows Founda�on here in sional Ethics, Quality Madang. Management, Resource Terence Wilo, who comes from a mix parentage of East Sepik Management 1 and and Central Province, did his final year as a Health Manage- 2, Human Resource ment student in 2012 and he is currently employed by Fred Management, Organi- Hollows Foundation (New Zealand), as the Program Supply sational Behaviour, Coordinator. Fred Hollows Foundation is a not-for-profit, Non Health Information Government Organisation which was established in Madang in Management, Health 2007 with the aim of eradicating avoidable blindness through Economics, Account- workforce training, workforce support and development, eye ing Fundamentals, health leadership and community prevention efforts. In addi- Financial Manage- tion to that, the organisation also offers a Postgraduate Diplo- ment, Spreadsheet ma program in Eye Care at the Divine Word University. Management, Database His role as the Program Supply Coordinator requires accuracy Management, Business and proactive effectiveness, tasked with enormous amount of Writing, Project Plan- Terence Wilo at the Fred Hollows Foun- responsibilities. He facilitates and supports access to spectacles ning and Design, Project dation office in Madang and medical supplies for clients of the program, maintain Monitoring and Evalua- accurate inventory management which includes monitoring tion and Working with the Media. of all stock levels and usage, procurement requirements and He further described the Health Management program as unique relevant asset registers, maintain and manage Memorandum and the best as it combines a variety of concepts and knowledge of Understanding between Fred Hollows Foundation and PNG from the broader contemporary business environment and their and participants of the supply program. Furthermore, the posi- relationship to the Health Care System of PNG. These acquired tion requires him to raise any issues to the Country Manager concepts, skills and knowledge would be relevant and helpful in and monitor program activities to ensure it is delivering on its whatever jobs graduates are engaged in whether they be in the goals. Although it is quite a challenging job he enjoys working private or public sector. for the organisation. He hopes that what he has achieved can inspire the current and When asked why he chose to work with Fred Hollows Foun- future students taking up the Health Management program to dation, he said that it was because of one of their core values work hard, work smart and reward people who stick by you; by which captured his interest. being successful in life. He said: “The organisation’s willingness to invest in people His words of advice? “Things turn out best for people who make who want to make a difference and own the solutions to their the best of the way things turn out” he said. health outcomes is something that I was attracted to. His success story continues and he acknowledges God, the source “Working with Fred Hollows Foundation has already given of all wisdom, knowledge and understanding, without him, one me the confidence to promote this core value and help Papua cannot reach his or her destination in life. New Guinea implement effective and comprehansive eye care programs,” he said. Joseph Angli is a current fourth year Health Management student. As a former student of Health Management program he was glad to say that he found many lectures and units taught under Work Experience is vital for HM students By Rayleen Wally Director HSIP Projects, Mr. AntonKafur. The staff were friendly and helpful as they helped me gain confidence in performing the Over the semester break, I gained some much needed work ex- tasks required for me. Though it is a short period of time working perience with the Division of Health at the East Sepik Provincial with them from 10/12/2012 to 25/01/2013, I have learnt so much Administration. It was a great experience and challenge for me and enjoyed being exposed to the people of higher authority in as a health management student as I did have a real ‘hands on’ the health division. experience on some of the units that I have learned in the past The most interesting part of the training was the Rural Primary two years of study here in DWU. Some of those units that I Health Service Delivery Projects (RPHSDP) visit to Maprik come across performing them frequently during the job attach- District. The project itself was funded from loans and grants from ment were: IS 115 Data Base Management, BS 114 Accounting development partners. It is said to be managed by the government Fundamentals, HM 204 Public Finance and Budgeting, and HM through a project steering committee representing the Department 201 Business Writing. All the other units that we took arealso of Health, Treasury, Finance, and National Planning and Monitor- very helpful in the working environment. ing and the eight participating provinces. I officially started work on the 10th of December 2012 with the I guess some of you might have read or heard about this project Accounts Section under the management and supervision of the ...story continues to page 11 ..Jiwaka Health Survey story continues from pg 7 Samantha’s Management Word University and other institutions especially those within the Faculty of Health Sciences, to carry Kona... out the survey. The survey was carried out from No- and Laughter vember to December of last year, 2012. Hello everyone. The doctor’s office was crowded as 2. Discussion usual, but the doctor was moving at a The survey carried out was especially to measure and First of all, I would like to welcome snail’s pace. After waiting two hours, examining the existing Health Facilities; run down the First Year Health Management an old man slowly stood up and started Health Facilities and make adjustment for improve- students to DWU and a warm wel- ment especially in areas of needs. This would be walking toward the door. come to the con�nuing students one of the information that the government would and lecturers. For this month’s “Where are you going?” the receptionist need during budgeting and allocation of Funds in the issue, my poem is about a whole called out. Health Sector within the province in the future. new beginning; New Year, new “Well,” he said, “I figured I’d go home A Health Facility Survey comes in different guises environment (for 1st years), new and die a natural death.” and it involves the production in the health outcomes. challenges to face, and a whole The type of information and data collected influenced new journey to look forward to. Es- by the type of households, combination of health A young accountant, straight out of pecially for myself and those who services and other inputs including resources and non found last year to be very hec�c uni, applies for a job advertised in the health to produce good health outcomes (Lindelow and challenging. local Newspaper. He is interviewed and Wagstaff, 2001). by the owner of the business who 2.1. Existing Health Facilities Dawn of a new day has built it up from scratch. “I need The Population per Health officer and Health Facility You’re looking for a place to someone with an accounting degree,” in the Province is a vital issue to consider. The indica- tors of population per Medical officer, population per says the man, “but mainly I’m look- start nursing officers, population per Aid Post and Popula- And you feel like you’re miss- ing for someone to do my worrying tion per Health Centre reveal the gaps that exist in the ing a part for me.” allocation, distributions and provision of Health care Yesterday le� youblue “How do you mean?” says the ac- services in the province and of course, Papua New Without leaving a single clue countant. “I have lots of things to Guinea as a whole. In this case, during distribution worry about, but I want someone else of services more concentration should be given to Hopes broken and dreams unprivileged and disadvantage areas then those that to worry about money matters.” about to sha�er have access to better Health services. Like stars being sca�ered “OK,” says the accountant. “How North Waghi District has no any medical officers High, up above the crystal much are you offering?” but twelve (12) Nursing officers and four (4) existing night sky “You can start on seventy-five thou- Health Centers and seven (7) Aid Posts. A population of 4,320 people are served by only one (1) nursing Forcing you to call it quits sand,” says the owner. “Seventy-five thousand kina! How officer and a population of 12,961 per Health center Deep inside, you s�ll wanna [12961:1 Health centre] and 7406 people per Aid can a business like this afford to pay fight Post. [7406 popn: 1 Aid Post]. so much?” Keep your head held up high Anglimp South Waghi District has four (4) medical “That,” says the man, “is your first But do not sigh officers, 49 nursing officers with 5 Health centers worry.” and 11 Aid Post. Only one Medical officer is capable With disappointment and do of serving 24143 populations [1: 24143] and 1971 not be discouraged A young man, new to Facebook, was population per Health center and 8779 population per Let yesterday be a lesson Aid Post. wondering what “LOL” stood for when Jimi District has no any Medical Officers but 16 nurs- And you, a whole new per- people were posting on their status. His son ing officers and 6 Health centers and 16 aid posts. silly friend told him that it stood for There are about 2, 337 people per nursing officer and Today, with limits and is “Lots of Love.!!” 6231 people per Health centre and 2337 people per consistent So, he sent the following text 2 his GIRL Aid Post. Secret is to reconcile FRIEND- “You are the only girl in my However, the facility level of infrastructure, re- sources, and physical structures, child health services, Hurts at first but just wait a life..LOL...” while maternal health and family planning services and reproductive tract and sexually transmitted infec- You’re stronger than that _ An employee approached his boss tions including HIV/AIDS, tuberculosis, and malaria be posi�ve_ regarding a dispute on his pay-check... health services were ineffective due to a variety of Employee: Sir, this is K100 less than social and administrative factors. -Samantha Kenjue, HM3- my salary. There are more than 100,000 people who benefit _Composed on 13/02/13_ from only one church run Hospital in the province. Boss: I know. But last month, when For many years, the Kudjip Nazarene Hospital has So thats my poem for this month. you were overpaid K100, by mistake, and is still a life saving hospital for the province I hope you liked it. In the next you didn’t complain! where it provides quality health care services to the month’s issue, I’ll write some Employee: Well, I don’t mind an oc- people of Jiwaka. more. Un�l then see you and enjoy casional mistake, sir, but it seems to be 2.2. Run down Health Facilities the rest of the year! There are good numbers of run down health Facili- becoming a habit, now! story continues to next page... Rayleen’s story continues from page 9 ...story continues from previous page before. However, as stated in the Project News Letter (Octo- ties in the province. Health facilities cease operation due to ber,2012), the Rural Primary Health Service Delivery Project number of factors and this contributes greatly to the deteriorat- (RPHSDP) is financed by the GoPNG, Asian Development Bank, ing health status in the province. This is significant as people AUSAID,OFID and is supported by JICA, WHO and UNICEF, in remote areas of the province suffer very much. Many health the total grants and loans of US $81.2 million will strengthen the facilities in parts of the province fail to uphold seven essential rural health system in selected areas of Papua New Guinea by values of Papua New Health Care system and these values increasing the coverage and quality of Primary health care in part- include: nership with both the state and the non state service providers. The Accountability, People Focused, Integrity, Equity, Quality, Project will support the Government of PNG in implementing the Diversity and Team work Source: (NHP, 2011-2020). National Health Plan (NHP) 2011-2020, as it relates to rural health Furthermore, health facilities cease operation due to lack of services. The project vision, Goal and Mission are all in line with staff and mismanagement of funds from the provincial and the PNGNHP 2011-2020. LLG level and again this really affects the health of the people The visit to the health facilities of Maprik District which was on in the remote areas of the province. In this case those living in the 24th of January 2013 was a great privilege for me, as a health Jimi and Kambia and yet some parts of North and South Waghi management studentand to see with my own eyes the status of are suffering from the lack of proper Health care services. our rural health facilities in the province. It was also a pleasure to 2.3. Aim of Health Facility Survey be among the group of health professionals in the province with The main and foremost aim of the survey was to find out the presence of Mr. Jack Purai the Health Mentor for RPHSDP for how many health Facilities is operating and how many of the Milne Bay and East Sepik Provinces and heard from their experi- Health Facilities cease to deliver health care services to the ences of being in the system of Government. The many things that people and ensure that services are distributed equally among I have observed during the visits has motivated me to be in a posi- the population. Health Facilities in this case include the Hospi- tion of decision making and an agent of change to improve some tals, Health Centers and Aid Post both run by churches or the of those bad conditions of health facilities in the province. government in Jiwaka province. One of the important factors of improving service delivery to the Another reason is to know how many people of a particular people is through Working in partnership with the Non Govern- community benefit from avalable hospitals, Health centers and ment Organization and churches Health Services. As observed Aid post in their community. It was to find out whether these from this project visit, the KRA 2 of the NHP 2011-2020 which is facilities are delivering quality and affordable Health care to strengthen partnerships and coordination with stakeholders will services to the community. achieved some of its goals and objectives through the RPHSDP Moreover, it also aims to find out the maximum and minimum implementation.The effective practice of KRA 2 will results in number of staff working in the Health Facilities in different quality health service being delivered to the majority of the rural parts of the province and know whether they are qualified and population in the country. amicable to the patient in the process of diagnosing and treat- To sum up, a job training done during end of year semester is very ment of patients. important as it will help you to look into the real life examples of 3. Conclusion what we learn in theory here in our classes. It will also help to ex- The Health Facility survey is one of the very important pro- pose you to challenges within and outside of the working environ- cedures that is used to assess the level of Health Facilities and ment and to give you confidence in your career pathway. health care in the country as it is essential data that will be use to assist in allocation and distribution of resources. The bottom line is that inorder to accomplish better health outcomes, we as a province, must uphold the seven essential value of Papua New Health Care system to have better health outcomes

Reference List Lindelow, M and Wagstaff, A (2001). An introduction to Health Facility Sur- veys. Retrieved 21 February 2013 from http://siteresources.worldbank.org/IN- TISPMA/Resources/Training-Events-and-Materials/449365-1146065195309/ Wagstaff_Adam_paper.pdf PNGNDOH, (2010). National Health Plan 2011-2020. Essentials values of PNG Health care system, [Volume 1.pg 19]. Retrieved 19 February 2013 from http://www.wpro.who.int/countries/png/PNGNHP_Part1.pdf The National Research Institute, (2010). Section of Jiwaka Province. Retrieved 21 February 2013 from http://wwwhttp://en.wikipedia.org/wiki/Jiwaka_Prov- ince Mal. T. (2010). Minj is Capital of Jiwaka Province. Post courier online. Retrieved 23 February 2013 from wwwhttp://en.wikipedia.org/wiki/Jiwaka_ Rayleen with staff at one of the Health Centres in East Sepik Province. From the Editor’s Desk

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