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Manus Provincial Health Authority 2018 Annual Management Report

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Manus Provincial Health Authority 2018 Annual Management Report MANUS PROVINCIAL HEALTH AUTHORITY 2017 ANNUAL MANAGEMENT REPORT IN GOD WE TRUST; TO SERVE AND CARE MANUS PROVINCIAL HEALTH AUTHORITY 2017 ANNUAL MANAGEMENT REPORT mpha@2019 CONTENTS Maternal & Child Health……………………………………………………………………………….12 Contents………………………………………………………………………………………………………..3 Immunization Coverage………………………………………………………………………………..13 From the Chief Executive Officer……………………………………………………………………4 CURATIVE HEALTH & NURSING SERVICES Radiography & Imaging…………………………………………………………………………...15-19 EXECUTIVE SUMMARY Pathology…………………………………………………………………………………………………20-27 Overview………………………………………………………………………………………………………..5 Anaesthetic……………………………………………………………………………………………..27-30 Background…………………………………………………………………………………………………….6 Pharmacy……………………………………………………………………………………………………..31 Health in Brief……………………………………………………………………………………………..7-8 Nursing Health Services………………………………………………………………………..…32-45 EXECUTIVE SERVICES CORPORATE SERVICES Office of the CEO…………………………………………………………………………………………….9 Spiritual Health……………………………………………………………………………………………46 Internal Audit………………………………………………………………………………………………….9 Human Resource & Manpower……………………………………………………………………46 Quality Assurance Office…………………………………………………………………………………9 Health Facilities & Projects………………………………………………………………………….47 Infection Control…………………………………………………………………………………………….9 Implementation and Monitoring…………………………………………………………………48 GESI Office……………………………………………………………………………………………………..9 Finance & Administration and Budgets………………………………………………....48-53 PUBLIC HEALTH SERVICES SUMMARY & CONCLUSIONS HIVAIDs…………………………………………………………………………………………………………11 Issues………………………………………………………………………………………………………….54 Malaria………………………………………………………………………………………………….…11-12 Recommendations…………………………………………………………………………………54-55 From the Chief Executive Officer The Manus PHA had to rely on Due to the merger, Manus PHA are; spiritual health, preventive its Senior Management to fulfil has now become a bigger health and curative health. some of the Board’s obligations Organization and extends right however, matters concerning to the utter remote parts of the In our pursuit; in achieving governance was left unattended province. Reaching the people better health for everyone in until the new Board is elected. at the ends of this province with Manus, we foresee that we This caused some important quality health services is both should focus mostly on two very documents like the Corporate challenging and difficult so in important recipients of our Plan and the Services the context of Manus, Health services. If we can effectively Improvement Plans (SIPs) were remains one of the most achieve these milestones, then shelved to await the Board’s expensive commodity of the we will be able to accomplish endorsement and blessings. government. the vision of government in In 2017, the Manus PHA had to providing better health services operate without a Board In 2017, we had advertised the People have rights to good to the people. First and because its 3 year term had remaining vacant positions and health and we feel it is our foremost, we will ensure that all expired on the 31st July 2016. In are preparing for the selection responsibility to educate our our inpatients and outpatients contrast, the process of and recruitment. We are own people to take good care of are given priority and the best selecting new Board members optimistic that with our full their lives, their health and their patient care services and was slow and had to undergo manpower, it will resolve our environment in the events when secondly, the welfare of the stringent scrutiny to enable a many problems and we would we run out of drugs, in an Manus PHA workforce must also fair selection of members, be able to provide quality health attempt to minimize having to be given priority and address representing all walks of life, ie; services in the years to come. visit a health facility for health satisfactorily in order to attain business sector, women, local services. We are hoping to drive our number priority, the communities, churches, etc. The The Board has also given us the this agenda through the healthy patients. selection also had to have the task to define spiritual health island concepts so the people Governor’s input, therefore the and incorporate it as part and themselves become responsible process was further delayed and parcel of the health services. for their own health through the as a result, there was no Board ROBERT PEYAN SALIAU three health dimensions which for the whole of 2017. Chief Executive Officer 4 | P a g e Manus Provincial Health Authority 2017 Annual Management Report EXECUTIVE SUMMARY Overview built in the early ‘70s and have now referred back to the hospital for deteriorated to a state that it will be medical attention. This has considered as a level 2 facility. increased our workload that puts a lot of stress to our already Upgrading these facilities back to understaffing manpower but the required National Health nonetheless, we have been standard will cost millions, which is assisting in every way possible. why we have opted to phase the maintenance program over a This again, may have in some way, period of five years in line with our comprised the quality of services Services Improvement Plan 2020- we are supposed to be providing. 2024. Also, because of the higher number Generally, 2017 was another year Most of our ural health facilities are of patients we are seeing every for us to be together as one entity spread out to the far west of Agency Hosp Urban HC Aidpost day, patient ratio against one under the PHA reform. This was Western Islands, and to the far east Run Clinic health worker is well beyond the done and made complete when we of Rapatona and Balopa. Gov’t 1 2 6 48 standard for quality health. were given the green light go ahead and advertise the remaining vacant Manus is served by a provincial Church 0 0 3 0 On the bright side, we had learnt a positions in the merging structure. hospital, 2 urban clinics in Lorengau lot from these experiences and we and 10 health centres and 48 aid Other 0 0 1 hope to continue to improve in the Although Manus is one province, posts. About 24 of these aid posts years to come. one district, it is spread out in the are now closed following the On the contrary, the transfer of the vast Bismarck Archipelago by its retirement of our 24 retirees, most Asylum Processing Centre to many atoll islands and coastlines of whom were CHWs managing the Lorengau and with the incapacity of making it a high risk when it comes level 1 facilities. the Pacific International Hospital to to the delivery of health services meet the medical needs of these especially during the north-west Most of the rural health facilities, refugees, a lot of the refugees are and south-east winds. especially the health centres were 5 | P a g e Manus Provincial Health Authority 2017 Annual Management Report Background Mbuke Island to the south has seen a lot of destruction to the and Bipi Island to the west of environment. On the contrary, the Manus Island. Other islands Logging Companies have been able that have been noted as to make roads (ungravelled) that significant places in the history has linked Ndrahukei, the new of Manus include Ndrova township to Lorengau. Island, Pitylu Island and Ponam Manus does have the potential to Island. tap into the lucrative fishing The economy of Manus is industry (tuna) because of its vast primarily agricultural, sea mass and it is one of the major consisting of copra production breeding places for tuna in the and some cocoa and vanilla world. The Provincial Government growing but these have has not been aggressive in its declined due to lower prices in pursuits to tap into this Industry to the World Market. Copper make it happen. However, there deposits have been located on has been positive outcomes into Manus Island but not yet establishing a Fish Cannery at exploited. Only recently, there Ndrahukei Township that is hoped has been some exploration will boost the economy of the Manus is the smallest of the 22 Manus is the largest island in the work being done in the area province. Beche-de-mer is another Provinces in Papua New Guinea in Admiralty group of islands and is especially in the South Coast of lucrative marine product but it has terms of land mass, population and the Provincial capital. The other Manus but more specifically in the been temporarily banned because economy. It does however, have larger islands are Los Negros Island Ere Kele electorate. Manus is of over-harvesting. one of the largest areas of sea mass (which is connected to the heavily forested, and logging is than of any Province in the country. mainland Manus by a bridge across another potential industry on Manus is 300km off the north-coast the Loniu Passage), Tong Island, Pak the island however it has also not of the PNG mainland, two degrees Island, Rambutso Island, Lou Island, been fully developed. Current south from the Equator. and Baluan Island to the east, logging in the West Coast of Manus 6 | P a g e Manus Provincial Health Authority 2017 Annual Management Report Health in Brief 2017 Implementation Activities go on retirement. In contrast, our two underpinning health pillars; especially in areas of specialist Our 2017 activities include the working environment needs to be spiritual health and preventive doctors, specialist nurses and normal routine activities and the safe both the building structures health, should take predominance specialized allied staff. Fourthly, new project activities. The normal and the atmosphere. Due to these
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