Kaduna State
Getting It Together In 72 Hours: CCP-NURHI Clinic Remodelling Experience
KADUNA STATE
CENTRE OF LEARNING THE 72-HOUR CLINIC MAKEOVER COMPENDIUM
KADUNA STATE ii Acronyms Acronyms
ANC Antenatal Care CHC Comprehensive Healthcare Centre CLMS Contraceptive Logistics Management System CPR Contraceptive Prevalence Rate DVD Digital Versatile Disc FCT Federal Capital Territory FP Family Planning GH General Hospital HC Honourable Chairman HCH Honourable Commissioner for Health IUD Intra Uterine Device KM Kilometre LASU Lagos State University LCDA Local Council Development Area LGIC Local Government Interim Chairman LGA Local Government Area mCPR Modern Contraceptive Prevalence Rate MDF Medium Density Fibre NDHS Nigeria Demographic and Health Survey NURHI Nigerian Urban Reproductive Health Initiative OIC Ofcer-In-Charge PHC Primary Healthcare Centre PIA Performance Improvement Assessment PIP Performance Improvement Plan RH Reproductive Health SA Sole Administrator SQM Square Meter WDC Ward Development Committee
iii iv Acknowledgements
In its determination towards ensuring improved maternal, newborn and child health in Nigeria, the gements
Nigerian Urban Reproductive Health Initiative (NURHI 2) project narrates one of its proven Acknowled interventions - 72-Hour Clinic Makeover concept and process. The NURHI 2 project is built on the premise that demand for family planning is a requirement for increased contraceptive use, therefore it is important to generate demand and ensure that supply meets the demand by improving access to quality FP services.
This compendium narrates a stepwise guide on how the 72-Hour Clinic Makeover concept is being implemented in the project supported states; Kaduna, Lagos and Oyo. It also contains information on the facilities that benetted from the 72-Hour Clinic Makeover in these states.
NURHI 2 would like to appreciate the immense contributions of the Federal Ministry of Health, State Ministries of Health (Kaduna, Lagos and Oyo), National Primary Health Care Development Agency, State Primary Health Care Development Agencies in Kaduna, Lagos and Oyo, and the Local Council Development Agency in Lagos State. Our sincere gratitude also goes to the Ward Development Committees and community members for their involvement and commitment in the process and each supported LGA for their donations and support all through the process in ensuring it becomes a reality.
NURHI 2 would also like to acknowledge with much appreciation the efforts and hard work of our core partners; Association for Reproductive and Family Health (ARFH) and Centre for Communication Programs Nigeria (CCPN), in providing the necessary support for quality improvement and community mobilization respectively. It also appreciates the efforts of the entire staff members of Johns Hopkins Center for Communication Programs (CCP), the prime organization of the NURHI project, for their commitment in making the 72-Hour Clinic Makeover process a success.
It is our expectation that all tiers of government, other stakeholders and good- meaning Nigerians will take this document and move it beyond a compendium into action and reality that will be replicated at all levels so as to improve the health of everyone especially women and children in Nigeria.
Dr. Saratu Olabode-Ojo Senior Technical Advisor – Service Delivery and Health Systems Strengthening. CCP-NURHI 2
v vi Foreword
NURHI 2 envisions a Nigeria where supply and demand barriers to contraceptive use are eliminated and a positive shift in family planning social norms at the structural, service, and community levels that drive increases in Contraceptive Prevalence Rate (CPR) in Kaduna, Lagos, and Oyo states.
Family Planning/Child Birth Spacing has been proven to be one of the key factors to reduction in maternal and child mortality, making it a very vital intervention for improving the quality of life of women and children. With NURHI's proven interventions in the family planning landscape, there is a Foreword move by key stakeholders to successfully redirect and improve the health and economic indices of the country, through high impact MNCH interventions.
One of NURHI's proven intervention to address supply barriers at these three targeted levels to improve the quality of family planning services and expand access of these services to more men and women is the 72-Hour Clinic Makeover concept. The concept ensures that all NURHI 2 supported facilities have basic equipment and infrastructure using a cost-effective way. The methodology is to use direct labour through community-based artisans who are hired to provide services to give the facility a 'face lift' thereby providing a private and safe environment for condential counselling and family planning method administration. The overall aim is to provide quality family planning services and access to care in line with the National Family Planning Service Protocol.
This compendium contains the list, pictures and details of facilities that have benetted from the 72- Hour Clinic Makeover with the list of equipment and infrastructure. It also details the challenges and success stories recorded in implementing the process.
Our desire is that this innovation, if replicated appropriately would cause a positive shift in providing an integrated, comprehensive, and holistic approach to improve the Nigerian health system at all levels of care.
Dr. Mojisola Odeku, Portfolio Director, CCP Nigeria FP Portfolio
vii Copyright 2018 ISBN: 978-978-964-829-0
viii Table of Contents
Acronyms
Acknowledgements
Foreword
Introduction
IGABI LOCAL GOVERNMENT AREA Table of Table Contents Comprehensive Healthcare Clinic (CHC) Jaji-Igabi Rigasa General Hospital Kwarau Tasha Primary Healthcare Centre Kampani Zango Primary Healthcare Centre Mando Primary Healthcare Centre
JEMA’A LOCAL GOVERNMENT AREA Kafanchan Primary Healthcare Centre General Hospital Kafanchan
ZANGON KATAF LOCAL GOVERNMENT AREA General Hospital Zangon Kataf
KACHIA LOCAL GOVERNMENT AREA General Hospital Kachia
KAURU LOCAL GOVERNMENT AREA General Hospital Kauru Kwassam Primary Healthcare Centre
KUBAU LOCAL GOVERNMENT AREA General Hospital Pambegua Dutsen-Wai Primary Healthcare Centre Kubau Primary Healthcare Centre Pambegua Primary Healthcare Centre
ix LERE LOCAL GOVERNMENT AREA
General Hospital Saminaka Garun Kurama Primary Healthcare Centre
SOBA LOCAL GOVERNMENT AREA Richifa Primary Healthcare Centre Soba Primary Healthcare Centre Yakassai Primary Healthcare Centre
AVERAGE COST FOR EQUIPPING THE FP UNIT AND LABOUR WARD
x INTRODUCTION
The Nigerian Urban Reproductive Health Initiative (NURHI) is funded by the Bill & Melinda Gates Foundation with the vision to eliminate supply and demand barriers to contraceptive use and make family planning (FP) a social norm in Nigeria. In phase one (2009 – 2014), NURHI signicantly contributed to the increase in family planning contraceptive prevalence rate (CPR) in four initial cities; FCT, Ibadan, Ilorin and Kaduna and scaled up to Benin and Zaria. These cities were selected because they each have an average population of over one million.Currently, NURHI is in its second phase, and is operating across three states namely Kaduna, Lagos and Oyo.
Kaduna State, located in the North Western geopolitical zone in Nigeria has a population of 6.11 million and an annual population growth rate of 2.47 percent. The population of the state is young and growing, with 44 percent of the population under the age of 15, and about 5 percent of the population (1.44 million) are women in the reproductive age group (14 to 49 years) (NDHS, 2013). This means that the state is burdened with the challenge of providing for a growing population during a period of limited resources, while also ensuring that its citizenry enjoy quality health, education, employment, etc.
Family planning has been identied as a key intervention that not only contributes to reducing
maternal, infant, and child mortality, but can also ensure states attain their demographic dividends. Introduction This means that in addition to reducing unintended pregnancies and ensuring healthy spacing between births, families that use contraception are likely to have healthier families. Also, young people are provided with the opportunity to stay in school longer, have a clear life purpose and be able to achieve their dreams.
NURHI 2 is committed to contributing towards achieving the State's goal of increasing its CPR to 46.5 percent by 2020. The project uses a three-prong approach of Advocacy, Demand Generation and Service Delivery to increase local support for contraceptive use, while expanding demand and access to high quality and affordable family planning services.
72-Hour Clinic Makeover Process The 72-hour clinic makeover activity is implemented from start to nish in close collaboration with the health regulatory agencies in the state with the aim of having a waiting area, counselling room and procedure room which is based on space available in each facility.The implementation takes place within 72 hours. It starts after close of work on Friday and is completed before resumption of work the following Monday.
At the beginning of the project, NURHI 2 selected the intervention sites and conducted a Performance Improvement Assessment (PIA) of these health facilities with the aim of understanding the current state of family planning service delivery and also identifying gaps in training, equipment, infrastructure, logistics, data documentation and reporting. The ndings from the PIA were used to develop the Performance Improvement Plan (PIP), which was shared with all key stakeholders at the LGA and State levels with the intent of getting them onboard to be key contributors towards implementation of the PIP and to encourage government to scale-up and replicate the process in other facilities.
Based on the PIP, and with input from the artisans, the scope of work and the bill of quantity for the infrastructural upgrade were developed. This process of engaging community artisans ensured cost effectiveness by paying for direct labour rather than the commonly used contracting method. It also ensured that community members played an active role in the 72-hour clinic renovation thereby stimulating interest in the welfare and maintenance of the health centres in their communities. The infrastructure renovated include tiling of oors, painting, plumbing, electrical repairs and carpentry works which could include repair of torn nets, xing of doors, repair of roof leakages/ceiling and in some instances demarcation of rooms. In some facilities, blocked drainages were repaired, new walkways were constructed, pumping machines were purchased to supply water into the facility and on an occasion, a building was completed from an existing foundation.
xi Before equipment were procured, medical equipment vendors were identied, the vendors’ outts visited and inspected to verify their capacity to deliver on specications. The medical equipment were supplied, branded, delivered and installed in the various health facilities. In the project state ofces, a procurement committee was set up to review the scope of work required in each facility, the quantication and quotations submitted by artisans as well as review processes and costs for direct purchases at the state level. Thereafter, the facilities were cleaned, reorganized and equipment were arranged in the family planning waiting area, counselling and procedure rooms. The entire process is supervised by a team consisting of a NURHI staff, health facility staff and community members to ensure quality and completeness of the job.
Health facilities were grouped into batches and a schedule was developed to cover a maximum of ve facilities per weekend within the same LGA or locality. There should be 15 to 20 facilities per batch.
The commissioning ceremony was highly participatory with the involvement of dignitaries and key stakeholders from the state and local government levels. The involvement of these policy and opinion leaders was very strategic to promote ownership and identify with NURHI's niche for quality service delivery. In addition, it provides an opportunity to advocate for government and other stakeholders to replicate the process in other facilities which are not supported by NURHI.
Challenges The 72-hour clinic makeover as with other laudable projects was not without its own challenges. The concept itself is very new to most health facility staff and community members alike, hence, NURHI staff had to always keep both artisans and facility members on their toes to ensure that the target to deliver the work in 72 hours is met. Although this rigorous process rufed a few feathers and some occasions resulted in mild confrontations, all participants and stakeholders involved in the process were usually amazed at how a rapid turn-around is made to the physical structures of the facility within such a short period and using minimal funding.
Also, it is important to note that the geographical location of each facility signicantly inuences the implementation process of the 72-hour clinic makeover activity. The estimated time for delivery of equipment and building materials are determined by location of facility as bad roads will sometimes slow down the delivery vehicles and prevent access to the facilities. Sometimes, the equipment were off-loaded and individually carried by community members to the facilities. Furthermore, harsh weather conditions may hamper and slow down the pace of work during renovations, for example during heavy down pour, wall painting could be delayed or damaged thus necessitating repainting.
Other challenges of notable mention are poor communication network, inability of artisans to utilize e-banking services, and unavailability of building materials in some host communities which required artisans to travel as far as 300km to source for the materials.
Lastly, there is a tendency for artisans to charge exorbitant prices with a false assumption that there is a lot of money because the project is being sponsored by government.
Success Stories Amid the challenges, success stories were recorded from the 72-hour clinic makeover. During the commissioning, community members trooped out to witness the transformation of the health facilities which was thought to be “unbelievable”. They came with rolled-out drums and dances. Other notable outcomes include: clients showing eagerness to use the facilities upon completion of the renovations, pledges by community associations to x other areas in the facility not covered by the makeover and some traditional heads provided lunch for workers throughout the makeover period. In addition, community leaders promised to ensure adequate security of the health facility, there were commitments by government ofcials to earmark a certain percentage of the budget for consumables and relling of the camp gas for sterilization to mention a few.
Conclusion The overall implementation of the 72-hour clinic makeover has been a huge success that helped to showcase that so much can be done with little resources. This document chronicles the 20 facilities that benetted from the 72-hour clinic makeover under the NURHI 2 project in Kaduna State.
xii IGABI LOCAL GOVERNMENT AREA
Igabi is a Local Government Area in Kaduna state with a total population of 613, 404 (NPC, 2018). Its headquarters is in the town of Turunku. Igabi LGA is made up of 12 political wards and 64 primary healthcare facilities, 28 out of these facilities offer Reproductive Health services in the LGA. 22 percent (131,018) of its population are women of child bearing age, while 15,427 of these women between the age of 15-49 are currently using modern contraceptives. The Armed Forces Command and staff college is based in Jaji, which is located in this LGA.
LIST OF HEALTH FACILITIES IN IGABI LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Igabi CHC Jaji 11-14 November, 2016 Dr. Paul M. Dogo, HCH Igabi LGA
2 Igabi GH Rigasa 11-14 November, 2016 Dr. Paul M. Dogo, HCH
3 Igabi PHC Kwarau Tasha 11-14 November, 2016 Alh. Jibril khamis, LG IC
4 Igabi PHC Kampani 11-14 November, 2016 Alh. Jibril Khamis, EC Zagon
5 Igabi PHC Mando 28– 29 November, 2016 Alh. Jibril Khamis, LG IC
1 COMPREHENSIVE HEALTHCARE CENTRE (CHC) JAJI
The Comprehensive Healthcare Centre Jaji was formerly an Army hospital in Igabi LGA. Monthly client ow of 1, 338 and staff strength of seventeen. In a bid to strengthen CHC Jaji service delivery, NURHI conducted performance improvement assessment to determine the level of upgrade needed in the facility. Report of assessment showed lack of adequate space and equipment for family planning services.
NURHI 2 therefore carried out the 72-hour clinic makeover in the facility in November 2016. Work done include replacement of damaged doors, tiling of family planning waiting area and labour ward, replacement of toilet seats at the integrated sites (ANC and Delivery room), paintings and replacement of broken windows. At the completion of work, the facility was commissioned by the Honorable Commissioner for Health – Dr. Paul M. Dogo. Medical equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch Replaced 12 door glasses 1 Medium sized cupboard 1 File cabinet 1 Camp gas 1 Provider table 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 IUD Kits 1 Notice board (36x47m2 ) 1 Instrument trolley 1 Medium sized cupboard Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments Replaced door glasses with aluminium 3 Plastic rectangular containers with cover Tiled labor ward and lying-in ward 5 Curtains 1 Delivery couch 1 Infection prevention stand 1 Plastic bucket with tap 5 Curtains CLIENT WAITING AREA 1 Mackintosh Floor tiled– 198 Meters 1 Bed screen Replaced 6 old ceiling boards 1 Pedal bin 9 sets of 3-seater chairs 1 Infection prevention stand 2 1 Notice board (47x36m ) 2 White rectangular bowls with cover Replaced 2 glass doors with aluminium Replaced 1 water closet with squat toilet
TOILET FOR FP PROCEDURE ROOM Tiled toilet oor -20 Meters Replaced 3 water closets with squat toilets
2 Waiting area after renovation
Counselling room after renovation FP Procedure room before renovation
Labour room after renovation Commissioning of the FP clinic
3 RIGASA GENERAL HOSPITAL
General Hospital Rigasa is situated in Karshen Kwalta, a densely populated slum of Igabi LGA serving a population of over 36,000 people with a monthly average attendance of 5,086 and staff strength of fty- three. NURHI Performance Improvement Assessment report shows that General Hospital Rigasa has a high client ow but lacks adequate space and basic medical equipment for family planning services hence the need for repairs, cleaning, rearrangement and making functional what exists in the facility.
The 72-hour clinic makeover was conducted by NURHI in November 2016. Work started on November 11 and was completed and commissioned on November 14, 2016 by the Honorable Commissioner for Health - Dr Paul M. Dogo. Medical equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch Replaced 12 door glasses 1 Medium sized cupboard 1 File cabinet 1 Camp gas 1 Provider table 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 IUD Kits 1 Notice board (36x47m2 ) 1 Instrument trolley 1 Medium sized cupboard Big & Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments Replaced door glasses with aluminium 3 Plastic rectangular containers with cover Tiled labor ward and lying-in ward 5 Curtains 1 Infection prevention stand 1 Delivery couch 1 Ceiling fan in ANC 1 Plastic bucket with tap 5 Curtains CLIENT WAITING AREA 1 Mackintosh Floor tiled – 198 Meters 1 Bed screen Replaced 6 old ceiling board 1 Pedal bin 9 sets of 3-seater chairs 1 Infection prevention stand 1 Notice board (47x36m2 ) 2 White rectangular containers with cover Replaced 2 glass doors with aluminium Replaced 1 water closet with squat toilet
TOILET FOR FP PROCEDURE ROOM Tiled toilet oor -20 Meters Replaced 2 water closets with squat toilets
4 Waiting room after renovation
Space constructed for Counselling room after renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP clinic
5 KWARAU TASHA PRIMARY HEALTHCARE CENTRE
This facility is situated in Igabi LGA with it used to be an old rail sub-station. It has an average monthly client ow of 581 with four technical staff but lacks space for FP services. A store in the hospital premises was offered to be converted into a FP Unit. The store was extended, partitioned and tiled to create a waiting area, counselling and procedure rooms. The facility was commissioned by the Hon. Chairman Igabi LGA – Alh. Jibril Khamis. Medical equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM Fixed 1 aluminium window (4x8) with frame Partitioned to create FP Procedure room 1 Gynaecological couch Floor Tiles – 20 Meters 1 Medium sized cupboard 1 File cabinet 1 Camp gas 2 Provider tables 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 2 IUD Kits 1 Notice board (36x47m ) 1 Instrument trolley 1 Medium sized cupboard Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 3 Plastic rectangular containers with cover 1 Mackintosh 5 Curtains 1 Bed screen 1 Infection prevention stand 1 Pedal bin 1 Infection prevention stand 2 White rectangular containers with cover CLIENT WAITING AREA TOILET FOR FP PROCEDURE ROOM Floor tiled – 38 Meters Tiled toilet oor -20 Meters 1 Metal door 1 Complete ush door lock and key Fixed 1 aluminium window (4x8) with frame OTHER AREAS COVERED 9 sets of 3-seater chairs 2 Converted old hospital store/ward 1 Notice board (47x36m ) to FP Clinic
Constructed 2 new aluminium windows Tiled clinic walkway/Veranda- 30 Meters Repaired and painted entire facility Veranda roong – 3 bundles of zinc sheets
6 Space for waiting area during renovation Waiting area after renovation
Space converted to counselling and procedure rooms before renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
7 KAMPANI ZANGO PRIMARY HEALTHCARE CENTRE
PHC Kampani Zango is situated in Igabi LGA along Zaria road by Zango Aya. It had an average monthly client ow of 653 with seven technical staff . It was in a very bad shape until the 72- hour clinic makeover in October 2016. The allocated room for FP was refurbished, partitioned and tiled to create a waiting area, counselling and procedure rooms. The male and female wards in the facility were also tiled; a rst stage room was created and linked to the delivery/labour room. Cracks on the wall were all plastered and painted accordingly. The facility was commissioned by the Honorable Chairman Igabi LGA – Alh. Idris Khamis. Medical equipment supplied and renovation carried out include: FP COUNSELLING ROOM FP PROCEDURE ROOM Replaced and painted 5 damaged Replaced and painted old damaged ceilings ceiling boards Tiled oor – 24 Meters Floor tiles – 24 Meters Replaced door glasses with aluminium 1 Ceiling fan Replaced 5 windows glasses with aluminium 1 File cabinet windows 2 Provider tables 1 Gynaecological couch 6 C-LEG chairs 1 Medium sized cupboard 1 Sphygmomanometer 1 Camp gas 1 Pedal bin 1 Bed screen 1 Stethoscope 1 Cheatle forceps and container 1 Weighing scale 1 Plastic bucket with tap 1 Vagina model 1 Anglepoise lamp 1 Penile model 1 Headlamp 1 Notice board (36x47m2 ) 1 Manual autoclave 1 Medium sized cupboard 1 (Big) Instrument tray 2 Card shelves 2 IUD Kits LABOUR WARD 1 Instrument trolley Replaced and painted 5 damaged Big and Small surgical dressing drums for swab ceiling boards 1 Mackintosh Replaced 15 glass louvres 1 Implant removal forceps Replaced 1 metal double door with key 3 Plastic bowls for receiving efuent 1 Delivery couch 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 3 Plastic rectangular containers with cover 5 Curtains 1 Mackintosh 5 Curtains 1 Bed screen 1 Infection prevention stand 1 Pedal bin TOILET FOR FP PROCEDURE ROOM 1 Infection prevention stand Cleaned toilets with whitening chemical 2 White rectangular containers with cover
Cleared blocked drainage OTHER AREAS COVERED CLIENT WAITING AREA Replaced 2 door glasses (ANC) Replaced and painted 12 old damaged Floor tiled (ANC) – 24 Meters ceiling boards Floor tiled (Corridor) – 25 Meters Floor tiled – 24 Meters Floor tiled (Male and female ward) 9 sets of 3-seater chairs – 48 Meters 1 Notice board (47x36m2 ) 1 Tap Replaced damaged roong
– 2 bundles of zinc sheets
8 Space converted to waiting area and counselling room during renovation Waiting area after renovation
FP Procedure room before renovation FP Procedure room after renovation
Counselling room after renovation Commissioning of the FP Clinic
9 MANDO PRIMARY HEALTHCARE CENTRE
PHC Mando which provides '24/7' services for deliveries and Child health, is situated in Igabi LGA of Kaduna state. Performance Improvement Assessment report indicated that PHC Mando is a high volume facility with 1,231 average monthly ow and fourteen staff. It is used as a training center for health students but lacks basic amenities for FP/RH services.
The 72-hour clinic makeover was conducted in November, 2016. At completion, the facility was commissioned by the Hon. Chairman Igabi LGA – Alh. Jibril Khami. Equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Pedal bin 1 Cheatle forceps and container 1 Stethoscope 1 Plastic bucket with tap 1 Weighing scale 1 Anglepoise lamp 1 Vagina model 1 Headlamp 1 Penile model 1 Manual autoclave 1 Notice board (36x47m2 ) 1 (Big) Instrument tray 1 Medium sized cupboard 2 IUD Kits 2 Card shelves 1 Instrument trolley Big and Small surgical dressing drums for swab LABOUR WARD 1 Mackintosh 1 Plastic bucket with tap 1 Implant removal forceps 4 Curtains 1 Mackintosh 3 Plastic bowls for receiving efuent 1 Bed screen 3 Plastic drains for receiving instruments 1 Pedal bin 3 Plastic rectangular containers with cover 1 Infection prevention stand 5 Curtains 2 White rectangular containers with cover
1 Infection prevention stand TOILET FOR FP PROCEDURE ROOM CLIENT WAITING AREA Tiling of toilet oor and wall - 21 meters 9 sets of 3-seater chairs Provision of 2 Squat toilets 1 Notice board (47x36m2 ) Cleared blocked drainage Slab on soak away
OTHER AREAS COVERED Repaired and painted entire facility Electrical repairs
10 Waiting area before renovation Waiting area after renovation
Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
11 12 JEMA’A LOCAL GOVERNMENT AREA
Jema'a is a Local Government Area in Kaduna State with its headquarters in Kafanchan . Jema'a LGA derived its name from a Hausa word “jema'a“ which stands for people. The history of the Local Government is dated back to 1810. It has an area of 1,661 km² and a population of 385,835 at the 2017(DHIS) projection. It has a total of 84,884 and 11,225 women are currently using modern contraceptives.
It is made up of 12 political wards with 38 PHCs and 2 secondary health facilities. 23 Health facilities in Jema'a LGA offer reproductive health services. The LGA has a Nok cultural safe at Kuwi and Maitsirga water falls in Kafanchan.
LIST OF HEALTH FACILITIES IN JEMA’A LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Jema’a PHC Kafanchan 18– 21 November, 2016 Com.Bege K. Ayuba, HC
2 Jema’a GH Kafanchan 18– 21 November, 2016 Com.Bege K. Ayuba, HC LGA Jema’a
13 KAFANCHAN PRIMARY HEALTHCARE CENTRE
PHC Kafanchan located along Emir's Palace Road in Jema'a LGA provides 24 hours antenatal care, Immunization and FP services to its community and neighbouring communities. It has an average monthly attendance of 1,149 people with ten technical staff. In a bid to strengthen its service delivery, the 72- hour clinic makeover was conducted to upgrade the facility. The clinic’s antenatal care unit, built with plywood was met in a dilapidated state. The building was brought down and a new structure was built. At completion, the facility was commissioned by the Honorable Chairman Jema'a LGA – Com. Bege K. Ayuba. Medical equipment supplied and renovations carried out include: FP COUNSELLING ROOM FP PROCEDURE ROOM 1 File cabinet 2 Provider tables 1 Gynaecological couch 6 C-LEG chairs 1 Medium sized cupboard 1 Sphygmomanometer 1 Camp gas 1 Pedal bin 1 Bed screen 1 Stethoscope 1 Cheatle forceps and container 1 Weighing scale 1 Plastic bucket with tap 1 Vagina model 1 Anglepoise lamp 1 Penile model 1 Headlamp 1 Notice board (36x47m2 ) 1 Manual autoclave 1 Medium sized cupboard 1 (Big) Instrument tray 2 Card shelves 2 IUD Kits 1 Ceiling fan 1 Instrument trolley Replaced 2 Energy saver bulbs Big and Small surgical dressing drums for swab 5 Curtains 1 Mackintosh 1 Implant removal forceps LABOUR WARD 3 Plastic bowls for receiving efuent 1 Plastic bucket with tap 3 Plastic drains for receiving instruments 5 Curtains 3 Plastic rectangular containers with cover 1 Mackintosh Replaced 2 ash doors and keys 1 Bed screen 5 Curtains 1 Pedal bin 1 Infection prevention stand 1 Infection prevention stand
Cleared blocked drainage 2 White rectangular containers with cover Replaced 4 energy saver bulbs TOILET FOR FP PROCEDURE ROOM Tiled toilet oor -23 Meters CLIENT WAITING AREA Fixed 1 squat toilet 9 sets of 3-seater chairs Replaced 1 Energy saver bulb 1 Notice board (47x36m2 ) OTHER AREAS COVERED Replaced 4 energy saver bulbs Erected ANC Unit with blocks in place of old plywood building Repaired and painted entire facility Cleared blocked drainage Electrical repairs and replacement of change-over fuse Replaced 1 change-over socket Installed 1 Tap
14 ANC Clinic before renovation ANC Clinic after renovation
Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
15 GENERAL HOSPITAL KAFANCHAN
General Hospital Kafanchan is also known as Sir Ibrahim Yakowa Memorial Hospital, Jema'a LGA. Facility has an average monthly client ow of 6,788 and a staff strength of one hundred and twenty-nine technical and non- technical staff. Equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM
1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 1 (Big) Instrument tray 1 Notice board (36x47m2 ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 1 Cabinet Big & Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps LABOUR WARD 3 Plastic bowls for receiving efuent 1 Delivery couch 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 3 Plastic rectangular containers with cover 5 Curtains 1 Infection prevention stand 1 Mackintosh 1 Bed screen CLIENT WAITING AREA 1 Pedal bin
9 sets of 3-seater chairs TOILET FOR FP PROCEDURE ROOM 2 1 Notice board (47x36m ) Tiled toilet oor – 72 Meters Constructed soak away and slabs FP COUNSELLING ROOM Replaced toilet roong – 1 bundle of zinc Linked counselling room to Procedure room sheet Tiled counselling room- 25meters 1 Flush door lock and key Replaced 1 door lock and key Installed 1 squat toilet 5 Curtains Cleared blocked drainage Replaced 1 door lock and key 5 Curtains OTHER AREAS COVERED Repaired and painted entrance of facility Cleared blocked drainage Painted the entire FP Unit
16 Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation Construction of a septic tank/soak away
Squat toilet after construction Commissioning of the FP Clinic
17 18 ZANGON KATAF LOCAL GOVERNMENT AREA
Zangon Kataf is a Local Government Area in Kaduna State, Nigeria. Its headquarters is in the town of Zonkwa. It has an area of 2,668 km² and a population of 451, 068 (NPC, 2018). The people are predominantly Jju (BAJJU) and Tyap, with other tribes and Hausa settlers. Women of reproductive age (15- 49) are 96, 345 while 9, 556 of the women are currently using modern contraceptives.
LIST OF HEALTH FACILITIES IN ZANGON KATAF LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Zangon Kataf GH Zangon Kataf 18 – 21November, 2016 Com.Bege K. Ayuba, HC Zangon Kataf LGA
19 GENERAL HOSPITAL ZANGON KATAF
The facility is situated in Zangon Kataf LGA. Prior to the 72-hour clinic makeover, there was no walkway linking the FP unit and the main hospital, which made it almost impossible for clients to assess the FP unit during raining season. This necessitated the need for the construction of a walkway for easy access. Standard drainage system (gutter) was constructed, leaking roofs were xed, electrical repairs and painting of the entire facility were all completed within 72 hours. GH Zangon Kataf has sixty-two technical and non- technical staff with an average monthly client attendance of 740. The facility was thereafter commissioned by the Hon. Chairman Jema'a LGA – Comrade Bege K. Ayuba. Medical equipment supplied and renovations carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM Replaced 2 Flush doors lock and keys 1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 1 (Big) Instrument tray 1 Notice board (36x47m2 ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 1 Cabinet Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent 3 Plastic drains for receiving instruments LABOUR WARD 3 Plastic rectangular containers with cover 1 Delivery couch 5 Curtains 1 Plastic bucket with tap 1 Infection prevention stand 5 Curtains Replaced door lock and key 1 Mackintosh 1 Bed screen 1 Pedal bin CLIENT WAITING AREA 1 Infection prevention stand 9 sets of 3-seater chairs 2 White rectangular containers with cover 2 1 Notice board (47x36m )
TOILET FOR FP PROCEDURE ROOM Cleared blocked drainage OTHER AREAS COVERED Repaired and painted entire FP Clinic Constructed walkway to the FP clinic
20 Exterior of the PHC after renovation Waiting area before renovation
Waiting area after renovation Counselling room before renovation
Counselling room after renovation FP Procedure room before renovation
FP Procedure room after renovation Commissioning of the FP Clinic
21 22 KACHIA LOCAL GOVERNMENT AREA
Kachia is a Local Government Area in Kaduna State, Nigeria. Its headquarters is in the town of Kachia. It has an area of 4,632 km² and a DHIS (2018) projected population of 348,276. The total population of women of child bearing age are 74,389 (22 percent) while 7,425 are currently using modern contraceptives. It is situated in the Southern part of Kaduna which is a home for many. The Kadara, the Jaba (Ham), Kutumi, Yoruba, Igbo, Hausas/Fulanis are all settlers of the town. It is a place of commerce where people from within and outside the community meet and engage in various economic activities. The LGA is also known for its large production of ginger.
LIST OF HEALTH FACILITIES IN KACHIA LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Kachia GH Kachia 25 – 28 November, 2016 Alh. Umar B. Sanni,HC Kachia LGA
23 GENERAL HOSPITAL KACHIA
GH Kachia is a high volume facility with forty-eight technical and non technical staff, situated in Kumai Kachia, opposite Kachia LGA secretariat. Prior to the 72-hour clinic makeover, the facility lacked adequate space and equipment for family planning services. During the renovation, the veranda was converted, tiled and partitioned to create rooms for counselling and FP Procedure rooms. General Hospital Kachia has an average client ow of 7,330. The facility was commissioned by the Hon. Chairman Kachia LGA – Alh. Umar B. Sani. Equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch Replaced 2 ash doors 1 Medium sized cupboard 1 File cabinet 1 Camp gas 2 Provider tables 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 IUD Kits 1 Notice board (36x47m2 ) 1 Instrument trolley 1 Medium sized cupboard Big and Small surgical dressing drums for swab 1 Cabinet 1 Mackintosh 2 Card shelves 1 Implant removal forceps 1 Ceiling fan 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments 1 Delivery couch 3 Plastic rectangular containers with cover 1 Plastic bucket with tap 5 Curtains 5 Curtains 1 Infection Prevention stand 1 Mackintosh 1 Bed screen CLIENT WAITING AREA 1 Pedal bin 9 sets of 3-seater chairs 1 Infection Prevention stand 2 1 Notice Board (47x36m ) 2 White rectangular containers with cover Tiled waiting area –58 Meters
OTHER AREAS COVERED TOILET FOR FP PROCEDURE ROOM Tiled ANC Unit Floor – 32 Meters Tiled toilet oor -20 Meters Replaced 28 ceiling boards (ANC Unit) Installed 1 squat toilet 1 Ceiling Fan (ANC) Cleared blocked drainage Replaced burglary door in delivery room
Cleared blocked drainage Painted entire facility
24 Waiting area before renovation Waiting area after renovation
FP Procedure room before renovation FP Procedure room after renovation
Counselling room after renovation Commissioning of the FP Clinic
25 26 KAURU LOCAL GOVERNMENT AREA
Kauru is a Local Government Area in Kaduna State, Nigeria. Its headquarters is in the town of Kauru. It has an area of 2,810km² and a projected population of 242,391 (NPC, 2018). It is made up of 11 political wards with 43 Primary Healthcare Centres and 1 General Hospital. Currently, 17 PHCs in Kauru LGA offer Reproductive Health Services.
LIST OF HEALTH FACILITIES IN KAURU LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Kauru GH Kauru 4 – 7 June, 2017 Alh. Muktar Abdullahi, SA Alh. Muktar Abdullahi, 2 Kauru PHC Kwassam 4 – 7 June, 2017 SA Kauru LGA
27 GENERAL HOSPITAL KAURU
General Hospital Kauru is situated in Mara- Baki, Kauru LGA with sixty-one technical and non technical staff and an average monthly client ow of 1,942. In November 2016, NURHI conducted 72-hour clinic makeover to upgrade the facility and further improve on the quality of services. Equipment supplied and renovations carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch Replaced 2 ash door locks and keys 1 Medium sized cupboard 1 File cabinet 1 Camp gas 2 Provider tables 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 IUD Kits 1 Notice board (36x47m2 ) 1 Instrument trolley 1 Medium sized cupboard Big and Small surgical dressing drums for swab 1 Cabinet 1 Mackintosh 2 Card shelves 1 Implant removal forceps 1 Ceiling fan 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments Tiled oor – 38 Meters 3 Plastic rectangular containers with cover Tiled wall – 42 Meters 5 Curtains 1 Delivery couch 1 Infection Prevention stand 1 Plastic bucket with tap 1 Mackintosh CLIENT WAITING AREA 1 Bed screen 10 sets of 3-seater chairs 1 Pedal bin 1 Notice board (47x36m2 ) 1 Infection Prevention stand Tiled oor –58 Meters 2 White rectangular containers with cover
Fixed 1Ceiling Fan OTHER AREAS COVERED
TOILET FOR FP PROCEDURE ROOM Replaced two 4x4 windows with burglary Tiled toilet oor -20 Meters proof and net Installed 1 squat toilet Tiled toilet oor -21meters Cleared blocked drainage Tiled toilet wall Replaced 1 Wash hand basin Installed 1 Squat toilet
28 Waiting area before renovation
Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
29 KWASSAM PRIMARY HEALTHCARE CENTRE
PHC Kwassam is situated in Kauru LGA providing 24-hour deliveries and child health services. The clinic was refurbished in November 2016. Major repairs like tiling of the family planning unit and labour ward were completed. Plumbing work was also done to enable constant water supply into the labour ward and family planning unit. Other repairs include replacing old ceilings and metal ush doors, the toilet was also made functional. It has ve technical staff providing service to an average monthly ow of 412. The facility was commissioned by the Sole Administrator Kauru LGA – Alh. Muktar Abdullahi. Equipment supplied and renovations carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 File cabinet 1 Gynaecological couch 2 Provider tables 1 Medium sized cupboard 6 C-LEG chairs 1 Camp gas 1 Sphygmomanometer 1 Bed screen 1 Pedal bin 1 Cheatle forceps and container 1 Stethoscope 1 Plastic bucket with tap 1 Weighing scale 1 Anglepoise lamp 1 Vagina model 1 Headlamp 1 Penile model 1 Manual autoclave 1 Notice board (36x47m2 ) 1 (Big) Instrument tray 1 Medium sized cupboard 2 IUD Kits 1 Cabinet 1 Instrument trolley 2 Card shelves Big and Small surgical dressing drums for swab 1 Ceiling fan 1 Mackintosh 1 Implant removal forceps LABOUR WARD 3 Plastic bowls for receiving efuent 1 Delivery couch 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 3 Plastic rectangular containers with cover 1 Mackintosh 1 Infection prevention stand 1 Bed screen 1 Pedal bin CLIENT WAITING AREA 1 Infection Prevention stand 9 sets of 3-seater chairs 2 White rectangular containers with cover 2 1 Notice board (47x36m ) TOILET FOR FP PROCEDURE ROOM Tiled oor –58 Meters Tiled oor – 20meters OTHER AREAS COVERED Fixed squat toilet Replaced 2 Flush doors lock and keys Repaired and painted FP Unit
30 The exterior of the facility before renovation Waiting area before renovation
Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
31 32 KUBAU LOCAL GOVERNMENT AREA
Kubau Local Government Area is a Local Government Area in Kaduna State, Nigeria. Its headquarters is in the town of Anchau. It was created by General Sani Abacha on 2nd November1995 from the present Ikara LGA. It has 11 political wards, 10 districts with Anchau and Kubau being the oldest as well as the most inuential among them. The major tribes are predominantly Hausa and Fulani although there are few immigrant tribes like Sayawa.
It has a lot of natural resources like iron ore and tin. It is a major agricultural production area with sugarcane as its major produce. It had a total projected population of 402, 404 (NPC, 2018).
LIST OF HEALTH FACILITIES IN KUBAU LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Kubau GH Pambegua 28-31 October 2016 Dr. Paul M. Dogo, HCH
Alh. Adamu Zakari, 2 Kubau PHC Dutsen-wai 28-31 October 2016 LG IC Alh. Adamu Zakari, 3 Kubau PHC Kubau 28-31 October, 2016 LGA IC
4 Kubau PHC Pambegua 28-31 October, 2016 Dr. Paul M. Dogo, HCH Kubau LGA
33 GENERAL HOSPITAL PAMBEGUA
General Hospital Pambegua is in Kubau LGA of Kaduna State. It was built by the administration of former governor, Ahmed Mohammed Makar, to provide medical services to the people of Pambegua community and its environs. The facility was renovated after a performance improvement assessment was conducted which revealed the poor condition of the facility’s family planning unit, ANC and Delivery ward.
The 72-hour clinic makeover was conducted in October 2016 to clean, repair, x and supply medical equipment to upgrade the condition of the facility for quality services. GH Pambegua has ninety-eight technical and non technical staff with an average monthly client ow of 822. At completion of the makeover, the facility was commissioned by the Hon. Commissioner for Health – Dr Paul M. Dogo. Equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 2 1 (Big) Instrument tray 1 Notice board (36x47m ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 1 Cabinet Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps Replaced 2 energy saver bulbs 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments 1 Delivery couch 3 Plastic rectangular containers with cover 1 Plastic bucket with tap 5 Curtains 5 Curtains 1 Infection prevention stand 1 Mackintosh 1 Bed screen CLIENT WAITING AREA 1 Pedal bin 10 sets of 3-seater chairs 1 Infection Prevention stand 2 1 White rectangular container with cover 1 Notice board (47x36m )
OTHER AREAS COVERED TOILET FOR FP PROCEDURE ROOM Replaced 13 ceiling boards Tiled oor – 26meters Installed squat toilet and linked to 1 Flush door lock and key soak away 2 Energy saver bulbs Tiled toilet oor
34 Waiting area during renovation Space earmarked for counselling & procedure rooms during renovation
Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation
Commissioning of the FP unit
35 DUTSEN-WAI PRIMARY HEALTHCARE CENTRE
PHC Dutsen–Wai is situated in Kubau LGA of Kaduna State providing maternal and child healthcare services to its immediate and neighbouring communities with an average client ow of 973 and a staff strength of sixteen technical and non technical staff. The 72-hour makeover was conducted in October 2016 and at completion, the facility was commissioned by the Honourable Chairman, Kubau LGA – Alh. Adamu Zakari. Medical equipment supplied and renovations carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 1 (Big) Instrument tray 1 Notice board (36x47m2 ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 1 Cabinet Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps LABOUR WARD 3 Plastic bowls for receiving efuent 1 Delivery couch 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 3 Plastic rectangular containers with cover 5 Curtains 5 Curtains 1 Mackintosh 1 Infection prevention stand 1 Bed screen Replaced one 4x4 aluminium window 1 Pedal bin 1 Infection Prevention stand CLIENT WAITING AREA 2 White rectangular containers with cover
9 sets of 3-seater chairs 2 OTHER AREAS COVERED 1 Notice board (47x36m ) Painted the entire FP Unit
Replaced facility roong –1 bundle of zinc sheet Replaced 2 door locks and keys at the labour ward
36 Waiting area after renovation Counselling room after renovation
FP Procedure room before renovation FP Procedure room after renovation
Exterior of the PHC after renovation Commissioning of the FP Clinic
37 KUBAU PRIMARY HEALTHCARE CENTRE
PHC Kubau is located in Kubau LGA and serves a population of 38,000. The facility has a staff strength of seven personnel and has a monthly average client ow of 449. Prior to the 72-hour clinic makeover, PHC Kubau had a small FP clinic consisting of a single room which was used as waiting area, counselling and FP procedure room.
For the makeover, a new space was allocated for FP and this was partitioned into waiting area, counselling and FP procedure rooms. The leaking roof was repaired, broken ceilings, doors and windows were all replaced, and a general cleaning of the entire facility was carried out. The facility was commissioned by the Interim Chairman Kubau LGA – Alh. Adamu Zakari. Medical equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Flush door with lock and key Partitioned to create procedure room Placement of one 4x4 aluminum window and counselling room 1 Gynaecological couch 1 Flush door with lock and key 1 Medium sized cupboard 1 File cabinet 1 Camp gas 2 Provider tables 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 IUD Kits 1 Notice board (36x47m2 ) 1 Instrument trolley 1 Medium sized cupboard Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh 1 Ceiling fan 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 3 Plastic rectangular containers with cover 5 Curtains 5 Curtains 1 Mackintosh Painting of ceiling 1 Bed screen 1 Infection Prevention stand 1 Pedal bin 1 Infection Prevention stand CLIENTS WAITING AREA 2 White rectangular containers 9 sets of 3-seater chairs with cover 2 1 Notice board (47x36m )
Replacement of 6 glass louvres
38 Exterior of PHC Kubau after renovation
Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
39 PAMBEGUA PRIMARY HEALTHCARE CENTRE
Situated in Kubau LGA, PHC Pambegua has a staff strength of fourteen personnel and an average monthly client ow of 542.The facility allocated a vacant uncompleted building within its premises to be used for the 72-hour clinic makeover. The entire uncompleted building was renovated and converted into a maternal unit, consisting of an ANC unit and FP unit. The uncompleted building only had the foundation and block work up to the level of the roof, but there was no roong. This building was upgraded within 72 hours and commissioned by the Hon. Commissioner for Health – Dr Paul Dogo. Equipment supplied and renovations carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 File cabinet 1 Flush door with lock and key 2 Provider tables Placement of one 4x4 aluminum window 6 C-LEG chairs 1 Gynaecological couch 1 Sphygmomanometer 1 Medium sized cupboard 1 Pedal bin 1 Camp gas 1 Stethoscope 1 Bed screen 1 Weighing scale 1 Cheatle forceps and container 1 Vagina model 1 Plastic bucket with tap 1 Penile model 1 Anglepoise lamp 1 Notice board (36x47m2 ) 1 Headlamp 1 Medium sized cupboard 1 Manual autoclave 2 Card shelves 1 (Big) Instrument tray 1 Ceiling fan 2 IUD Kits Replaced 3 energy saver bulbs 1 Instrument trolley
Big and Small surgical dressing drums for swab LABOUR WARD 1 Mackintosh 1 Plastic bucket with tap 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent 1 Mackintosh 3 Plastic drains for receiving instruments 1 Bed screen 3 Plastic rectangular containers with cover 1 Pedal bin 5 Curtains 1 Infection Prevention stand Painted the ceiling 2 White rectangular containers 1 Infection Prevention stand with cover
OTHER AREAS COVERED
CLIENT WAITING AREA Replacement of roong –1 bundle of zinc sheet 9 sets of 3-seater chairs Painted the entire facility 1 Notice board (47x36m2 ) Replacement and painting of 22 Tiled oor– 25 Meters ceiling boards Replaced 3 energy saver bulbs Cleared blocked drainage 2 Ceiling fans ANC 1 Complete ash door with lock and key
2 Ceiling fans
40
Maternal unit before renovation Maternal unit during renovation
Maternal unit after renovation Waiting area after renovation
Counselling room after renovation FP Procedure room after renovation
Commissioning of the FP unit
41 42 LERE LOCAL GOVERNMENT AREA
Lere Local Government is blessed with fertile land and is known for farming soya beans, sugarcane, beans, rice, among others in large quantities. It has an area of 2,158km2 and an estimated population of 472,156 (NPC, 2018 projection), thus making it the sixth largest LGA in the State. Its headquarters is located in the town of Saminaka.
LIST OF HEALTH FACILITIES IN LERE LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Lere GH Saminaka 28-31 October 2016 Alh. Sani Tanimu, LG IC
Alh. Adamu Zakari, 2 Lere PHC Garu Kurama 28-31 October 2016 LG IC Lere LGA
43 GENERAL HOSPITAL SAMINAKA General Hospital Saminaka is a secondary health facility situated in the heart of Saminaka town with a staff strength of fty-four personnel providing medical services to its immediate and neighbouring communities with an average monthly client ow of 3,218. Based on the need to resuscitate and strengthen FP services, the management of the hospital provided a dilapitated building to be converted to FP unit. The old building had been abandoned for some time, becoming inhabitable and over grown with weed. This building was upgraded and made functional within 72 hours, creating a toilet and demarcating into a spacious waiting area, counselling and FP procedure rooms. The facility was commissioned by the interim chairman Lere LGA – Sani Tanimu. Medical equipment supplied and renovation carried out include: FP COUNSELLING ROOM FP PROCEDURE ROOM Tiled oor –35 Meters Tiled oor – 30 Meters Partitioned into FP Procedure room 1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Pedal bin 1 Cheatle forceps and container 1 Stethoscope 1 Plastic bucket with tap 1 Weighing scale 1 Anglepoise lamp 1 Vagina model 1 Headlamp 1 Penile model 1 Manual autoclave 1 Notice board (36x47m2 ) 1 (Big) Instrument tray 1 Medium sized cupboard 2 IUD Kits 2 Card shelves 1 Instrument trolley 2 Ceiling fans Big and Small surgical dressing drums for swab 1 Complete ush door with lock and key 1 Mackintosh Two 4x4 aluminium windows 1 Implant removal forceps 5 Curtains 3 Plastic bowls for receiving efuent LABOUR WARD 3 Plastic drains for receiving instruments 1 Delivery couch 3 Plastic rectangular containers with cover 1 Platic bucket with tap 5 Curtains 1 Mackintosh 1 Bed screen 1 Infection prevention stand 1 Pedal bin 1 White rectangular container with cover 1 Infection Prevention stand 2 Ceiling fans 1 White rectangular container with cover 1 Complete ush door with lock and key TOILET FOR FP PROCEDURE ROOM
Replaced one 4x4 aluminium window Tiled toilets oor -23 Meters Installed 2 Squat toilets CLIENT WAITING AREA 1 Wash hand basin Tiled oor – 50 Meters 1 Metal door 10 sets of 3-seater chairs 1 Aluminium window 2 Ceiling fans OTHER AREAS COVERED 1 Metal door-(entrance) Plastered and painted of entire FP unit Roong of entire FP Unit – 4 bundles of Installation of three 4X4 aluminium windows zinc sheets 2 1 Notice board (47x36m ) 35 Ceiling boards (FP unit) 500 litre water tank – 1 Installed 1 Tap Electrical wiring (FP unit) Replaced 16 energy saver bulbs Installation of 1 halogen security light
44
The FP Clinic before renovation The FP Clinic after renovation
Waiting area after renovation Counselling room after renovation
Counselling room after renovation Commissioning of the FP unit
45 GARUN KURAMA PRIMARY HEALTHCARE CENTRE
PHC Garun Kurama, located in Lere LGA provides primary healthcare services to the immediate and neighbouring community members who are mostly farmers. The facility has a staff strength of seven personnel and an average client ow of 546. PIA was conducted which revealed that the facility lacked adequate space and basic equipment for family planning services. After NURHI’s advocacy efforts, a vacant building was allocated for Family planning services. The 72-hour clinic makeover commenced on 28th October and was commissioned on 31st October, 2016 by the Hon. Chairman, Lere LGA – Alh. Sani Tanimu. Equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM
1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 1 (Big) Instrument tray 1 Notice board (36x47m2 ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 2 Card shelves Big and Small surgical dressing drums for swab 1 Ceiling fan 1 Mackintosh Replaced 3 energy saver bulbs 1 Implant removal forceps LABOUR WARD 3 Plastic bowls for receiving efuent 3 Plastic drains for receiving instruments 1 Plastic bucket with tap 5 Curtains 3 Plastic rectangular containers with cover 1 Mackintosh 5 Curtains 1 Bed screen 1 Infection Prevention stand 1 Pedal bin 1 White rectangular container with cover 1 Infection Prevention stand 2 White rectangular containers with cover CLIENT WAITING AREA
12 Energy saver bulbs OTHER AREAS COVERED 3-seater chairs Replacement of Roong – 1 bundle 1 Notice board (47x36m2 ) zinc sheet Sand for tiling - 1 truck Placement and painting of 22 Linked toilet to soak-away ceiling boards Electrical repairs 1 Complete ush door lock and key (ANC) 2 Ceiling fans(ANC) Painted the entire facility Cleared blocked drainage
46
Exterior of store converted to FP Clinic before renovation Exterior of FP Clinic after renovation
Waiting area after renovation Counselling room after renovation
FP Procedure room after renovation Commissioning of the FP Clinic
47 48 SOBA LOCAL GOVERNMENT AREA
Soba is a Local Government Area in Kaduna State, Nigeria. It was created in 1989 by the former military administration headed by General Ibrahim Babangida. Its headquarters is in the town of Maigana. It has an area of 2,234 km² and a population of 418,133 (NPC, 2018 projection) being the tenth most populous LGA in the State.
Soba LGA has 11 PHCs which all offer reproductive health services. Its inhabitants are majorly tomato farmers and this contributes to Kaduna State being one of the largest producers of tomatoes. The people are creative in terms of carving, weaving, hair plaiting, and calabash decoration
LIST OF HEALTH FACILITIES IN SOBA LGA THAT BENEFITTED FROM THE 72-HOUR CLINIC MAKEOVER
S/N LGA NAME OF FACILITY MONTH/YEAR MAKEOVER DIGNITARY WHO EXECUTED & COMPLETED COMMISSIONED FACILITY
1 Soba PHC Richifa 4th – 7th November, 2016 Alh. Shuaibu Ahmed Talba, LG IC
2 Soba PHC Soba 4th – 7th November, 2016 Dr. Paul M. Dogo, HCH
Alh. Shuaibu Ahmed 3 Soba PHC Yakasai 4th – 7th November, 2016 Talba, LG IC
49 Soba LGA RICHIFA PRIMARY HEALTHCARE CENTRE
PHC Richifa in Soba LGA, provides 24 hours maternal and child healthcare services to its immediate community and neighbouring villages. During the makeover, the FP unit was remodelled to have a waiting area, counselling room and FP procedure room. A passage was created to link the FP counselling room with the FP Procedure room. PHC Richifa has an average monthly client ow of 129.
The family planning Unit (waiting area, counselling and FP Procedure rooms) and the passage leading to the male and female wards were tiled. Two squat toilets were installed and the entire facility was cleaned and painted. Other areas covered include repair of leaking roof/ceilings, damaged doors, and electrical repairs. The facility was commissioned on 7th November, 2016 by the Interim Chairman Soba LGA- Alh. Shuiabu Ahmed Taliba. Medical equipment supplied and renovations carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM
Tiled oor - 24 Meters Tiled oor-24 Meters 1 Gynaecological couch 1 Ceiling fan
1 Medium sized cupboard 1 File cabinet 1 Camp gas 2 Provider tables 1 Bed screen 6 C-LEG chairs 1 Cheatle forceps and container 1 Sphygmomanometer 1 Plastic bucket with tap 1 Pedal bin 1 Anglepoise lamp 1 Stethoscope 1 Headlamp 1 Weighing scale 1 Manual autoclave 1 Vagina model 1 (Big) Instrument tray 1 Penile model 2 IUD Kits 1 Notice board (36x47m2 ) 1 Instrument trolley 1 Medium sized cupboard Big & Small surgical dressing drums for swab 1 Cabinet 1 Mackintosh 2 Card shelves 1 Implant removal forceps LABOUR WARD 3 Plastic bowls for receiving efuent 1 Plastic bucket with tap 3 Plastic drains for receiving instruments 5 Curtains 3 Plastic rectangular containers with cover 1 Mackintosh 5 Curtains 1 Bed screen 1 Infection Prevention stand 1 Pedal bin 1 Infection Prevention stand CLIENT WAITING AREA 2 White rectangular containers with cover Tiled oor -76 Meters OTHER AREAS COVERED 9 sets of seater chairs Tiled hospital passage 1 Notice board (47x36m2 ) Painted entire hospital Tiled toilet – 12 Meters
50
FP Procedure room before renovation
Waiting area after renovation Counselling room after renovation
Commissioning of the FP Clinic
51 SOBA PRIMARY HEALTHCARE CENTRE
PHC Soba is situated in Soba LGA with a staff strength of seventeen technical and non technical staff and an average monthly client ow of 982 as it provides maternal and child health services. The PIA revealed that the facility requires:
Family planning counselling and procedure rooms Basic medical equipment for FP/RH services Repairs, cleaning, rearrangement and making functional what exists in the facility
The 72-hour makeover was conducted in November, 2016 and commissioned by the Honourable Commissioner for Health, Kaduna State - Dr. Paul M. Dogo. Medical equipment supplied and renovation carried out include: FP PROCEDURE ROOM FP COUNSELLING ROOM
1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 1 (Big) Instrument tray 1 Notice board (36x47m2 ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 1 Cabinet Big and Small surgical dressing drums for swab 2 Card shelves 1 Mackintosh LABOUR WARD 1 Implant removal forceps 1 Plastic bucket with tap 3 Plastic bowls for receiving efuent 1 Infection prevention stand 3 Plastic drains for receiving instruments 5 Curtains 1 Mackintosh 3 Plastic rectangular containers with cover 1 Bed screen 5 Curtains and curtain rods 1 Pedal bin OTHER AREAS COVERED CLIENT WAITING AREA Replaced 1 submersible pump 9 sets of 3-seater chairs (Borehole) 1 Notice board (47x36m2 ) Repaired 1 water tank Electrical repairs Replaced 12 energy saver bulbs Painted entire facility
52
FP Procedure room before renovation
FP Procedure room after renovation Counselling room after renovation
Commissioning of the FP Clinic
53 YAKASAI PRIMARY HEALTHCARE CENTRE
PHC Yakasai is situated in Soba LGA and has a staff strength of nine personnel and an average monthly client ow of 545. It records a high client ow but lacks the adequate environment for FP service delivery. The 72-hour clinic makeover was commenced on 4th November , 2016 and commissioned on 7th November by the Interim Chairman, Soba LGA – Alh. Shuaibu Ahmed Taliba. Medical equipment supplied and renovation carried out include:
FP PROCEDURE ROOM FP COUNSELLING ROOM 1 Gynaecological couch 1 File cabinet 1 Medium sized cupboard 2 Provider tables 1 Camp gas 6 C-LEG chairs 1 Bed screen 1 Sphygmomanometer 1 Cheatle forceps and container 1 Pedal bin 1 Plastic bucket with tap 1 Stethoscope 1 Anglepoise lamp 1 Weighing scale 1 Headlamp 1 Vagina model 1 Manual autoclave 1 Penile model 1 (Big) Instrument tray 1 Notice board (36x47m2 ) 2 IUD Kits 1 Medium sized cupboard 1 Instrument trolley 2 Card shelves Big and Small surgical dressing drums for swab 1 Ceiling fan 1 Mackintosh LABOUR WARD 1 Implant removal forceps 3 Plastic bowls for receiving efuent 1 Plastic bucket with tap 3 Plastic drains for receiving instruments 5 Curtains 1 Mackintosh 3 Plastic rectangular containers with cover 1 Bed screen 5 Curtains 3 Energy saver bulbs 1 Pedal bin 1 Infection Prevention stand 1 Infection Prevention stand 2 White rectangular containers 3 White rectangular rubber with cover with cover Tilled oor OTHER AREAS COVERED
CLIENT WAITING AREA Painted entire facility 9 sets of 3-seater chairs Replaced and painted old ceiling boards 1 Notice board (47x36m2 ) Installed energy saver bulbs Installed 1 squat toilet
54 Commissioning of the FP Clinic
55 72-HOUR CLINIC MAKEOVER AVERAGE COST FOR EQUIPPING THE FP UNIT AND LABOUR WARD S/N Specifica on Quan ty Total Cost (N) Wai ng Area 1 3-seater wai ng area chairs -3 seater Oxford joint chair made with 18 gauges -3” x 2” rectangular tubes for 3 69,000.00 chair stand and seat with 25mm round tubes and perforated sheet) 2 No ce Board 700mm X 1500mm 1 7,000.00 3 Television (op onal) 32 inches 1 75,000.00 4 DVD player (op onal) 1 11,000.00 5 Ceiling fan 1 8,000.00 6 Dustbin for domes c waste 1 4,000.00 FP Counselling Room 1 File cabinet 1 35,000.00 Wooden, 4 x 2.5 , with 2 Consul ng table for service provider 1 20,000.00 three drawers Provider and Pa ent's chair 36,000.00 3 C-LEG chairs 3 for counselling room Mercury, medical desktop 4 Sphygmomanometer upper arm blood pressure 1 25,000.00 meter 5 Vagina model 1 30,000.00 6 Penile model 1 20,000.00 7 Ceiling fan 1 8,000.00 8 Card shelves 2 40,000.00 9 Medium sized Medicine Cupboard 1 60,000.00 10 No ce board 700mm X 1500mm 1 7,000.00 12 litres stainless steel bin 11 Pedal bin 1 6,000.00 with foot pedal Bathroom weighing machine 12 Weighing scale 1 22,000.00 – Seca 761 13 Stethoscope Acous c with bell upwards 1 7,500.00 FP Procedure Room 1 IUD Kit -1 x Field 750mm x 750mm 2 187,200.00 Blue -2 x Gallipots 150ml -1 x Kidney Dish 700ml Clear -1 x Vaginal Speculum Large, -1 x Scissor Mayo 23cm Straight with Green Handles -1 x Sponge Holder 19cm Plas c -1 x Tenaculum Forceps 25cm -1 x Uterine Sound (Hysterometer CH14) 4.67mm with nozzle
56 2 Instrument Tray -Stainless steel with cover 1 3,900.00 -Two shelves and four wheels 3 Bed screen -Four-fold hospital ward 1 35,000.00 screen, made of iron steel and canvas, -4 pieces panel, Dimension (W) 500 X (H) 1750mm 4 Big & Small surgical dressing drum 1 6,500.00 for swab 5 Pair of implant removal forceps 1 900.00 6 Gynaecological Couch Metal Frame, Back Upl i ing 1 65,000.00 With Standard Leg Holder 7 Manual Autoclave Stainless steel pot with 1 40,000.00 meter/gauge 8 Head Lamp with white bulbs Easy twist bezel switch for 1 20,500.00 gloved hand opera on
9 Medium sized Medicine Cupboard 1 60,000.00 10 Cheatle Forceps and Container 1 4,000.00 -Strong stainless steel 1 55,000.00 tubular frame work -Two Stainless steel shelves - Provision of SS railing on 11 Instrument Trolley both top and bo om shelves -Mounted on 4 x 100 castors -2 with breaks, Size: - 60L x 50W x 82H cm 12 Macintosh 3 yards per piece 1 700.00 -Brushed aluminium, -Desk lamp -Cast iron base with 13 Angle poise lamp 1 22,000.00 aluminium cover -Tension spring technology - Direct light 14 Camp gas 12kg 1 8,500.00 15 Plas c drain for receiving 3 4,500.00 instruments 16 Plas c bowls for receiving effluent 3 2,400.00 17 Plas c bucket with tap 1 2,000.00 18 2-layered wooden stand with 1 6,000.00 rectangular wall bracket 19 Big transparent rectangular plas c 2 2,000.00 bowls with covers
57
Labour Ward 1 Delivery Couch Made of mild steel 1 150,000.00 2 Plas c bucket with tap 1 2,000.00 3 Mackintosh 3 yard per piece 1 700.00 Four-fold hospital ward 4 Bed screen 1 35,000.00 screen, made of iron steel 5 Pedal bin 12 litres stainless steel bin 1 6,000.00 with foot pedal 6 2-layered wooden stand with 1 6,000.00 rectangular wall bracket 7 Big transparent rectangular plas c 2 2,000.00 bowls with covers 8 Sphygmomanometer Mercury, medical desktop 1 25,000.00 upper arm blood pressure meter 9 Weighing scale Bathroom weighing machine 1 22,000.00 – Seca 761 10 Stethoscope Acous c with bell upwards 1 7,500.00 Grand total 1,272,800.00
Price list as at 2016 ***NOTE Facility renova on is based on an ini al assessment which determines the extent of repairs required. This may include mason work, ling of floors, pain ng, plumbing, electrical repairs and carpentry works.
58 Support Family Planning
Funded by the Bill & Melinda Gates Foundation, NURHI 2 is led by the John Hopkins Centre for Communication Programs, in partnership with the Association for Reproductive and Family Health and the Centre for Communication Programs Nigeria, as well as other local organizations for specic implementation needs. To learn more, visit www.nurhi.org
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