Proactive measures should be taken by Toto, Nasarawa and Karu LGAs on facilities with very poor essential drugs management. NSHIP PIU to intensify coaching and mentoring of PHCs on the general management of HFs. OIC of PHC Damakasha, Karu LGA to refund N25,000 withdrew for the procurement of since June, 2017 NAME OF FACILITY LGA GEO-LOCATION WARD WARD AND HF CATCH POP NO. OF SKILLED AND UNSKILLED HEALTH PERSONNEL SERVICES OFFERED OPD AND DELIVERY VOLUME (Q3, 2017) FACILTY FINDINGS/ RECOMMENDATION 1. PHC TuduUku Toto N08 29' 32.77 E007 28' 25.83 Ward Pop: Catch Pop 12 Skilled 11 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Growth monitoring, Family planning, VCT, PMTCT, PMTCT/ARV, Malaria treatment, Lab, Inpatient OPD: 101 Delivery: 18 An extremely and big facility. Offering almost all the MPA services. Clients utilization of the HF encouraging. 2. PHC Nyangi Toto N08 20' 25.39" E007 20' 33.90" Ward Pop: 8181 Pop:3616 2 Skilled 1 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Malaria treatment, Lab, Inpatient OPD: 91 Delivery: 4 An extremely hard to reach community/ facility. Evidence of NSHIP RBF intervention seen as compared to the baseline carried out in 2016.
Health workers contracted by the OIC/facility resigned following the remote nature of the community. Essential drugs management very poor 3. PHC Kullo Toto NO8 24' 39.20" E007 16' 7. 97" Ward Pop: 21,032 Catch Pop: 4308 5 Skilled 3 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Growth monitoring, Malaria treatment, Lab, Inpatient OPD: 114 Delivery: 10 A six room Health facility. Client utilization of the HC encouraging. Essential drugs management very poor 4. PHC Araba Toto N0825' 28.28" E007 14' 22.34" Ward Pop: 21,032 Catch Pop: 3740 4 Skilled 2 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Family Planning, Malaria treatment, VCT, PMTC, OPD: 30 Delivery: 4 A smallstructure health facility. Absence of community ownership seen. Low clients utilization necessitated by the attitude of the OIC. Clients preferred going to Gadabuke for medical attention Poor essential drugs management 5. PHC Yelwa Toto N08 24' 1.81" E007 14' 22.34" Ward Pop: 14,513 6 Skilled 5 Unskilled OPD, Vaccination, Growth monitoring, OPD: 125 Delivery: 12 Large and clean health facility. Clients utilization encouraging.
Catch Pop:3385 ANC, Delivery, Family planning, Malaria treatment, Lab, Inpatient Facility staff committed and evidence of NSHIP RBF intervention seen. 6. PHC Sardauna Toto N08 15' 36.35" E006 58' 56.45" Ward Pop: 11,149 Catch Pop: 3460 3 Skilled 1 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Family Planning, Malaria treatment, Inpatient OPD: 164 Delivery: 10 An extremely hard to reach rural settlement. Twin blocks of six (6) Clients utilization encouraging given the OPD volume. 7. PHC Ukya Toto N08 24' 48.56" E007 3' 44.15" Toto Ward Pop: Pop: 3965 7 Skilled OPD, Vaccination, ANC, Deliveries, PNC, Growth monitoring, Family planning, PMTCT, ARV, Malaria treatment, Lab, Inpatient OPD: An extremely MDG PHC. Clients patronage encouraging. OIC notalways available. Poor essential drugs management. 8. PHC Turunku Toto N08 8' 9.47" E007 8' 46.00" Ward Pop: 8785 5 Skilled 4 Unskilled OPD, Vaccination, ANC, Deliveries, OPD: 129 Delivery: 8 Four (4) rooms HF. Clients utilization of the health facility
Catch Pop:3613 Growth monitoring, Malaria treatment, Lab, Inpatient encouraging given the OPD volume. 9. GH Umuaisha Toto N08 1' 2.00 E007 11' 16.84 Ward Pop: 37,130 8 Skilled 13 Unskilled OPDs, Growth monitoring, ANC, Delivery, CS, PNC, Family Planning, Malaria treatment, VCT, PMTCT, ARV, Lab, Inpatients An extremely large and clean hospital. Low clients patronage necessitated by belief among locals in prevalence of mosquito at the hospital ( now addressed through the provision of nets in all the wards ). Shortage of skilled health workers. 10 PHC Kokoto Toto N08 4' 9.61 E007 14' 23.69 Shege Ward Pop: Catch Pop:3770 4 skilled 3 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Family Planning, Growth monitoring, Malaria treatment, Lab, Inpatient, VCT OPD: 133 Delivery: 8 Extremely hard to reach rural facility providing services to rural farmers and fishermen. Clients patronage of the health center encouraging. Facility making effort towards expanding the structure to accommodate otherservices. Essential drugs management very poor. 11 PHC Dimbeku Toto NO8 3' 28.50" E007 7' 41.23 Ward Pop: 5 skilled 3 Unskilled OPD, Vaccination, OPD: 150 Extremely hard to reach rural facility providing
15. PHC Aisa N08 9' 28.19 " E007 36' 28. 29" Ward Pop: Catch 3 skilled 3 Unskilled OPD, Vaccination, ANC, Deliveries, PNC, Malaria treatment, Family Planning, Inpatient OPD: 39 Delivery: 0 Six (6) rooms health facility. Low clients utilization necessitated by the existence of chemists and home treatment. Evidence of NSHIP-RBF intervention seen . Poor essential drugs mgt. 16. PHC N08 2' 52.88" E007 52' 32.42" Akum Ward Pop: Catch Pop:3631 6 Skilled 4 Unskilled OPD, Vaccination, ANC, Deliveries, Family Planning, Lab, OPDs Del: Three (3) rooms health facility. Operating in a temporary structure donated by the community. An extremely dirty facility with no sign of NSHIP RBF intervention. 17. PHC Gora N08 31' 39.23" E007 37' 59.66" Ara II Ward Pop: Catch Pop:3011 3 Skilled 3 Unskilled OPD, Vaccination, ANC, Deliveries, Family Planning, Malaria treatment, Inpatient OPD: 40 Delivery: 2 Five (5) rooms health facility. Clients utilization of the HF not encouraging. Evidence of community participation and ownership of the HF seen through efforts towards improving the facility. 18. PHC Dansa N08 41' 8.06" E007 35' 12. 83" Ara II Ward Pop: Catch Pop:2500 1 Skilled 1 Unskilled OPD, Inpatient OPD: Del: Facility not given subsidy right from inception of the contract to date
No evidence of NSHIP RBF intervention seen 23. PHC Kuchikau Karu N08 58' 57. 58 E007 40' 32. 45" Ward Pop: Catch Pop:4850 5 Skilled 2 Unskilled OPDs, Vaccinations, ANC, Family Planning, Malaria treatment, Lab, Inpatients OPD: 88 Delivery: 5 Three (3) rooms health facility . surrounded by "Burukutu and Kaikai " joints Facility and community making effort towards building new structure. Clients utilization of the HC not very encouraging. 24. PHC Ungwar Ayaba Karu N09 16' 23.77" E008 3' 4.32" Ward Pop: 14,388 Catch Pop:2000 4 Skilled 1 Unskilled OPDs, Vaccinations, ANC, Family Planning, Growth monitoring, Malaria treatment, Lab, Inpatients OPD: 44 Delivery: 4 Six rooms HF Clients patronage not very impressive Health workers committed Evidence of NSHIP- RBF intervention seen Poor essential drugs management 25. PHC Ungwar Tanko Karu N09 16' 22.74 E008 3' 3.95 Ward Pop: 14,388 Catch Pop:2000 3 Skilled 1 Unskilled OPDs, Vaccinations, ANC, Family Planning, Malaria treatment, Inpatients OPD: 79 Delivery: 1 Clean facility Clients utilization not very encouraging. Pregnant mothers not coming for delivery because of a male CHEW that is receiving delivery. 26. PHC Ankuta Karu N09 15' 10.16" E007 56' 27.56" Ward Pop: 14,388 2 Skilled 1 Unskilled OPDs, Vaccinations, ANC, Malaria OPD: 24 Delivery: 0 Extremely hard to reach rural facility. Very dirty
Catch Pop:4665 treatment, Inpatients Evidence of NSHIP RBF intervention not seen. Very poor essential drugs management 27. PHC Dauro Karu N09 7' 15.37" E007 49' 7.45" Gitata Ward Pop: 14,388 Catch Pop: 2000 2 Skilled 1 Unskilled OPDs, Vaccinations, ANC, Malaria treatment, Inpatients OPD: 85 Delivery: 0 Hard to reach rural facility. Clients utilization very impressive Evidence of community support and ownership seen in building an additional structure to accommodate other services. 28. PHC TuduUku Karu N09 1' 58.06 E007 54' 52.24" Gitata Ward Pop: 14,388 Catch Pop:2597 4 Skilled 3 Unskilled OPDs, Vaccinations, ANC, Family Planning, Malaria treatment, Inpatients OPD: 33 Delivery: 0 Clean facility. Clients utilization very poor. Evidence of NSHIP-RBF intervention not clearly seen. 29. PHC Ebba Karu N08 55' 18.87 E007 54' 52.24 4 Skilled 3 Unskilled OPDs, Vaccinations, ANC, Family Planning, Malaria treatment, Inpatients OPD: 63 Delivery: 4 A hard to reach rural health facility. Evidence of NSHIP RBF intervention not seen OIC not very serious and appeared not carrying VDC Extremely poor essential drugs management 30. PHC Karu N08 42' 34.79" E007 32' 27.27 Karshi II Ward Pop: 15,732 2 Skilled 2 Unskilled OPDs, Vaccinations, ANC, Family Planning, OPD: 141 Delivery: 1 An extremely hard to reach rural community/facility.
Catch Pop:3000 Malaria treatment, Inpatients Clients utilization of the facility encouraging. Evidence of NSHIP RBF intervention seen. 31. PHC Gwagwa Karu N08 45' 33.26 E007 45' 42.87 Ward Pop: Catch Pop:4648 3 Skilled 2 Unskilled OPDs, Vaccinations, ANC, Malaria treatment, Inpatients A hard to reach rural community/facility. Improvement seen following the transfer of the old OIC. Clients utilization encouraging. CLIENT TRACING IN PHC JULI, KARU LGA S/N NAME OF CLIENT GEO-LOCATION SERVICE CLAIMED BY THE HF REMARK 1. Khadija Muazu NO9 58' 18. 86" E007 25' 53.53" Delivery Client seen Confirmed that she delivered at home not at the facility. Child is already six (6) months. 2. Nafisa Suleiman N09 0' 24.08" E007 35' 55.33" Delivery Client seen Confirmed that she delivered at home not at the facility. 3. Rashida Ibrahim ANC Client not traced 4. Maryam Sagir Delivery Client not traced TEAM MEMBERS Iwi Kum (RBF-TA) ................................................................... Stephen Officer) .................................................................. AbubakarTanko (Communications).............................................................