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Healthcare 2.0

From promises made to promises kept. Read all about Governor Seyi Makinde’s achievements in healthcare under Omituntun 2.0 as he marks five years in office in continued service to the good people of Oyo State.

OYO STATE PRIMARY HEALTH CARE BOARD:

Promise Made

Promise Kept

We will ensure that renovation works are completed, and infrastructure development initiated especially in the outstanding 93 PHCs. We will accomplish this through funding and efficient supervision in the first two years of being re-elected.

The re-evaluation of the outstanding facilities to be renovated has commenced.

We will renovate an additional 51 PHCs to bring the number of PHCs renovated to 351, one in each ward in Oyo State, before the end of our tenure.

The process is ongoing. The bill of quantities has been obtained and it is now pending approval.

We will provide medical equipment requirements in the renovated PHCs over the next four years.

264 Primary Health Care facilities were equipped across the 33 LGAs in the first year of Omituntun 2.0.

We will ensure adequate medical personnel in the rehabilitated/renovated Primary Healthcare Centres over the next four years.

Approval has been granted but awaiting screening exams for the eligible candidates.

We will procure 50 more ambulances to improve access to emergency services within the four years of our tenure.

This is part of the Oyo State new Healthcare Initiative. The process is ongoing.

We will upgrade six secondary healthcare facilities in Oyo State: Ring Road State Hospital, Adeoyo; General Hospital Eruwa; General Hospital Igbeti; General Hospital Igbo-Ora; General Hospital Iseyin; and General Hospital Oyo to reposition them for better service delivery.

General Hospital Aremo, Ibadan has been fully upgraded by the Oyo State Health Insurance Agency using capitations.

Other health facilities are part of the Oyo State new Healthcare Initiative. The process is ongoing to commence the upgrades.

We will work to reduce the overall mortality rate from Non-Communicable Diseases by more than 5%.

Not yet commenced.

We will explore ways of increasing revenue generation in the sector through aggressively marketing the Oyo State Health Insurance scheme and increasing enrolees by 40%, commercialising ambulance service, drug revolving funds, and working with the private sector to optimise the use of facilities such as the dialysis centre and High Dependency Units (HDUs).

1.   Total enrollees (May 2023) = 147,374

Total enrollees (May 2024) = 213,565

% Increase = 44.9%

2.   The pilot project on Drug Revolving Scheme is billed to commence in 26 Primary Health Care facilities in the 6 Health Zones.

3.   Establishment of Oyo State Drug Management Agency is a top priority and the process is ongoing.

We will work to reduce maternal mortality and neonatal mortality by 5% through sensitisation, increasing antenatal care delivery and upskilling health workers.

·       Post Natal Care has improved to 84.6%

·       Infant Survival Rate has improved to 60%

·       Neonatal Mortality Rate has dropped to 31%

·       The Penta-3 Coverage has increased to 75.6%

In the first year of being re-elected, we will expand the 615 toll-free Citizens’ Enquiry Number to cover medical emergencies.

 The process is ongoing.

To combat the brain drain challenge, we will recruit additional health personnel to ensure adequate and quality healthcare delivery within the first two years of being re-elected.

Governor Seyi Makinde approved the recruitment of various cadres of health workers and exit replacements for those who left the service from 2021 till date. The online application portal has been opened for interested applicants to apply.

We will build the Oyo State Electronic Health Records System (EHRS) and transfer at least 25% of patients within the Oyo State Health Insurance Scheme to this database within three years of being re-elected.

OYSHIA has had pilot EMR

To start in 34 OYSHIA facilities

·       Engagement meeting with all facilities; (11PHCs, 15 GHs, 8 Private)

·       Equipment gaps being breached

·       Formal take-off in July 2024

·       41.2% enrollees covered

·       264 PHC facilities equipped with laptops

·       264 PHC facilities supplied with mobile phones for ease of referral and service follow-up

·       33 LGHAs supplied with laptops and printers

·       Training of OICs on ICT across the Basic Health Care Facilities (about to commence)

Other Achievements in Healthcare

S/N

Iconic Projects

Status of completion

 

Remarks

 

1

Installation and Official Commissioning of Pressure Swing Adsorption (PSA) Oxygen Plant at Jericho Specialist Hospital and State Hospital Oyo

Completed

The goal is to reduce morbidity and mortality due to hypoxaemia in Oyo State by addressing the key barriers which limit access to high-quality diagnostics and medical oxygen delivery systems in health facilities.

2

1 addition GeneXpert machine & 3 TB LAMP Machine procured for TB testing

Completed

To improve the diagnosis of TB and initiate prompt treatment

3

Developed Oyo State Strategic document for the Scale up of Medical Oxygen in Health Facilities (2023 – 2028) launched

Completed

The State Strategic document will increase equitable access to oxygen for the population in the State over the next five years by achieving the following objectives:

4

Development and Dissemination of 2024 Annual Operation Plan

Completed

To align the State health plan with Oyo State Roadmap for Sustainable Development

5

Mapping of all public and private facilities in the State

Completed

To update the State data base for health facilities in the State

6

Anti quackery task force was set up to monitor the activities of the private health facilities in Oyo State

Ongoing 

To reduce the exposure of citizen to quacks. This will reduce the morbidity and mortality and also reduce unnecessary expenditure by the people.

7

Treatment of the water source at Bush, State Secretariat, Agodi where analysed water samples were collected

Completed

This will reduce the transmission of infectious disease.

8

Development of the updated MSP document for the State Primary Health Care Service.

Completed

Awaiting dissemination.

9

Development of the Annual Operation Plan 2024 for the State Primary Health Care Sector

Completed

To align the PHC activities to the State Strategic Development Plan.

10

Development of the Operational Guideline Document for the Oyo State Primary Health Care Board

Completed

Awaiting dissemination.

11

Implementation of Drug Revolving Scheme in the Primary Health Care Sector

Ongoing

26 PHC facilities across the 6 Health Zones selected for pilot

12

Routine Procurement of Drugs for PHC services

Ongoing

To improve access to care

13

Printing of Data Tools for PHC services

Ongoing

To improve data quality

14

Routine Printing of Data Tools at Facility level by the LGHAs

On-going

To improve data quality

15

Refurbishment of Grounded Ambulances across the LGHAs

On-going

To improve referral

16

Training of Front-line Health Care workers on Quality of Care

Completed

To improve client satisfaction

  1. Other Health Indices Using MICS 2021

INDICATORS

2023 (April)

2024 (April)

Neonatal mortality rate (per 1000 live births)

6.5

6.3

Maternal Mortality (per 100,000)

296

244

Under 5 mortality Rate (per 1000 Live births)

9.1

8.6

Total death by all ages

3516

3471

% Children 0-23 months who were first breastfed within 1 hour of birth

23.3

40.8

% of children with fever last 2 weeks

17.7

52.8

% of women whose delivery was assisted by any skilled birth attendant

70%

74%

% ANC First coverage

34

41

% of women currently married or in union who are using (or whose partner is using modern contraceptive

20

22

% Children 6-59 months that receive Vitamin A

3

17

% Measles 1 coverage

69

71

% of children 12-23 months given Penta 3 (Coverage)

57

68

% of BCG Coverage

78

81

OPD Attendance

 1,988,706

2,091,658

This is facility-based data from District Health Information Software (DHIS)

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These activities were completed under the supervision of the Honourable Commissioner for Health – Dr Oluwaserimi Adewumi Ajetunmobi