Appropriate Technologies for Improved Rural Health Care Delivery in Developing Countries - The Ibarapa Experience   by Olu...
<ul><li>*University of Ibadan  </li></ul><ul><li>Ibarapa Community and Primary Health Programme – 1963 </li></ul><ul><li>F...
<ul><li>25 YEARS OF PRIMARY CARE SURGERY IN IBARAPA </li></ul><ul><li>CASE SCENARIO </li></ul><ul><li>A PREGNANT WOMAN  </...
<ul><li>25 YEARS OF PRIMARY CARE SURGERY IN IBARAPA </li></ul><ul><li>NIGERIAN BASELINES </li></ul><ul><li>NO PUBLIC ELECT...
<ul><li>25 YEARS OF PRIMARY CARE SURGERY IN IBARAPA </li></ul><ul><li>APPROPRIATE TECHNOLOGY </li></ul><ul><li>- SCIENTIFI...
Rain  Water  Collection  From  Clinic  Rooftop
 
 
Earthen  Dam  at  ace
 
 
 
 
 
Coal  Heating  Furnace
 
 
 
 
 
 
 
 
Africa  Health  1994;  16:  17-19
Africa  Health  1994;  16:  17-19
 
Diagram of Water Distiller Trop Doct.  1993; 23: 173-174. prize-winning project - the National Agency  for  Science and En...
Pedal Suction Pump
Haematocrit Centrifuge Trop Doct   2002; 32: 168
<ul><li>IMPORTED  N175 000.00 </li></ul><ul><li>+ GENERATOR  N10 000.00 </li></ul><ul><li>=  N185 000.00 </li></ul><ul><li...
Diagram of a Haematocrit Centrifuge
Local Production of Intravenous Fluids <ul><li>IV fluids locally produced as described by Maurice King </li></ul><ul><li>P...
<ul><li>Histopathology service </li></ul>
Keke Eruwa:  Autonov-3
 
 
<ul><li>SINCE JANUARY 1987 WHEN CLINIC WAS THREE MONTHS OLD </li></ul><ul><li>NO EMPLOYER, NO EMPLOYEE </li></ul><ul><li>M...
I Thank You All for Your Kind Attention Oluyombo A. Awojobi ,  MB, BS, (Ibadan), FMCS  (Nig).   January, 2009.
‘ YES,  WE CAN!!’ - BARACK OBAMA  5 TH  NOVEMBER 2008
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Appropriate Technologies for Improved Rural Health Care Delivery in Developing Countries - The Ibarapa Experience

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This presentation was given at the Future Health Systems meeting in Abuja in January 2009. www.futurehealthsystems.org.

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Appropriate Technologies for Improved Rural Health Care Delivery in Developing Countries - The Ibarapa Experience

  1. 1. Appropriate Technologies for Improved Rural Health Care Delivery in Developing Countries - The Ibarapa Experience   by Oluyombo A Awojobi
  2. 2. <ul><li>*University of Ibadan </li></ul><ul><li>Ibarapa Community and Primary Health Programme – 1963 </li></ul><ul><li>FIRST IN THE WORLD!! </li></ul><ul><li>*World Health Organization </li></ul><ul><li>Alma Ata Declaration – 1978 </li></ul><ul><li>1978 - ‘Health For All By 2000’ </li></ul><ul><li>2000 - ‘MDG’s 2015’ </li></ul><ul><li>2008 – ‘Return to Basics’ </li></ul>
  3. 3. <ul><li>25 YEARS OF PRIMARY CARE SURGERY IN IBARAPA </li></ul><ul><li>CASE SCENARIO </li></ul><ul><li>A PREGNANT WOMAN </li></ul><ul><li>REGULAR ANTENATAL CARE </li></ul><ul><li>GETS ALL PROMOTIVE AND PREVENTIVE CARE </li></ul><ul><li>SUDDENLY AT TERM, SHE STARTS BLEEDING. </li></ul><ul><li>RUSHED IN THE VILLAGE AMBULANCE TO THE </li></ul><ul><li>NEAREST GENERAL/DISTRICT HOSPITAL </li></ul><ul><li>RESIDENT PHYSICIAN PERFORMS A </li></ul><ul><li>CAESAREAN SECTION </li></ul><ul><li>DELIVERS A LIVE HEALTHY BABY(IES) AND A SURVIVING MOTHER. </li></ul>
  4. 4. <ul><li>25 YEARS OF PRIMARY CARE SURGERY IN IBARAPA </li></ul><ul><li>NIGERIAN BASELINES </li></ul><ul><li>NO PUBLIC ELECTRICITY SUPPLY </li></ul><ul><li>NO MUNICIPAL WATER SUPPLY </li></ul><ul><li>EXPENSIVE AND UNRELIABLE </li></ul><ul><li>TRANSPORTATION </li></ul>
  5. 5. <ul><li>25 YEARS OF PRIMARY CARE SURGERY IN IBARAPA </li></ul><ul><li>APPROPRIATE TECHNOLOGY </li></ul><ul><li>- SCIENTIFICALLY SOUND, </li></ul><ul><li>- CULTURALLY ACCEPTABLE </li></ul><ul><li>SEVERAL FUNCTIONAL SMALL DEVICES ARE BETTER THAN ONE </li></ul><ul><li>BIG DEVICE (CAPITAL OUTLAY, REPAIR AND MAINTENANCE) </li></ul><ul><li>- GENERATORS, </li></ul><ul><li>- WATER PUMPS AND </li></ul><ul><li>- WATER RESERVOIRS </li></ul><ul><li>MAXIMAL USE OF NATURE </li></ul><ul><li>- NATURAL LIGHTING </li></ul><ul><li>- RAIN WATER HARVESTING AND STORAGE </li></ul><ul><li>- BIOGAS FROM POULTRY DROPPINGS/COW DUNG </li></ul><ul><li>FABRICATION OF BASIC HOSPITAL EQUIPMENT </li></ul><ul><li>IN-HOSPITAL PRODUCTION OF MATERIALS </li></ul>
  6. 6. Rain Water Collection From Clinic Rooftop
  7. 9. Earthen Dam at ace
  8. 15. Coal Heating Furnace
  9. 24. Africa Health 1994; 16: 17-19
  10. 25. Africa Health 1994; 16: 17-19
  11. 27. Diagram of Water Distiller Trop Doct. 1993; 23: 173-174. prize-winning project - the National Agency for Science and Engineering Infrastructure
  12. 28. Pedal Suction Pump
  13. 29. Haematocrit Centrifuge Trop Doct 2002; 32: 168
  14. 30. <ul><li>IMPORTED N175 000.00 </li></ul><ul><li>+ GENERATOR N10 000.00 </li></ul><ul><li>= N185 000.00 </li></ul><ul><li>ace centrifuge N25 000.00 </li></ul>CENTRIFUGE
  15. 31. Diagram of a Haematocrit Centrifuge
  16. 32. Local Production of Intravenous Fluids <ul><li>IV fluids locally produced as described by Maurice King </li></ul><ul><li>Production to date: </li></ul><ul><ul><li>Over 54 430 litres of normal saline solution </li></ul></ul><ul><ul><li>Over 3 550 units of acid citrate dextrose solution </li></ul></ul><ul><ul><li>About 1 900 liters of 25% dextrose solution </li></ul></ul><ul><li>Produced at 10% of the cost in the open market </li></ul><ul><li>Nig. Med. Pract . 1985; 10:119. </li></ul>
  17. 33. <ul><li>Histopathology service </li></ul>
  18. 34. Keke Eruwa: Autonov-3
  19. 37. <ul><li>SINCE JANUARY 1987 WHEN CLINIC WAS THREE MONTHS OLD </li></ul><ul><li>NO EMPLOYER, NO EMPLOYEE </li></ul><ul><li>MONTHLY FINANCIAL MEETING OF ALL MEMBERS OF STAFF </li></ul><ul><li>ALL ON SALARIES KNOWN AND APPROVED BY ALL. ANNUAL INCREMENT. WELFARE SCHEME (GRATUITY) OPERATIONAL </li></ul><ul><li>SALARY BILL OF N1.2 MILLION/MONTH IN THE LAST 3 YEARS </li></ul><ul><li>NO RETAINERSHIP </li></ul><ul><li>SUSTAINED BY FEES PAID BY PATIENTS </li></ul><ul><li>NO SUBVENTION FROM ANY SOURCE </li></ul><ul><li>WE ARE NOT INDEBTED TO ANY BODY, CORPORATE OR INDIVIDUAL </li></ul>
  20. 38. I Thank You All for Your Kind Attention Oluyombo A. Awojobi , MB, BS, (Ibadan), FMCS (Nig). January, 2009.
  21. 39. ‘ YES, WE CAN!!’ - BARACK OBAMA 5 TH NOVEMBER 2008

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