Status Update on ARAYA - Ogun State, Nigeria the most sustainable Community Based Health Insurance Initiative in Africa

1. ARAYA QUALITYASSESSMENT TEAM

2. QUALITY IN HEALTHCARE…

3. PROGESS REPORT ON FACILITY
ASSESSMENT
So far, 14 facilities have been assessed in 5 Local
Governments (Abeokuta North, Abeokuta South, Ado-Odo
Ota, Ijebu Ode and Obafemi Owode)
Assessment was done using the following service elements:
1. Facility Requirement
2. Personnel Requirement
3. Laboratory/Diagnostic Services

4. 4. Risk Management
5. Structural Composition
6. Support Services
7. Labor, Delivery and Family Planning Services
8. Patients Welfare

5. FACILITIES ASSESSED
S/
N
Name of Facility Type of Facility LGA Ward
1. Iberekodo PHC Public Abeokuta North Iberekodo 5
2. Sabo PHC Public
Abeokuta North
Sabo
3. Ayobami Hospital Private
Abeokuta North
Sabo
4. Family Health Centre, Oke-
Ilewo
Public
Abeokuta South
Ibara 2
5. Keesi Health Centre Public
Abeokuta South
Keesi
6. Joseph and Christiannah
Hospital
Private
Abeokuta South
Ibara 2
7. Federal Prison, Oba Special Obafemi Owode Oba

6. S/N Name of Facility Type of
Facility
LGA Ward
1. PHC, Ita-Alapo Public Ijebu-Ode Porogun 2
2. PHC, Oke-Oyinbo Public Ijebu-Ode Odoegbo
3. True Vine Hospital Private Ijebu-Ode
5. PHC, Sango Public Ado-Odo Ota Sango
6. PHC, Ota 3 Public Ado-Odo Ota Ota 3
7. Firstline Clinic Private Ado-Odo Ota
8. Twins Hospital Private Ado-Odo Ota

7. UPDATE
Family Health Centre Oke-Ilewo has been renovated. See the after
picture in the Next Slide.
Family Health Centre, Oke-Ilewo and PHC, Odo-Esa (Ijebu Ode)
have been considered for Public Private Partnership
SafeCare (Pharm Access Foundation) will be conducting Quality
Baseline Survey in some selected facilities.
Society for Family Health and Marie Stopes International will be
supporting with upgrade of some of the selected facilities.

8. After Renovation
Waiting/Reception Room
Before Renovation FHC, Oke-
Ilewo

9. RECOMMENDATIONS
Araya can commence in all the facilities.
In Abeokuta North, we recommend that activities can
commence but renovations should be done within the shortest
time possible to motivate enrollees and enhance enrolment.

10. SHORT TERM GOALS FOR
HEALTH CARE FACILITIES
De-junking of un-used bad equipment should be done.
A standard treatment room should be made available and
equipped for use.
Restriction signages should be put in essential places.
Color coding pedal bins should be made available.
Equipped Neonatal Resuscitative area should be created in the
Delivery room

11. Phototherapy equipment should be made available in the labor
wards.
Guidelines on post exposure prophylaxis should be made available.
Araya branded patients record forms should be made available.
Protective clothing should be made available for health workers.
Running tap water should be made available in all essential areas
in the facility e.g. Laboratory, Delivery room and Consulting room.
Cabinets should be created for medical record keeping.

12. Hazard signs and first aid kits for treatment of injured workers
during service delivery should be made available especially in
the Laboratory.

13. LONG TERM GOALS (6 MONTHS)
Autoclave machine should be procured for use in the
Laboratory.
Employment of more staffs
Continuous Infrastructure Upgrade e.g. replacement of
pit toilet with water closets etc.
Fencing of Health Facilities without Fence.
A bleeding/phlebotomy room should be created in all
facilities with Laboratory

14. A mini laboratory can be set up in facilities without in-facility
Laboratory
Laundry Services should be provided (In-service or Out-
Sourced)

15. NEXT STEPS
Facility Assessment activities will be commenced in the
Local Governments where registration activities have been
extended to.
Recommendations will be discussed with the Facility Heads
to formally initiate the process.

16. THANK YOU