Nehemiah Field Clinic
Figure 1 L to R, Dr. Mindra Godwin, Medical
Director Robert Kirkman
Through team work, prayers and with the kind and dedicated spirit of our founder William Levi, Our medical director, Robert Kirkman, international promoter and donors in USA, Nehemiah clinic was provided in place with the aim to render health service to the people of south Sudan-Magwi county and ministered to them words of God. A lot has been done to the people of Magwi County in terms of health service so far in the past few years since Nehemiah clinic came in to existence in Magwi County. Basing on the previous experiences and need to improve and uplift the health of our people, Nehemiah clinic is therefore all set to open its doors to the public and emerge as sustainable provider of comprehensive package of preventive and curative services that makes a substantial contribution to the health of Magwi population.
The Nehemiah clinic is expected to be a sole property of operation Nehemiah mission international (ONMI) as a church, running under its direct administration and it shall be a private non profitable venture serving Gods people in New Sudan. The clinic will operate as health center III as we hope to step it to health center IV (hospital) in the nearest future depending on how God blesses the project.
Fig. 2 - Patients receiving medical aidObjectives of the Nehemiah clinic
- To improve the health status of the returnees and also host communities by providing basic health care services, primary health education, water and
- To help and improve the basic health services of the southern Sudan (Magwi county), building long term capacity through equipment of the hospital, training and support.
- Provide Clean and Safe Water through Improved Community Participation
- To provide general health and sanitation education parallel to the treatment of those requiring medical attention
- To expand and consolidate provision of a comprehensive package of basic services and
- disease control, of acceptable quality, particularly to the population
- Aiming at reducing mortality and morbidity
- To strengthen emergency preparedness, response and mitigation
- To build, strengthen and sustain the institutional and human resources capacities of the health actor.
Fig. 3 - Nehemiah field clinic under construction
Activities planned to reach this objective:
- Recruitment and train health staff or provide refresher training for staff basing on academic merit better health service delivery.
- Provide basic health care services- i.e. preventive (routine vaccinations and health education), promotive, curative and rehabilitative.
- Procure and avail minimum initial service packages for safe child deliveries for the pregnant women enroute, prove family planning services.
- Conduct health education and diseases awareness to the affected population to create demand for health services.
- Provide referral services for the severe and critical medical cases to nearest medical facility (including provision of ambulance services for the transportation of the ill).
Fig. 4 - on the left, Luka Gobi Benson, medical director
Expected result:
Health status of the returnees and host communities is improved
Process for developing the health center
This will be through an intensive and interactive process that will involve all stakeholders in operation Nehemiah health development. There will be a review which includes examination of annual health sector program performance report, data from health management information system, various monitoring and supervision.
Development goal
The overall development goal will remain the attainment of a good standard of health by all people in Magwi County in order to promote a healthy and improved life. The improved human development will contribute to increased socioeconomic growth and poverty eradication.
CONCEPT FRAME WORK FOR HEALTH SECTOR STRATEGIC PLAN II
| Program objective (1) | Program objective (2) | Program objective (3) |
| A health care delivery system that is effective, equitable and responsive | To strengthen the integrated support system | An evidence-based policy, program ,planning an development in place |
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Targets out comes by 2010
Reduced infant mortality rate from a value of high percentage to a value of low percentage
Reduce HIV prevalence in Magwi County, South Sudan
SERVICES OFFER AT NEHEMIAH CLINIC “HEALTH CENTER III”
Health Center II (HC II) serves a parish and provides
- Outpatient care(OPD),
- Antenatal care,
- Immunization and
- Outreach.
Health center III (HC III) serves a sub-county and provides all the services of HC II, plus inpatient care and environmental health. In theory, a HC III should be able to function as a Basic Emergency Obstetric care facility.
NEHEMIAH CLINIC STAFFING NORMS AND THE RELATED COSTS FOR HEALTH CENTER III 2007/2010 FOR UGANDA STANDARD
| Personnel | number | per month (Ug.shillings) | Per month (US $) |
| Nursing officer [mid wife] | 1 | 400,000 | 222 |
| Enrolled Nurse | 1 | 350,000 | 194 |
| Enrolled mid wife | 1 | 400,000 | 222 |
| Health Assistants | 1 | 380,000 | 211 |
| Laboratory Technician (degree) | 1 | 900,000 | 500 |
| Laboratory assistant | 1 | 250,000 | 138 |
| Health Information Assistant | 1 | 200,000 | 111 |
| Driver | 1 | 250,000 | 138 |
| Senior Clinical Officer | 1 | 450,000 | 250 |
| Assistant clinical officer | 1 | 360,000 | 200 |
| Support Staff | 3 | 100,000/Person | 56 |
| Nursing a assistant | 1 | 180,000 | 100 |
| Doctor (degree ) | 1 | 900,000 | 500 |
| Total cost of personnel | 14 | 5,120,000 ( US$ 2844) | US$ 2842 |
Source: Health sector strategic plan I and final report, a report of review and restructuring of the local government and staffing level. (Revised copy 2005), ministry of public service
Notes
Since we are forming sustainable health system, for a start we will begin with the below staffing and cost:
NEHEMIAH CLINIC STAFFING NORMS AND THE RELATED COSTS FOR HEALTH CENTER III
| Cadre | number | Amount(Ugsh)/Month | Amount (US$)/Month |
| Clinical officer | 1 | 450,000 | 250 |
| Clinical assistant | 1 | 360,000 |
200 |
| Laboratory technician(degree ) | 1 | 880,000 |
489 |
| Laboratory assistant) | 1 | 300,000 |
167 |
| Nurse | 1 | 360,000 |
200 |
| Dispenser | 1 | 300,000 |
167 |
| Health Information Assistant (a Records Officer) | 1 | 180,000 |
100 |
| Support work (cleaner) | 1 | 100,000 |
56 |
| Driver | 1 | 200,000 |
111 |
| Doctor(degree) | 1 | 880,000 |
489 |
| total | 10 | 4,010,000(US$ 2,228) |
2229 |
Academic qualification
- Clinical officer, nurse, laboratory assistant, dispenser and a record officer are diploma holders
- Laboratory technician and a doctor hold degree
- Driver holds driving permit
The above payment is for the start but normally there is 5% or 10% increase every year depending on the financial stand of the project after one year service evaluation
ADIMINISTRATION
Clinical officer is accountable to Medical Director of Operation Nehemiah in Sudan.
STOCKING OF THE CLINIC
Program for equipping the clinic will be drawn later after completing phase I of the plan
FUTURE PLAN
Construct a block for medical personnel within the health center so as to attend to emergency cases
JOB DESCRIPTION
Mid wife
- To provide mid wives services i.e., antenatal, post natal care, immunization, family planning, reproductive health out reach/ immunization.
- To participate in record keeping.
- To provide in patients care on maternity ward
- To participate in ward rounds if any.
- To participate in requisition of drugs.
- To participate in any other duty assigned by the administrator.
- Accountable to clinical officer.
Enrolled midwife:
- Participate in all maternity and maternal and child health services
- Have to maintain the hygiene of maternity ward and equipments
- Prepare equipment for the sterilization
- Make a report on patients and maintain unit record
- Has to take part in inpatients maternity ward
- Health education out reaches
- She accountable to the registered midwife in charge of the maternity ward.
Enrolled nurse
- To provide routine nursing care and procedure required of her or him
- Participate in ward round
- Give treatment prescribed
- She also give health education
- Participate in record keeping and maintained health unit equipment in good condition
- Health education
- Participate in community out reach
Clinical officer
- provide preventive and curative care
- help the medical director in administrative work
- performed minor surgery e.g. incision and drainage
- Any other duty that may be assigned by medical director
- Will work with the medical director in making the list drugs to stock the health unit.
Assistant clinical officer
- Assist the clinical officer and account to the clinical officer
Nursing assistant
- Provide nursing and midwifery care assigned to him or her by the mid wife and the nurse
- Clean and prepared equipments and ward
- Report any care that requires the help of nurse or midwife
- Participate in immunization under the supervision of nurse/midwife
- Give health talk
- Accountable to midwife in charge in charge/nurse
Health information assistant
- To form a health unit data base by collecting monthly report and recording them accurately from different departments
- Participate in stock taking to/out store and store keeping
- Participate in making requisition of the health unit
- Provide monthly report on clinical report collected
Health assistant
- provide environmental health service together with health delivery
- help the local people and mobilize the community for any health activity plan
- any other responsible assigned
Support staff (cleaner)
- To maintain the hygiene of the clinic
Medical driver
- Transport patients with complicated cases to referral health unit
- Carry the health supplies from the point of purchase to the base
- Any other duty assigned
Laboratory technician
- Participate in the routine laboratory work
- Performed laboratory administrative work
- Prepare the list for purchasing laboratory stock
Laboratory assistant
- Participate in routine laboratory work
- Prepare a monthly laboratory record and
- Account to laboratory technician