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Free Health Care

Free Health Care. The IRC Experience. Kenema District EmOC Programme. Support Kenema Government Hospital and currently 65 PHUs Direct Beneficiaries = 55,874 WCBA INTERVENTIONS Supplies: medical equipment and drugs Trainings Human Resources – Performance Related Incentives

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Free Health Care

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  1. Free Health Care The IRC Experience

  2. Kenema District EmOCProgramme • Support Kenema Government Hospital and currently 65 PHUs • Direct Beneficiaries = 55,874 WCBA INTERVENTIONS • Supplies: medical equipment and drugs • Trainings • Human Resources – Performance Related Incentives Dedicated Obstetrician • Blood Bank • Referral Services: Communication • Transportation • Training • Joint Monitoring and Supervision

  3. Total Number of Facility Deliveries

  4. Percentage of Delivery

  5. Caesarean Sections Per Annum

  6. Caesarean Section Rate

  7. Referrals to Hospital

  8. Ambulance Services Since Aug 2007

  9. Maternal Deaths at Kenema Government Hospital

  10. Case Fatality Rate

  11. Met Need: Women with obstetric complications who receive Treatment

  12. Total EmOC & DHMT Joint Supervsion 2009

  13. Units of Blood Collected

  14. Transfusion Utilisation per Specialty

  15. Community Case Management Kono District • Programme now by CIDA and DFID • Free care for under 5’s for treatment of the 3 main morbidities malaria diarrhoea and pnuemonia • Community volunteers are trained and equipped to follow protocols to treat children that present with the recognised symptoms • Those who do not or who do not respond within 24 hours of treatment are referred and escorted by the volunteer to the nearest PHU

  16. ProgramME expansion • From 2008 expanded from coverage of 20 PHUs to date 56 PHUs • By May 2010 all 70 PHUS will be in the programme • Trained 1073 CHVs • Last quarter of 2009 treated 10,925 children under 5

  17. ProgramME expansion • From 2008 expanded from coverage of 20 PHUs to date 56 PHUs • By May 2010 all 70 PHUS will be in the programme • Trained 1073 CHVs • Last quarter of 2009 treated 10,925 children under 5

  18. number of treatments CASES TREATED

  19. Number of Treatments by CHVs May 2006 – Dec 2009

  20. Community vs. PHU Treatments Feb 2008 – Dec 2009

  21. Challenges • Vision of decentralisation is not well communicated and expectations misunderstood • Health Systems and Human Resources – capacity and personnel • Corruption and lack of commitment and accountability • Monitoring and supervision • Infrastructure and accessibility • Community support for volunteers

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