LEVEL OF SKILL IN PHC & INTEGRATION OF HEALTHCARE SERVICES Flashcards
(24 cards)
They are _______: not everyone is sick e.g child for immunization, woman for family planning. Not all are ___________.
clients:
patients.
There’s a flow in the PHC.
⁃ after obtaining ________ , patients goes to ________ manned by ________/________ who takes their ________ & send their ________ to the medical officer (the doctor that sees the patient).
Patient goes back to ________ for those ________ to be implemented by ____________ e.g giving IM drugs
card ; GOPD
CHO/CHEW
vitals ; files
GOPD ; prescriptions
CHO/CHEW
Flow at the PHC
⁃ If there’s no doctor at the facility, ___________ can see patients and treat _____ ailments using the ___________
CHO/CHEW
minor
standing order
A standing order
a document which is a _________________________ that can be treated at ______ level such as _________.
protocol of ailments
PHC
malaria.
Triaging.
In the case of ____________ and _______________, it Helps to reduce patient __________. Gives everyone a sense of belonging (CHEWs and CHOs)
lots of patients
few medical doctors.
waiting time.
Reproductive health section is manned by _________ most of the time
Some family planning types can be done by CHEWs e.g to give __________ , _________ , ___________ .
nurses
injectables ; condoms
counseling.
CHOs and CHEWs have midwifery skills.
T/F
F
CHOs and CHEWs don’t have midwifery skills.
Lab ___________ is the head of lab team.
Lab scientists
Lab __________ can run specialists test with supervision from the ___________.
technicians
scientists
⁃ JCHEWs does _____ years ________ course, and (is or is not?) licensed to work in PHC facilities.
2 years
diploma
is not
CHEWs does ______ - ___ years course, (can or cannot?) work in facilities with their standing order.
They can do ______ years to become CHOs but can only get to level _____. May not exceed this.
OND - 3 years
can ; 2 years
15.
Graduate CHEWs - go for ______ - ____ years course, becomes ___________ directly, an additional ____ year makes them ______ . This is the highest qualified. They can get to directorate level - level ______.
BSc - 4 years
senior CHEWs
one year ; CHO.
17.
Graduate CHEWs
They work in __________ and __________.
Their main functions are manning the ________, __________ and __________ - following up of cases & defaulter tracing
CHEWs will do __________ visits, treatment of __________ ailments
PHCs ; general hospitals.
GOPD ; outreach
community visits
home visits ; minor ailments
When people have to travel over 5km to reach a PHC, _____________ can be done.
Bringing care closer to the people. Manned by _______. Sometimes, can be done by the _________ giving the vaccination.
outreaches
CHEWs.
nurses
⁃ TBA monitoring- ________ by law in Lagos state supervises the activities of the CHEW, and they link up with ______________ nurses in the PHC to manage these people, as they lack __________ skills.
CHOs
reproductive health
midwifery skills.
For the LGHA
a ______ time ______ who is a qualified ______ with proven integrity and a minimum of ______
years post graduate experience + another ______ from the __________________________ who represents the __________.
____ persons who are community members in that local govt (one must be a ______), MOH who acts as the ____________, a representative of the _________________. They make up the LGHA.
part time chairman
medical doctor ; 10 years
medical doctor
Association of Private medical practitioners
private HCPs ; 2
female ; secretary
the traditional medicine board.
LGHA
Their tenure is _____ years and can do a max of ______ tenures. They are appointed by the ______________ , on the instance of the executive chairman, with advice from the _______________________ (one of the executive members).
They are expected to have at least ______ meeting per quarter.
They are paid by the _______ or _______. They can employ or fire. They can source for funds. They can be removed before the end of their tenure, welfare of staff, can do promotions from levels ____-____.
3 years ; 2 tenures.
Commissioner of Health,
supervisory counselor for health (
one ; state ; LGA.
1-6.
WHC
Every LGA has political wards.
It’s ______ WHC per ward.
They have a ___________ . You must __________ in that LGA, preferably in that _________. Influential community members. All these are ______ time.
_____ persons who represent the community - one of them must be a female.
The ___________ of the health center in that ward is also a member and serves as the secretary. They are appointed by the ___________ on the advice of the ___________________ . They are the closest to the community members.
1
chairman ; reside ; ward.
part ; 3
officer in charge ; LGA chairman
supervisor for health.
WHC
The OIC assist _______ in day to day management of the health facility & ensure proper medical care of patients.
They do like a ________________ . E.g ensures pregnant women pay 2500 for stand fee for reg and antenatal.
They do community __________ . They can make ___________ with regards to the overall planning, expansion, development and maintenance of the health institutions within their jurisdiction. They can make proposals for revenues and expenditures of the facility. They have authority to purchase things like furniture and equipment within the limit approved by LGHA. They implement staff
MOH
quality assessment.
mobilization. ; proposals
Facility Management committee. Officer in charge is the chairman - the most senior officer in that place e.g the most senior nurse or CHO or CHEW, all the heads of units in that facility. They take care of day to day activities of PHC centers. There are adhoc members here e.g engineering, agriculture. Work with the health education unit to ensure awareness and community mobilization.
⁃ MOH is head of department in the PHC in the LGA.
⁃ Apex chief nursing officer is the head of the nursing units in that LGA. Reports directly to the
MOH. Apex of CHO. The apex is the most senior. They all report to the office of MOH.
⁃ MOH functions - handles day to day management of the human, financial and material resources of the health facilities in accordance with the objectives and targets set by LGHA. He disciplines staff. Carries out all the other duties and approvals. He supervises the committees and units and directorates under the PHC system.
Facility Management committee.
_____________ is the chairman - the most senior officer in that place e.g the most senior nurse or CHO or CHEW, all the heads of units in that facility. They take care of _____________ activities of PHC centers.
Officer in charge
day to day
Facility management committee
There are adhoc members here e.g _________ , _________. Work with the health education unit to ensure _________ and community _________.
engineering ; agriculture.
awareness ; community mobilization.
__________ is head of department in the PHC in the LGA.
________________ is the head of the nursing units in that LGA. Reports directly to the ________ . Apex of CHO. The apex is the most senior. They all report to the office of MOH.
MOH
Apex chief nursing officer
MOH.
MOH functions -
handles _________ management of the human, financial and material resources of the health facilities in accordance with the objectives and targets set by LGHA.
He __________ staff. Carries out all the other duties and approvals. He ______________ the committees and units and directorates under the PHC system.
day to day
disciplines
supervises
