proposal for the development of hospital
DESCRIPTION
Proposal for the development and improvement of health care services at Fuvahmulah Hospital This proposal was submitted in 2010 to the government on behalf of hospital management.TRANSCRIPT
PROPOSAL FOR THE DEVELOPMENT
IMPROVEMENT OF HEALTH CARE SERVICES AT Gn.
2010
Fathuhulla Naseem
G. Atoll Hospital
1/1/2010
PROPOSAL FOR THE DEVELOPMENT
IMPROVEMENT OF HEALTH CARE SERVICES AT Gn.
ATOLL HOSPITAL
2010
Fathuhulla Naseem
G. Atoll Hospital
PROPOSAL FOR THE DEVELOPMENT
IMPROVEMENT OF HEALTH CARE SERVICES AT Gn.
Introduction
Gn. Atoll Hospital plays a key role in creating and enhancing public awareness, providing
medical facilities for the people of the island and is responsible for managing all aspects of
preventive and curative health care of the Atoll. The Atoll hospital was established in the
year 2001 comprising of 21 beds along with 45 dedicated staff members. The hospital is
open 24 hours a day, seven days a week. Specialty consultation services ranging from
Obstetrics and Gynecology, General Surgery, Orthopedics and Pediatrics are run in the
hospital with a view to cater the public with the maximum of possible health care.
Furthermore 24 hours laboratory and Radiology services are made available in the interest
of the patients, alongside inpatient and outpatient services running back to back. Much
effort is put in controlling communicable and non communicable diseases within the island.
Developing and optimizing the existing health care services is a major challenge the Atoll
hospital is facing at present. Lack of certain equipments / instruments and trained
personnel’s in and around the field is the major loophole the hospital is facing at the
moment. Identifying these problematic areas, to adequately improvise the provision of
services, mainly provision of equipments / instruments, training and getting the best of
services from the concerned personnel’s are to be focused. Human resource capacity
building is of priority to meet the demands of the population.
Gn. Atoll Hospital is in dire need for in receipt of medical equipment and instrument for
provision of effective health care services to cater to its emergent population.
Aim
This paper is put together as a result of the meeting held at Gn. Atoll office on 6th
August
2009 to identify the important areas to be developed by improving the health care services
in Gn. Atoll Hospital under the Grant Assistance Program initiated by the Atoll Development
Committee, and is aimed at;
- Informing the Atoll Development Committee about the priority needs of the Health
care services in the Hospital.
- Proposing a rational justification for improving the services in the identified areas.
1. Identified Areas for Developing
The following areas are highlighted to bring to notice the most important seven areas,
where the hospital needs improvement, further developing and optimizing.
Service Areas
Area to be
developed Objective
Priority
level Level
Requirement Justification
Description Qty Price
ICU (intensive
Care Unit)
To provide essential
medical care for
critically ill patients by
enhancing its facilities
Periphera
l
1. Patient Monitor 02 • In the near future the
existing services of this
hospital will be transferred
to the new hospital
building which has a 2
bedded ICU department
without necessary
equipment.
• A single set of critical care
equipment is available at
present, which is been
used in both the theatre
and wards. So it is difficult
treat 2 patients
simultaneously.
2. Pulse oxymeter 02
3. Suction Machine 02
4. Defibrillator 01
5. ECG Machine
6. Ventilator
7. Portable
Ventilator
01
01
01
Labour Room To decline maternal and
fetal mortality and
morbidity by improving
the prenatal and
perinatal care.
Periphera
l
1. NST Machine
2. Fetal Doppler
3. Episiotomy
scissor
4. Allis Forceps
01
02
02
06
• 33% of the patients are
posted for caesarian
sections, in view of
maternal complications
and/or fetal distress. To
evaluate and manage such
cases and to get a good
perinatal outcome in high
risk pregnancies.
NICU (Neonatal
Intensive Care
Unit)
To provide essential care
for newly born babies in
critical conditions and
those babies who are
brought to hospital in
critical conditions.
1. Baby warmer +
Neonatal
resuscitator
2. Infant
Incubator
01
01
• Presently there is only one
set of machines but, it is
utilised to treat two babies at
the same time and so
difficulties have been
encountered to provide equal
care for two babies at the
same time.
Orthopedic To provide essential
care for patients with
traumatic injury and
chronic Orthopedic
pathological disorders
and develop a basic
rehabilitation centre.
1.Short Wave
Diathermy Machine
2.Interferential
Therapy Machine
3.Wax Bath Tub
4. Lumbar Traction
Set with pulley &
weights.
5. Cervical traction
set.
6.Electric Cast
cutting machine
01
01
01
02
01
01
• Presently a large
population of the Atoll
population suffering from
chronic Orthopedic
conditions like Rheumatoid
Arthritis
/Osteoarthritis/Lumbar
and Cervical Spondylosis
for which physiotherapy
remains the mainstay of
management, further
number of people coming
post surgery either from
abroad or Male’ for their
post-op management and
rehabilitation in this
hospital.
• Previous Electric cast
cutting machine is not in
working condition.
General Surgery To provide possible
instant care, and
management of surgical
conditions which
require immediate
attention, and to
maintain a good post
*Please see
Appendix 1 (List of
Surgical
Instrument)
• Due to lack of certain
surgical /diagnostic
facilities and instruments
quite a number of people
has to be reffered further
on to Addu/ Male’ to get
the required surgery and
operative care. investigations done. And
only empirical treatment
can be started in such
cases in this hospital setup.
Diagnostic
Service
Diagnostic services will
enable the best
treatment for common
illnesses seen in this
Atoll effectively with
specialized
investigations.
1.Ultrasonography
2.Mammography
3.Bone
densitometry
4. Specialized
dental X-rays
5.Dental mirrors
6.Diagnostic set
with
Ophthalmoscope +
Otoscope
7.PAP smear
8. Cervical biopsy
• With the emergent new
hospital, facilities that
enhance further diagnosis
of certain commonly seen
conditions would be a
blessing. At present people
have to travel to Addu
/Male’ for these
investigations. The
unavailability of pathology
services in the laboratory is
a big hindrance for certain
screening tests to be
conducted.
2. Rationale
Certain limitations have been encountered while working towards the goal of developing the
hospital setup, the main downhill’s are due to untrained personnel’s running administrative and
managerial functions, and developing skills relying on their experience over the years, and the
abundance of expatriates in the health field. About 70-90 percent of expatriates provide their
services in this health sector, however due to a communication gap at times; the best of their
services is not sought.
One of the important aspects of quality care which is effective communication and coordination
among consumers of health care and health care providers are compromised due to language
barrier. Another major concern at present is standardized care for which the competence of the
health care professional comes into account. Due to the wide variation in workforce’s
educational background and skills, uniformity cannot be ensured.
3. Conclusion
At present the number of trained personnel’s in the health hospital does not meet the
requirement for providing health care services in this Atoll, thus limiting the provision of
effective, efficient and quality services. Therefore, it is important to look into opportunities to
pave a pathway to train and develop human resources and upgrade facilities for the betterment
of the health care services in this Atoll.
…………………………………………………
Appendix 1
List of Surgical Instrument
1- Sponge holders 6” Nos. 08
2- Sponge holders 8” Nos. 08
3- Curved artery forceps Nos. 06
4- Straight artery forceps Nos. 04
5- Babcocks Nos. 04
6- 6.Allis forceps Nos. 12
7- Mayo scissors Nos. 02
8- Small bowls Nos. 06
9- Small kidney tray Nos. 02
10- Towel clips Nos. 12
11- Bone cutter 6” Nos. 04
12- Mosquito arteries curved Nos. 12
13- Mosquito arteries straight Nos. 08
14- Scalpel handle no..4 Nos. 04
15- Scalpel handle no.3 Nos. 04
16- Dissecting forceps toothed 6” Nos. 04
17- Dissecting forceps plain 6” Nos. 04
18- Fistular probe with director Nos. 02
19- Proctoscope (adult size) Nos. 04
20- Proctoscope (pediatric size) Nos. 02
21- Sygmoidoscope Nos. 02
22- Needle holder 6” Nos. 02
23- Needle holder 8” Nos. 02
24- Skin grafting Humby’s Knife Nos. 01
25- Softratullae/Gelonet Pack 10
26- Sinus forceps Nos. 02
27- Prolene mesh Dozens 01
28- Surgicell Nos. 04
29- Abdominal retractors 6” Nos. 04
30- Abdominal retractors 8” Nos. 02
31- Intestinal clamp Nos. 02
32- Straight scissors 6” Nos. 01
33- Curved scissors 8” Nos. 02
34- Hernia ring Nos. 02
35- Hernia director Nos. 01