PLATEAU STATE OFFICE

Dr. Chukwuemeka Ibilibor

Head of Office APIN Plateau State

Impact of APIN’s work in Plateau State

Leadership and governance/collaboration with the state

APIN is a household name in Plateau state because of the innovative and quality public heath interventions we have implemented since 2004. Our service delivery model at APIN is based on strong collaboration with stakeholders in the health system in the state and country at large.

Currently, APIN implements the HIV program across twenty-two (22) comprehensive ART sites and thirty-one (31) Primary Health Care facilities in the state having successfully transitioned 2 treatment sites and about 140 PMTCT only PHCs to the state government.

As an implementing partner for the PEPFAR funded HIV program in Plateau, APIN continues to advocate to the State government for political support and commitment to the HIV/TB program and other public health related services. The APIN Plateau team have built government structures at the state level like the State Management Team, Technical Working Groups (TWGs) and Local Government Implementation teams for effective and efficient management of public health programs. APIN has also initiated “Joint supportive supervision of the HIV program alongside government officials to supported facilities across the State.  This has led the government to buy into these programs, strengthened ownership and participation, increased community engagement, enhanced government coordination and supervision and ultimately, lead to improved quality of these services.

Over the years, APIN’s continued commitment to excellent service delivery in Plateau State has not gone unnoticed with several meritorious awards and encomiums to her credit.

1

APIN Public Health Initiatives receiving an award of excellence from the Honourable Commissioner of Health Plateau State 

Letter-of-acknowledgement-from-the-Hon.-Commissioner-Plateau-State-Dr. Kuden Deyin Kamshak

Endorsement/Testimonial from the Hospital Management Board for APIN Public Health Initiatives

The challenges in the health system is a global phenomenon that has been met by a global response. In Plateau state, the government has been very responsive to health issues by collaborating with NGOs, CSOs and other individual groups. This collaboration has positively impacted on the health care delivery system of the state.

The Plateau State Hospitals Management Board currently recognized APIN as an efficient, qualitative, and effective health care provider as attested by the testimonial below;

HMB‘s Mission is: “We are the flagship of secondary health care saddled with the responsibility of providing affordable, qualitative and accessible health care services.” Indeed, APIN has been an excellent partner, collaborating to make ART, PMTCT, Laboratory, and HCT services, among others, accessible in both public and private health facilities in the state.

 In their provision and improvement of services, APIN has recorded several success stories:

  • Infrastructure development and improvement in most of the sites supported by APIN
  • Support for the human resource in the health sector by hiring and engaging both technical and nontechnical ad hoc personnel to provide needed services
  • Training the staff of various service delivery points toward the delivery of quality services
  • Supplies of equipment such as auto analysers (Chemistry, Haematology, CD4 machines), autoclaves, sterilizers, weighing balances and general equipment for safe guard
  • Provision of materials/consumables, ARVs, OIs, RTKs, and reagents/chemicals
  • Development and improvement of data management and communication in health facilities, such as provision of computers, data soft wares, printers, senders SMS, printers, and such
  • Improving power supply to supported sites by providing 30KVA generators, inverters, stabilizers, portable generators, as well as fuelling and maintenance
  • Laboratory equipment maintenance and services
  • Provision and installation of molecular technique diagnostic equipment (GeneXpert) for TB diagnosis
  • Establishment of QA and CQI schemes in facilities
  • Mentoring of QMS in laboratories for service delivery, and improvement and possible accreditation of medical laboratories in the state
  • APIN has also supported integrated (different HMB teams & APIN Staff) monitoring and supervision visits (MSV) to facilities.

Most of successes listed above are the nucleus of the health management system that have direct impact on the health care system of a state. These services positively impacted the life of our clients/patients.  

To this end, the Board remains thankful and grateful for APIN’s partnership/collaboration. With this experience and credible performance, the Board will continue to partner with APIN, and in our opinion, APIN is highly recommended for the execution of programmes and projects at any level.

Dr. Yamma D. Dakwak

Chief Medical Director, Plateau State Hospitals Management Board Jos

 

Health Workforce

As part of efforts to mitigate the human resource challenge in the health sector, APIN carried out a baseline capacity assessment in Plateau state. This guided the development of a strong capacity building program. Since inception, APIN has trained a critical pool of healthcare workers to support uninterrupted (even during strike actions in the health sector) provision of quality HIV and other sexual and reproductive health services at supported facilities. During FY’18 alone, APIN conducted a total of nineteen different (19) trainings in FY18 and built the capacities of more than 300 health care workers on different program areas such as HTS, PMTCT, Adult and Paediatric ART, Logistics Management of Health Commodities, Molecular Diagnostics Trainings, Molecular Diagnostics and strategic information. We have continued to support this plan through in-service re-training, mentorship and supportive supervision of healthcare workers. APIN has also facilitated the establishment of Quality Assurance (QA) and Continuous Quality Improvement (CQI) systems at supported health facilities in the State.

As an intervention to strengthen the human resource for health, APIN currently supports over 40 adhoc staff including medical doctors and nurses across its twenty-two (22) supported sites.

Workshop on Programme Management Training for Health Professionals in Plateau State conducted in Nov 2015.
Workshop on Programme Management Training for Health Professionals in Plateau State conducted in Nov 2015

Workshop on Programme Management Training for Health Professionals in Plateau State conducted in Nov 2015.

Service delivery

APIN implements her programs in Plateau using the integrated service delivery approach at her supported facilities, encouraging an active horizontal relationship between people and the local healthcare services. These facilities are all linked using the hub and spoke model and this has made accessibility to health services, client referral and the logistics of health commodities easier. We also operate a strong quality improvement system that promote best practices and evidence based interventions at these facilities. The APIN supported laboratory at JUTH, a world class laboratory with ISO 15189 SANAS Accreditation and the other supported laboratories have continued to provide high quality laboratory services for the HIV program and other health service delivery areas.

Health Information System

In order to efficiently navigate structural and functional barriers to program implementation, APIN has also built and supported monitoring and evaluation structures at the State and LGA levels. These structures which includes the establishment of the monitoring and evaluation TWGs and the use of the Local Government Action Committee on AIDS (LACA) program officers to manage HIV program data has facilitated data demand, analysis and use among government actors. Additionally, the monthly state data review meetings has strengthened data management and timely reporting of performance. These strategies drove a paradigm shift from a focus on inputs to a focus on health program outcomes in Plateau state. APIN health informatics unit moved a step forward by deploying the Electronic Medical Record System (EMR) and Patient Biometric Solution (PBS) across supported sites.

M-SMART training for LACA M&E officers in Plateau State (October 2014)

M-SMART training for LACA M&E officers in Plateau State (October 2014)

Access to essential medicine

In partnership with the Tuberculosis and Leprosy Control (TBLC) program at the state level, APIN Jos expanded TB services across supported sites in the state and integrated HIV testing services at DOTS sites. We have also significantly improved the quality of TB diagnosis through the deployment of fluorescent microscopy, digital x-rays and GeneXpert technology at some supported facilities. The APIN pharmacy and supply chain unit have continued to ensure minimal stock out of essential commodities across supported sites via strong network with site pharmacists and the PEPFAR/GON supported third party logistics team. The strategies used to achieve the later included, on site TA and hands on mentoring of site pharmacists on the filing of CRRIRF and efficient follow up on Last Mile distribution of commodities and redistribution of commodities. As part of APIN’s support to states in managing HIV and other public health concerns, APIN donated Personal Protective Equipment (PPE) to the state government via the State Ministry of Health during the 2016 Ebola saga.

Presentation of Personal Protective Equipment by APIN to the Plateau State Govt through the State Ministry of Health Plateau State
Presentation of Personal Protective Equipment by APIN to the Plateau State Govt through the State Ministry of Health Plateau State.

Presentation of Personal Protective Equipment by APIN to the Plateau State Govt through the State Ministry of Health Plateau State

Health financing

APIN over the years have built strong financial accounting systems across supported sites. As part of efficient allocation of resources, APIN has facilitated the supply and maintenance of the following machines; CAP/CTM Systems, Cobas Chemistry machines, Mindray Haematology machines, CD4 Partec Cyflow Counters and TB GeneXpert Machines at supported sites.

 

To support HIV continuum of care and service provision to people living with HIV in the state, APIN supported minimal upgrade and re-tooling of supported health facilities. These have had remarkable effects on access and uptake of service delivery.

Hospital equipment and supplies provided to supported facilities in Plateau State (PHC Amper Central and ECWA Comprehensive Health Care Centre Bukuru)

Newly refurbished and renovated clinic supported by APIN Public Health Initiatives in Plateau State (PHC Amper Central and PHC Dawaki)

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