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Introduction

The Yola Primary Health Care Project commenced work on 27 January 2006 with the aim of providing primary health care services to the people of Namtari district, under the jurisdiction of the Yola South Local Government. Fourteen Health Posts, two Health Centers and the one Primary Health Center are now functional.

Existing Centres.
1. PHC Centre – Ngurore
2. Health Clinics – 2
  1. Namtari Manga
  2. Gongosh
Health Posts – 14 (Annexure 1)
Four Health Posts have been added in February 2007

The 14 Health Posts in all now cover a population of about 40,000 in 30 villages. 2 more Health Posts are being constructed by the communities and should be ready for opening in March 2007.

Plan for 2007 – 2008

Sustain and improve the functions of the existing health facilities.
Train the third batch of Health Attendants.
Start 8 -10 more Health Posts so as to cover the entire population of Namtari district.
Collaborate with the State Action Committee on HIV / AIDS to designate PHC Ngurore as a Counseling & Testing center.
Strengthen the HIV referral system so that HIV patients from the project area could benefit from Anti retroviral therapy under the National HIV / AIDS Control Program.
Initiate a Prevention of Mother to Child Transmission program at PHC Ngurore as part of the HIV / AIDS Control Program.
Continue the Roll Back Malaria initiative by distributing Insecticide Treated Bednets & to all pregnant mothers.
Continue & strengthen efforts to identify & treat malnutrition.

Project Health Facilities as of February 2007

Yola PHC Project – Performance data 2006

Progress of the Project

A. Service utilization in 2006

Table 1: Distribution of Free & Paid Cases

38,692 patient visits have been recorded over the four quarters of 2006.More than half (20,383) of those who have visited a TCF health facility have received free care.

Table 2: Ante Natal Care

Comparative Data on ANC registrations show improving trends in I & II trimester registrations with III trimester registrations declining over time.

A total of 3280 women were registered for Ante Natal Care in 2006. All pregnant women received free Iron, Folic Acid, Calcium Lactate and Multivitamins.

Since October 2006 all pregnant women have been receiving two doses of Laridox – an anti-malarial recommended by the Roll Back Malaria Program for Intermittent Preventive Treatment during pregnancy.

3420 doses of Tetanus Toxoid were administered in pregnant mothers.

3. Care of High Risk Pregnant women & complicated deliveries

a) Kulu, 31 years old and a mother of three children was brought to the center on 26 September in a life threatening
condition called pre-eclampsia. Strict bed rest at the PHC sedation & continuous monitoring helped to prevent further
deterioration & three days later, she delivered a full term live baby safely at the Center, without any further complications.
Although the baby’s weight was just 2 kgs, Kulu’s family was happy that both mother and child were alive. Her blood pressure
has now settled at 150/90 mm Hg.

b) Altina, a 21 year old primigravida delivered a healthy baby at the PHC on 30 January 2006 but developed a complication
known as Retained placenta. She was taken to the General Hospital in the project ambulance where the placenta
was safely removed. Altina spent two days at the PHC before both mother and child were discharged in a healthy condition.

C. Deliveries by Trained & Untrained persons

1. 738 deliveries were recorded in 2006, of which 578 (78.3%) were conducted by trained persons. 8 deliveries were conducted at the General Hospital at Yola, 392 at the Primary Health Center & Health Clinics (PHF) and 178 deliveries were conducted by the Health Attendants (HW) at the various Health Posts. 15 of all the deliveries ended in still births.

Five maternal deaths have been recorded in 2006.

The number of Deliveries conducted at the Primary Health Center/Health Clinics (PHF) & Health Posts has shown increasing trends. However, many deliveries continue to be conducted by untrained persons and efforts are on to address this issue.

D. Birth Weights

Birth weights of 665 (91.9%) new born babies were recorded during 2006. Of these 39 (5.8%) were less than 2.5 kgs at birth.

E. Care of Malnourished children

Growth monitoring of children is a regular Health Post activity. In 2006, 510 children were found to suffer from malnutrition of which 41 were less than 50% of the expected weight for age.

As of December 2006, 40 children were receiving nutritional supplements from the project on a weekly basis. 45 children who received nutritional supplements had graduated to normal weight for age.

Most children in Grade I & some in Grade II recovered after being treated for conditions that precipitate malnutrition such as
worm infestation, diarrhea / dysentery and pneumonia along with health & nutrition education. 2 children were successfully treated for Tuberculosis and are now healthy. Hassan, a 6 month old child is presently admitted at the PHC as a case of Severe malnutrition.

He lost his mother as a result of a complication known as Post Partum Haemorrhage. His grandmother brought him from
Numan, an area beyond the coverage area of the project. At admission he was 2.3 kgs, a mere 30 % of his expected
weight for age & suffered from persistent diarrhea. After 10 days of treatment and nutritional interventions,
Hassan is now 2.9 kgs and appears to be progressing well.