Supervisory Tour

Makira/Ulawa Province
Officers: -Dr.H.K.Balachandra -DHMS
- Steven Waketaku -SNO
- Michael Larui - NO
- John Harara - ANO
- Shedrack - Dental Therapist
- Ben Alele - ANO
- Paul Maemana - MO
Date : -15th Jan, 21st to 23rd Jan , and 26th to 29th Jan 1998.

Transport : Canoe & 40 hp-OBM

Objective
is

to identify
population
groups or
geographica
l areas that
are
underserved

Health System

A health system is the complex of interrelated

elements that contribute to health in homes,
educational institutions, workplaces, public
places and communities, as well as in the
physical and psychosocial environment and the
health related sectors

Provincial Health
System
A comprehensive health system in range to
promotion, prevention, curative and
rehab -ilitative health activities in a welldefined population living within clearly
delineated administrative and
geographical area.

Provincial Planning
Cycle
National Policies
& Support

Situation
Situation
Analysis
Analysis

Appraisal
Appraisalof
of
Provincial
Provincialpriorities
priorities

Evaluation
Evaluation&&
learning-by-doing
learning-by-doing
Monitoring
Monitoring &&
Control
Control

Setting
SettingObjectives
Objectives
&&
Targets
Targets

Implementation
Implementation

Provincial
ProvincialAction
Action
Programme:
Programme:
improving
improvingHealth
Health
Services
Services

Joint
JointAction
Action
Programme
Programme

Primary Health Care

the first-level contact between patients or
communities and organized health care,
provided by health worker, practioners,
nurses, and health auxiliaries.
International Conference on PHC, 1978,
expressed Two other meanings:

Eight elements of essential health care (Next Slide)

provision of health care characterised by Equity,
intersectoral action, and community participation.

Primary Health Care

Food &
proper
nutrition

Health
Education

Control
of Communicable
diseases
Safe water supply &
basic sanitation

Provision of
esential
drugs

PHC

Rx of
Common
diseases
&
Injuries

Immunization

Maternal
& Child
Care

Names of Clinics visited

Manasugu-RHC
Santa-Catalina- NAP
Santa-Ana-RHC
Namuga-AHC
Aua-NAP
Karie-RHC
Naharahau-NAP
Narame-RHC
Ubuna-RHC
Tawaraha-AHC
Ngarigohu-RHC

Tetere-RHC
Marogu-RHC
Parego-RHC
Waihaga-RHC
Wanahata-NAP

Coverage
is a measure of the
extent to which a
pop entitled to a
particular service
actually gets it,
-maternal & child
health
-water supply
-environmental
sanitation

Population
Population Estimates for Makira/Ulawa-1998

35000

32,470

30000

25000

20000

15000

10000

7143
5846

5000
1299

1234
0
Child<1

1-4 year

CBA

Births

Total Pop

Health Indicators
1.2

CBR
Enb
Cdr
Pgr
Imr
Cmr
Mmr
%<2.5 Kg
%< n

1
0.8
0.6
0.4
0.2
0
1994

1997

2000

Coverage in Percentage
1.2
1

Ma
Sc
Sa
Ng
Nh
Ka
Na

0.8
0.6
0.4
0.2
0
a b c d e f g h

a) % of mothers attended
by HP during ante-natal
period
b)
-- -- at childbirth
c)

--

-- assessed for risk

d) % of immunized children
e) % of Pop safe water 15
walk
f) % of Pop with sanitary
facilities
g) % of Pop with liertacy

Coverage
Coverage in the Province

90%
80%
70%

83%
72%

68%

79%
73%

71%
63%

74%
66%

60%
50%

Ante-Natal
Deliveries

40%

Post-Natal

30%
20%
10%
0%
1995

1996

1997

Screening
Cases seen by DHMS during the tour Jan '98
10
8
6
4
2
0
Surgical

Paediatric

Female

Others

Purpose of the tour

Strenthening the
health centres

Screening
Curative service
Diagnosis & Referals
follow -up Rx
Maternal & Child care
prevention & control
of common diseases

Purpose of the tour

contd.

Examining the design

& logistics availability
Availability of essential
drugs & other supplies
Providing the
afforadable transport
for the reffered Pts.
Staff and their
training adequacy
Quality of service
rendered by the staffs.

Province : intersectoral
action
provinces of solomon
islands are often the
natural meeting-point for
bottom-up planning
organization and topdown
planning
&
support and is a place
where community needs
and national priorities can
be reconcilied.

BEYOND THE
YEAR

2000 ?

Thank
you