Abuja
August 14, 2023 2024-03-26 12:45Abuja
Where We Are
The Federal Capital Territory (FCT) is the seat of the federal government of Nigeria, but it faces social development challenges similar to other regions in the country. It has a land mass of 7,315 km2 and is divided administratively into six area councils. It contains the urban capital of Nigeria, Abuja, with the surrounding area councils largely rural. Although slightly better than the national average, health outcomes are poor, especially in the rural parts of the FCT. The National Population Council estimates the FCT’s population at 3.6 million as of 2016. This is projected to grow at an annual rate of 7 percent, more than double the national average. The health-seeking behaviours, health status, and socioeconomic status of migrants to the FCT reflect the characteristics of their mostly rural and underdeveloped home regions. This and the existing suboptimal health outcomes in the Territory place growing pressure on the health system and drive the need to improve the availability and quality of health services.
Quality of Care (QoC) initiative was launched in FCT in 2018 with the aim of improving RMNCAEH+N healthcare standards across all level with 72 health facilities currently implementing QoC.
Health Facilities in Abuja
1196
Health Facilities *
763
Public
Facilities
433
Private
Facilities
942
Primary
Facilities
247
Secondary
Facilities
104
Tertiary
Facilities
QoC Facilities
9
Learning Sites(Initial)
72
QoC
Sites
Others
62
BHCPF Sites **
6
LGAs **
62
Wards **
Data Sources:
* Nigerian Health Facility Registry
** National Primary Health Care Development Agency (NPHCDA)
Facts and Achievements
- In 2018, the Quality of Care (QoC) initiative was launched in FCT with the aim of improving Reproductive, Maternal Newborn, Child Health, Adolescent and Elderly Health plus Nutrition (RMNCAEH+N) healthcare standards across all level.
- A thorough baseline assessment was conducted, revealing that 7% of newborns received skin-to-skin contact immediately after delivery, 64.0% of newborns were hypothermic while 0.0% of women received uterotonic within 1 minute after delivery (Survey conducted in 2019), thus, indicating need for improvement.
- The governance structure of Quality of Care (QoC) operates at the state level, with State ministry of health overseeing the coordination of entities such as Agencies, LGAs and facilities.
- Since its inception, the initiative has expanded its reach to encompass 72 healthcare facilities (Comprising of Basic Health Care Provision Fund (BHCPF) & Non BHCPF facilities) enabling a broader impact of QoC In the state.
- QoC has received invaluable support from the State and partners such as WHO, JHPIEGO (Exited in 2022), IHP, who share the vision of advancing quality of care in the state through capacity building for health care providers, supportive supervision, community involvement /engagement among others.
- The state commenced operationalization of the Basic Health Care provision under Basic Healthcare Provision Fund (BHCPF) in 2020.
- So far 269 Health facilities in the states, out of the targeted 62 BHCPF facilities receive quarterly funds disbursed from FCT-PHCB and monthly capitation from FHIS as Direct Facility Financing, through the BHCPF.
- Quality Assessment (QA) of 50% of BHCPF HFs was conducted in the previous quarter to track progress across 10 priority areas, ensuring judicious use of the health facility funds.
- A score card is generated following each quarterly Quality Assessment (QA).
- The progress of QoC is closely monitored through the tracking of about 25 different indicators, ensuring continuous improvement in healthcare outcomes.
- To distill the essence of QoC’s impact into a concise format, a scorecard has been developed, focusing on three critical indicators: used of uterotonic within 1 minute after delivery deliveries monitored using partograph, newborns received skin-to-skin contact immediately after delivery.
- Since 2019, the Quality Improvement (QI) teams has played a vital role in implementing strategic goals and driving positive change within the QoC framework.
Success Stories
Voices from the Field
Marry Bassy
MCH coordinator , Kwali A.C | 6 Months ago
Madam Liliatu
in charge of labour and ANC Karu PHCs AMAC A.C | 6 Months ago
PHC Officer 3
Respondent | 6 Months ago
Success Stories (1)
The implementation of quality of care for quality improvement in FCT has been a huge success in the State as so many strides has been achieved in the State through provision of quality of care services as shown in the 72 QoC facilities used as QoC learning sites in the State. In the learning Sites, use of Partograph and Uterotonics (Oxytocin and Miso for PHCs) in monitoring of labor and management of third stage of Labor has greatly improved as evidenced in the reported data in DHIS2. Also, quarterly Peer-to-Peer learning & Referral Review meeting at facility and LGA level has been institutionalized to facilitate knowledge/experience sharing, communication of best practices and cross fertilization of ideas among facilities which has also resulted to increase in services uptake and improved quality service delivery in the learning sites.
Development of referral tools and guideline for use across the 6 Area Council in FCT. Printing of over 2500 copies of referral forms and registers with support of WHO and IHP in the state.
Training and re-training of over 1000 Health Care Workers on Two-way referral Management and Respectful Maternity Care training.
~ Individual/Group Narrator
Success Stories (2)
Across all the QoC sites, there has been adoption/application of quality improvement processes identified by the QI team to bridge identified gaps in the facilities.
In these Facilities also, health care providers capacity has been built through trainings on Midwife life saving skills (MLSS), respectful maternity care (RMC), Referral training, MPCDSR training among others . Each of the 70 learning sites has been able to develop specific QoC aim statement, process indicator, outcome indicator and set target for selves being guided by State QoC strategic objective.
Also, there has been improved data quality in these focal facilities as the State and the Six Area Council team leverage on all opportunities to mentor the facilities on use of tools, proper documentation and timely reporting.
~ Individual/Group Narrator
Success Story (3)
Pre-referral counseling has greatly improve patients acceptance of two-way referral system in FCT. FCT is the first state to develop referral guideline and harmonized tools (Job aids, Forms and register) in Nigeria. A client with rupture membrane has been rescued due to active referral practices between Primary to Secondary Care (PHCs) and Secondary Facilities. It has also improved coordination between Health Care Workers from PHCs.
~ Individual/Group Narrator
Score Cards
INDICATORS
DEFINITION
Q3 2022
Q4 2022
Q1 2023
Q2 2023
Total number of maternal deaths across learning sites in the State
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Total number of neonatal deaths in learning sites in the State
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Total number of U5 deaths in learning sites in the State
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Total number of stillbirths at learning sites (disaggregated – fresh/macerated)
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Total number of facility reporting experience of care
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Abuja Specific Data And Information
Abuja Related Events
Bi-Weekly
Nil
Nil
Bi-Weekly
Nil
Nil
Bi-Weekly
Nil
Nil
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Nil
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Gallery
Take A Tour On Happenings And Events Carried Out For Quality Of Care In Abuja
