Ebonyi State
August 14, 2023 2024-03-19 13:28Ebonyi State
Where We Are
Ebonyi State is located in the South-East geopolitical zone of Nigeria and consists of 13 local government areas (LGAs), 171 political wards, and 275 health wards with an estimated population of 3,132,8271 in 2019. The state slogan is “the salt of the nation” and the capital city is Abakaliki.
Health service delivery in Ebonyi State is structured into three tiers, with primary health care at the base, supported by secondary and tertiary healthcare services. There are 604 healthcare facilities (491 public and 113 private). Of these, 548 are primary healthcare facilities, 54 are secondary, and two are tertiary. Reproductive, maternal, newborn, child, and adolescent health services, as well as nutrition and other services are provided by these facilities.
Quality of Care (QoC) initiative was launched in Ebonyi State in 2016 and since inception the initiative has expanded its reach to encompass 40 healthcare facilities who are implementing QoC services.
Health Facilities in Ebonyi State
716
Health Facilities *
523
Public
Facilities
184
Private
Facilities
655
Primary
Facilities
58
Secondary
Facilities
3
Tertiary
Facilities
QoC Facilities
40
Learning Sites(Initial)
40
QoC
Sites
Others
169
BHCPF Sites **
13
LGAs **
169
Wards **
Data Sources:
* Nigerian Health Facility Registry
** National Primary Health Care Development Agency (NPHCDA)
Facts and Achievements
- In 2016, the Quality of Care (QoC) initiative was launched in Ebonyi State with the aim of improving Reproductive, Maternal Newborn, Child Health, Adolescent and Elderly Health plus Nutrition (RMNCAEH+N) healthcare standards.
- A thorough baseline assessment was conducted, revealing that the Skill Birth Attendant (SBA) indicator stood at 57.5% (DHIS 2016), thus, indicating need for improvement.
- The governance structure of 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 40 healthcare facilities (Comprising of 38 BHCPF & 2 non BHCPF facilities) enabling a broader impact of QoC In the state.
- QoC has received invaluable support from the State and partners such as MCSP, Rotary, IHP, UNFPA, AMURT, Engender Health (MSSFPO) 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 (BHCPF) in 2020.
- So far 169 Health facilities in the states, out of the targeted 188 Basic Healthcare Provision Fund (BHCPF) facilities receive quarterly funds disbursed as Direct Facility Financing (DFF), through the BHCPF
- Quality Assessment (QA) of 50% of BHCPF Health Facilities (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 30 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: Deliveries conducted by skilled birth attendants (SBA), deliveries monitored using partograph, pregnant women who received haematinics.
- Since 2021, the Quality Improvement (QI) teams has played a vital role in implementing strategic goals and driving positive change within the QoC framework.
Success Stories
Success Stories (1)
The implementation of quality of care for quality improvement in Ebonyi 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 40 QoC facilities used as QoC learning sites in the State. In the learning Sites, use of Partograph and Uterotonics (Oxytocin) 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 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.
~ Individual/Group Narrator
Success Stories (2)
Across all the QoC sites, there has been adoption/application of quality improvement processes identified by the Quality Improvement (QI) team to bridge identified gaps in the facilities.
In these facilities also, health care providers capacity has been built through trainings on Midwife Lifesaving Skills (MLSS), Respectful Maternity Care (RMC) among others . Each of the 40 learning sites has been able to develop specific QoC aim statement, process indicator, outcome indicator and set target for themselves guided by State QoC strategic objective.
Also, there has been improved data quality in these focal facilities as the State and LGA team leverage on all opportunities to mentor the facilities on use of tools, proper documentation, and timely reporting.
~ Individual/Group Narrator
Voices from the Field
Nwigbo Miriam
RH Focal person, Ebonyi LGA
Odo Elizabeth
OiC MCH Azuiyiokwu, Abakaliki LGA | 6 Months ago
Ola Oko Arua
OiC Etiti Model PHC, Afikpo South LGAScore Cards
INDICATORS
DEFINITION
Q3 2022
Q4 2022
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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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Ebonyi State Specific Data And Information
Ebonyi State Related Events
Bi-Weekly
Nil
Nil
Quarterly
Nil
Nil
Bi-Weekly
Nil
Nil
Bi-Weekly
Nil
Nil
Gallery
Take A Tour On Happenings And Events Carried Out For Quality Of Care In Ebonyi State
