Sokoto State

Sokoto State (Seat of the Caliphate)

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Where We Are

Sokoto state belongs to North Western Zone of the country and has an estimated projected population of 3,702,676 with a population growth rate of 3.1%.​ It has “Seat of the Caliphate” as its state slogan.​
It has twenty-three (23) LGA divided into three(3) senatorial zones. In 2018, the Quality of Care (QoC) initiative was launched in the Sokoto state with the aim of improving RMNCAEH+N healthcare standards. A thorough baseline assessment was conducted, revealing that the 10 indicator stood at 50%, indicating room for improvement. The governance structure of QoC operates at the state level, with State Level A overseeing the coordination of entities B, C, and D. Since its inception, the initiative has expanded its reach to encompass 100 healthcare facilities, enabling a broader impact on the state.
SOKOTO Map

Health Facilities in Sokoto State

838

Health Facilities *

802

Public 
Facilities

36

Private 
Facilities

789

Primary 
Facilities

37

Secondary 
Facilities

3

Tertiary 
Facilities

QoC Facilities

9

Learning Sites
(Initial)

120

QoC
Sites

Others

243

BHCPF Sites **

23

LGAs **

243

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 the Sokoto state with the aim of improving Reproductive, Maternal Newborn, Child Health, Adolescent and Elderly Health plus Nutrition (RMNCAEH+N) healthcare standards.
  • The governance structure of QoC operates at the state level, with State Level A overseeing the coordination of entities B, C, and D.
  • QoC has received invaluable support from partners such as Integrated Health Programs(IHP) and WHO, who share the vision of advancing quality care in the state.
  • So far 66 Health facilities (in the states , out of the target 244 receive quarterly funds disbursed as Direct Facility Financing, through the BHCPF.
  • A score card is generated following each quarterly QA.
  • To distill the essence of QoC’s impact into a concise format, a scorecard has been developed, focusing on three critical indicators: maternal Neonatal and under 5 mortality.
  • A thorough baseline assessment was conducted, revealing that the 10 indicator stood at 50%, indicating room for improvement.
  • Since its inception, the initiative has expanded its reach to encompass 100 healthcare facilities, enabling a broader impact on the state.
  • The state commenced operationalization of the Basic Health Care provision under (BHCPF) in 30th May 2021.
  • QA of 66 HFs was conducted in the previous quarter to track progress across 10 priority areas , ensuring judicious use of the health facility funds.
  • The progress of QoC is closely monitored through the tracking of 10 different indicators, ensuring continuous improvement in healthcare outcomes.
    1. Mothers in labour ward who received prophylactic uterotonic agent within a minute after delivery
    2. Maternal deaths across learning sites in the State
    3. Neonatal and U5 mortality.
  • Since 2018, the Quality Improvement (QI) teams has played a vital role in implementing strategic goals and driving positive change within the QoC framework

Success Stories

sokoto QoC
QI HFs (March, 2023)

Supply of routine ANC drugs including SP: this has increased the number of women receiving IFA and SP during ANC thereby reducing the number of women developing anemia and malaria in pregnancy.
Supply of FP commodities by GHSC-PSM and Marie stopes, has increased the number of women accessing FP services in the state.
Availability of chlorhexidine gel in most QI sites, increased the number of newborns who had chlorhexidine gel applied to the cord.
Supplied BP apparatus and weighing scale, increasing the number of women whose BP was checked during ANC.
The health care workers were trained to live saving scheme (ISS/MLSS, partograph, Kangaroo mother care, training on maternity care fish bowl.
Due to the training by IHP by LDHF, there is increase percentage of ANC from 30% to 60%.

~ QI Mentors March 2023

State QoC
QI HFs contd 2 (March, 2023)

The healthcare workers were trained for Live saving scheme (LSS, MLSS) so they know about skin-to-skin care and management of the third stage of labour, but not doing it well until the QoC intervention training on quality of care, how to administer uterotonic immediately after the delivery, skin to skin care, delay in cord clamping, taking baby temperature one hour after baby delivery to monitor hyperthermia. As mentors we trained the providers on how to record these indicators on the register. Documentation tools were provided because they do not previously have the tools. We also visited monthly to provide mentoring and check the data and course correct- and we witnessed great reduction in the cases of PPH and new-born death and we now have companion of choice and birth position of choice.

~ QI Mentors March 2023

QI HFs contd (March, 2023)

All children under five (5) with severe malaria were given prereferral treatment before referral. Women in labour room were monitored with partograph and uterotonics were given to all women that delivered within 10 minutes after birth.

~ QI Mentors March 2023

Voices from the Field

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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Sokoto State Specific Data And Information

Lessons Learnt From Sokoto State QI Implementation

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Title Of The Report Will Appear Here

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Sokoto State Related Events

Gallery

Take A Tour On Happenings And Events Carried Out For Quality Of Care In Sokoto State

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