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NIGERIA: Hospital and Diagnostic Centre (NFH) Improvements

Year: 2014
Location: Enugu city, Enugu State

Nigeria in map of Africa

Entity: Niger Foundation Hospital and Diagnostic Center (NFH) was set up in 1990 to promote and improve the health status of a wide range of people in Enugu, the capital of Enugu State (in the south eastern part of Nigeria better known as Biafra). At present the hospital offers the following services: consultation, diagnostic and therapeutic services; radiology services; laboratory services ; and in-patient facilities for 40 persons.

Background:
The quality of healthcare delivery in Nigeria is low. A very central problem is the lack of adequate infrastructure and equipment as well as competent manpower. Some studies suggest that there is a death rate of 5-10% for major surgery, and that approximately 7 million patients undergoing surgery each year have major complications, including 1 million that die during or immediately after surgery. It is a fact that many inhabitants of Enugu do not have effective access to surgical care. The project seeks to focus on improving Niger Foundation Hospital’s ability to carry out basic to intermediate-level surgical procedures, purchasing surgical instruments, and raising the professional standard of surgical nurses and doctors. Niger Hospital and Diagnostic Centre NFH has a special concern for maternal and infant mortality. Although the statistics have improved slightly in the past few years, the mortality rates in this area are still very high. Much of this is reflected in the low percentage of births that are attended to by skilled personnel. In the last year the hospital had almost 3.922 pre-natal visits. The number of patients received was limited by the facilities at our disposal. The creation of a Mother and Child Centre as an extension of the hospital will increase the capacity of the hospital and raise the standard of the health services offered to women and children. In addition, an important aspect of the services provided by Niger Hospital and Diagnostic Centre NFH is the health information distributed in the disadvantaged areas on topics related to personal hygiene and other basic health needs. The general objectives of the project are to enhance the early detection of wide-spread viral infectious diseases, such as hepatitis, HIV, etc… Certain viral infections such as Hepatitis A and E are a considerable health risk in Nigeria, especially in rural areas. For example WHO statistics estimate that 20 million Nigerians live with hepatitis. Many of these infections spread due to poor hygiene practices. In addition, they often go undetected due to lack of available diagnostic equipment. Given the fact that health education and good hygienic practices play an important role in the prevention of these diseases, a unit that has the capacity to improve diagnosis and provide a companion programme of health awareness can play an important role in fighting infectious diseases in Enugu.

The Project: The project will have to take into account the above mentioned needs and develop in 3 phases:

  • Phase 1: To offer better surgical care, through a more suitable training program for the surgery assistants and doctors, and by purchasing an anesthetic machine and an autoclave for sterilization of surgical instruments. Periodically there are patients who are in need of surgery and who clearly cannot afford it. The hospital wants to also offer some of those surgeries at a subsidized rate and even some for free. Phase 1 Cost $70,850
  • Phase 2: To augment a health awareness program on General Hygiene and preventive healthcare measures. This includes more extensive education for early detection of wide-spread viral infectious diseases, such as hepatitis, HIV and massive vaccinations against common infections. Phase 2 Cost $136,960
  • Phase 3: To build a Mother and Child Care Center. Such a building would provide a proper infrastructure that would consist of a maternity and pediatric ward; a staff training room; patient consulting rooms; a pharmacy; delivery room and operating theater. Phase 3 Cost $755,000

 

Duration: 24 months

Beneficiaries: The project will mainly benefit women and children among the lowest income groups who live in the Enugu metropolis (with an estimated population of 1.2 million) and in a more specific way, the inhabitants of Ezeagu, a rural area in the hospital surroundings, (with an estimated population of 200,000).

Costs:

  ANNUAL COSTS EQUIPMENT
Phase 1: Surgical Theatre rehabilitation
Personnel: 1 Surgeon x 12 months $ 13,800  
  3 Nurses x 12 months $ 11,500  
 
Equipment: Anesthetic machine   $ 38,200
  Autoclave   $ 7,350
 
Phase 2: Infectious Disease Program
Personnel: 1 Community health worker x 12 months $ 4,610  
  1 Doctor x 12 months $ 11,500  
  2 Nurses x 12 months $ 7,700  
  1 Laboratory scientist x 12 months $ 6,150  
 
Equipment: 1 Viral load machine   $ 86,500
  1 Hematology Analyzer   $ 10,900
  Consumables   $ 9,600
 
Phase 3: Mother and Child Care Unit
Construction: Construction of the building   $550,000
  Mechanical & Electrical installations s   $ 65,100
  Equipment & Fittings   $ 70,750
  Architect, Engineering & Project Management   $ 69,150

 

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