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Health financing is our main concern – Health Director

By
Prosper K. Kuorsoh, GNA

Jirapa (U/W), Aug. 22, GNA – Madam Pheobe
Balagumyetime, Jirapa District Director of Health Services, has said health
financing remains a huge challenge to the district as budgetary allocations has
not only kept dwindling but was also erratic.

Madam Balagumyetime said this during the 2017
half year performance review meeting in Jirapa in the Jirapa District of the
Upper West Region.

He said the situation has seriously affected
the planning and implementation process in the year under review.

“The district currently relies on the
Internally Generated Funds (IGF) from the National Health Insurance Scheme
(NHIS)”, she said, adding that the dilemma now confronting the district was how
to deal with the complexities of service delivery strategies and the challenges
of ensuring that the limited resources available were targeted at public health
priorities.

“As a result, the district carried out
activities in an integrated manner and concentrated on areas that will have the
most impact on the health service indicators”, Madam Balagumyetime said.

She said the year under review saw remarkable
improvement in their staffing situation especially with midwives and Registered
General Nurses, except in case of medical doctors and physician assistants.

“The District is endowed with over 50 midwives
some of whom have been assigned to Community-Based Health Planning Services
(CHPS) zones to help increase access to skilled delivery”, she said.

The District Director of Health Services said
with the support services, they have renovated a few facilities through the IGF
but are currently saddled with inadequate staff accommodation which has made it
virtually impossible for them to accept newly posted staff especially to the
sub-districts.

She said comparatively, the utilization of
facilities decreased this year with total Out Patient Department (OPD)
attendance of 33,325 and an attendance per capita of 0.6691 compared to a total
OPD attendance of 45,864 with an attendance per capita of 0.91 for last year.

“Malaria continues to be nagging a problem
accounting for 25.6 per cent of total OPD attendance”, she said.

Madam Balagumyetime said the district made
modest achievements in the expanded programme on immunization, reproductive and
child health and nutrition but did not meet the targets, saying the reason for
this anomaly were the unrealistic population figures given to them coupled with
high migration rates in the western zone.

Two maternal deaths were recorded this year
compared to one in 2016, she said, and called on all stakeholders to marshal
efforts to help curb the growing menace.

Madam Balagumyetime said in spite of the modest
achievements and challenges, the district also succeeded in presenting some
good practices at the CHPS Zones level some of which have been documented and
published.

The Jirapa District Director of Health
Services commended all development partners in the district especially CAPECS
for supporting the half year review meeting.

This year’s half year performance review
meeting was held under the theme: “Using Quality Data for Evidence-Based
Planning; the Role of Frontline Workers”.

GNA

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