| Project Detail |
In Zambia, primary health care services are provided through outreach activities, health posts, health centers, and district hospitals (primary-level hospitals), and primary-level hospitals play an important role in health facilities as hospitals that provide basic medical care such as simple surgery. However, in Zambia, which has a population of about 17.86 million (2019), the number of primary-level hospitals is insufficient, only 99 and the quality of services at existing facilities poses some challenges. In addition, in urban areas, including Lusaca District, secondary and third level hospitals are essentially primary due to rapid population growth and the weak function of primary-level hospitals.Therefore, in order to strengthen primary health care services and enable treatment according to each level of hospitals, strengthening the functions of primary level hospitals is an urgent.
Although the budget of the Ministry of Health of Zambia is said to be increasing, the actual budget for hospital management is tight, and patients bear the burden of X-ray diagnosis, ultrasonic diagnosis, and purchase of prescription drugs. Futhermore, the hospitals face difficulties in hiring of necessary human resources, training for human resource development, appropriate education for interns and doctors, purchase of medicines and medical consumables, and measures against nosocomial infections. It is said that there are major problems with the maintenance system for medical equipment, such as a shortage of engineers, difficulty in procuring consumables and spare parts, and lack of preventive maintenance. In addition, the human resources responsible for the management of primary-level hospitals are often entrusted with hospital management without the opportunity to acquire basic knowledge and management skills regarding hospital management , and internal monitoring system of the hospital, the full utilization of resources and the formulation of a strategic hospital operation management plan have not been completed.
In addition, in the outbreak of new coronavirus disease 2019 (hereinafter referred to as "COVID-19") in 2020, it is said that there are many cases of COVID-19 in Zambia caused by nosocomial infections, and it is said that there are many cases of COVID-19 infection at the primary level hospitals. The need to strengthen infection control measures has been reaffirmed, and the Ministry of Health of Zambia has made it a priority issue.
This project will strengthen the ability to improve problems based on monitoring, strengthening infection control, stock management of medicines and consumables that can be handled at the hospital level, and maintenance of facility equipment, strengthening cooperation between the five target hospitals, the Lusaka State Health Office (PHO), the Lusaka District Health Office (DHO), and Ministry of Health (MOH). The projct aims to strengthen the hospital operation management capacity to improve the quality of the hospital, thereby contributing to the strengthening of the hospital operation management capacity at the primary level hospitals in Lusaka.
Overall Goal
Capacity on hospital management at Level 1 hospitals (Total number of hospitals is 19) in Lusaka Province is improved
Project purpose
Capacity on hospital management of five target hospitals is strengthned to provide quality medical services
Output
Capacity to assess the current situation, prioritize issues and take measures against the issues based on the monitoring is strengthen within each target hospital
Measures for infection control of primary level are strengthened and respected in each target hospital
Supply and stock control of medicines and other pharmaceutical commodities, and Medical equipment management which are available at Level1 hospital level are oprerated/strengthened.
Coodination among five target hospitals, MoH, PHO and DHO is enhanced.
Project Activities
1. Capacity to assess the current situation, prioritize issues and take measures against the issues based on the monitoring is strengthen within each target hospital
1.1. Assess the capacity and issues regarding the Hospital Management of five target hospitals
1.2. Develop (or revise) the check list for the Hospital Management Monitoring based on the assement of 1.1
1.3. Develop a standard program and plan for the Hospital Management Monitoring within each Target hospital
1.4. Conduct the Hospital Management Monitoring regularly based on the plan of activity 1.3 within each target hospital
1.5. Conduct the Hospital Management Committee Meeting (or Quality Control Committee Meeting) regularly within each target hospital
1.6. Feed back the results of Hospital Management Monitoring at the Hospital Management Committee Meeting (or Quality Control Committee Meeting) of each target hospital
1.7. Develop the action plan to improve priority issues based on the result of Hospital Management Monitoring at Hospital Management Committee Meeting (or Quality Control Committee Meeting) of each target hospital
1.8. Monitor the action plan developed in activity 1.7 within each target hospital
1.9. Share the good practices at the Hospital Management Committee Meeting (or Quality Control Committee Meeting) of each target hospital
2. Measures for infection control of primary level are strengthened and respected in each target hospital
2.1. Assess the current situation and issues regarding the healthcare associated infection control of five target hospitals
2.2. Build an IPC (Infection Prevention and Control) team with roles, responsibilities, and rights
2.3. Conduct necessary trainings on infection control for IPC staff
2.4. Revise the infection control manual
2.5. Conduct necessary trainings based on the manual of 2.4 for all the staff
2.6. Conduct the workshop to share the good practices of healthcare associated infection control of target hospital towards Lusaka Province (towards southern part of Africa)
3. Supply and stock control of medicines and other pharmaceutical commodities, and Medical equipment management which are available at Level1 hospital level are oprerated/strengthened.
3.1. Nominate the person in charge of stock control and medical equipment management with his/her roles and responsibilities within each department
3.2. Conduct necessary trainings on stock control and medical equipment management for person in charge of each department
3.3. Conduct necessary trainings on stock control and medical equipment management for all related staff
3.4. Conduct necessary trainings on supply and stock control and medical equipment management for person in charge of the hospital in order to demand/ communicate effectively with DHO/PHO
4. Coodination among five target hospitals, MoH, PHO and DHO is enhanced.
4.1. Clarify the roles and responsibility of PHO, DHO and each hospitals regarding hospital management
4.2. Conduct the Provincial Hospital Management Committee Meeting regularly
4.3. Develop a standard program and plan of M&S conducted by PHO/DHO on five target hospitals
4.4. Conduct M&S regularly by PHO/DHO on five target hospitals based on the plan of activity 4.3
4.5. Share the good practices of five target hospitals regarding Output 1, 2 and 3 at the Provincial Hospital Management Committee Meeting
4.6. Conduct operational research (OR) to clarify the evidence of good practices lead by Output 1, 2 and 3, and publish / share its results through MOH, PHO and DHO within Lusaka District, Lusaka Province and Zambia, and to neighboring countries.
Inputs
[Japanese Side]
Assignment of experts:
- 3 long-term experts; Chief Advisor,Hpspital Management, Quality Control / Infection Control, Project Coordinator
- Several short-term experts
Project operational cost
- Training, stakeholders forum, etc.
- Activities in the selected intervention sites
Provision of necessary equipment for the Project operation
Inputs
[Zambia side]
Assignment of counterparts (C/Ps)
- Ministry of Health
- Target hospitals
- Provincial Health Offices / District Health Offices
Arrangement of the office space for the Project
Utility cost for the Project office and the Project sites
Personnel cost of C/Ps
Running expenses necessary for the implementation of the project |
