University of Ibadan Health Services
Director Health Services,
Introduction: The Health Services of the University of Ibadan is a NHIS accredited primary care provider. It is a user friendly outfit situated at Jaja Avenue. It is often called Jaja Clinic
Vision: Excellence in health care delivery
Mission: To RESPOND to the HEALTH NEEDS of members -(Students, Staff and dependants) through health promotion, disease prevention, prompt curative and rehabilitative services (backed by adequate referral support services).
History: One of the responsibilities of management is the provision of facilities for effective teaching and learning within a healthy living environment. The reciprocal relationship between HEALTH and LEARNING makes the school health care delivery an indispensable service in the university. The learning period is a period of intellectual development, emotional growth and physical maturity. The U.H.S provides basic health services to students, staff, dependants, visitors and retirees.
Historically, the U.H.S started at Abadina road as a dispensary providing only minor curative interventions. The health team then comprised of a medical officer, two nurses and a hospital maid. The Environmental health division was later added to provide sanitation services.
The University Health Service has since relocated to a more central place - Jaja Avenue. It evolved from a single building to a four-building hospital complex. With increase in population and the University policy of becoming a trainer of trainees resulting in a high proportion of postgraduate students , there is a change in the pattern of disease being treated. Medical conditions associated with lifestyle are now on the increase when compared with communicable diseases. The UHS responded to the needs of students / clients by increasing the number of available services at the centre. The U.H.S experienced tremendous growth in the areas of infrastructure, personnel and services in the last four years.
Infrastructure: The main complex is centrally located. The landscape is friendly even to the physically challenged. Ramps were constructed at the various entrances/ exits to allow students confined to wheel chairs easy accessibility.
The Pink building: This now accommodates a store, the optometry, medical social works and physiotherapy units.
The Main complex: This has 4 waiting lounges, houses the medical information unit, counselling room, pharmacy unit, laboratory wing, dressing room, minor theatre, a four-bed emergency/ recovery room and the administrative unit. A wing of the main hospital building has the public health unit, a seminar room and a counselling room.
The Former First bank building: This was used as venue for Antenatal and Infant Welfare clinics. It has been pulled down while a more functional storey building for mother and child care is under construction. The building when completed would reduce the present space constraints and accomodate additional services.
The conveniences in the University Health Services are adequate, functional and client friendly. The projection is to have special toilets for the physically challenged by 2012.
Water Supply and Electricity:
The University Health Service water supply has been regular since the construction of a borehole four years ago. The borehole is powered by PHCN when available but early in the year 2011, UHS took the delivery of a standby generating set as an alternate power supply. The major challenge is the running cost (diesel). The water-tap outlets located outside the hospital provide water for residents, some students and staff of the University community.
Personnel: UHS depends on people both as patients and providers. Students receive basic health care from experienced and caring staff, the UHS staff includes.
Eleven board-certified Medical officers with bias in fields like Family Medicine, Community Medicine, General Practice and Managerial Psychology. There are 25 registered Nurses. The Nurses have at least 10 years clinical care experience and have double qualification (General nursing and midwifery). The number of clinical staff increased over the years to meet the growing student population. The Doctors and Nurses work with other clinical staff- the UHS has 6 laboratory Technologists, 4 Council-registered Pharmacists, 2 board registered Physical Therapists and 2 qualified Optometrists. The backup team consists of 2 registered Medical Social Workers, 4 Health Information Officers and Public Health Educators. An Assistant Chief Health Officer oversees the Environmental Health unit of the health services.
Includes administrative officers, orderlies, porters and ambulance drivers. The demand for care has increased in the last decade due to increased awareness, a fall out of the primary health care education campaign activities and the need to take health to the doorsteps of clients (accessibility) in an acceptable way. This has placed an additional work-load on the already over-burdened personnel. The University responded to this challenge by increasing the staff strength. The U.H.S has a low turn over of health personnel, this allows for adequate and long term plan for staff training and development. Staff recruitment over the last two years had been strong, thorough, competitive with the UHS attracting caring and experienced student friendly staff.
Staff orientation is conducted with special emphasis on quality and safety. Members are trained to promptly respond to the needs of students/ clients.
Over the years, the laboratory has been well equipped. The pharmacy is now well stocked since the U.H.S introduced and operated a “no out of stock policy”. The Pharmacy adheres strictly to the NHIS Essential Drug List.
The UHS is into a public- private partnership with a firm that provides radiological services. The projection is for the university to own an x-ray machine [next capital project by 2013].
There are 3 well equipped bus-ambulances used for evacuation/ referral of clients/patients to UCH (tertiary hospital), medical outreaches, home and office follow-up visits. One of the ambulances shuttles the Faculty heath-posts and the Health centre [including the health post at the distance learning centre in Morohundiya]. The ambulances and health personnel are also stationed at the venues of sporting activities.
In the last few years, the community has grown more in population and desires. The range and depth of information available on the internet has turned members- students inclusive to knowledgeable and discerning consumers. The UHS remains committed to responding to the health needs of members/students. The conventional wisdom is that the demand for services comes from within not from without. In addition to a compulsory medical screening of students, the U.HS now offers the following services:
General out patient clinic (8: 30 am to 4:00pm]Monday to Friday excluding public holidays) by appointment or walk-in.
Emergency / Urgent care : 24- hour service.
- Mental Health Clinic:- With a Visiting Psychiatrist Wednesday[ 8:30am to 4:00pm.]
- Surgical out-patient /orthopedic clinic with a Visiting Orthopedic Surgeon Tuesday [12noon – 3:00pm]
- Dental Clinic and Diabetic Clinic, are scheduled to take off in January 2012, the Visiting Consultants have been nominated.
In-patient care:- 20 bed ward, the male and female wings are well demarcated.
Public Health Services:-Immunization, Infant and maternal clinics, Family Planning Services, Control of Infectious and Communicable Diseases -in partnership with the Damien Foundation and Public Health Visits to Faculties (Health posts).
Laboratory Services:- Basic Laboratory services for primary and secondary levels of care.
Medical Social Works Services : For counseling,student support, situational crisis management,referrals, home visits , issues of sex and sexualities.
Visual Care:- UHS provides visual care, free medical eye screening, refractive errors correction through the prescription of glasses and first- aid treatment of eye emergencies
Data Management/Health Records Services:- Quarterly health reports are forwarded to management reflecting hospital attendance /Utilization Records in the OPD, various Health posts including the Sports Clinic admission/discharge records. Disease pattern and suggestions / interventions are also included in the report.
Pharmaceutical Services for drug prescriptions and counseling
Environmental Health Services; the unit handles pests/rodents control by fumigating the various halls of residence just before the commencement of each session. The projection is to fumigate the various halls atleast twice a year .The unit manages the various septic tanks (evacuation of septic tanks] The management of refuse is currently out-sourced while the unit provides an over-sight function.
The Environmental Heath Unit in conjunction with the Public Health Matrons visit periodically and on-the-spot assesment of eatries and cafeteria in the various halls They are also involved in the screening and training [certification]of food handlers.
Physical Therapy:- both at primary and secondary levels of care to students including Sport injuries.
Electronic services-Management introduced e- Service in the UHS early in the year. Members of staff are currently being trained, hopefully when fully operational , it would reduce waiting period ,enhance services and data management.
Ambulance services: 24hours
Without losing sight of the commitment to the health needs of students ,
To what extent is UHS delivering quality health services in a competitive and ever developing world? Evaluation of the UHS depends on some factors including the quality of the labour force, services rendered and physical facilities available.
- The UHS now records
- Increased utilization of the facility
- Reduced number of referral
- Reduced waiting time (Average waiting time during peak period is 30minutes)
- Reduced absenteeism
- Short hospital stay which is also a reflection of accuracy in diagnosis and promptness in treatment
- Wider coverage of ailments (increased services)
- Control of communicable diseases, no recorded incidence of epidemic in the last decade
- Postive feedback from students.
It is imperative to state that the success story is attributed to the adequate funding of the UHS.
Medical Fees: Student health is presently funded from medical fees paid by students services to students including drugs.
University Vote: The vote makes up for short-falls from the students fees. Bills of emergency referrals to UCH are also settled from this vote.
The projection for the 2011/2012 session is to commence the Tertiary Institutions Social Health Insurance programme. The University in collaboraton with the Health Maintenance Organizations have commenced sensitization / enlightment programmes with the major stakeholder -the students.
The UHS is building day by day as we continue to partner our students
Dr O.O Akingbola