Attachments
SUMMARY
A Health Resources Availability Monitoring System (HeRAMS) was set up by the Adamawa State Ministry of Health with the support of WHO to collect information on the availability of health resources and services in Adamawa State.
The health system of Adamawa State includes 21 LGAs with 226 wards. The survey was conducted in 1120 health facilities, including one tertiary hospitals, 28 (3%) secondary hospitals, 363 (32%) primary health care centers, 336 (30%) primary health care clinics, 389 (35%) health posts, and three IDP camp clinics. The majority of the health facilities are public-owned and have permanent structures.
Of these facilities, 137 (12%) were completely destroyed, 379 (34%) were partially damaged and 600 (54%) were not damaged.
Of the 379 health facilities that were not fully destroyed, 78 (20%) were fully functional, 240 (63%) were partially functional, and 61 (16%) were non-functional.
About 439 (47%) of the health facilities in Adamawa State are currently being supported by one or more of the 39 health partners responding to the crisis. Not a single one of the non-functional sites have partner support.
The highlights related to the availability of services in the fully/partially functional health facilities are detailed as follows:
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General services: out-patient and primary care services were available in more than 70% of primary health clinics, primary health centres, secondary hospitals and tertiary hospitals.
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Child health: the least available service was essential newborn care (54%) while the most available service was the expanded programme on immunization (77%).
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Communicable diseases: services for the diagnosis and treatment of measles were the most common (70%). In (22%) of the facilities, diagnosis and treatment of Hepatitis B & C and tuberculosis were only (20%) provided.
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STI and HIV/AIDS: services were not normally provided in almost half of health facilities.
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Maternal and newborn health: antenatal care services were available in at least half of the health facilities (55%). Comprehensive obstetric and abortion care were only available in (39%). Normal delivery was at least available in (52%) of health facilities.
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Sexual violence: approximately (37%) all the fully/partially functional health facilities in Adamawa State provide services on sexual transmitted infections.
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Non-communicable diseases: treatment of high blood pressure and cardiovascular diseases were fully available in (46%) of the fully/partially functional health facilities in Adamawa State while mental health services were only fully available in (13%)
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Vital data collection services were fully available in over half of the fully/partially functional health facilities in Adamawa State.
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The major reason for unavailability/partial availability of these services in the health facilities were lack of medical supplies (drugs and consumables) and lack of training of health staff.
The SMOH and WHO are working closely with partners to support the government to deliver essential health services, collect, collate and analyses key health information, and prepare for and respond to disease outbreaks.