2023 Annual Performance Review Nyamebekyere Sub Dist.pptx

Annual Performance Review

1. NYAMEBEKYERE SUB MUNICIPAL 2023 ANNUAL PERFORMANCE REVIEW MEETING IN-HOUSE Venue: Municipal Health Directorate Conference Room DATE: 21 ST FEBRUARY 2024 Compiled by: Sub Municipal Health Management Team Presented by: Emmanuel bonnah

2. OUTLINE OF PRESENTATION Sub Municipal Profile Vision Strategic Objectives of GHS Objectives of the Sub Municipal Main Priorities for 2023 Key achievements/non-achievements Performance Indicators Best practices/ Innovations Key Challenges Way forward for 2024

3. Sub Municipal Profile 2023 Sub Municipal Population – 8611 (6%) No. of communities – 10 No. of Health Facilities – 2 No. of outreach points – 10 No. of trained TBAs – 4 No. of untrained TBAs - 4 No. of CBSV – 10 Hard-to-reach communities – 2 CHPS Zones - 7

4. Staff Strength 2023 Physician Assistants – 1 Midwives – 4 Community Health Nurses – 2 Enrolled Nurses – 9 Professional Nurses-1 Number of Chemical Seller – 2

5. Vision To improve the health status of the people of Nyamebekyere Sub Municipal.

6. STRATEGIC OBJECTIVES OF GHS Universal Access to Better and Efficiently Managed Quality Healthcare Services Reduce Avoidable Maternal, Adolescent and Child Deaths and Disabilities Increase Access to Responsive Clinical and Public Health Emergency Services

7. Objectives 2023 To increase acceptors for both long and short-term family planning methods To increase antenatal coverage To Provide twenty-four (24) hours of service to OPD clients To increase immunization coverage To intensify education on family planning

8. Main Priorities Reproductive and child health Intensify health education, especially on Cholera, personal hygiene, etc Community – Institutional – Based Surveillance Community–Based Growth Promotion

9. ACHIEVEMENTS 2023 Per capita Out Patient Department (OPD) attendance increased from 0.59 (2022) to 0.72 (2023) Percentage of pregnant women anaemic at 36weeks decreased from 57.6 % (2022) to 46.0% (2023) Proportion of children under five who were measured to assess stunting increased from 3.1% (2022) to 10.1% (2023) Proportion of children under 5 who are underweight decreased from 3.3% (2022) to 0.45% (2023) Proportion of mothers receiving postnatal care (PNC) within 48 hours from birth increased from 97.2% (2022) to 99.2% (2023) No maternal death, Neonatal death or stillbirth was recorded

10. NON-ACHIEVEMENTS 2023 Total estimated protection by contraceptive methods supplied(CYP) decreased from 395.8 (2022) to 263.9 (2023) Proportion of mothers who made at least four ANC visits decreased from 81.3% (2022) to 64.4% (2023 ) IPTp3 Coverage decreased from 57.4% (2022) to 49.8% (2023) Proportion of deliveries attended by trained health workers decreased from 50.7% (2022) to 35.7 % (2023) Percentage of Children 6-59 months receiving Routine Vitamin A decreased from 176.4% (2022) to 138.0% (2023) Percentage of ANC Registrants within the first trimester decreased from 43.8% (2022) to 39.3% (2023) Malaria incidence rate increased from 520.5 (2022) to 581.5 (2023)

11. PERFORMANCE INDICATORS 2021-2023

12. No. OBJECTIVE/INDICATOR – 1/2 2021 2022 2023 Target 2023 Colour Code 1 Universal Access to Better and Efficiently Managed Quality Healthcare Services 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 1.1 Family Planning Acceptor rate 23.5 15.9 40% 16.6 -1 1.2 Total estimated protection by contraceptive methods supplied (Couple Year Protection (CYP)) 328.1 395.8 198.06 263.9 1.3 Proportion of deliveries attended by trained health workers 38.1 50.7 65% 35.7 -1 1.4 Proportion of mothers receiving postnatal care (PNC) within 48 hours from birth 98.5 97.2 90% 99.2 2 1.5 Proportion of mothers who made at least four ANC visits 51.9 81.3 85% 64.4 -1 1.6 Proportion of children due for Measles-Rubella 2 receiving LLIN 74.1 97.5 90% 92.4 1 1.7 Percentage of Babies breastfeeding within 1 hour after delivery 103 100 95% 100 2

13. No. OBJECTIVE/INDICATOR – 2/2 2021 2022 2023 Target 2023 Colour Code 1 Universal Access to Better and Efficiently Managed Quality Healthcare Services 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 1.8 Physician Assistant to Population ratio 1:8434  1:15000 1:8611 2 1.9 Nurse to Sub Mun. Population ratio 1:918 1:843 450 1:718 1 1.10 Midwife to Women in Fertility Age (WIFA) Sub Mun. Population ratio 1:992 1:506 700 1:516 2 1.11 Proportion of functional Community Health Planning and Services (CHPS) zones 100 100 80% 100 2 1.12 Per capita Out-patient Department (OPD) attendance 0.62 0.59 1.20 0.72 1

14. No. OBJECTIVE/INDICATOR – 1/2 2021 2022 2023 Target 2023 Colour Code 2 Reduce Avoidable Maternal, Adolescent and Child Deaths and Disabilities 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 2.1 Proportion of children U5 who were measured to assess stunting 4.6 3.1 10% 10.1 2 2.2 Children under five years who are underweight 6.5 3.3 <3.8% 0.45 2 2.3 Percentage of pregnant women anaemic at 36weeks of gestation 46.2 57.6 <35.5% 46.0 1 2.4 Percentage of Children 6-59 months receiving Routine Vitamin A 89.6 176.4 80% 138.0

15. No. OBJECTIVE/INDICATOR – 2/2 2021 2022 2023 Target 2023 Colour Code 2 Reduce Avoidable Maternal, Adolescent and Child Deaths and Disabilities 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 2.5 Institutional Maternal Mortality Ratio per 100,000 <125 /100,000 2 2.6 Percentage of maternal deaths that are audited No maternal death No maternal death 100% No maternal death 2 2.7 Institutional Neonatal Mortality Rate per 1000 <7/1000 2 2.8 Still birth rate per 1000 <11.5 /1000 2

16. No. OBJECTIVE/INDICATOR – 1/2 2021 2022 2023 Target 2023 Colour Code 2 Reduce Avoidable Maternal, Adolescent and Child Deaths and Disabilities 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 2.9 Percentage of ANC Registrants within the first trimester 41.9 43.8 55 % 39.3 -1 2.10 Penta 3 Coverage 112.0 81.5 95% 81.9 2.11 Measles-Rubella 2 Coverage 84.1 70.0 90% 72.6

17. No. OBJECTIVE/INDICATOR – 2/2 2021 2022 2023 Target 2023 Colour Code 3 Increase Access to Responsive Clinical and Public Health Emergency Services 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 3.1 Proportion of suspected malaria cases that were tested for malaria before treatment 100 100 100% 100 2 3.2 Malaria incidence rate 484.9 520.5 <165/ 1000 581.5 -1 3.3 Proportion of pregnant women tested for syphilis 93.5 100 60% 100 2

18. No. OBJECTIVE/INDICATOR – 1/2 2021 2022 2023 Target 2023 Colour Code 3 Increase Access to Responsive Clinical and Public Health Emergency Services 2019 1 ST Half Year 2020 1ST Half Year 2021 1ST Half Year Target 2021 1ST Half Year Perf. 3.4 PMTCT testing coverage rate 100 99.6 85% 75.6 -1 3.5 ART Coverage rate 100 100 95% 100 2 3.6 IPTp3 Coverage 47.1 57.4 60% 49.8 -1

19. TOP TEN OPD CASES – 2021 – 2023 DISEASE /CONDITION 2021 DISEASE /CONDITION 2022 DISEASE /CONDITION 2023 Malaria 3957 Malaria 4303 Malaria 4986 Upper Respiratory Tract Infections 806 Upper Respiratory Tract Infections 698 Upper Respiratory Tract Infections 972 Diarrhoea 799 Diarrhoea 510 Diarrhoea 812 Rheumatism / Other Joint Pains / Arthritis 782 Rheumatism / Other Joint Pains / Arthritis 424 Intestinal Worms 629 Intestinal Worms 583 Intestinal Worms 412 Rheumatism / Other Joint Pains / Arthritis 513 Skin Diseases 211 Skin Diseases 171 Skin Diseases 236 Septiceamia 101 Septicaemia 105 Chicken Pox 119 Chicken Pox 82 Chicken Pox 75 Septicaemia 98 Acute Eye Infections 35 Home Accidents and Injuries 52 Pneumonia 58 Home Accidents and Injuries 24 Home Accidents and Injuries 23 Home Accidents and Injuries 32

20. Best Practices Ensured that all ANC defaulters were traced, and encouraged men to partake in family planning, CWC & ANC After every CWC, defaulters were traced. The growth of school-going children was monitored and the needed care was given

21. Key Challenges Inadequate accommodation for staff Inadequate chairs and shade for clients visiting the facility The facility lacks an incinerator and, as a result, uses an improvised one for burning sharps

22. Way Forward For 2024 To be able to organize an intensive mother to mother support group to help increase both public health & clinical activities To increase our coverage in all aspects of clinical and public health activities of the facility. To Lobby for staff from the Regional Health Directorate through the Municipal Health Directorate

23. THANK YOU FOR YOUR ATTENTION