HEALTH PRESENTATION PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPP

ANNUAL PRESENTATION

1. THE SALVATION ARMY CLINIC, AKIM WENCHI END OF YEAR 2023 PERFORMANCE REVIEW

2. PRESENTATION OUTLINE 1. KEY ISSUES 2. FACILITY PROFILE 3. STAFF STRENGTH 4. FACILITY PERFORMANCE 5. GENERAL BEST PRACTICES 6. GENERAL ACHIEVEMENTS 7. CHALLENGES/CONSTRAINTS 8. WAY FOWARD

3. KEY ISSUES INTERVENTIONS Lack of proper and befitting OPD facility Liaising with the THQ to help build a befitting OPD facility Liaising with benevolent organizations to come to the facility aid for the construction of the OPD Inadequate Office space Appealing with the THQ to continues support in completing the office project. Mobilizing Internal Generated funds to help support the project No proper toilet facility Facility Putting up an ultra modern toilet facility Key Issues and Priority Interventions

4. AGE GROUPS 2021 2022 2023 TOTAL POPULATION 8085 6764 6911 WOMEN IN THEIR FERTILE AGE (WIFA) 1940 1623 1659 EXPECTED PREGNANCY 323 271 276 CHN 0- 11 MTHS 323 271 276 CHN 12- 23 323 271 276 CHN 24- 59 MTHS 849 710 726 FACILITY PROFILE DISTRIBUTION OF POPULATION BY AGE GROUPS

5. INDICATORS 2023 NO. OF COMMUNITIES 8 NO. OF ACTIVE COMMUNITY BASED VOLUNTEERS NO. OF FACILITIES 1 NO OF BEDS 34 NO. OF OUTREACH POINTS 10 FACILITY PROFILE CONT

6. DR/NURSE - TO - PATIENT 2021 2022 2023 DR 1:2,559 1:3,025 1:3,025 NURSE 1:138 1:163 1:163

7. BCG FACILITY/CHPS ZONE 2021 TARGET – 323 2022 TARGET - 271 2023 TARGET - 276 NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES WENCHI CLINIC 275 85.1 262 97.0 243 88.0 TREND OF IMMUNIZATION

8. TREND OF IMMUNIZATION MEASLE RUBELLA 2/MEN A FACILITY/CHPS ZONE 2021 TARGET - 323 2022 TARGET - 271 2023 TARGET -276 NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES WENCHI CLINIC 235 73.0 280 103.0 233 84.0

9. TREND OF IMMUNIZATION OPV1/PENTA1/PCV1/ROTA1 FACILITY/CHPS ZONE 2021 TARGET - 323 2022 TARGET - 271 2023 TARGET - 276 NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES SALVATION ARMY CLINIC 249 77.1 273 101.0 168 61.0

10. TREND OF IMMUNIZATION OPV3/PENTA3/PCV3 FACILITY/CHPS ZONE 2021 TARGET - 323 2022 TARGET - 271 2023 TARGET -276 NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES SALVATION ARMY CLINIC 291 90.1 291 107.0 209 76.0

11. TREND OF IMMUNIZATION MEASLES RUBELLA1/ YELLOW FEVER FACILITY/CHPS ZONE 2021 TARGET - 323 2022 TARGET - 271 2023 TARGET - 276 NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES SALVATION ARMY CLINIC 272 84.0 267 99.0 257 93.0

12. TREND OF IMMUNIZATION TD2+ FACILITY/CHPS ZONE 2021 TARGET - 323 2022 TARGET - 271 2023 TARGET - 276 NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES NUMBER IMMUNIZED % COVERAGES SALVATION ARMY CLINIC 132 41.0 137 51.0 121 44.0

13. DROP OUT RATES

14. FACILITY New Acceptors Continuing Acceptors TOTAL COVERAGE CYP 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 SALVATION ARMY CLINIC 129 186 163 189 116 221 318 302 384 526 821 1023 FAMILY PLANING SERVICES 2021 -2023

15. TREND OF FP COVERAGE FROM 2020-2022

16. FACILITY ANC Registrants Supervised Delivery PNC Registrants TBA DELIVERY 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 SALVATION ARMY CLINIC 162 161 130 114 93 111 114 93 111 TREND OF SAFE MOTHERHOOD INDICATORS TARGET FOR 2020-2022 -

17. TREND OF ANC REGISTRANTS AGAINST DELIVERIES FROM 2020-2022

18. FACILITY Teenage Pregnancy 2021 2022 2023 SALVATION ARMY CLINIC 17 24 20 TREND OF TEENAGE PREGNANCIES

19. TREND OF TEENAGE PREGNANCIES BY FACILITIES

20. FACILITY/CHPS ZONE ANC REGISTRANS NUMBER TESTED NUMBER POSITIVE NUMBER ON TREATMENT 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 SALVATION ARMY CLINIC 162 161 130 147 161 130 1 2 1 2 EMTCT

21. ANC REGISTRANTS AGAINST EMCT FROM 2021-2023

22. FACILITY TOTAL COUNSELLED NUMBER TESTED NUMBER POSITIVE 2021 2022 2023 2021 2022 2023 2021 2022 2023 WENCHI SAHC 320 486 522 320 486 522 2 3 6 HTC testing from 2021-2023

23. HTC TREND FOR 2021-2023

24. FACILITY IPT 1 IPT 2 IPT 3  IPT4  IPT5 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 SALVATION ARMY CLINIC 93 145 143 65 111 148 55 107 124 25 63 98 8 44 65 IPT PERFORMANCE- 2021-2023

25. USING IPT3 AS PROXY FROM 2021-2023

26. FACILITY/CHPS ZONE VIRAL HAEMORRHAGIC YELLOW FEVER POLIOMYLITIS MEASLES CHOLERA 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 2021 2022 2023 SALVATION ARMY CLINIC EPIDEMIC PRONE DISEASES- 2021 -2023

27. TB CASES DETECTION 2021-2023 FACILITY YEAR NUMBER SCREENED NUMBER OF CASES SUSPECTED NUMBER POSITIVE NUMBER TREATED SALVATION ARMY CLINIC 2021 240 17 4 4 2022 489 47 5 4 2023 788 28 4 4

28. TREND OF TB CASE DETECTION

29. CLINICAL CARE PERFORMANCE FOR 2021-2023 COMPARED-OPD ATTENDANCE FACILITY OPD ATTENDANCE 2021 2022 2023 SALVATION ARMY CLINIC TOTAL INSURED NON-INSURED TOTAL INSURED NON-INSURED TOTAL INSURED NON-INSURED 5118 4382 736 6051 5238 813 6511 5341 1170 OPD / CAPITAL 0.6 0.8 0.9

30. TREND OF OPD ATTENDANCE 2021-2023

31. MALARIA 2021-2023 Indicator 2021 2022 2023 Total Malaria cases seen 2000 2495 2508 Malaria cases tested positive Under 5 387 549 519 Malaria cases tested positive above 5 1613 1946 1989 Malaria cases in Pregnancy 1 42 33

32. TREND OF MALRIA CASES FROM 2021-2023

33. TOP 10 OPD CASES TREND FROM 2021-2023 2021 2022 2023 NO DISEASE CASES DISEASE CASES DISEASE CASES 1 MALARIA 2000 MALARIA 2495 MALARIA 2508 2 URT1 701 URTI 987 RHEUMATISM & OJP 1341 3 UTI 654 UTI 670 URTI 1205 4 RHEUMATISM & OJP 450 RHEUMATISM & OJP 535 UTI 747 5 ANAEMIA 410 ANAEMIA 502 DIARRHOEA DISEASE 555 6 TYPHOID FEVER 346 DIARRHOEA DISEASE 347 TYPHOID FEVER 364 7 DIARRHOEA DISEASE 256 TYPHOID FEVER 184 ANAEMIA 265 8 HOME INJURIES 167 SKIN DISEASE 163 SKIN DISEASE 212 9 SKIN DISEASES 87 HOME INJURY 105 HOME INJURY 149 10 INTESTINAL WORM INF. 57 INTESTINAL WORM INF 61 INTESTINAL WORM INF 97

34. FINANCIAL REPORTS

35. FINANCIAL PERFORMANCE FOR THE ENDED 2023       GH¢ GH¢     ITEM ACTUAL   BUDGETED % Change INCOME         NON-INSUED         Drugs/ Pharmacy 150,846.50       Laboratory 53,729.00       Maternity 10,390.00       Bread for the World 18,050.00       Family Planning 564.00       Other Income 9,306.00         20,000.00 262,885.50     INSURED         NHIS   337,961.91               TOTAL INCOME   600,847.41              

36. EXPENDITURE         EMOLUMENT/REMUNERATION         Salaries/wages 77,810.00       Allowances -       Bonus - 77,810.00     other exp         GOODS /SERVICES         Drugs purchased 322,530.40       other exp - 322,530.40     ADMINISTRATION         Maintenance/Repairs 1,600.00       Office Exp 34,164.00       Transpportation 14,665.00       Tithe and Assessment 62,571.00       SSNIT and GRA 5,823.24       Light and Gas 637.00       Fuel 10,608.00       Bread for the World 18,050.00       Bank Charges 371.89       Other Expenses 517.00       Sundry Expenses 37,817.26         - 186,824.39     TOTAL OPERATING EXPENDITURE   587,164.79     OPERATING SURPLUS /(DEFICIT)   13,682.62     INVESTMENT (CAPEX)         Computers purchased -       Office Equip't purchased 3,000.00       Furniture purchased 2,400.00       other exp 3,757.27 9,157.27     TOTAL EXPENSES   596,322.06    

37. RECEIVABLE SCHEDULE FROM 2021 TO-DATE CUSTOMER Claim Month Claims Submitted Date Payment Date Outstanding NHIS JAN 19,664.83 23/02/2021 18026.22 16/06/2021 1,638.61   FEB 16,553.29   16,261.27   292.02   MAR 10,576.10   8,974.92   1,601.18   APR 12,347.71   10,967.47   1,380.24   MAY 14,676.60   13,759.48   917.12   JUN 13,297.93   12,050.54   1,247.39   JUL 13,417.70   11,313.64   2,104.06   AUG 13,509.76   11,930.69   1,579.07   SEP 11,901.51   11,243.12   658.39   OCT 15,775.71   14,262.31   1,513.40   NOV 13,435.31   12,624.11   811.20   DEC 14,239.12   -   14,239.12   JAN 8,551.37   7,990.84   560.53   FEB 21,004.79   20,140.24   864.55   MAR 21,546.07   18,326.44   3,219.63   APR 12,087.87   10,774.53   1,313.34   MAY 26,064.17   21,879.48   4,184.69   JUN 20,196.30   24,600.34   (4,404.04)   JUL 27,739.93   24,209.08   3,530.85   AUG 32,147.87   28,603.10   3,544.77

38.   SEP 36,521.54   32,472.43   4,049.11   OCT 37,691.84   24,600.34   13,091.50   NOV 23,923.38   22,594.71   1,328.67   DEC 23,124.16   22,247.74   876.42   JAN 21,121.61 09-Feb-23 19,377.02   1,744.59   FEB 22,784.52 30-Mar-23 20,682.51   2,102.01   MAR 36,189.70 29-Apr-23 32,472.43   3,717.27   APR 34,584.81 24-Jun-23 28,023.73   6,561.08   MAY 32,586.02 24-Jun-23 28,894.86   3,691.16   JUN 29,186.09 30-Jul-23 -   29,186.09   JUL 25,588.54 27-Aug-23 22,808.78   2,779.76   AUG 27,027.43 30-Sep-23 23,113.80   3,913.63   SEP 28,412.80 13-Nov-23     28,412.80   OCT 25,358.99 20-Nov-23     25,358.99   NOV 30,328.41 22-Dec-23     30,328.41   DEC 27,420.26 25-Jan-24     27,420.26   T OT A L 800,584.04   557,199.95   225,357.87              

39. Follow up on clients during referrals to ensure they have reached the facility and are doing well Giving incentives like milo drink with biscuits and provision of water to mothers and pregnant women after delivery and during ANC. Encouraging and reminding clients to renew their NHIS cards whenever they expired Regular home visits to pregnant women and mothers GENERAL BEST PRACTICES

40. Construction of ultra modern toilet and bathroom facility for both staff and patient Consistent and timely submission of reports Increased in critical staff GENERAL ACHIEVEMENTS

41. Lack of Infrastructure Inadequate space for patient records keeping Lack of proper toilet facility for both patent and staff Inadequate office space CHALLENGES / CONSTRAINTS

42. Looking forward for the completion of the Public Health Unit/stores and the washroom facility with the help of THQ and other benevolent individuals Organizing refresher training for staff Learning new ways of doings things to improve on performance Lobby with the THQ to help with additional critical staff whenever postings are done Looking forward to the introduction of HAMS in the facility, WAY FORWARD FOR 2023

43. GALLERY

44. GALLERY CONTINUE

45. Appreciation The staff for the immense hard work To the THQ and DHA for the continuous support when the need arises To ROFLO for the immense donation towards the washroom project The Salvation Army Church women's wing for the West Akim Division

46. THANK YOU GRACIAS