1. A 5-YEAR REPORT OF THE HEALTH SERVICES AT THE KOLA-DAISI FOUNDATION PRIMARY HEALTH CARE CENTRE (KDFC) AND CENSUS SURVEY OF KDFC CATCHMENT AREA
O.O Ogunbode*, A.O Adebiyi, O.C Uchendu, S. Ahmed, E.T Owoaje, T.O Alonge.
Department of Community Medicine
University College Hospital, Ibadan, Nigeria.
UK FACULTY OF PUBLIC HEALTH ANNUAL CONFERENCE, TELFORD 2017

2. Outline of Presentation
Background on Primary Health Care (PHC) in Nigeria.
Brief History of KDFC
Census Survey of KDFC Catchment Area (Introduction, Methodology, Summary of Results and Future Steps)
Five-year Report of KDFC programmes and services.
Future Steps
UK Faculty of Public Health Annual Conference, Telford 2017

3. UK Faculty of Public Health Annual Conference, Telford 2017
PHC in Nigeria
Implementation of PHC in Nigeria has been sub-optimal contrary to the expectations at Alma Mata
Evidence exists that less than one third of the PHC facilities in the country are functional
It was against this back-drop of poor performance that the Federal Ministry of Health mandated all tertiary health facilities to adopt at least one primary or secondary health care facility.
UK Faculty of Public Health Annual Conference, Telford 2017

4. UK Faculty of Public Health Annual Conference, Telford 2017
Brief History of KDFC
Public private partnership discussion and concept paper – March
Search for suitable site with full community participation – April 2010.
Memorandum of Understanding – November 2010.
Full commissioning and opening – February 2011.
Tripartite public private partnership.
Major stakeholders are Kola Daisi Foundation, University College Hospital through the Department of Community Medicine and Yemetu community (Ward 3 of Ibadan North Local Government Area)
UK Faculty of Public Health Annual Conference, Telford 2017

5. KDFC Programmes and Services
In-patient clinical services
Out-patient clinical services
Immunization
Antenatal Care (ANC)
Community Health Programmes
Home visit
Environmental Health Work
Demographic, Housing and Health Survey
Training & Research
Resident doctors
Medical students
Nursing students
Midwifery students
UK Faculty of Public Health Annual Conference, Telford 2017

6. Census Survey of KDFC Catchment Area
In order to provide a true model of primary health care service delivery to Yemetu community, de jure census was conducted by my Department.
The goal was to provide baseline data on the demographic and health characteristics of the population served.
The exercise was conducted in two phases: house numbering and survey administration.
De jure : Counting of people who normally reside in an area irrespective of whether they are physically present or not.
De facto : Counting of only those who are physically present in an area within a designated time frame
UK Faculty of Public Health Annual Conference, Telford 2017

7. Census Survey of KDFC Catchment Area II
The steps involved in the methodology were:
Community mobilization
Planning
Mapping
House numbering exercise
De jure census exercise & data management
Dissemination and utilization of report
UK Faculty of Public Health Annual Conference, Telford 2017

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9. Summary of Results of Census Survey
A total of 2663 buildings were numbered during the exercise.
These included 330 non-residential buildings and 2333 residential buildings.
In all 5452 households were listed.
UK Faculty of Public Health Annual Conference, Telford 2017

10. UK Faculty of Public Health Annual Conference, Telford 2017
Summary of Results of Census Survey II Table 1: Socio demographic characteristics of respondents in Ward 3 IBNLG, 2015  
Characteristics
Categories
Frequency (n)
Percentage%
Gender
Male
9181
49.0
Female
9541
51.0
Age group
<18 years
7856
42.0
18-39 years
6423
34.3
40-64 years
3362
18.0
>=65 years
1064
5.7
Marital status
Married or living together
7184
38.5
Divorced/ separated
290
1.6
Widowed
844
4.5
Never married & Never lived together
10360
55.5
Level of Education
Pre-primary/ kindergarten
1752
10.5
Primary
4865
29.3
Secondary/ Technical
7871
47.4
Higher
2116
12.7
Don't know 7 .0
UK Faculty of Public Health Annual Conference, Telford 2017

11. Summary of Results of Census Survey III
The average monthly family income reported by household heads was 20,000.
With respect to housing, the most common type of housing unit was face to face (94%) followed by Bungalow/flat (3%)
The most frequently reported source of cooking fuel was kerosene (93.0%).
Regarding sanitary facilities, 55.8% and 31.3% reported use of pit latrine and water closet respectively.
The most common means of solid waste disposal was by approved dump site (58.7%).
Most residents lived in rented apartments (71.4%)
UK Faculty of Public Health Annual Conference, Telford 2017

12. UK Faculty of Public Health Annual Conference, Telford 2017
Summary of Results of Census Survey IV Table: 2 Prevalence of chronic conditions among respondents in Ward 3 IBNLG, 2015
Yes No
Chronic Condition
Frequency
Percentage
Hypertension
349
1.9
18373
98.1
Diabetes 51
0.3
18671
99.7
Tuberculosis 20
0.1
18702
99.9
Sickle cell anaemia 10
18712
UK Faculty of Public Health Annual Conference, Telford 2017

13. Summary of Results of Census Survey V
Table 3: Prevalence of physical disabilities among respondents in Ward 3 IBNLG, 2015
Disability
Yes No
Frequency
Percentage
Blind in one/ two eyes
311
1.7
18411
98.3
Deaf in one/ two ears 89
0.5
18633
99.5
Dumb/slurred speech 32
0.2
18690
99.8
Problem with movement(use of crutches)
114
0.6
18608
99.4
Problems with mental functioning 22
0.1
18700
99.9
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Future Steps
Longitudinal studies for disease pattern of non-communicable diseases.
Rate of Migration
At risk register
UK Faculty of Public Health Annual Conference, Telford 2017

15. UK Faculty of Public Health Annual Conference, Telford 2017
5-YEAR REPORT OF THE HEALTH SERVICES AT KDFC
UK Faculty of Public Health Annual Conference, Telford 2017

16. Clinic Utilization of new patients
Figure 1: Annual distribution of new patients between 2011 and 2015
UK Faculty of Public Health Annual Conference, Telford 2017

17. Clinic Utilization of out-patient clinic
Figure 2: Annual age and sex distribution of out-patient clinic attendance between 2011 and 2015.
UK Faculty of Public Health Annual Conference, Telford 2017

18. UK Faculty of Public Health Annual Conference, Telford 2017
Admission
Figure 3: Annual distribution of admitted patients between 2011 and October 2015
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19. UK Faculty of Public Health Annual Conference, Telford 2017
Disease Pattern
Figure 4: Graph showing common indications for admission from 2011 to 2015 
UK Faculty of Public Health Annual Conference, Telford 2017

20. Maternal Health Services
Figure 5: Yearly distribution of New ANC attendees and Number of Deliveries
UK Faculty of Public Health Annual Conference, Telford 2017

21. Home visit 2011 2012 2013 2014 2015 Jan 7 2 5 Feb 3 1 Mar 10 6 4 Apr 8
Table 1: Monthly distribution of number of home visits from 2011 to 2015
2011
2012
2013
2014
2015
Jan 7 2 5
Feb 3 1
Mar 10 6 4
Apr 8
May 13
Jun
July 14 9
Aug
Sep
Oct
Nov
Dec
Total 39 63 53 25
Commonest indication for home visit: Childhood malnutrition
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Future Steps
Health related research.
Malaria resistance and Enteric fever studies presently ongoing
UK Faculty of Public Health Annual Conference, Telford 2017

24. UK Faculty of Public Health Annual Conference, Telford 2017
THANK YOU...
UK Faculty of Public Health Annual Conference, Telford 2017