1. A SWOT ANALYSIS OF EKSU HEALTH SERVICES AND RECOMMENDATION FOR PROPELLING WEALTH CREATION FOR THE UNIVERSITY BY DR O.P. OMONIYI DIRECTOR OF HEALTH SERVICES.

2. INTRODUCTION SITUATION ANALYSIS  The University health care is based on Primary Health Care that is comprehensive enough to support evidence based medicine. BRIEF HISTORY.  The University Health Centre was opened in 1983 in a room at Oke Aremu, Ado- Ekiti with a doctor and two staff nurses.  It now occupies three blocks (not designed for hospital) on the main campus and two blocks at Ifaki campus with a total office space of 34 rooms housing 98 staff.

3. SERVICE DELIVERY  The Health Services cater for Students, Staff and their dependants mainly but also cater for the surrounding communities especially in cases of emergency.  The services available are; curative health care, preventive health care, provision of essential drugs, essential medical laboratory, x-ray and environmental sanitation/pest control services.  The health centre opens 24 hrs daily and emergency care is available 24 hrs daily.

4.  DEPARTMENTS. There are 8 departments namely;  Clinical, Pharmacy, Medical laboratory,  Health Records, Environmental health,  X-ray, General Administration and Nursing  All these departments are administered by highly trained and skillful professionals.  In-patient admission service is available with eight (8) beds for a potential population of about 30,000 people!!  The Health Centre is registered as a primary provider for the National Health Insurance Programme (NHIS).

5. Preventive Health Care Services. These include:  Family Planning, Immunization, General Counselling,  Environmental sanitation, Pest control/Fumigation services,  Refuse disposal and Nutrition clinic services.

6. Referral System.  Maternity cases are referred to the Ekiti State University Teaching Hospital, Ado-Ekiti.  Medical/ Surgical cases requiring specialist care are usually referred to the Ekiti State University Teaching Hospital or the Federal Teaching Hospital, Ido-Ekiti. Ambulance Service:  Two new ambulances are available, one for the main campus and the other for Ifaki campus.

7. Core Values.  Caring Staff, Dedicated Staff, Disciplined Staff,  Selfless Service, Ethical behaviour, Team work,  Integrity and Accountability, Punctuality and Godliness.

8. Sources Of Funding.  University Subvention,  Student Medical Levy,(N150m-N300m/Session) Internally Generated Revenue.(N20m/annum).

9. INTERNALLY GENERATED REVENUE  Pre-Admission medical screening (N13.5m/session)  Pre-Employment medical screening (N0.15m/session)  X-ray services (N2m/ Session)  Laboratory services (N0.85m/Session)

10. IGR Contd.  Medical consultation and Treatment(N0.9m/session)  Pest control services  National Health Insurance Scheme.(N0.9m/annum)  Creche Services.(N0.258m/annum)  Authentication of medical Reports (N0.15m/session)

11. PLANNED IGR PROGRAMMES.  Expansion of the scope of on-going revenue drives.  Hearse Services.(N1.2m/annum)  Sludge Evacuating Services (N2m/annum)  Refuse Collection and Disposal Services (N0.4m/yr)  Seminal/Workshop for Health Workers expecially Health Assistants and Technicians.(N3m/yr)

12. Expenditure Profile  Salaries and emoluments  Drugs and Dressings  Lab/X-ray/Env. Health/Nursing consumables  Medical/ Lab/ Env. Health /Other equipment

13. Expenditure Profile contd.  Office equipment and Furniture  Cleaning, Linen and Uniforms  General administration expenses and maintenance  Training/ workshop/conferences  Fuelling and Referrals

14. CHALLENGES.  Acute Shortage of Staff  Lack of Medical and Laboratory Equipment  Lack of Office/Hospital Furniture  Shortage of Office Space  Lack of Refuse Van  Delayed completion of Health Records Computerization  Under funding

15. Challenges Contd;  Delay in the Adoption of National Health Insurance Programme  Lack of Incinerators on Campus  Lack of Running Grant to bridge the gap for the replenishment of consumables  Bureaucratic delay in fund release  Lack of Incentive for revenue generation

16. RECOMMENDATIONS TO BOOST REVENUE GENERATION.  Provision of necessary infrastructure;  Office furniture/equipment  Laboratory equipment  Medical diagnostic equipment  Refuse van  Sludge Van  Hearse

17. Recommendation contd.  Staff Recruitment to fill essential vacancies ;  X-ray Technician;  Laboratory Technician;  Medical Doctors;  Nurses;  Ambulance Driver;  Hospital Assistant/Cleaners ;

18. Recommendation Contd.  Signing of memorandum of understanding with the University management to share profit of Health Centre IGR at the ratio:  50% to the University  30% for Health Centre development  20% to the Staff  Provision of running grant  Adoption of National Health Insurance Programme  Provision of a 30 bed Comprehensive Health Centre Complex with facilities for essential obs/surgery/medical interventions.

19. . THANK YOU