02.12.2012 Views

Gate - the The development Research and Projects Centre (dRPC)

Gate - the The development Research and Projects Centre (dRPC)

Gate - the The development Research and Projects Centre (dRPC)

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

"including highly motivated doctors, pharmacists <strong>and</strong> nurses." On <strong>the</strong> o<strong>the</strong>r h<strong>and</strong>, it was admitted<br />

that <strong>the</strong> system has weakness in <strong>the</strong> area of laboratory staff.<br />

<strong>The</strong> general hospitals in <strong>the</strong> outlying Local Area Councils are small, some of <strong>the</strong>m being upgraded<br />

from primary health centers. For example, <strong>the</strong> Abaji general hospital people reported that <strong>the</strong>ir<br />

facility of approximately 40-50 beds was recently upgraded from a Comprehensive Health Center,<br />

<strong>and</strong> <strong>the</strong> construction was not yet complete in December 2004. <strong>The</strong>y still have no laboratory space,<br />

<strong>and</strong> <strong>the</strong> facilities do not yet have <strong>the</strong> capability of providing an HIV/AIDS program.<br />

Some general hospitals in <strong>the</strong> urban area are also recently upgraded <strong>and</strong> exp<strong>and</strong>ed. For example, in<br />

<strong>the</strong> Nyanya general hospital, <strong>the</strong> informant reported that "until five years ago it was a<br />

Primary Health Care Center, <strong>and</strong> facilities are currently being upgraded to <strong>the</strong> status of a<br />

General Hospital." <strong>The</strong> interview team estimated that <strong>the</strong> women <strong>and</strong> children's ward has about 30<br />

to 40 beds, <strong>and</strong> <strong>the</strong>re is a smaller male ward as well as Outpatient Department. Services are mainly<br />

focused on pregnancy <strong>and</strong> childbirth, but <strong>the</strong>y do treat opportunistic infections of HIV persons, STI<br />

cases, as well as offering VCCT.<br />

In <strong>the</strong> rural areas <strong>the</strong> local governmental health services are distributed in "health districts." For<br />

example, <strong>the</strong> Gwagwalada Area Council has four health districts: Gwagwalada (<strong>the</strong> municipal<br />

area), <strong>and</strong> three o<strong>the</strong>rs, <strong>and</strong> each district has two primary health clinics, headed by Community<br />

Health Extension Workers or Community Health Officers. <strong>The</strong>se health centers are quite small, <strong>and</strong><br />

can only h<strong>and</strong>le very minor complaints, so <strong>the</strong>y refer <strong>the</strong> more serious problems to <strong>the</strong> general<br />

hospitals in <strong>the</strong>ir areas.<br />

In addition to <strong>the</strong> General Hospitals of <strong>the</strong> FCT system, informants frequently mentioned <strong>the</strong><br />

governmental Specialist Hospital in Gwagwalada as a facility for HIV/AIDS services.<br />

Private Hospitals <strong>and</strong> o<strong>the</strong>r Facilities<br />

<strong>The</strong> Catholic church organization operates eight hospitals in <strong>the</strong> FCT. <strong>The</strong> most frequently<br />

mentioned by key informants is St. Mary's Hospital in Gwagwalada. Several organizations,<br />

including <strong>the</strong> local governmental people spoke of referring people to St. Mary's Hospital for HIV<br />

18

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!