Borno State Primary Health Care Development Agency (BOSPHCDA) and the Additional Financing- Nigeria State Health Investment Project (AF-NSHIP), a World Bank assisted Project has organized another weeklong Training on Health Care Waste Management (HCWM), Essential Drugs Management (EDM) and Financial Management (FM) for Focal Persons and Supervisors in newly contracted General Hospitals, Primary Health Care  (PHC) facilities drawn from Five (5) Local Government Areas (LGAs) and additional Health facilities in 10 already existing Local Government Areas for 3rd scale -up in the state.

Recalled that, on 12th March, 2019, Health workers from already contracted health facilities in Pilot Local Government Areas (LGAs) of Maiduguri and Jere, as well as 1st scale -up LGAs which comprised of Biu, Kaga, Magumeri and Askira Uba, in addition to Hawul, Shani, Bayo and Kwaya Kusar that formed part of the 2nd scale-up were all trained by the project on HCWM, EDM and FM to strengthen the health system in the state.

Interestingly, the Project Implementation Unit (PIU) had to embark on 3rd scale- up based on its 2019 Workplan, where additional five (5) LGAs of Gubio, Konduga, Mafa, Chibok and Damboa Health Facilities in each accessible wards were contracted for Performance Based Financing (PBF).

This training also has Focal Persons and Supervisors in additional Health Facilities newly contracted in other 10 LGAs already benefiting from the project.

The training exercise which is in different batches commenced on Monday 25th November, 2019 simultaneously in Maiduguri for the central and northern zones, while Gombe state as venue was chosen specifically for its proximity to health workers from Southern Zone.

In Maiduguri, a total of 123 participants for HCWM, 74 for EDM and 77 for FM were drawn from 3rd Scale -Up LGAs of Gubio, Mafa and Konduga, including other Health Workers in already contracted Health Facilities from Maiduguri Metropolitan Council (MMC), and Jere with several Facilitators, while 163 participants on HCWM, 106 for EDM and 108 for FM were from Chibok, Damboa, Askira Uba, Shani, Biu, Bayo, Hawul and Kwaya Kusar LGAs.

Declaring the Workshop opened, the Executive Director of BOSPHCDA, Dr. Sule Meleh, represented by the Training Leads and Facilitators in Maiduguri and Gombe, Mallam Yerwama Tijjani, Dr. Nji Valery Che, Technical Assistant Borno/Yobe, National Focal Person, Peter Adamu, Technical Assistant State, Auwal Ahmed, Contract Management Verification Agent (CMVA) Belldome Consult, Dr. Lucky Audu among others thanked the Executive Director, Dr. meleh and the State Coordinator of Project Implementation Unit (PIU), Mrs. Habiba Saidu for giving them the opportunity and support towards organizing successful training programmes simultaneously in the two states.

National Focal Person, Mr. Peter Adamu in an interview on HCWM said, sustainable management of Healthcare Waste (HCW) has continued to generate increasing public concern due to the health problems associated with exposure of human beings, clients or animals to potentially hazardous waste arising from healthcare, hence, the need to train all stakeholders on appropriate ways of disposing waste in the society.

 Dr. Che noted that, a study conducted on Waste management practices conducted during the preparation of the Nigeria: HIV/AIDs Medical Waste Management Plan (2008) revealed that systems for Health Care Waste Management (HCWM) are poorly developed at the Health Facility level due to lack of Waste generation Data, inadequate waste treatment and  disposal, lack of code of conduct and technical guidelines for proper waste management, resulting in poor practices at facilities, dumpsites and inadequate knowledge among health workers and community members.

To this end, he said, the motive of organising the training on waste management by Borno AF-NSHIP is to address these challenges in accordance with Performance Bases Financing (PBF) approaches and guidelines.

The Training Lead, Mallam Tijjani therefore urged all participants to use the opportunity to be derived in the weeklong training to ensure clean and safety environment in health facilities and communities for healthy living.

The State Technical Assistant of PBF, Auwal also said, uncontrolled discharges of sewage from healthcare facilities, inadequate incineration or incineration of unsuitable materials which results in the release of pollutants into the air are potential sources of infection.

PIU/ PBF Data Manager, Victor Adeyemi said, the exercise will also contribute in Data management on HCWM, as all Data’s relating to it would be uploaded for research and documentation.

The participants include; HCWM Focal Persons, Certified Supervisors, Medical Directors, Chief Nursing Officers, PHC Facility Managers, Chief of Pharmacists, Head of Laboratories, Lab Scientists/Technicians, Accident and Emergency, Infection Control Officers, Radiologists, Senior Nursing Officers and HCWM Focal Persons.

Most of the participants in an interview expressed gratitude for organizers of the training, which they pledged to utilize and make proper use of the knowledge derived from the training and impact positively on the lives of clients in the state. End

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