فصل
-
0:01
all right so if you speak a little bit on the building that should be fine so maybe we'll start with you and then you just probably introduce yourself and so maybe john In 2020 you should have, you should have seen it. Yes, so that's how I …
-
1:43
So, basically, a region corporate salvage and care does, with a service provision, issues about that, getting funding, getting support, challenges, resolution, and all that, I coordinate it, and then, obviously, with my regional public heal…
-
5:51فصل 3: Oh, okay. 67s · Speaker 4
Oh, okay. Feel free to come in. You just say what you want to add based on what you've seen. Okay, that's right. So in the past, people used to hide and do the services. One... The services were not routinely part of the usual services prov…
-
6:58فصل 4: Okay, to add small to it, you know, previously as mentioned, But now it has been integrated to our routine. 65s · Speaker 6
Okay, to add small to it, you know, previously as mentioned, But now it has been integrated to our routine. So everybody can just come in and talk to you and just accept the service as very valuable as you are. And you know, previously you …
-
8:04فصل 5: That's good. 110s · Speaker 1
That's good. So, I wanted to talk a little bit about what we said earlier. So, you probably would know this more. The whole programme obviously was structured around about seven pillars. So we have leadership, we have the service delivery a…
-
9:55فصل 6: Yes, we've not had such challenges now, but in the past, it was being reported. 60s · Speaker 3
Yes, we've not had such challenges now, but in the past, it was being reported. where most people say no, I won't allow you to do the carcass. We've not heard it's been legalized. And they were using the legal aspect to counter, because the…
-
10:59فصل 7: So what has driven that change, you would say? 97s · Speaker 1
So what has driven that change, you would say? Is it just the orientation? There are some sanctions that probably... No, no, so the VCAT orientation. We've done a series of VCAT orientation, value clarification, and that has really impacted…
-
12:36فصل 8: So you want to do something? 60s · Speaker 7
So you want to do something? Yes. One challenge that our leaders were facing was the charges. So we were not having a formal charging of the CAC activities. So the midwife will just sit away and charge whatever they want. And they will not …
-
13:38
I think we'll get to, there's a whole lot of conversation on that challenge because it's something that has come up with all the assessment and in fact they really want to understand what the thinking is now. For example, Is it possible to …
-
17:48فصل 10: Okay. Yeah, so the change is easy access. 287s · Speaker 3
Okay. Yeah, so the change is easy access. How easy is the access? Yes, it's easy because now, chips compound are providing it. So if I'm pregnant and I don't want to keep the pregnancy, the nearest chips compound is provided. As compared to…
-
22:35فصل 11: New people. 70s · Speaker 5
New people. Yes, new people that have been trained. And then sometimes we do the on -job training. So there are some of the providers, when they come for training, they will teach their colleague. So when they are leaving, they don't leave …
-
23:46فصل 12: let me see, how many? 182s · Speaker 7
let me see, how many? It's okay, you can share that, if you have it. The data, yes, I have the data. Okay, good, we would like to have that. All those we have trained. Okay, that's fine, we can leave that then. We don't have controllers. No…
-
26:48فصل 13: stores or facility medical stores. 113s · Speaker 5
stores or facility medical stores. They knew the provider would get it. So that's one challenge. So the issue here is... the provider not requested, not that it's not available at least. Yes, so if you don't request, then it won't be availa…
-
28:41فصل 14: Especially from a provider point of view. 142s · Speaker 7
Especially from a provider point of view. What did the commodity issue come to see? Initially, they were given... It was being given by the agent. I'm talking as a provider. So when the original one finishes, it is very difficult for you to…
-
31:04فصل 15: Yes, so that's a problem. 74s · Speaker 4
Yes, so that's a problem. So, let me use one facility for an example. When they started initially, the providers were keeping their money. And so it got to a point, the managers were like, you know, if you people are going to use saverons, …
-
32:19فصل 16: Yeah, that's fair. 89s · Speaker 1
Yeah, that's fair. So let's see. They provide 10 services. They will call 5. So the last time my support me was like, you see your people there, I'm like, but now we're standing, they are still making sure that now the supplies are for them…
-
33:48فصل 17: Yes, they have not. 101s · Speaker 3
Yes, they have not. propose that because they are because they are technically private essentially is the if you like the implementing way of this program so they have mentioned that but then um you know they just started okay so i think ma…
-
35:30
Yes, and then we've also had DKT training some in the past. The offer daybreak is what we would do. If they say they are coming in for a training, then training is what you would do. If they want to do a VCAT, then a VCAT you would do. So i…
-
37:00فصل 19: That's good. 301s · Speaker 4
That's good. So, I mean, getting... So, I wanted to add, for the awareness creation, last year, we did the community, like she said, the community awareness creation, and then we also did the trainings of the community champions. So, we hav…
-
42:01فصل 20: Has that stopped? 198s · Speaker 1
Has that stopped? So yes, depends on the funding available. In the beginning, we were doing the Vicar orientation. But for a very long time now, we've not received any funding for all sides of ICAT. And so, the ICATs that we do are basicall…
-
45:19فصل 21: Yes, and it won't be illegal. 302s · Speaker 5
Yes, and it won't be illegal. Yeah. Because then the definition of a facility is not for Ghana Health Service. A facility can be... private or government. We don't discriminate. Once it's heffra accredited, it's a facility that we can work …
-
50:22فصل 22: then we are the reason that we can also proceed further. 183s · Speaker 2
then we are the reason that we can also proceed further. Okay. Alright, so let's talk about all the nice things that you have achieved. We've been talking about the difficult ones. What are some of the nice things you have achieved? I mean,…
-
53:25فصل 23: Other one is the access. 231s · Speaker 7
Other one is the access. Now we have easy access. Easy access. And now people are also aware of CAC training. And we have been able to also train a lot of our men and wives for their services. And also, our data has also increased. CAC upda…
-
57:16فصل 24: Yes, it's for PPH. 212s · Speaker 5
Yes, it's for PPH. Yeah, you go there and it's like, you go to maternity. That is what I'm telling you. The district director will not even require, allow you to require for even the original medicals for them to buy. Right. So the mice tha…
-
1:00:49فصل 25: Yeah, so I think the four sides pick up. 52s · Speaker 3
Yeah, so I think the four sides pick up. I think when we did, they did it at the initial stages, and they've not really repeated. So, and you know, actually most of the people who are in 2021 are not the same people here. So it's something …
-
1:01:50
I thought that they have a relationship with you all day so because I thought they would probably some of the procurement plans would be dependent on what you ask them to do yes yes true so I'm not saying that I just wanted to understand th…
-
1:04:09فصل 27: So, at the regional level, I think all diabetes are old. 73s · Speaker 8
So, at the regional level, I think all diabetes are old. The attitude is positive. As to we don't have any of our directors saying I'm not interested in CAC, although we have a constant CAC exam. Right. And you know, for them, irrespective …
-
1:05:22
And I wanted her to respond to that because you have had experience. I think you've left not too long ago. What is your experience? And the people who are still providing, I'm sure you probably have friends. posters and other things in fron…
-
1:06:38فصل 29: very high. 122s · Speaker 6
very high. Including those who you expect them to accept. Right. Because they are thinking about religion. And you are thinking about saving lives. So that is a different thing that we have. So there is a lot of stigma and the attitude towa…
-
1:08:41فصل 30: With respect to the stigma, I think although we've had some initiatives, the events like social support to providers. 178s · Speaker 2
With respect to the stigma, I think although we've had some initiatives, the events like social support to providers. Just before then, maybe let me just, you reminded me of, so I know the... At National, they were trying to form this tax f…
-
1:11:39فصل 31: challenge I have no longer. 144s · Speaker 7
challenge I have no longer. Should I? I just want, let me get your talk on this. Do you know about the preceptor idea? The preceptor site here, yes, it's been good for the site. It was providing what it was supposed to do, as in coaching. t…
-
1:14:04فصل 32: in -service time, we need to also allow those that we are trained to come for in -service training. 238s · Speaker 4
in -service time, we need to also allow those that we are trained to come for in -service training. Okay. So if there is no training as my sister said, and there is no in -service as on -trained, the police will break out. So even those tha…
-
1:18:02فصل 33: give them certification. 87s · Speaker 8
give them certification. So, for our region, it won't be a problem again. But then those who were trained before then, some of them still don't have... Up to now, I'm not having that. And when were you children? Oh, in 18 years. Like, how f…
-
1:19:29فصل 34: Right. Because then, we all know that if you are going for any maternity, you will go there. 82s · Speaker 4
Right. Because then, we all know that if you are going for any maternity, you will go there. So if you come here, then everybody knows you are coming for CAC services. Right. Additionally, the CAC room was so nice that it had air conditioni…
-
1:20:51فصل 35: If you need an accommodation, go buy yours, kind of. 251s · Speaker 7
If you need an accommodation, go buy yours, kind of. But I think that... Where they located some of our receptor sites was a challenge. They didn't really want it to be part of their maternity. That's quite interesting. Yes, they didn't wan…
-
1:25:03
Right. Yes, from the regional level, the district level, the facility level, bringing in the community leaders, the champions, bringing in the legal engagement, and it speaks to me that for any program to be successful, all these stakeholde…
-
1:27:47فصل 37: Yes, so although you said you are going to Vota, which you are putting in in that sense. 100s · Speaker 3
Yes, so although you said you are going to Vota, which you are putting in in that sense. We believe that if locally they are able to generate enough to procure their attempts and to still keep the system running, they won't have so much cha…
-
1:29:27
But the problem is that, I guess the problem then, but the problem is that it could be like you say, if you decide to then charge a lot, or you are operating in other ways that are not like, then that's where the challenge is. So yes, peopl…
-
1:31:08فصل 39: okay, I have malaria, go to the OPD, where is he a doctor? 182s · Speaker 6
okay, I have malaria, go to the OPD, where is he a doctor? What is the thinking around this? So when we come into the CAC, there's a problem system there, it's good to measure it. So they come to the midwives of the CAC and when they are do…
-
1:34:11فصل 40: Do you know what the plan is? 65s · Speaker 4
Do you know what the plan is? So they wanted to synchronize it. Well, when we report on them, the figures will automatically generate on the RS log or something. Okay. Oh, I said RS log to them. To them, but I don't think it's been done. So…
-
1:35:17فصل 41: Like what they have done on the James 2, when you enter it on the CAC4, it's just probably to the Form A. 72s · Speaker 7
Like what they have done on the James 2, when you enter it on the CAC4, it's just probably to the Form A. So you need not to go to the Form A and have any new Chris classes on it. So they can also do that. And I think that would be easier. …
-
1:36:30
Calling me one we've already talked about, or three, any other three. Well, I mean, there could be some of the things, but I want your top three things that you think additional things that we should be doing. I mean, of course, if there ar…
-
1:38:10فصل 43: yes, restructure them and then get them running again. 65s · Speaker 5
yes, restructure them and then get them running again. And then it's a recommendation and they can take it. Any last picks for you? Yes. Me, I'm thinking about making every facility providing the care. Like, if I come to this school, I can …
-
1:39:16فصل 44: Okay. All right. 78s · Speaker 6
Okay. All right. This has gone long for... but this is really good thank you so much yes but yeah because you are in charge I'm gonna need your if you have some activity reports for the last two years and then some of the other data things …
-
1:40:34فصل 45: Okay, so just to find out, in terms of the preceptors, where would you suggest we want to do it? 34s · Speaker 4
Okay, so just to find out, in terms of the preceptors, where would you suggest we want to do it? okay okay so they're not stuck but that's fine um all right so that's that's fine so any questions do you have any questions