HOD PAEDIATRICS

May 08, 2026 08:24 · 32:37 · English · Whisper Turbo · 3 speakers
ບົດບັນທຶກ​ນີ້​ຈະ​ໝົດ​ອາຍຸ​ໃນ 27 ມື້ ປັບປຸງ​ໃຫ້​ເປັນ​ບ່ອນ​ເກັບ​ທີ່​ບໍ່​ປ່ຽນແປງ →
Lecture Index
ສະແດງ​ແຕ່
0:00
S… Speaker 1 (HOD PAEDIATRICS)
Good morning,
0:02
S… Speaker 1 (HOD PAEDIATRICS)
ma. Thank you for your time.
0:04
S… Speaker 1 (HOD PAEDIATRICS)
We are conducting the interview as part of the stakeholder
0:08
S… Speaker 1 (HOD PAEDIATRICS)
engagement process for the development of the strategic plan of University
0:13
S… Speaker 1 (HOD PAEDIATRICS)
of Patakot Teaching Hospital from 2026 to 2030.
0:16
S… Speaker 1 (HOD PAEDIATRICS)
The discussion will take about 15 to 20 minutes,
0:20
S… Speaker 1 (HOD PAEDIATRICS)
ma, and we will focus on your perspectives
0:25
S… Speaker 1 (HOD PAEDIATRICS)
on key priorities for improving the hospital.
0:29
S… Speaker 1 (HOD PAEDIATRICS)
Your participation is entirely voluntary and you may choose
0:33
S… Speaker 1 (HOD PAEDIATRICS)
not to answer any question or stop at any time.
0:37
S… Speaker 1 (HOD PAEDIATRICS)
The information you provide will be kept confidential
0:41
S… Speaker 1 (HOD PAEDIATRICS)
and used only for strategic planning purposes.
0:45
S… Speaker 1 (HOD PAEDIATRICS)
Please,
0:46
S… Speaker 1 (HOD PAEDIATRICS)
ma, can we know your name and your
0:51
S… Speaker 1 (HOD PAEDIATRICS)
role, ma?
0:51
S… Speaker 3 (HOD PAEDIATRICS)
Okay,
0:52
S… Speaker 2 (HOD PAEDIATRICS)
I'm Professor Yagoidi.
0:54
S… Speaker 2 (HOD PAEDIATRICS)
I'm currently acting.
0:58
S… Speaker 2 (HOD PAEDIATRICS)
for Professor Paul,
0:59
S… Speaker 2 (HOD PAEDIATRICS)
who is the head of the Department of Pediatrics.
1:01
S… Speaker 1 (HOD PAEDIATRICS)
Thank you,
1:03
S… Speaker 1 (HOD PAEDIATRICS)
ma. So with your permission,
1:04
S… Speaker 1 (HOD PAEDIATRICS)
I would like to take notes and audio record this session
1:08
S… Speaker 1 (HOD PAEDIATRICS)
for accuracy.
1:09
S… Speaker 1 (HOD PAEDIATRICS)
Do I have your consent to take notes?
1:12
S… Speaker 3 (HOD PAEDIATRICS)
You can go ahead.
1:15
S… Speaker 1 (HOD PAEDIATRICS)
Thank you,
1:15
S… Speaker 1 (HOD PAEDIATRICS)
ma. And do I have your consent to audio record this session,
1:19
S… Speaker 3 (HOD PAEDIATRICS)
ma? You can go ahead.
1:21
S… Speaker 1 (HOD PAEDIATRICS)
Thank you very much,
1:22
S… Speaker 1 (HOD PAEDIATRICS)
ma. So...
1:24
S… Speaker 1 (HOD PAEDIATRICS)
As I've said earlier,
1:25
S… Speaker 1 (HOD PAEDIATRICS)
the purpose is to obtain strategic insights from clinical leaders
1:30
S… Speaker 1 (HOD PAEDIATRICS)
to inform priorities for service delivery,
1:33
S… Speaker 1 (HOD PAEDIATRICS)
workforce,
1:34
S… Speaker 1 (HOD PAEDIATRICS)
infrastructure,
1:35
S… Speaker 1 (HOD PAEDIATRICS)
patient care,
1:36
S… Speaker 1 (HOD PAEDIATRICS)
and training within the University of Potter Court Teaching Hospital Strategic
1:41
S… Speaker 1 (HOD PAEDIATRICS)
Plan from 2026 to 2030.
1:44
S… Speaker 1 (HOD PAEDIATRICS)
So,
1:46
S… Speaker 1 (HOD PAEDIATRICS)
for Section 1.
1:50
S… Speaker 1 (HOD PAEDIATRICS)
It's under service delivery.
1:51
S… Speaker 1 (HOD PAEDIATRICS)
What are your major bottlenecks affecting clinical service delivery
1:56
S… Speaker 1 (HOD PAEDIATRICS)
in your department or in your unit,
1:58
S… Speaker 3 (HOD PAEDIATRICS)
Ma? To start with,
2:02
S… Speaker 2 (HOD PAEDIATRICS)
if we can compartmentalize them.
2:04
S… Speaker 2 (HOD PAEDIATRICS)
We have the human aspect staffing.
2:08
S… Speaker 2 (HOD PAEDIATRICS)
We don't have enough resident doctors
2:12
S… Speaker 2 (HOD PAEDIATRICS)
working in the department.
2:14
S… Speaker 2 (HOD PAEDIATRICS)
So that makes road stream them.
2:18
S… Speaker 2 (HOD PAEDIATRICS)
difficult and then you know like the different colleges the West African College
2:22
S… Speaker 2 (HOD PAEDIATRICS)
the National Prodigitalist Medical College they have
2:27
S… Speaker 2 (HOD PAEDIATRICS)
curriculum that the residents must go through so for
2:31
S… Speaker 2 (HOD PAEDIATRICS)
example they may say community pediatrics you should do a
2:35
S… Speaker 2 (HOD PAEDIATRICS)
rotation of two months special care baby
2:39
S… Speaker 2 (HOD PAEDIATRICS)
units you should do a rotation of three months and so on and so forth so
2:43
S… Speaker 2 (HOD PAEDIATRICS)
if they don't have adequate staff
2:47
S… Speaker 2 (HOD PAEDIATRICS)
The resident's rotation will not be affected.
2:50
S… Speaker 2 (HOD PAEDIATRICS)
So where are residents supposed to do two months somewhere?
2:52
S… Speaker 2 (HOD PAEDIATRICS)
They may cut it short because the emergency is lacking and the emergency
2:56
S… Speaker 2 (HOD PAEDIATRICS)
is very important.
2:57
S… Speaker 2 (HOD PAEDIATRICS)
So right now they don't have enough residents
3:01
S… Speaker 2 (HOD PAEDIATRICS)
to do that rotation.
3:03
S… Speaker 2 (HOD PAEDIATRICS)
And then materials,
3:05
S… Speaker 2 (HOD PAEDIATRICS)
so that's in terms of staff.
3:06
S… Speaker 2 (HOD PAEDIATRICS)
They also have the issue of materials.
3:08
S… Speaker 2 (HOD PAEDIATRICS)
A child comes in the clinic,
3:12
S… Speaker 2 (HOD PAEDIATRICS)
for example, right now.
3:13
S… Speaker 2 (HOD PAEDIATRICS)
Patients are going to buy paper.
3:15
S… Speaker 2 (HOD PAEDIATRICS)
full -scarf sheets from Mala to consult.
3:19
S… Speaker 2 (HOD PAEDIATRICS)
Before now,
3:21
S… Speaker 2 (HOD PAEDIATRICS)
the department used to provide continuation sheets
3:25
S… Speaker 2 (HOD PAEDIATRICS)
with Department of Pediatrics labelled on
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S… Speaker 2 (HOD PAEDIATRICS)
it, where you write and see a patient.
3:32
S… Speaker 2 (HOD PAEDIATRICS)
But now,
3:33
S… Speaker 2 (HOD PAEDIATRICS)
as the parents are coming,
3:34
S… Speaker 2 (HOD PAEDIATRICS)
they are told to buy full -scarf sheets and bring along.
3:37
S… Speaker 2 (HOD PAEDIATRICS)
And they also don't have investigation forms.
3:40
S… Speaker 2 (HOD PAEDIATRICS)
When you see a patient,
3:43
S… Speaker 2 (HOD PAEDIATRICS)
it's still the same full -scarf sheet you tear.
3:46
S… Speaker 2 (HOD PAEDIATRICS)
to write for investigations and then when you want to take samples
3:50
S… Speaker 2 (HOD PAEDIATRICS)
patient is also told to go to malam and buy syringe
3:54
S… Speaker 2 (HOD PAEDIATRICS)
buy bottle and all that so before now we used to have all those things
3:59
S… Speaker 2 (HOD PAEDIATRICS)
available so that when the patient goes pay they give
4:03
S… Speaker 2 (HOD PAEDIATRICS)
you your syringe give you your bottle and then you come with it for blood letting
4:08
S… Speaker 2 (HOD PAEDIATRICS)
So all those things.
4:09
S… Speaker 2 (HOD PAEDIATRICS)
So if a child comes,
4:10
S… Speaker 2 (HOD PAEDIATRICS)
you have to now go and be sending the child back and forth before the child
4:14
S… Speaker 2 (HOD PAEDIATRICS)
can be properly sent.
4:16
S… Speaker 2 (HOD PAEDIATRICS)
So do that.
4:17
S… Speaker 1 (HOD PAEDIATRICS)
Thank you for that,
4:18
S… Speaker 1 (HOD PAEDIATRICS)
Ma. Then which services are overstretched,
4:21
S… Speaker 1 (HOD PAEDIATRICS)
underutilized,
4:23
S… Speaker 1 (HOD PAEDIATRICS)
or need expansion in the Department of Pediatrics,
4:26
S… Speaker 3 (HOD PAEDIATRICS)
Ma? Well,
4:28
S… Speaker 2 (HOD PAEDIATRICS)
talking about overstretching of services,
4:31
S… Speaker 2 (HOD PAEDIATRICS)
I don't really...
4:33
S… Speaker 2 (HOD PAEDIATRICS)
What do you mean by that?
4:34
S… Speaker 1 (HOD PAEDIATRICS)
That is,
4:35
S… Speaker 1 (HOD PAEDIATRICS)
for instance,
4:37
S… Speaker 1 (HOD PAEDIATRICS)
what you gave,
4:38
S… Speaker 1 (HOD PAEDIATRICS)
the instance you gave that we need to take blood
4:42
S… Speaker 1 (HOD PAEDIATRICS)
sample, is it the emergency that
4:47
S… Speaker 1 (HOD PAEDIATRICS)
is overstretched?
4:48
S… Speaker 1 (HOD PAEDIATRICS)
That people must be there,
4:50
S… Speaker 1 (HOD PAEDIATRICS)
according to what you said,
4:51
S… Speaker 1 (HOD PAEDIATRICS)
resident doctor must be there,
4:53
S… Speaker 1 (HOD PAEDIATRICS)
even if they are going for other posting.
4:55
S… Speaker 1 (HOD PAEDIATRICS)
So do we have any other services that are overstretched?
5:00
S… Speaker 2 (HOD PAEDIATRICS)
in the department of pediatrics apart from the emergency section
5:04
S… Speaker 2 (HOD PAEDIATRICS)
or any
5:09
S… Speaker 2 (HOD PAEDIATRICS)
service that are underutilized maybe you have a service that people do don't
5:13
S… Speaker 2 (HOD PAEDIATRICS)
come for it maybe there is a particular procedure that
5:18
S… Speaker 2 (HOD PAEDIATRICS)
is available to be done in the department but you hardly have patients that
5:22
S… Speaker 1 (HOD PAEDIATRICS)
requires it i don't think there is any same for what we
5:26
S… Speaker 1 (HOD PAEDIATRICS)
are we are lacking in those services that we should
5:30
S… Speaker 1 (HOD PAEDIATRICS)
have
5:31
S… Speaker 1 (HOD PAEDIATRICS)
I don't see any available equipment
5:36
S… Speaker 1 (HOD PAEDIATRICS)
or instruments or we say,
5:38
S… Speaker 1 (HOD PAEDIATRICS)
oh, this thing is available and nobody is using it.
5:41
S… Speaker 1 (HOD PAEDIATRICS)
There is nothing like that.
5:42
S… Speaker 1 (HOD PAEDIATRICS)
Instead, most of our equipment are broken down and we are looking for how we can fix
5:46
S… Speaker 1 (HOD PAEDIATRICS)
them because we are having to send our patients out.
5:50
S… Speaker 1 (HOD PAEDIATRICS)
For example,
5:51
S… Speaker 1 (HOD PAEDIATRICS)
the dialysis.
5:54
S… Speaker 1 (HOD PAEDIATRICS)
We have patients that are on chronic dialysis,
5:57
S… Speaker 1 (HOD PAEDIATRICS)
patients who have chronic kidney disease are needing dialysis.
5:59
S… Speaker 1 (HOD PAEDIATRICS)
When we go to the dialysis unit,
6:02
S… Speaker 1 (HOD PAEDIATRICS)
we are told that there are no consumables.
6:04
S… Speaker 1 (HOD PAEDIATRICS)
So,
6:05
S… Speaker 1 (HOD PAEDIATRICS)
patient has to go out to Bantu.
6:07
S… Speaker 1 (HOD PAEDIATRICS)
As you can imagine,
6:08
S… Speaker 1 (HOD PAEDIATRICS)
UPTH is out of town,
6:10
S… Speaker 1 (HOD PAEDIATRICS)
more or less.
6:10
S… Speaker 1 (HOD PAEDIATRICS)
They have to now take a taxi because there is no ambulance to even carry the
6:14
S… Speaker 1 (HOD PAEDIATRICS)
patient.
6:15
S… Speaker 1 (HOD PAEDIATRICS)
Either they take a taxi or they bring their private car to carry that
6:19
S… Speaker 1 (HOD PAEDIATRICS)
child to town and bring the child back.
6:21
S… Speaker 1 (HOD PAEDIATRICS)
because of dialysis.
6:23
S… Speaker 1 (HOD PAEDIATRICS)
We used to have an echo machine,
6:26
S… Speaker 1 (HOD PAEDIATRICS)
and that echo machine has broken down for years.
6:30
S… Speaker 1 (HOD PAEDIATRICS)
Solely for pediatrics.
6:32
S… Speaker 1 (HOD PAEDIATRICS)
Pediatric echo,
6:33
S… Speaker 1 (HOD PAEDIATRICS)
because the probes for pediatrics is different from that of adults.
6:37
S… Speaker 1 (HOD PAEDIATRICS)
So that echo machine has also broken down.
6:40
S… Speaker 1 (HOD PAEDIATRICS)
In fact,
6:41
S… Speaker 1 (HOD PAEDIATRICS)
We tried to fix it and they said that that particular brand
6:45
S… Speaker 1 (HOD PAEDIATRICS)
of the Echo is now obsolete and the person who was to repair it advised
6:49
S… Speaker 1 (HOD PAEDIATRICS)
that we should get a,
6:51
S… Speaker 1 (HOD PAEDIATRICS)
what is it called?
6:53
S… Speaker 1 (HOD PAEDIATRICS)
to get the modern one.
6:55
S… Speaker 1 (HOD PAEDIATRICS)
So we have not been able to get a modern one.
6:57
S… Speaker 2 (HOD PAEDIATRICS)
So this example of this echo machine would fall under
7:02
S… Speaker 2 (HOD PAEDIATRICS)
expansion.
7:02
S… Speaker 2 (HOD PAEDIATRICS)
These are the services we need to expand,
7:04
S… Speaker 2 (HOD PAEDIATRICS)
like provision of modern echo machine.
7:07
S… Speaker 2 (HOD PAEDIATRICS)
Thank you,
7:08
S… Speaker 2 (HOD PAEDIATRICS)
Ma. So the third one under service delivery.
7:11
S… Speaker 2 (HOD PAEDIATRICS)
What practical changes will most improve efficiency and
7:15
S… Speaker 2 (HOD PAEDIATRICS)
quality of care?
7:17
S… Speaker 1 (HOD PAEDIATRICS)
Well,
7:19
S… Speaker 1 (HOD PAEDIATRICS)
one of the things,
7:20
S… Speaker 1 (HOD PAEDIATRICS)
like I was in...
7:22
S… Speaker 1 (HOD PAEDIATRICS)
FMC Jabi recently last week for accreditation
7:27
S… Speaker 1 (HOD PAEDIATRICS)
and what I noticed there was that the
7:31
S… Speaker 1 (HOD PAEDIATRICS)
EMR electronic
7:35
S… Speaker 1 (HOD PAEDIATRICS)
medical records is working very very well very efficient
7:39
S… Speaker 1 (HOD PAEDIATRICS)
and when a child is seen in the
7:43
S… Speaker 1 (HOD PAEDIATRICS)
outpatient or in the
7:48
S… Speaker 1 (HOD PAEDIATRICS)
consultant, pediatric clinic,
7:49
S… Speaker 1 (HOD PAEDIATRICS)
everything is entered into the system.
7:51
S… Speaker 1 (HOD PAEDIATRICS)
And if that child,
7:52
S… Speaker 1 (HOD PAEDIATRICS)
for example, is admitted,
7:54
S… Speaker 1 (HOD PAEDIATRICS)
that admission record and everything that the doctor has done goes to
7:58
S… Speaker 1 (HOD PAEDIATRICS)
the ward.
7:58
S… Speaker 1 (HOD PAEDIATRICS)
And that child is just moved to the ward.
8:01
S… Speaker 1 (HOD PAEDIATRICS)
And when the child gets to the ward,
8:03
S… Speaker 1 (HOD PAEDIATRICS)
they can access that record and begin to attend to the child.
8:07
S… Speaker 1 (HOD PAEDIATRICS)
And if the child needs any draw,
8:09
S… Speaker 1 (HOD PAEDIATRICS)
it's accessed in the pharmacy.
8:13
S… Speaker 1 (HOD PAEDIATRICS)
the child can go and pick up the drugs that have been prescribed by the doctor
8:17
S… Speaker 1 (HOD PAEDIATRICS)
from the pharmacy.
8:18
S… Speaker 1 (HOD PAEDIATRICS)
If the child needs any investigation,
8:21
S… Speaker 1 (HOD PAEDIATRICS)
he goes to the lab.
8:22
S… Speaker 1 (HOD PAEDIATRICS)
And all the child needs to do,
8:25
S… Speaker 1 (HOD PAEDIATRICS)
the parent will present the child,
8:27
S… Speaker 1 (HOD PAEDIATRICS)
their sample is collected,
8:28
S… Speaker 1 (HOD PAEDIATRICS)
and the result is sent electronically to the ward and
8:33
S… Speaker 1 (HOD PAEDIATRICS)
to whoever saw the child.
8:35
S… Speaker 1 (HOD PAEDIATRICS)
So you can assert all these things are linked up.
8:39
S… Speaker 1 (HOD PAEDIATRICS)
So you don't have,
8:40
S… Speaker 1 (HOD PAEDIATRICS)
it takes away the stress because right now what we have is that you send a child
8:44
S… Speaker 1 (HOD PAEDIATRICS)
for investigation, you have to go there,
8:46
S… Speaker 1 (HOD PAEDIATRICS)
look for the result,
8:48
S… Speaker 1 (HOD PAEDIATRICS)
back and forth,
8:49
S… Speaker 1 (HOD PAEDIATRICS)
back and forth,
8:50
S… Speaker 1 (HOD PAEDIATRICS)
takes time,
8:51
S… Speaker 1 (HOD PAEDIATRICS)
waste patient time,
8:52
S… Speaker 1 (HOD PAEDIATRICS)
waste doctor's time.
8:53
S… Speaker 1 (HOD PAEDIATRICS)
But if everything is connected,
8:55
S… Speaker 1 (HOD PAEDIATRICS)
not like what we had before where you see a child,
8:58
S… Speaker 1 (HOD PAEDIATRICS)
the records are not available in the ward,
9:00
S… Speaker 1 (HOD PAEDIATRICS)
if the child goes back to the ward,
9:01
S… Speaker 1 (HOD PAEDIATRICS)
they have to click all over again,
9:03
S… Speaker 1 (HOD PAEDIATRICS)
making it difficult for both the doctor and the patient.
9:08
S… Speaker 1 (HOD PAEDIATRICS)
medical record that i saw there and it was working in nigeria was excellent
9:13
S… Speaker 1 (HOD PAEDIATRICS)
so if we can have something like that it will really help and
9:17
S… Speaker 1 (HOD PAEDIATRICS)
if you i don't know if you notice where you are climbing up the records department
9:22
S… Speaker 1 (HOD PAEDIATRICS)
you see all our folders are on the corridor it needs
9:27
S… Speaker 1 (HOD PAEDIATRICS)
expansion they need help so and
9:32
S… Speaker 1 (HOD PAEDIATRICS)
then this card system it's
9:37
S… Speaker 1 (HOD PAEDIATRICS)
good
9:38
S… Speaker 1 (HOD PAEDIATRICS)
It's okay,
9:38
S… Speaker 1 (HOD PAEDIATRICS)
but recently I hear that they have scrapped it,
9:40
S… Speaker 1 (HOD PAEDIATRICS)
and some patients have already paid money into that card,
9:43
S… Speaker 1 (HOD PAEDIATRICS)
loaded their cards,
9:44
S… Speaker 1 (HOD PAEDIATRICS)
only to come.
9:46
S… Speaker 1 (HOD PAEDIATRICS)
I saw a patient in clinic on Tuesday.
9:48
S… Speaker 1 (HOD PAEDIATRICS)
The last visit she came,
9:51
S… Speaker 1 (HOD PAEDIATRICS)
like two or three weeks earlier,
9:52
S… Speaker 1 (HOD PAEDIATRICS)
she said,
9:53
S… Speaker 1 (HOD PAEDIATRICS)
okay, let her just load money in the card,
9:54
S… Speaker 1 (HOD PAEDIATRICS)
only to come three weeks later for follow -up.
9:57
S… Speaker 1 (HOD PAEDIATRICS)
She's told that she can no longer use it.
10:00
S… Speaker 1 (HOD PAEDIATRICS)
Well, she has her money in the card.
10:02
S… Speaker 1 (HOD PAEDIATRICS)
And you know how difficult money is right now for a patient and a mother.
10:05
S… Speaker 1 (HOD PAEDIATRICS)
So she has now go and look for other sorts of funds
10:09
S… Speaker 1 (HOD PAEDIATRICS)
to be able to get access for her child to be seen.
10:13
S… Speaker 1 (HOD PAEDIATRICS)
So all those,
10:14
S… Speaker 1 (HOD PAEDIATRICS)
I don't know how you can address it.
10:16
S… Speaker 1 (HOD PAEDIATRICS)
Okay,
10:17
S… Speaker 1 (HOD PAEDIATRICS)
thank you very much.
10:18
S… Speaker 2 (HOD PAEDIATRICS)
So all this will really impact negatively on the quality of
10:22
S… Speaker 2 (HOD PAEDIATRICS)
care. Thank you so much for the insights now.
10:26
S… Speaker 2 (HOD PAEDIATRICS)
Under the Human Resources for Health,
10:28
S… Speaker 2 (HOD PAEDIATRICS)
what are the most critical staffing gaps in your department?
10:32
S… Speaker 1 (HOD PAEDIATRICS)
We need registrars.
10:36
S… Speaker 1 (HOD PAEDIATRICS)
We need registrars,
10:38
S… Speaker 1 (HOD PAEDIATRICS)
enough registrars in the department.
10:41
S… Speaker 1 (HOD PAEDIATRICS)
And then of course we need,
10:45
S… Speaker 1 (HOD PAEDIATRICS)
yes, very critical right now because we are top heavy and
10:49
S… Speaker 1 (HOD PAEDIATRICS)
a lot of,
10:51
S… Speaker 1 (HOD PAEDIATRICS)
because of the structure of our academic work here.
10:55
S… Speaker 1 (HOD PAEDIATRICS)
This is a training institution.
10:57
S… Speaker 1 (HOD PAEDIATRICS)
So our residents go and they pass their exams.
11:00
S… Speaker 1 (HOD PAEDIATRICS)
And you cannot put them back after they have passed.
11:03
S… Speaker 1 (HOD PAEDIATRICS)
So once they come in,
11:05
S… Speaker 1 (HOD PAEDIATRICS)
within two years,
11:07
S… Speaker 1 (HOD PAEDIATRICS)
they have passed.
11:08
S… Speaker 1 (HOD PAEDIATRICS)
They have become senior registrars.
11:09
S… Speaker 1 (HOD PAEDIATRICS)
And we don't see new registrars coming in.
11:12
S… Speaker 1 (HOD PAEDIATRICS)
So that becomes a problem.
11:14
S… Speaker 1 (HOD PAEDIATRICS)
So a lot of them,
11:15
S… Speaker 1 (HOD PAEDIATRICS)
even right now,
11:16
S… Speaker 1 (HOD PAEDIATRICS)
a lot of them have passed their exams.
11:18
S… Speaker 1 (HOD PAEDIATRICS)
But we are still making them work as registrars because there are no registrars.
11:23
S… Speaker 2 (HOD PAEDIATRICS)
thank you so what challenges affect staff production of course we need
11:27
S… Speaker 1 (HOD PAEDIATRICS)
nurses too but i know you are going to go to the nursing department so i'm hoping
11:31
S… Speaker 2 (HOD PAEDIATRICS)
that the nurses will tell you their deficiencies so what challenges
11:35
S… Speaker 2 (HOD PAEDIATRICS)
affect staff productivity motivation or retention
11:39
S… Speaker 1 (HOD PAEDIATRICS)
well we know how what is happening in this year right
11:43
S… Speaker 1 (HOD PAEDIATRICS)
now right now well it's 1400 so
11:48
S… Speaker 1 (HOD PAEDIATRICS)
i don't need to tell you anything we all know what is going on so it's affecting
11:52
S… Speaker 1 (HOD PAEDIATRICS)
a lot of
11:53
S… Speaker 2 (HOD PAEDIATRICS)
a lot of things affecting a lot of things so that's part of the challenge
11:57
S… Speaker 2 (HOD PAEDIATRICS)
is that is affecting them being motivated yes coming to work spending
12:01
S… Speaker 1 (HOD PAEDIATRICS)
spending some of them come from obibo i
12:05
S… Speaker 1 (HOD PAEDIATRICS)
don't know how far how well you know i live
12:10
S… Speaker 1 (HOD PAEDIATRICS)
in elementary junction so i drive but i know i spend up to 100
12:14
S… Speaker 1 (HOD PAEDIATRICS)
000 a week plus just to fill my tank so you can imagine
12:19
S… Speaker 1 (HOD PAEDIATRICS)
those
12:20
S… Speaker 1 (HOD PAEDIATRICS)
staff coming all the way from Obibu,
12:22
S… Speaker 1 (HOD PAEDIATRICS)
they will spend a good portion of their money on foils.
12:26
S… Speaker 1 (HOD PAEDIATRICS)
So the salaries,
12:27
S… Speaker 1 (HOD PAEDIATRICS)
I don't know,
12:29
S… Speaker 1 (HOD PAEDIATRICS)
you cannot do anything about it,
12:31
S… Speaker 1 (HOD PAEDIATRICS)
but that is part of a big problem.
12:33
S… Speaker 2 (HOD PAEDIATRICS)
It's affecting everybody.
12:35
S… Speaker 2 (HOD PAEDIATRICS)
So what strategy will strengthen the workforce over the next five years?
12:40
S… Speaker 2 (HOD PAEDIATRICS)
Well,
12:41
S… Speaker 1 (HOD PAEDIATRICS)
I don't know, because this is a training institution.
12:44
S… Speaker 1 (HOD PAEDIATRICS)
What used to be in the past,
12:47
S… Speaker 1 (HOD PAEDIATRICS)
years ago?
12:49
S… Speaker 1 (HOD PAEDIATRICS)
For residency,
12:51
S… Speaker 1 (HOD PAEDIATRICS)
that's why you have a resident.
12:54
S… Speaker 1 (HOD PAEDIATRICS)
They are available.
12:55
S… Speaker 1 (HOD PAEDIATRICS)
So we have residence quarters.
12:56
S… Speaker 1 (HOD PAEDIATRICS)
We had residence quarters.
12:58
S… Speaker 1 (HOD PAEDIATRICS)
We had house officers quarters.
13:00
S… Speaker 1 (HOD PAEDIATRICS)
Because that's why they call house officers.
13:02
S… Speaker 1 (HOD PAEDIATRICS)
Now many of them don't leave again.
13:04
S… Speaker 1 (HOD PAEDIATRICS)
They've scrapped this house.
13:06
S… Speaker 1 (HOD PAEDIATRICS)
But for a training institution,
13:08
S… Speaker 1 (HOD PAEDIATRICS)
it's very important.
13:09
S… Speaker 1 (HOD PAEDIATRICS)
Because the house officer will be available any time T.
13:12
S… Speaker 1 (HOD PAEDIATRICS)
So you're talking about five years.
13:15
S… Speaker 1 (HOD PAEDIATRICS)
That's what I'm telling you,
13:16
S… Speaker 1 (HOD PAEDIATRICS)
bringing it up.
13:16
S… Speaker 1 (HOD PAEDIATRICS)
Because if we can have residence quarters.
13:19
S… Speaker 1 (HOD PAEDIATRICS)
and have house officers quarters.
13:21
S… Speaker 1 (HOD PAEDIATRICS)
So the resident has no excuse and the house officer has no excuse.
13:25
S… Speaker 1 (HOD PAEDIATRICS)
So we need those things to be back.
13:27
S… Speaker 1 (HOD PAEDIATRICS)
Even the consultants used to stay in.
13:29
S… Speaker 1 (HOD PAEDIATRICS)
Like when we were in a temporary site,
13:31
S… Speaker 1 (HOD PAEDIATRICS)
we had quarters for the consultants,
13:32
S… Speaker 1 (HOD PAEDIATRICS)
for the residents.
13:34
S… Speaker 1 (HOD PAEDIATRICS)
You can imagine a consultant that has surgery by 1 a .m.
13:38
S… Speaker 1 (HOD PAEDIATRICS)
You are a gynecologist.
13:39
S… Speaker 1 (HOD PAEDIATRICS)
They call you by 1 a .m.
13:40
S… Speaker 1 (HOD PAEDIATRICS)
A woman is bleeding.
13:41
S… Speaker 1 (HOD PAEDIATRICS)
Just stroll down from your house and come and do the surgery and go
13:45
S… Speaker 1 (HOD PAEDIATRICS)
back home.
13:46
S… Speaker 1 (HOD PAEDIATRICS)
And all those things are no longer there. And now with all this insecurity.
13:51
S… Speaker 1 (HOD PAEDIATRICS)
There is no ambulance.
13:52
S… Speaker 1 (HOD PAEDIATRICS)
When we were in the temporary site,
13:53
S… Speaker 1 (HOD PAEDIATRICS)
we had ambulance that would pick the resident,
13:55
S… Speaker 1 (HOD PAEDIATRICS)
they would do their work,
13:56
S… Speaker 1 (HOD PAEDIATRICS)
take them back.
13:57
S… Speaker 1 (HOD PAEDIATRICS)
Now there is no ambulance with all the insecurity.
13:59
S… Speaker 1 (HOD PAEDIATRICS)
Will your husband allow you to come out by 2 a .m.
14:03
S… Speaker 1 (HOD PAEDIATRICS)
to come and do?
14:04
S… Speaker 1 (HOD PAEDIATRICS)
You understand what I mean?
14:05
S… Speaker 1 (HOD PAEDIATRICS)
So there are many things that are no longer available,
14:09
S… Speaker 1 (HOD PAEDIATRICS)
that used to be available and make the work much easier.
14:12
S… Speaker 1 (HOD PAEDIATRICS)
So we need those ambulance services.
14:14
S… Speaker 1 (HOD PAEDIATRICS)
We need quarters for our residents,
14:16
S… Speaker 1 (HOD PAEDIATRICS)
for our consultants,
14:17
S… Speaker 1 (HOD PAEDIATRICS)
for our house officers.
14:19
S… Speaker 1 (HOD PAEDIATRICS)
so they will be on ground and the issue of old transport these do not
14:23
S… Speaker 1 (HOD PAEDIATRICS)
arise since we are talking about five years yes we should
14:27
S… Speaker 2 (HOD PAEDIATRICS)
have this at the back of our mind all right well other infrastructure equipment
14:32
S… Speaker 2 (HOD PAEDIATRICS)
and technology although you have mentioned what key infrastructure
14:36
S… Speaker 2 (HOD PAEDIATRICS)
equipment gaps limit service delivery
14:40
S… Speaker 1 (HOD PAEDIATRICS)
I've talked about dialysis.
14:42
S… Speaker 1 (HOD PAEDIATRICS)
We need our own dialysis,
14:44
S… Speaker 1 (HOD PAEDIATRICS)
pediatric dialysis machine resident in our and not one
14:48
S… Speaker 1 (HOD PAEDIATRICS)
that will be epileptic.
14:49
S… Speaker 1 (HOD PAEDIATRICS)
Today they say no consumable,
14:51
S… Speaker 1 (HOD PAEDIATRICS)
tomorrow they say no light,
14:52
S… Speaker 1 (HOD PAEDIATRICS)
tonight tomorrow they say no this.
14:53
S… Speaker 1 (HOD PAEDIATRICS)
So let it be functional because this will also generate revenue for
14:57
S… Speaker 1 (HOD PAEDIATRICS)
the hospital.
15:00
S… Speaker 1 (HOD PAEDIATRICS)
our own dialysis machine working in upta we
15:05
S… Speaker 1 (HOD PAEDIATRICS)
should be able to do that in the hospital not have any reason to send a child
15:09
S… Speaker 1 (HOD PAEDIATRICS)
out from upta that is supposed to be the tertiary institution
15:14
S… Speaker 1 (HOD PAEDIATRICS)
to go and do investigation outside or do echo outside
15:18
S… Speaker 1 (HOD PAEDIATRICS)
or do ultrasound outside or do dialysis outside all
15:22
S… Speaker 1 (HOD PAEDIATRICS)
those issues we don't need
15:24
S… Speaker 1 (HOD PAEDIATRICS)
And there are things that are available.
15:25
S… Speaker 2 (HOD PAEDIATRICS)
Yes.
15:26
S… Speaker 2 (HOD PAEDIATRICS)
This next question,
15:27
S… Speaker 2 (HOD PAEDIATRICS)
you have answered it,
15:28
S… Speaker 2 (HOD PAEDIATRICS)
but let me just mention it again.
15:30
S… Speaker 2 (HOD PAEDIATRICS)
What are your priority equipments?
15:32
S… Speaker 2 (HOD PAEDIATRICS)
I can't even answer that.
15:33
S… Speaker 1 (HOD PAEDIATRICS)
In fact,
15:35
S… Speaker 1 (HOD PAEDIATRICS)
the basics.
15:37
S… Speaker 1 (HOD PAEDIATRICS)
Let's begin from the basics.
15:38
S… Speaker 2 (HOD PAEDIATRICS)
Okay.
15:39
S… Speaker 1 (HOD PAEDIATRICS)
We should have functional standiometer.
15:43
S… Speaker 1 (HOD PAEDIATRICS)
Standiometer in all our words.
15:48
S… Speaker 1 (HOD PAEDIATRICS)
weighing scales in all hours,
15:50
S… Speaker 1 (HOD PAEDIATRICS)
blood pressure machine in all hours.
15:53
S… Speaker 1 (HOD PAEDIATRICS)
The echo and these ones are even bigger ones.
15:55
S… Speaker 1 (HOD PAEDIATRICS)
These ones are cheap,
15:57
S… Speaker 1 (HOD PAEDIATRICS)
basic infusion pumps in our special care baby unit.
16:00
S… Speaker 1 (HOD PAEDIATRICS)
So I'm sure that the HOD must have sent those
16:04
S… Speaker 1 (HOD PAEDIATRICS)
equipment lists because over and over time they request for equipment
16:08
S… Speaker 1 (HOD PAEDIATRICS)
lists.
16:09
S… Speaker 1 (HOD PAEDIATRICS)
You send these equipment lists and you wait and wait and then you're discouraged.
16:13
S… Speaker 1 (HOD PAEDIATRICS)
So I'm sure they have the equipment list.
16:15
S… Speaker 2 (HOD PAEDIATRICS)
so what improvements are needed in digital systems or clinical technology
16:20
S… Speaker 1 (HOD PAEDIATRICS)
i mentioned it now functional electronic medical
16:24
S… Speaker 1 (HOD PAEDIATRICS)
records functional not the one that you stay in clinic and you type everything
16:28
S… Speaker 1 (HOD PAEDIATRICS)
you go to the world it's not available it doesn't get to the lab you
16:33
S… Speaker 1 (HOD PAEDIATRICS)
know so it should be interconnected such that once it is entered
16:37
S… Speaker 1 (HOD PAEDIATRICS)
yes the lab will get it the words will get it you will not go to the
16:41
S… Speaker 1 (HOD PAEDIATRICS)
world and start all over again you know how long it takes to do pediatric clerking it's not like adult
16:45
S… Speaker 1 (HOD PAEDIATRICS)
clerking so doing that discourage
16:50
S… Speaker 1 (HOD PAEDIATRICS)
doctors using it the last time.
16:51
S… Speaker 1 (HOD PAEDIATRICS)
So we want to see a system where when we do the clerking in the clinic,
16:55
S… Speaker 1 (HOD PAEDIATRICS)
when they get to the ward,
16:57
S… Speaker 1 (HOD PAEDIATRICS)
they can assess it.
16:58
S… Speaker 1 (HOD PAEDIATRICS)
The labs can assess it when the patient goes there to do their sample.
17:02
S… Speaker 1 (HOD PAEDIATRICS)
The pharmacy can assess it.
17:04
S… Speaker 1 (HOD PAEDIATRICS)
And when the lab,
17:05
S… Speaker 1 (HOD PAEDIATRICS)
they finish with the result,
17:06
S… Speaker 1 (HOD PAEDIATRICS)
they can send it to the system and everybody can assess it.
17:09
S… Speaker 1 (HOD PAEDIATRICS)
We can see the patient's results.
17:11
S… Speaker 1 (HOD PAEDIATRICS)
And of course,
17:12
S… Speaker 1 (HOD PAEDIATRICS)
the time of assessing this,
17:15
S… Speaker 1 (HOD PAEDIATRICS)
because what we have here,
17:18
S… Speaker 1 (HOD PAEDIATRICS)
In JB,
17:19
S… Speaker 1 (HOD PAEDIATRICS)
they could get their results if it's emergency 24 hours.
17:23
S… Speaker 1 (HOD PAEDIATRICS)
If it's outside the emergency,
17:24
S… Speaker 1 (HOD PAEDIATRICS)
48 hours.
17:25
S… Speaker 1 (HOD PAEDIATRICS)
Here,
17:26
S… Speaker 1 (HOD PAEDIATRICS)
sometimes food block can take us almost a week to get results.
17:30
S… Speaker 1 (HOD PAEDIATRICS)
I hope I'm not talking too much.
17:32
S… Speaker 2 (HOD PAEDIATRICS)
It's really impacting on the care.
17:35
S… Speaker 1 (HOD PAEDIATRICS)
So,
17:36
S… Speaker 2 (HOD PAEDIATRICS)
Ma, we are going to patient care and experience,
17:41
S… Speaker 1 (HOD PAEDIATRICS)
Ma.
17:41
S… Speaker 2 (HOD PAEDIATRICS)
What are the main challenges affecting patient care and
17:45
S… Speaker 1 (HOD PAEDIATRICS)
satisfaction?
17:47
S… Speaker 1 (HOD PAEDIATRICS)
The main challenge like I said if we don't have if you have only one doctor
17:52
S… Speaker 1 (HOD PAEDIATRICS)
to see 40 patients.
17:54
S… Speaker 1 (HOD PAEDIATRICS)
Even when they come by 7 a .m.
17:56
S… Speaker 1 (HOD PAEDIATRICS)
Pediatric clerking,
17:57
S… Speaker 1 (HOD PAEDIATRICS)
by the time you are clerking,
17:59
S… Speaker 1 (HOD PAEDIATRICS)
family and social history,
18:00
S… Speaker 1 (HOD PAEDIATRICS)
sometimes they wonder what you are doing.
18:01
S… Speaker 1 (HOD PAEDIATRICS)
How many houses are you living?
18:03
S… Speaker 1 (HOD PAEDIATRICS)
How many windows are in your house?
18:04
S… Speaker 1 (HOD PAEDIATRICS)
Do you have toilet system?
18:06
S… Speaker 1 (HOD PAEDIATRICS)
Is it flushing one?
18:07
S… Speaker 1 (HOD PAEDIATRICS)
So one patient alone,
18:09
S… Speaker 1 (HOD PAEDIATRICS)
depending on what that patient has,
18:11
S… Speaker 1 (HOD PAEDIATRICS)
can take you up to one hour to clerking.
18:14
S… Speaker 1 (HOD PAEDIATRICS)
And then you have 40 people there waiting for you.
18:17
S… Speaker 1 (HOD PAEDIATRICS)
So the patient will not understand what you're doing.
18:20
S… Speaker 1 (HOD PAEDIATRICS)
But all that is because the child cannot talk for themselves.
18:23
S… Speaker 1 (HOD PAEDIATRICS)
He's an adult.
18:23
S… Speaker 1 (HOD PAEDIATRICS)
I have a headache.
18:24
S… Speaker 1 (HOD PAEDIATRICS)
But it's from the question you ask the parents that you now know what the
18:29
S… Speaker 1 (HOD PAEDIATRICS)
child's problem is.
18:30
S… Speaker 1 (HOD PAEDIATRICS)
So when you have only one registrar in the clinic,
18:33
S… Speaker 1 (HOD PAEDIATRICS)
seeing all those 40 people,
18:35
S… Speaker 1 (HOD PAEDIATRICS)
it will now affect patient care.
18:38
S… Speaker 1 (HOD PAEDIATRICS)
But if you have enough registrars,
18:41
S… Speaker 1 (HOD PAEDIATRICS)
enough hands,
18:42
S… Speaker 1 (HOD PAEDIATRICS)
you have how many cubicles,
18:43
S… Speaker 1 (HOD PAEDIATRICS)
and patients are being maybe five at a row,
18:46
S… Speaker 1 (HOD PAEDIATRICS)
even if it takes one hour,
18:47
S… Speaker 1 (HOD PAEDIATRICS)
you know that one hour I assume five,
18:49
S… Speaker 1 (HOD PAEDIATRICS)
then another five coming to be faster.
18:53
S… Speaker 1 (HOD PAEDIATRICS)
So that affects patients' care.
18:55
S… Speaker 1 (HOD PAEDIATRICS)
So we need more hands.
18:57
S… Speaker 1 (HOD PAEDIATRICS)
We need more hands.
18:58
S… Speaker 2 (HOD PAEDIATRICS)
So where are the major issues in waiting time,
19:01
S… Speaker 2 (HOD PAEDIATRICS)
communication,
19:02
S… Speaker 2 (HOD PAEDIATRICS)
or continuity of care?
19:04
S… Speaker 1 (HOD PAEDIATRICS)
It's the same thing now.
19:07
S… Speaker 1 (HOD PAEDIATRICS)
Waiting time is because there's not enough hands.
19:10
S… Speaker 2 (HOD PAEDIATRICS)
What of communication you
19:14
S… Speaker 2 (HOD PAEDIATRICS)
have mentioned in the EMS system?
19:16
S… Speaker 2 (HOD PAEDIATRICS)
What of continuity of care?
19:18
S… Speaker 1 (HOD PAEDIATRICS)
Continuity of care?
19:22
S… Speaker 1 (HOD PAEDIATRICS)
continuity of case it boils down to the same EMR the records are
19:26
S… Speaker 1 (HOD PAEDIATRICS)
available and then like I said the if
19:30
S… Speaker 1 (HOD PAEDIATRICS)
you go down as you're going just look on your right hand side you see our folders outside so
19:36
S… Speaker 1 (HOD PAEDIATRICS)
if those folders are properly kept they have enough cabinets they have enough
19:40
S… Speaker 1 (HOD PAEDIATRICS)
space getting them out will be
19:44
S… Speaker 1 (HOD PAEDIATRICS)
easy because sometimes the patient comes today but that patient comes for
19:48
S… Speaker 1 (HOD PAEDIATRICS)
follow -up they can't find the folder
19:50
S… Speaker 1 (HOD PAEDIATRICS)
Patient spends two,
19:51
S… Speaker 1 (HOD PAEDIATRICS)
three hours going from here,
19:52
S… Speaker 1 (HOD PAEDIATRICS)
go to main record,
19:53
S… Speaker 1 (HOD PAEDIATRICS)
go to this,
19:54
S… Speaker 1 (HOD PAEDIATRICS)
go to that, looking for folder.
19:55
S… Speaker 1 (HOD PAEDIATRICS)
And then oftentimes,
19:57
S… Speaker 1 (HOD PAEDIATRICS)
sometimes they will say,
19:58
S… Speaker 1 (HOD PAEDIATRICS)
okay, take temporary folder.
20:00
S… Speaker 1 (HOD PAEDIATRICS)
and go and be seen for today while we still look for the folder.
20:03
S… Speaker 1 (HOD PAEDIATRICS)
But if they have enough space
20:07
S… Speaker 1 (HOD PAEDIATRICS)
and enough cabinets and those things are arranged,
20:10
S… Speaker 1 (HOD PAEDIATRICS)
either alphabetically or whatever means they are using,
20:14
S… Speaker 1 (HOD PAEDIATRICS)
to be easier to assess those things.
20:16
S… Speaker 1 (HOD PAEDIATRICS)
Thank you.
20:17
S… Speaker 2 (HOD PAEDIATRICS)
Thank you, Ma.
20:18
S… Speaker 2 (HOD PAEDIATRICS)
So,
20:19
S… Speaker 2 (HOD PAEDIATRICS)
what changes will significantly improve patient experience and outcomes?
20:25
S… Speaker 1 (HOD PAEDIATRICS)
More staffing.
20:26
S… Speaker 1 (HOD PAEDIATRICS)
That's one.
20:28
S… Speaker 1 (HOD PAEDIATRICS)
More staffing.
20:29
S… Speaker 1 (HOD PAEDIATRICS)
Then the basic equipment should be available.
20:33
S… Speaker 1 (HOD PAEDIATRICS)
We shouldn't be talking about not having weighing scale,
20:37
S… Speaker 1 (HOD PAEDIATRICS)
not having spigmo manometer,
20:40
S… Speaker 1 (HOD PAEDIATRICS)
not having standiometer.
20:41
S… Speaker 1 (HOD PAEDIATRICS)
As I speak to you now,
20:43
S… Speaker 1 (HOD PAEDIATRICS)
it's only one standiometer we have in consultant pediatric clinic.
20:47
S… Speaker 1 (HOD PAEDIATRICS)
And that was,
20:47
S… Speaker 1 (HOD PAEDIATRICS)
I think it was donated by either an NGO,
20:50
S… Speaker 1 (HOD PAEDIATRICS)
somebody that donated it.
20:52
S… Speaker 1 (HOD PAEDIATRICS)
So each time I have to...
20:54
S… Speaker 1 (HOD PAEDIATRICS)
measure a child's height.
20:55
S… Speaker 1 (HOD PAEDIATRICS)
I have to go and borrow it from the other clinic.
20:57
S… Speaker 1 (HOD PAEDIATRICS)
All that one will waste time now.
20:59
S… Speaker 1 (HOD PAEDIATRICS)
You send somebody to go to these people and make sure,
21:01
S… Speaker 1 (HOD PAEDIATRICS)
that would be,
21:02
S… Speaker 1 (HOD PAEDIATRICS)
if they're not using it,
21:03
S… Speaker 1 (HOD PAEDIATRICS)
please bring the sanguometer for me.
21:04
S… Speaker 1 (HOD PAEDIATRICS)
As for the outpatient clinic,
21:06
S… Speaker 1 (HOD PAEDIATRICS)
we don't even have any at all.
21:07
S… Speaker 1 (HOD PAEDIATRICS)
As for the Sphig,
21:09
S… Speaker 1 (HOD PAEDIATRICS)
we don't have any Sphig that is designated for clinic.
21:13
S… Speaker 1 (HOD PAEDIATRICS)
So like the nephrology unit,
21:15
S… Speaker 1 (HOD PAEDIATRICS)
we used to buy our own Sphig.
21:17
S… Speaker 1 (HOD PAEDIATRICS)
So all those things,
21:18
S… Speaker 1 (HOD PAEDIATRICS)
you should walk into this clinic,
21:19
S… Speaker 1 (HOD PAEDIATRICS)
there should be Sphig on the table,
21:21
S… Speaker 1 (HOD PAEDIATRICS)
there should be stethoscope on the table.
21:22
S… Speaker 1 (HOD PAEDIATRICS)
So all those things waste time.
21:24
S… Speaker 1 (HOD PAEDIATRICS)
Those are things that waste time when you have to go and beg for this,
21:27
S… Speaker 1 (HOD PAEDIATRICS)
go and buy paper,
21:29
S… Speaker 1 (HOD PAEDIATRICS)
go and buy this.
21:30
S… Speaker 1 (HOD PAEDIATRICS)
Those are things that should be available in abundance on
21:34
S… Speaker 1 (HOD PAEDIATRICS)
the table as you come into the clinic.
21:36
S… Speaker 2 (HOD PAEDIATRICS)
So I want to talk on the training and capacity development.
21:39
S… Speaker 2 (HOD PAEDIATRICS)
You know that this is a training center.
21:42
S… Speaker 2 (HOD PAEDIATRICS)
So what gaps exist in clinical training on residency programs?
21:47
S… Speaker 1 (HOD PAEDIATRICS)
Yeah, I think the wrong person in this question.
21:48
S… Speaker 1 (HOD PAEDIATRICS)
The other day I sat down and talked to myself.
21:51
S… Speaker 1 (HOD PAEDIATRICS)
I said I have worked in UPTH.
21:53
S… Speaker 1 (HOD PAEDIATRICS)
for almost 30 years.
21:55
S… Speaker 1 (HOD PAEDIATRICS)
I have never been sponsored,
21:57
S… Speaker 1 (HOD PAEDIATRICS)
apart from when I was a resident,
21:59
S… Speaker 1 (HOD PAEDIATRICS)
maybe going for my update courses and all that.
22:02
S… Speaker 1 (HOD PAEDIATRICS)
I've never been sponsored for any training.
22:04
S… Speaker 1 (HOD PAEDIATRICS)
So we need sponsorship for,
22:07
S… Speaker 1 (HOD PAEDIATRICS)
we need,
22:08
S… Speaker 1 (HOD PAEDIATRICS)
because we need to,
22:09
S… Speaker 1 (HOD PAEDIATRICS)
this is training institution,
22:10
S… Speaker 1 (HOD PAEDIATRICS)
we need to update ourselves,
22:11
S… Speaker 1 (HOD PAEDIATRICS)
even as a consultant.
22:12
S… Speaker 1 (HOD PAEDIATRICS)
As a consultant,
22:13
S… Speaker 1 (HOD PAEDIATRICS)
I've worked here for more than,
22:14
S… Speaker 1 (HOD PAEDIATRICS)
I came here as a consultant 2009.
22:21
S… Speaker 1 (HOD PAEDIATRICS)
I have not been sponsored for any training that
22:25
S… Speaker 1 (HOD PAEDIATRICS)
was possible to sponsor me to go for this training and come back.
22:29
S… Speaker 1 (HOD PAEDIATRICS)
So any training I have to go,
22:31
S… Speaker 1 (HOD PAEDIATRICS)
I have to...
22:32
S… Speaker 1 (HOD PAEDIATRICS)
cough it out,
22:33
S… Speaker 1 (HOD PAEDIATRICS)
out of my pocket to go and come.
22:35
S… Speaker 1 (HOD PAEDIATRICS)
And then use it to train the junior ones.
22:38
S… Speaker 2 (HOD PAEDIATRICS)
And it's applicable to the resident doctors as well?
22:40
S… Speaker 1 (HOD PAEDIATRICS)
It's applicable to the resident.
22:42
S… Speaker 1 (HOD PAEDIATRICS)
Everybody should have,
22:43
S… Speaker 1 (HOD PAEDIATRICS)
even if they say,
22:44
S… Speaker 1 (HOD PAEDIATRICS)
oh, one in two years or three years,
22:46
S… Speaker 1 (HOD PAEDIATRICS)
at least you have that.
22:47
S… Speaker 1 (HOD PAEDIATRICS)
That isn't part of the incentive that,
22:49
S… Speaker 1 (HOD PAEDIATRICS)
ah, hospital sponsored me to go and do a nephrology course.
22:52
S… Speaker 1 (HOD PAEDIATRICS)
So I'll be happy to volunteer.
22:56
S… Speaker 1 (HOD PAEDIATRICS)
You understand?
22:57
S… Speaker 1 (HOD PAEDIATRICS)
Do whatever it takes for the hospital in respect of that nephrology.
23:01
S… Speaker 1 (HOD PAEDIATRICS)
It has not stopped us thus far.
23:03
S… Speaker 1 (HOD PAEDIATRICS)
But I must say that it's part of the thing that used to motivate
23:07
S… Speaker 1 (HOD PAEDIATRICS)
people in their working environment.
23:09
S… Speaker 1 (HOD PAEDIATRICS)
That's what I would say.
23:10
S… Speaker 2 (HOD PAEDIATRICS)
So what are the major constraints to continuous professional development?
23:15
S… Speaker 1 (HOD PAEDIATRICS)
We have already answered this.
23:18
S… Speaker 1 (HOD PAEDIATRICS)
Let me not overflug it.
23:19
S… Speaker 2 (HOD PAEDIATRICS)
How can training be strengthened to improve service delivery?
23:22
S… Speaker 1 (HOD PAEDIATRICS)
I've already said that...
23:26
S… Speaker 1 (HOD PAEDIATRICS)
Anyhow they want to do it,
23:28
S… Speaker 1 (HOD PAEDIATRICS)
even if you say once in four years,
23:30
S… Speaker 1 (HOD PAEDIATRICS)
at least one consultant is sent from all this.
23:33
S… Speaker 1 (HOD PAEDIATRICS)
Like in pediatrics,
23:36
S… Speaker 1 (HOD PAEDIATRICS)
we have about eight subspecialties.
23:38
S… Speaker 1 (HOD PAEDIATRICS)
We have neonatology,
23:39
S… Speaker 1 (HOD PAEDIATRICS)
we have nephrology,
23:41
S… Speaker 1 (HOD PAEDIATRICS)
we have cardiology,
23:42
S… Speaker 1 (HOD PAEDIATRICS)
we have neurology,
23:43
S… Speaker 1 (HOD PAEDIATRICS)
we have respiratory theology,
23:46
S… Speaker 1 (HOD PAEDIATRICS)
we have hemato -oncology.
23:48
S… Speaker 1 (HOD PAEDIATRICS)
So we have all those subspecialties.
23:50
S… Speaker 1 (HOD PAEDIATRICS)
So even if you say once in four years,
23:52
S… Speaker 1 (HOD PAEDIATRICS)
at least every one person in all these places will have had a change.
23:56
S… Speaker 2 (HOD PAEDIATRICS)
So this
24:01
S… Speaker 2 (HOD PAEDIATRICS)
is the last section,
24:02
S… Speaker 2 (HOD PAEDIATRICS)
priority setting.
24:03
S… Speaker 2 (HOD PAEDIATRICS)
What are the top three strategic priorities
24:08
S… Speaker 2 (HOD PAEDIATRICS)
UPTH must focus on between this year,
24:11
S… Speaker 2 (HOD PAEDIATRICS)
2026 and 2030?
24:13
S… Speaker 1 (HOD PAEDIATRICS)
I think that I don't believe
24:17
S… Speaker 1 (HOD PAEDIATRICS)
in going for the highfalutin things when even the basics are not available.
24:22
S… Speaker 1 (HOD PAEDIATRICS)
So as it stands now,
24:23
S… Speaker 1 (HOD PAEDIATRICS)
before now,
24:25
S… Speaker 1 (HOD PAEDIATRICS)
I can walk into the emergency room and
24:29
S… Speaker 1 (HOD PAEDIATRICS)
there are continuation sheets for the doctors to write.
24:33
S… Speaker 1 (HOD PAEDIATRICS)
The patient is not going to buy paper.
24:35
S… Speaker 1 (HOD PAEDIATRICS)
There is fig.
24:37
S… Speaker 1 (HOD PAEDIATRICS)
There is stethoscope.
24:40
S… Speaker 1 (HOD PAEDIATRICS)
There is weighing scale,
24:42
S… Speaker 1 (HOD PAEDIATRICS)
functional weighing scale.
24:43
S… Speaker 1 (HOD PAEDIATRICS)
Let me tell you the experience I had this morning.
24:45
S… Speaker 1 (HOD PAEDIATRICS)
I was seeing a child before I came up to meet two people.
24:47
S… Speaker 1 (HOD PAEDIATRICS)
The child was weighed.
24:49
S… Speaker 1 (HOD PAEDIATRICS)
Very ill child.
24:50
S… Speaker 1 (HOD PAEDIATRICS)
Very,
24:51
S… Speaker 1 (HOD PAEDIATRICS)
very ill.
24:52
S… Speaker 1 (HOD PAEDIATRICS)
Was weighed in clinic,
24:54
S… Speaker 1 (HOD PAEDIATRICS)
outpatient clinic,
24:55
S… Speaker 1 (HOD PAEDIATRICS)
CPC to be precise.
24:57
S… Speaker 1 (HOD PAEDIATRICS)
Child was weighing 37 kg.
25:00
S… Speaker 1 (HOD PAEDIATRICS)
child is in the world with the world skill child is weighing 34
25:05
S… Speaker 1 (HOD PAEDIATRICS)
kg
25:07
S… Speaker 2 (HOD PAEDIATRICS)
Same child.
25:07
S… Speaker 1 (HOD PAEDIATRICS)
Same child.
25:09
S… Speaker 1 (HOD PAEDIATRICS)
Not that the child lost weight.
25:11
S… Speaker 1 (HOD PAEDIATRICS)
Because if maybe the child had edema,
25:12
S… Speaker 1 (HOD PAEDIATRICS)
had lost weight in two days,
25:14
S… Speaker 1 (HOD PAEDIATRICS)
then you can say,
25:15
S… Speaker 1 (HOD PAEDIATRICS)
oh, the weight dropped.
25:16
S… Speaker 1 (HOD PAEDIATRICS)
That is why the edema fluid has gone.
25:18
S… Speaker 1 (HOD PAEDIATRICS)
That's why the child.
25:18
S… Speaker 1 (HOD PAEDIATRICS)
But we have had this problem.
25:20
S… Speaker 1 (HOD PAEDIATRICS)
Because the scales,
25:21
S… Speaker 1 (HOD PAEDIATRICS)
either they are old,
25:22
S… Speaker 1 (HOD PAEDIATRICS)
they are not functioning,
25:23
S… Speaker 1 (HOD PAEDIATRICS)
they are no longer sensitive,
25:25
S… Speaker 1 (HOD PAEDIATRICS)
but we are just managing them.
25:27
S… Speaker 1 (HOD PAEDIATRICS)
And all those,
25:28
S… Speaker 1 (HOD PAEDIATRICS)
it affects patient care and treatment.
25:30
S… Speaker 1 (HOD PAEDIATRICS)
Because in all pediatrics,
25:32
S… Speaker 1 (HOD PAEDIATRICS)
we calculate the drugs based on the weight of the child.
25:35
S… Speaker 1 (HOD PAEDIATRICS)
So if a child is actually 34 and we have been calculating using 37,
25:40
S… Speaker 1 (HOD PAEDIATRICS)
so we have been giving the child overdose of what the child should get.
25:43
S… Speaker 1 (HOD PAEDIATRICS)
So let us get those basics.
25:45
S… Speaker 1 (HOD PAEDIATRICS)
No child,
25:46
S… Speaker 1 (HOD PAEDIATRICS)
no parent should come here and be going to buy paper or going
25:51
S… Speaker 1 (HOD PAEDIATRICS)
to buy bottle for test or going to syringe,
25:56
S… Speaker 1 (HOD PAEDIATRICS)
going to buy syringe,
25:57
S… Speaker 1 (HOD PAEDIATRICS)
cotton wool, methylated spirit.
26:00
S… Speaker 1 (HOD PAEDIATRICS)
We should get it right.
26:01
S… Speaker 1 (HOD PAEDIATRICS)
These are things that can be sorted out this year,
26:05
S… Speaker 1 (HOD PAEDIATRICS)
not even to say it in next year.
26:07
S… Speaker 1 (HOD PAEDIATRICS)
So that in any clinic or any ward,
26:11
S… Speaker 1 (HOD PAEDIATRICS)
those things should be...
26:13
S… Speaker 1 (HOD PAEDIATRICS)
available and in abundance,
26:14
S… Speaker 1 (HOD PAEDIATRICS)
so that we don't do all those basic things,
26:17
S… Speaker 1 (HOD PAEDIATRICS)
standiometer,
26:18
S… Speaker 1 (HOD PAEDIATRICS)
weighing scale,
26:19
S… Speaker 1 (HOD PAEDIATRICS)
sphygmomanometer,
26:20
S… Speaker 1 (HOD PAEDIATRICS)
stethoscope,
26:21
S… Speaker 1 (HOD PAEDIATRICS)
all those things should be available and in abundance.
26:24
S… Speaker 1 (HOD PAEDIATRICS)
Before we now climb up,
26:25
S… Speaker 1 (HOD PAEDIATRICS)
when we now know that those ones are available,
26:27
S… Speaker 1 (HOD PAEDIATRICS)
we can now start talking about our echo,
26:29
S… Speaker 1 (HOD PAEDIATRICS)
our dialysis machine,
26:30
S… Speaker 1 (HOD PAEDIATRICS)
our ultrasound scan,
26:31
S… Speaker 1 (HOD PAEDIATRICS)
our this and that,
26:32
S… Speaker 1 (HOD PAEDIATRICS)
all those ones are big,
26:34
S… Speaker 1 (HOD PAEDIATRICS)
but these ones are basic.
26:35
S… Speaker 1 (HOD PAEDIATRICS)
So let's get those basic things first.
26:38
S… Speaker 1 (HOD PAEDIATRICS)
And then,
26:39
S… Speaker 1 (HOD PAEDIATRICS)
of course, thank God,
26:42
S… Speaker 1 (HOD PAEDIATRICS)
Chief Medical Director has been able to address the issue of electricity.
26:46
S… Speaker 1 (HOD PAEDIATRICS)
At least now we can say that we have electricity in
26:51
S… Speaker 1 (HOD PAEDIATRICS)
the emergency room and in the SCBE.
26:55
S… Speaker 1 (HOD PAEDIATRICS)
So there is no day.
26:57
S… Speaker 1 (HOD PAEDIATRICS)
Even if it goes,
26:58
S… Speaker 1 (HOD PAEDIATRICS)
it will come back.
26:59
S… Speaker 1 (HOD PAEDIATRICS)
It doesn't stay the whole day,
27:01
S… Speaker 1 (HOD PAEDIATRICS)
no light that you will say before,
27:03
S… Speaker 1 (HOD PAEDIATRICS)
two days, three days.
27:03
S… Speaker 1 (HOD PAEDIATRICS)
We have stable light and also
27:08
S… Speaker 1 (HOD PAEDIATRICS)
water.
27:10
S… Speaker 1 (HOD PAEDIATRICS)
You can open the taps and you have running taps,
27:13
S… Speaker 1 (HOD PAEDIATRICS)
water.
27:13
S… Speaker 1 (HOD PAEDIATRICS)
So water is available,
27:14
S… Speaker 1 (HOD PAEDIATRICS)
light is available.
27:16
S… Speaker 1 (HOD PAEDIATRICS)
Those are the things that I mean by having the basics.
27:18
S… Speaker 1 (HOD PAEDIATRICS)
So like all these other syringe,
27:20
S… Speaker 1 (HOD PAEDIATRICS)
paper,
27:21
S… Speaker 1 (HOD PAEDIATRICS)
cutting wool,
27:22
S… Speaker 1 (HOD PAEDIATRICS)
meditative spirit,
27:23
S… Speaker 1 (HOD PAEDIATRICS)
they are basics.
27:24
S… Speaker 1 (HOD PAEDIATRICS)
They are basics that nothing that we should be lacking in teaching hospital.
27:27
S… Speaker 1 (HOD PAEDIATRICS)
And then gloves.
27:28
S… Speaker 1 (HOD PAEDIATRICS)
Gloves.
27:30
S… Speaker 1 (HOD PAEDIATRICS)
We talk about infection prevention.
27:32
S… Speaker 1 (HOD PAEDIATRICS)
Gloves,
27:34
S… Speaker 1 (HOD PAEDIATRICS)
you see.
27:35
S… Speaker 1 (HOD PAEDIATRICS)
Should be in abundance.
27:36
S… Speaker 1 (HOD PAEDIATRICS)
Yeah, it should be in abundance.
27:37
S… Speaker 1 (HOD PAEDIATRICS)
We shouldn't be lacking all those things.
27:40
S… Speaker 1 (HOD PAEDIATRICS)
Those things really help.
27:42
S… Speaker 2 (HOD PAEDIATRICS)
Thank you, Ma.
27:42
S… Speaker 2 (HOD PAEDIATRICS)
This is just to wrap it up.
27:44
S… Speaker 2 (HOD PAEDIATRICS)
What should UPTH start doing now?
27:47
S… Speaker 1 (HOD PAEDIATRICS)
In terms of the staffing,
27:51
S… Speaker 1 (HOD PAEDIATRICS)
everything.
27:52
S… Speaker 2 (HOD PAEDIATRICS)
Where do you think we can do?
27:54
S… Speaker 2 (HOD PAEDIATRICS)
We can start from.
27:55
S… Speaker 1 (HOD PAEDIATRICS)
What I've told you now.
27:57
S… Speaker 1 (HOD PAEDIATRICS)
I said the basics.
27:58
S… Speaker 1 (HOD PAEDIATRICS)
That parents should not be buying paper.
28:00
S… Speaker 1 (HOD PAEDIATRICS)
Paper should be.
28:01
S… Speaker 1 (HOD PAEDIATRICS)
Before now,
28:03
S… Speaker 1 (HOD PAEDIATRICS)
they had a printer that would print and say,
28:05
S… Speaker 1 (HOD PAEDIATRICS)
Department of Pediatrics,
28:07
S… Speaker 1 (HOD PAEDIATRICS)
continuation sheet.
28:08
S… Speaker 1 (HOD PAEDIATRICS)
Supply it to the nurses,
28:09
S… Speaker 1 (HOD PAEDIATRICS)
supply it to the doctors.
28:11
S… Speaker 1 (HOD PAEDIATRICS)
So it's available in the world.
28:13
S… Speaker 1 (HOD PAEDIATRICS)
So once a patient comes,
28:14
S… Speaker 1 (HOD PAEDIATRICS)
just as you're sending the patient folder in for the doctor to see,
28:18
S… Speaker 1 (HOD PAEDIATRICS)
the nurse attaches the continuation sheet.
28:21
S… Speaker 1 (HOD PAEDIATRICS)
not to send the parents say go to malang go and buy full scarf sheet to be seen
28:26
S… Speaker 1 (HOD PAEDIATRICS)
And then we used to get investigation forms,
28:29
S… Speaker 1 (HOD PAEDIATRICS)
department of microbiology,
28:32
S… Speaker 1 (HOD PAEDIATRICS)
department of hematology,
28:34
S… Speaker 1 (HOD PAEDIATRICS)
department of chemical pathology.
28:36
S… Speaker 1 (HOD PAEDIATRICS)
They used to supply those forms to the nurses.
28:38
S… Speaker 1 (HOD PAEDIATRICS)
So as the patient needs investigation,
28:40
S… Speaker 1 (HOD PAEDIATRICS)
even the S3 forms,
28:41
S… Speaker 1 (HOD PAEDIATRICS)
they will arrange it on the table in the morning.
28:45
S… Speaker 1 (HOD PAEDIATRICS)
So you have microbiology form,
28:47
S… Speaker 1 (HOD PAEDIATRICS)
hematology form,
28:48
S… Speaker 1 (HOD PAEDIATRICS)
chemical pathology form,
28:50
S… Speaker 1 (HOD PAEDIATRICS)
anatomical pathology form,
28:51
S… Speaker 1 (HOD PAEDIATRICS)
radiology form already on the doctor's table.
28:55
S… Speaker 1 (HOD PAEDIATRICS)
So once you finish seeing a child and you feel that that child needs investigation,
28:59
S… Speaker 1 (HOD PAEDIATRICS)
just collect the form and write.
29:02
S… Speaker 1 (HOD PAEDIATRICS)
Now we don't,
29:03
S… Speaker 1 (HOD PAEDIATRICS)
I don't even know,
29:04
S… Speaker 1 (HOD PAEDIATRICS)
maybe the doctors that were graduating now,
29:06
S… Speaker 1 (HOD PAEDIATRICS)
they don't know the color of those forms.
29:08
S… Speaker 1 (HOD PAEDIATRICS)
They don't know that there were any forms.
29:10
S… Speaker 1 (HOD PAEDIATRICS)
I'm telling you the truth and it's very sad because we now buy paper from
29:14
S… Speaker 1 (HOD PAEDIATRICS)
Malam, tier 1824,
29:15
S… Speaker 1 (HOD PAEDIATRICS)
and then write.
29:19
S… Speaker 1 (HOD PAEDIATRICS)
Even for prescribing drugs,
29:21
S… Speaker 1 (HOD PAEDIATRICS)
we see T .M.
29:22
S… Speaker 1 (HOD PAEDIATRICS)
Allen's paper,
29:22
S… Speaker 1 (HOD PAEDIATRICS)
I write for drugs.
29:24
S… Speaker 1 (HOD PAEDIATRICS)
So those are basics.
29:25
S… Speaker 1 (HOD PAEDIATRICS)
So we cannot be talking big,
29:27
S… Speaker 1 (HOD PAEDIATRICS)
big things until we settle this small one.
29:29
S… Speaker 2 (HOD PAEDIATRICS)
So we can start from there.
29:30
S… Speaker 1 (HOD PAEDIATRICS)
Basics,
29:31
S… Speaker 1 (HOD PAEDIATRICS)
let all those things be available.
29:32
S… Speaker 1 (HOD PAEDIATRICS)
When we enter the clinic,
29:33
S… Speaker 1 (HOD PAEDIATRICS)
let those things be on the table.
29:35
S… Speaker 1 (HOD PAEDIATRICS)
Even for the doctor and the nurse that is seeing the patient,
29:38
S… Speaker 1 (HOD PAEDIATRICS)
you will be happy to just collect microbiological form and fill urine
29:42
S… Speaker 1 (HOD PAEDIATRICS)
MCS,
29:43
S… Speaker 1 (HOD PAEDIATRICS)
not to send the patient.
29:45
S… Speaker 1 (HOD PAEDIATRICS)
all those things waste patient time you now send the patient go and buy a full
29:49
S… Speaker 1 (HOD PAEDIATRICS)
scarf sheet from mala so that i will write urine mcs for your child you
29:53
S… Speaker 1 (HOD PAEDIATRICS)
understand so i hope i'm not talking too much so
29:57
S… Speaker 2 (HOD PAEDIATRICS)
this is this is the next one is what do
30:02
S… Speaker 2 (HOD PAEDIATRICS)
what should we stop do so you have mentioned we should stop allowing
30:06
S… Speaker 2 (HOD PAEDIATRICS)
all this to
30:07
S… Speaker 1 (HOD PAEDIATRICS)
If the thing is available on the table,
30:10
S… Speaker 1 (HOD PAEDIATRICS)
nobody will send parents to go and buy Malam's full -stab sheets.
30:13
S… Speaker 1 (HOD PAEDIATRICS)
You will just collect it and use it.
30:15
S… Speaker 1 (HOD PAEDIATRICS)
They are sending because it is not available.
30:18
S… Speaker 1 (HOD PAEDIATRICS)
Because if you say,
30:20
S… Speaker 1 (HOD PAEDIATRICS)
okay,
30:20
S… Speaker 1 (HOD PAEDIATRICS)
from now henceforth,
30:21
S… Speaker 1 (HOD PAEDIATRICS)
nobody should send for Malam to go and buy parents to go and buy paper.
30:25
S… Speaker 1 (HOD PAEDIATRICS)
Oh, you have not provided me with the paper to write it,
30:28
S… Speaker 1 (HOD PAEDIATRICS)
so what do I do?
30:29
S… Speaker 2 (HOD PAEDIATRICS)
So what can we do differently?
30:32
S… Speaker 1 (HOD PAEDIATRICS)
I've said this, I've said everything.
30:34
S… Speaker 1 (HOD PAEDIATRICS)
We can do different.
30:35
S… Speaker 1 (HOD PAEDIATRICS)
If these things are available,
30:36
S… Speaker 1 (HOD PAEDIATRICS)
we are there in the clinic to work.
30:40
S… Speaker 1 (HOD PAEDIATRICS)
Let the things that we need to work be made available to us.
30:44
S… Speaker 1 (HOD PAEDIATRICS)
Like I would like to see my patient,
30:47
S… Speaker 1 (HOD PAEDIATRICS)
weigh the patient,
30:49
S… Speaker 1 (HOD PAEDIATRICS)
know that this weight is correct,
30:50
S… Speaker 1 (HOD PAEDIATRICS)
do the height of the patient,
30:51
S… Speaker 1 (HOD PAEDIATRICS)
check the child's temperature.
30:52
S… Speaker 1 (HOD PAEDIATRICS)
In fact,
30:54
S… Speaker 1 (HOD PAEDIATRICS)
at that time, when I started working as a resident,
30:57
S… Speaker 1 (HOD PAEDIATRICS)
when I went to a temporary site,
30:58
S… Speaker 1 (HOD PAEDIATRICS)
every child in SCBU.
31:01
S… Speaker 1 (HOD PAEDIATRICS)
Dr.
31:01
S… Speaker 1 (HOD PAEDIATRICS)
and Professor Ramambo was our HOD.
31:03
S… Speaker 1 (HOD PAEDIATRICS)
He's late now.
31:04
S… Speaker 1 (HOD PAEDIATRICS)
Every child,
31:06
S… Speaker 1 (HOD PAEDIATRICS)
because it's SCBU,
31:07
S… Speaker 1 (HOD PAEDIATRICS)
and those babies are delicate,
31:09
S… Speaker 1 (HOD PAEDIATRICS)
every baby had their own stethoscope,
31:11
S… Speaker 1 (HOD PAEDIATRICS)
every baby had their own tape,
31:13
S… Speaker 1 (HOD PAEDIATRICS)
every baby had their own thermometer,
31:15
S… Speaker 1 (HOD PAEDIATRICS)
so that you don't transfer infection from one newborn.
31:18
S… Speaker 1 (HOD PAEDIATRICS)
This is a newborn baby.
31:19
S… Speaker 1 (HOD PAEDIATRICS)
Imagine your own newborn baby.
31:20
S… Speaker 1 (HOD PAEDIATRICS)
Transfer infection from this newborn baby to the other newborn baby.
31:23
S… Speaker 1 (HOD PAEDIATRICS)
So because of that,
31:24
S… Speaker 1 (HOD PAEDIATRICS)
every court had tape,
31:27
S… Speaker 1 (HOD PAEDIATRICS)
thermometer.
31:30
S… Speaker 1 (HOD PAEDIATRICS)
what is it called stethoscope hanging on their bed and
31:34
S… Speaker 1 (HOD PAEDIATRICS)
then of course we had those SCBU gowns of course I think they
31:39
S… Speaker 1 (HOD PAEDIATRICS)
still have those ones they had the gowns they had the whatever disposable
31:43
S… Speaker 1 (HOD PAEDIATRICS)
footwear before you enter
31:47
S… Speaker 1 (HOD PAEDIATRICS)
you change you wear that gown wear the footwear cover your mask cover your head
31:51
S… Speaker 1 (HOD PAEDIATRICS)
so that when you're going in there you know that yes I'm going to a sterile
31:55
S… Speaker 1 (HOD PAEDIATRICS)
environment let me not go and cause infection here
31:58
S… Speaker 1 (HOD PAEDIATRICS)
So,
31:58
S… Speaker 2 (HOD PAEDIATRICS)
thank you for your valuable insights,
32:01
S… Speaker 1 (HOD PAEDIATRICS)
Ma.
32:01
S… Speaker 2 (HOD PAEDIATRICS)
Your contribution will directly inform the UPT's strategic
32:06
S… Speaker 2 (HOD PAEDIATRICS)
plan for 2026 to 2030.
32:09
S… Speaker 1 (HOD PAEDIATRICS)
So,
32:09
S… Speaker 2 (HOD PAEDIATRICS)
we are very grateful,
32:10
S… Speaker 2 (HOD PAEDIATRICS)
Ma. Thank you for your audience.
32:12
S… Speaker 1 (HOD PAEDIATRICS)
Thank you,
32:13
S… Speaker 1 (HOD PAEDIATRICS)
but before you end your call,
32:15
S… Speaker 1 (HOD PAEDIATRICS)
I have spent how many minutes?
32:17
S… Speaker 1 (HOD PAEDIATRICS)
No more than 30 minutes talking with you people.
32:22
S… Speaker 1 (HOD PAEDIATRICS)
I want to know that there will be a change.
32:25
S… Speaker 2 (HOD PAEDIATRICS)
Yes, that is why we are.
32:26
S… Speaker 1 (HOD PAEDIATRICS)
I do.
32:27
S… Speaker 1 (HOD PAEDIATRICS)
Because I don't believe in talking too much.
32:29
S… Speaker 1 (HOD PAEDIATRICS)
Because if you come back next time and I've not been able to get continuation sheets for my patients,
32:33
S… Speaker 1 (HOD PAEDIATRICS)
I will not talk to you.

This transcript was generated by AI (automatic speech recognition). May contain errors — verify against the original audio for critical use. AI policy

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