HOD PAEDIATRICS

May 08, 2026 08:24 · 32:37 · English · Whisper Turbo · 3 स्पीकर
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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
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S… Speaker 1 (HOD PAEDIATRICS)
engagement process for the development of the strategic plan of University
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S… Speaker 1 (HOD PAEDIATRICS)
of Patakot Teaching Hospital from 2026 to 2030.
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S… Speaker 1 (HOD PAEDIATRICS)
The discussion will take about 15 to 20 minutes,
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S… Speaker 1 (HOD PAEDIATRICS)
ma, and we will focus on your perspectives
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S… Speaker 1 (HOD PAEDIATRICS)
on key priorities for improving the hospital.
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S… Speaker 1 (HOD PAEDIATRICS)
Your participation is entirely voluntary and you may choose
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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
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S… Speaker 1 (HOD PAEDIATRICS)
and used only for strategic planning purposes.
0:45
S… Speaker 1 (HOD PAEDIATRICS)
Please,
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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.
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S… Speaker 2 (HOD PAEDIATRICS)
I'm currently acting.
0:58
S… Speaker 2 (HOD PAEDIATRICS)
for Professor Paul,
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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
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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,
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S… Speaker 1 (HOD PAEDIATRICS)
the purpose is to obtain strategic insights from clinical leaders
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S… Speaker 1 (HOD PAEDIATRICS)
to inform priorities for service delivery,
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S… Speaker 1 (HOD PAEDIATRICS)
workforce,
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S… Speaker 1 (HOD PAEDIATRICS)
infrastructure,
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S… Speaker 1 (HOD PAEDIATRICS)
patient care,
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S… Speaker 1 (HOD PAEDIATRICS)
and training within the University of Potter Court Teaching Hospital Strategic
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S… Speaker 1 (HOD PAEDIATRICS)
Plan from 2026 to 2030.
1:44
S… Speaker 1 (HOD PAEDIATRICS)
So,
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S… Speaker 1 (HOD PAEDIATRICS)
for Section 1.
1:50
S… Speaker 1 (HOD PAEDIATRICS)
It's under service delivery.
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S… Speaker 1 (HOD PAEDIATRICS)
What are your major bottlenecks affecting clinical service delivery
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S… Speaker 1 (HOD PAEDIATRICS)
in your department or in your unit,
1:58
S… Speaker 3 (HOD PAEDIATRICS)
Ma? To start with,
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S… Speaker 2 (HOD PAEDIATRICS)
if we can compartmentalize them.
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S… Speaker 2 (HOD PAEDIATRICS)
We have the human aspect staffing.
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S… Speaker 2 (HOD PAEDIATRICS)
We don't have enough resident doctors
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S… Speaker 2 (HOD PAEDIATRICS)
working in the department.
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S… Speaker 2 (HOD PAEDIATRICS)
So that makes road stream them.
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S… Speaker 2 (HOD PAEDIATRICS)
difficult and then you know like the different colleges the West African College
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S… Speaker 2 (HOD PAEDIATRICS)
the National Prodigitalist Medical College they have
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S… Speaker 2 (HOD PAEDIATRICS)
curriculum that the residents must go through so for
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S… Speaker 2 (HOD PAEDIATRICS)
example they may say community pediatrics you should do a
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S… Speaker 2 (HOD PAEDIATRICS)
rotation of two months special care baby
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S… Speaker 2 (HOD PAEDIATRICS)
units you should do a rotation of three months and so on and so forth so
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S… Speaker 2 (HOD PAEDIATRICS)
if they don't have adequate staff
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S… Speaker 2 (HOD PAEDIATRICS)
The resident's rotation will not be affected.
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S… Speaker 2 (HOD PAEDIATRICS)
So where are residents supposed to do two months somewhere?
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S… Speaker 2 (HOD PAEDIATRICS)
They may cut it short because the emergency is lacking and the emergency
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S… Speaker 2 (HOD PAEDIATRICS)
is very important.
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S… Speaker 2 (HOD PAEDIATRICS)
So right now they don't have enough residents
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S… Speaker 2 (HOD PAEDIATRICS)
to do that rotation.
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S… Speaker 2 (HOD PAEDIATRICS)
And then materials,
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S… Speaker 2 (HOD PAEDIATRICS)
so that's in terms of staff.
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S… Speaker 2 (HOD PAEDIATRICS)
They also have the issue of materials.
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S… Speaker 2 (HOD PAEDIATRICS)
A child comes in the clinic,
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S… Speaker 2 (HOD PAEDIATRICS)
for example, right now.
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S… Speaker 2 (HOD PAEDIATRICS)
Patients are going to buy paper.
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S… Speaker 2 (HOD PAEDIATRICS)
full -scarf sheets from Mala to consult.
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S… Speaker 2 (HOD PAEDIATRICS)
Before now,
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S… Speaker 2 (HOD PAEDIATRICS)
the department used to provide continuation sheets
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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.
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S… Speaker 2 (HOD PAEDIATRICS)
But now,
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S… Speaker 2 (HOD PAEDIATRICS)
as the parents are coming,
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S… Speaker 2 (HOD PAEDIATRICS)
they are told to buy full -scarf sheets and bring along.
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S… Speaker 2 (HOD PAEDIATRICS)
And they also don't have investigation forms.
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S… Speaker 2 (HOD PAEDIATRICS)
When you see a patient,
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S… Speaker 2 (HOD PAEDIATRICS)
it's still the same full -scarf sheet you tear.
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S… Speaker 2 (HOD PAEDIATRICS)
to write for investigations and then when you want to take samples
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S… Speaker 2 (HOD PAEDIATRICS)
patient is also told to go to malam and buy syringe
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S… Speaker 2 (HOD PAEDIATRICS)
buy bottle and all that so before now we used to have all those things
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S… Speaker 2 (HOD PAEDIATRICS)
available so that when the patient goes pay they give
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S… Speaker 2 (HOD PAEDIATRICS)
you your syringe give you your bottle and then you come with it for blood letting
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S… Speaker 2 (HOD PAEDIATRICS)
So all those things.
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S… Speaker 2 (HOD PAEDIATRICS)
So if a child comes,
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S… Speaker 2 (HOD PAEDIATRICS)
you have to now go and be sending the child back and forth before the child
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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,
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S… Speaker 1 (HOD PAEDIATRICS)
underutilized,
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S… Speaker 1 (HOD PAEDIATRICS)
or need expansion in the Department of Pediatrics,
4:26
S… Speaker 3 (HOD PAEDIATRICS)
Ma? Well,
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S… Speaker 2 (HOD PAEDIATRICS)
talking about overstretching of services,
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S… Speaker 2 (HOD PAEDIATRICS)
I don't really...
4:33
S… Speaker 2 (HOD PAEDIATRICS)
What do you mean by that?
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S… Speaker 1 (HOD PAEDIATRICS)
That is,
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S… Speaker 1 (HOD PAEDIATRICS)
for instance,
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S… Speaker 1 (HOD PAEDIATRICS)
what you gave,
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S… Speaker 1 (HOD PAEDIATRICS)
the instance you gave that we need to take blood
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S… Speaker 1 (HOD PAEDIATRICS)
sample, is it the emergency that
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S… Speaker 1 (HOD PAEDIATRICS)
is overstretched?
4:48
S… Speaker 1 (HOD PAEDIATRICS)
That people must be there,
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S… Speaker 1 (HOD PAEDIATRICS)
according to what you said,
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S… Speaker 1 (HOD PAEDIATRICS)
resident doctor must be there,
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S… Speaker 1 (HOD PAEDIATRICS)
even if they are going for other posting.
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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
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S… Speaker 2 (HOD PAEDIATRICS)
or any
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S… Speaker 2 (HOD PAEDIATRICS)
service that are underutilized maybe you have a service that people do don't
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S… Speaker 2 (HOD PAEDIATRICS)
come for it maybe there is a particular procedure that
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S… Speaker 2 (HOD PAEDIATRICS)
is available to be done in the department but you hardly have patients that
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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
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S… Speaker 1 (HOD PAEDIATRICS)
have
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S… Speaker 1 (HOD PAEDIATRICS)
I don't see any available equipment
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S… Speaker 1 (HOD PAEDIATRICS)
or instruments or we say,
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S… Speaker 1 (HOD PAEDIATRICS)
oh, this thing is available and nobody is using it.
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S… Speaker 1 (HOD PAEDIATRICS)
There is nothing like that.
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S… Speaker 1 (HOD PAEDIATRICS)
Instead, most of our equipment are broken down and we are looking for how we can fix
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S… Speaker 1 (HOD PAEDIATRICS)
them because we are having to send our patients out.
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S… Speaker 1 (HOD PAEDIATRICS)
For example,
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S… Speaker 1 (HOD PAEDIATRICS)
the dialysis.
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S… Speaker 1 (HOD PAEDIATRICS)
We have patients that are on chronic dialysis,
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S… Speaker 1 (HOD PAEDIATRICS)
patients who have chronic kidney disease are needing dialysis.
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S… Speaker 1 (HOD PAEDIATRICS)
When we go to the dialysis unit,
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S… Speaker 1 (HOD PAEDIATRICS)
we are told that there are no consumables.
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S… Speaker 1 (HOD PAEDIATRICS)
So,
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S… Speaker 1 (HOD PAEDIATRICS)
patient has to go out to Bantu.
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S… Speaker 1 (HOD PAEDIATRICS)
As you can imagine,
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S… Speaker 1 (HOD PAEDIATRICS)
UPTH is out of town,
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S… Speaker 1 (HOD PAEDIATRICS)
more or less.
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S… Speaker 1 (HOD PAEDIATRICS)
They have to now take a taxi because there is no ambulance to even carry the
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S… Speaker 1 (HOD PAEDIATRICS)
patient.
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S… Speaker 1 (HOD PAEDIATRICS)
Either they take a taxi or they bring their private car to carry that
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S… Speaker 1 (HOD PAEDIATRICS)
child to town and bring the child back.
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S… Speaker 1 (HOD PAEDIATRICS)
because of dialysis.
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S… Speaker 1 (HOD PAEDIATRICS)
We used to have an echo machine,
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S… Speaker 1 (HOD PAEDIATRICS)
and that echo machine has broken down for years.
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S… Speaker 1 (HOD PAEDIATRICS)
Solely for pediatrics.
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S… Speaker 1 (HOD PAEDIATRICS)
Pediatric echo,
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S… Speaker 1 (HOD PAEDIATRICS)
because the probes for pediatrics is different from that of adults.
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S… Speaker 1 (HOD PAEDIATRICS)
So that echo machine has also broken down.
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S… Speaker 1 (HOD PAEDIATRICS)
In fact,
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S… Speaker 1 (HOD PAEDIATRICS)
We tried to fix it and they said that that particular brand
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S… Speaker 1 (HOD PAEDIATRICS)
of the Echo is now obsolete and the person who was to repair it advised
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S… Speaker 1 (HOD PAEDIATRICS)
that we should get a,
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S… Speaker 1 (HOD PAEDIATRICS)
what is it called?
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S… Speaker 1 (HOD PAEDIATRICS)
to get the modern one.
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S… Speaker 1 (HOD PAEDIATRICS)
So we have not been able to get a modern one.
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S… Speaker 2 (HOD PAEDIATRICS)
So this example of this echo machine would fall under
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S… Speaker 2 (HOD PAEDIATRICS)
expansion.
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S… Speaker 2 (HOD PAEDIATRICS)
These are the services we need to expand,
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S… Speaker 2 (HOD PAEDIATRICS)
like provision of modern echo machine.
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S… Speaker 2 (HOD PAEDIATRICS)
Thank you,
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S… Speaker 2 (HOD PAEDIATRICS)
Ma. So the third one under service delivery.
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S… Speaker 2 (HOD PAEDIATRICS)
What practical changes will most improve efficiency and
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S… Speaker 2 (HOD PAEDIATRICS)
quality of care?
7:17
S… Speaker 1 (HOD PAEDIATRICS)
Well,
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S… Speaker 1 (HOD PAEDIATRICS)
one of the things,
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S… Speaker 1 (HOD PAEDIATRICS)
like I was in...
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S… Speaker 1 (HOD PAEDIATRICS)
FMC Jabi recently last week for accreditation
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S… Speaker 1 (HOD PAEDIATRICS)
and what I noticed there was that the
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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
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S… Speaker 1 (HOD PAEDIATRICS)
outpatient or in the
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S… Speaker 1 (HOD PAEDIATRICS)
consultant, pediatric clinic,
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S… Speaker 1 (HOD PAEDIATRICS)
everything is entered into the system.
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S… Speaker 1 (HOD PAEDIATRICS)
And if that child,
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S… Speaker 1 (HOD PAEDIATRICS)
for example, is admitted,
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S… Speaker 1 (HOD PAEDIATRICS)
that admission record and everything that the doctor has done goes to
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S… Speaker 1 (HOD PAEDIATRICS)
the ward.
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S… Speaker 1 (HOD PAEDIATRICS)
And that child is just moved to the ward.
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S… Speaker 1 (HOD PAEDIATRICS)
And when the child gets to the ward,
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S… Speaker 1 (HOD PAEDIATRICS)
they can access that record and begin to attend to the child.
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S… Speaker 1 (HOD PAEDIATRICS)
And if the child needs any draw,
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S… Speaker 1 (HOD PAEDIATRICS)
it's accessed in the pharmacy.
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S… Speaker 1 (HOD PAEDIATRICS)
the child can go and pick up the drugs that have been prescribed by the doctor
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S… Speaker 1 (HOD PAEDIATRICS)
from the pharmacy.
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S… Speaker 1 (HOD PAEDIATRICS)
If the child needs any investigation,
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S… Speaker 1 (HOD PAEDIATRICS)
he goes to the lab.
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S… Speaker 1 (HOD PAEDIATRICS)
And all the child needs to do,
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S… Speaker 1 (HOD PAEDIATRICS)
the parent will present the child,
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S… Speaker 1 (HOD PAEDIATRICS)
their sample is collected,
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S… Speaker 1 (HOD PAEDIATRICS)
and the result is sent electronically to the ward and
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S… Speaker 1 (HOD PAEDIATRICS)
to whoever saw the child.
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S… Speaker 1 (HOD PAEDIATRICS)
So you can assert all these things are linked up.
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S… Speaker 1 (HOD PAEDIATRICS)
So you don't have,
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S… Speaker 1 (HOD PAEDIATRICS)
it takes away the stress because right now what we have is that you send a child
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S… Speaker 1 (HOD PAEDIATRICS)
for investigation, you have to go there,
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S… Speaker 1 (HOD PAEDIATRICS)
look for the result,
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S… Speaker 1 (HOD PAEDIATRICS)
back and forth,
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S… Speaker 1 (HOD PAEDIATRICS)
back and forth,
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S… Speaker 1 (HOD PAEDIATRICS)
takes time,
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S… Speaker 1 (HOD PAEDIATRICS)
waste patient time,
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S… Speaker 1 (HOD PAEDIATRICS)
waste doctor's time.
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S… Speaker 1 (HOD PAEDIATRICS)
But if everything is connected,
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S… Speaker 1 (HOD PAEDIATRICS)
not like what we had before where you see a child,
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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,
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S… Speaker 1 (HOD PAEDIATRICS)
they have to click all over again,
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S… Speaker 1 (HOD PAEDIATRICS)
making it difficult for both the doctor and the patient.
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S… Speaker 1 (HOD PAEDIATRICS)
medical record that i saw there and it was working in nigeria was excellent
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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
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S… Speaker 1 (HOD PAEDIATRICS)
you see all our folders are on the corridor it needs
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S… Speaker 1 (HOD PAEDIATRICS)
expansion they need help so and
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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.
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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,
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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,

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