Abua

Jul 21, 2026 16:48 · 15:29 · English · Whisper Turbo · 2 المتكلمون
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S… Speaker 2 (Abua)
Good afternoon,
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S… Speaker 1 (Abua)
sir.
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S… Speaker 2 (Abua)
My name is Dr.
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DimKpa.
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S… Speaker 2 (Abua)
We're conducting a study on the assessment of
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S… Speaker 2 (Abua)
emergency preparedness for emerging and re -emerging diseases in model
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S… Speaker 2 (Abua)
primary health centers in River State.
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S… Speaker 2 (Abua)
As a key stakeholder,
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S… Speaker 2 (Abua)
your views and perspectives will help in getting data concerning this
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S… Speaker 1 (Abua)
topic.
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S… Speaker 2 (Abua)
So once you seek consent to participate in this study,
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S… Speaker 2 (Abua)
will you give your consent?
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S… Speaker 1 (Abua)
Of course I will.
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S… Speaker 2 (Abua)
We would also record you.
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S… Speaker 2 (Abua)
Are you willing to let us record you?
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S… Speaker 1 (Abua)
You're prima.
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S… Speaker 1 (Abua)
So,
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S… Speaker 2 (Abua)
how old are you,
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S… Speaker 1 (Abua)
sir? I
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S… Speaker 1 (Abua)
am 45 years old.
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S… Speaker 1 (Abua)
I'm
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S… Speaker 1 (Abua)
a male, married,
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S… Speaker 1 (Abua)
tertiary level of education.
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S… Speaker 1 (Abua)
I'm a Christian and he is from the M .O.
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S… Speaker 1 (Abua)
Haluka government area.
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S… Speaker 1 (Abua)
I currently work in Abu Dhu,
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S… Speaker 1 (Abua)
Haluka government area as the medical officer of health.
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S… Speaker 1 (Abua)
and Director of Pramai Healthcare.
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S… Speaker 1 (Abua)
So how
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S… Speaker 2 (Abua)
long have you been in this position?
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S… Speaker 1 (Abua)
I've been in this position for about two
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S… Speaker 1 (Abua)
years.
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S… Speaker 2 (Abua)
Do you pay scheduled visits to the health
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S… Speaker 2 (Abua)
centers in your LGEs?
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S… Speaker 1 (Abua)
Very well.
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S… Speaker 2 (Abua)
When last did you visit any of the MPHCs?
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S… Speaker 1 (Abua)
I visited the MPHCs
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S… Speaker 1 (Abua)
in my LGEs two weeks
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S… Speaker 1 (Abua)
ago.
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S… Speaker 2 (Abua)
So, can you describe your roles and responsibilities within the health
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S… Speaker 2 (Abua)
system, particularly regarding emergency preparedness for
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S… Speaker 2 (Abua)
outbreaks in the primary health centres?
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S… Speaker 1 (Abua)
Well,
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S… Speaker 1 (Abua)
my roles and responsibilities as regards
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S… Speaker 1 (Abua)
emergency preparedness involves
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S… Speaker 1 (Abua)
course preparation,
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S… Speaker 1 (Abua)
equipping the facility,
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S… Speaker 1 (Abua)
ensuring that the residents are ready for emergency
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S… Speaker 1 (Abua)
purposes.
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S… Speaker 1 (Abua)
and then providing the necessary facilities that are needed for
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S… Speaker 1 (Abua)
such services.
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S… Speaker 2 (Abua)
So during your visits,
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S… Speaker 2 (Abua)
do you do a supportive supervision with a checklist and
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S… Speaker 2 (Abua)
write up a report,
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S… Speaker 2 (Abua)
noting gaps and recommendations?
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S… Speaker 1 (Abua)
Yes,
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S… Speaker 1 (Abua)
I do.
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S… Speaker 2 (Abua)
So how are policies and guidelines on emergency preparedness
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S… Speaker 2 (Abua)
for infectious diseases developed and disseminated
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S… Speaker 2 (Abua)
to the health centres?
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S… Speaker 1 (Abua)
developed at the board level and then usually
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S… Speaker 1 (Abua)
transmitted to us.
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S… Speaker 1 (Abua)
For me,
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S… Speaker 1 (Abua)
what I do is to implement these policies and guidelines
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S… Speaker 1 (Abua)
and then also monitor compliance across the facilities.
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S… Speaker 2 (Abua)
So what roles will MOH play in ensuring governance
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S… Speaker 2 (Abua)
for emergency preparedness?
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S… Speaker 1 (Abua)
Well,
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S… Speaker 1 (Abua)
as an MOH,
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S… Speaker 1 (Abua)
the role I play is to
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S… Speaker 1 (Abua)
I ensure that all the guidelines,
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S… Speaker 1 (Abua)
the policies that have been developed adhere
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S… Speaker 1 (Abua)
to.
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S… Speaker 1 (Abua)
I ensure that the facilities that
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S… Speaker 1 (Abua)
I visit adhere to all the guidelines.
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S… Speaker 1 (Abua)
I ensure that the follow -up with what has been
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S… Speaker 1 (Abua)
developed and then for their compliance is very important to the
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S… Speaker 1 (Abua)
success of these programs.
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S… Speaker 2 (Abua)
What existing coordination structures like tax forces,
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S… Speaker 2 (Abua)
committees,
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S… Speaker 2 (Abua)
intersectorial platforms support preparedness in the PHCs?
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S… Speaker 1 (Abua)
In the PHCs,
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S… Speaker 1 (Abua)
I have program officers,
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S… Speaker 1 (Abua)
which I also send out for supervision
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S… Speaker 1 (Abua)
and monitoring.
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S… Speaker 1 (Abua)
We also have the community and
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S… Speaker 1 (Abua)
people that are involved in this supervision.
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S… Speaker 1 (Abua)
So what they do is to help.
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S… Speaker 1 (Abua)
collaborate with us and then visit these facilities of
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S… Speaker 1 (Abua)
course we prepare a roadster for every one of them
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S… Speaker 1 (Abua)
to visit each of these facilities to monitor what's going on there and
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S… Speaker 2 (Abua)
to ensure compliance so what are the main facilitators of effective
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S… Speaker 2 (Abua)
governance the main
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S… Speaker 1 (Abua)
facilitators yes of effective governance in these facilities yes
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S… Speaker 1 (Abua)
of course the facility heads are the
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S… Speaker 1 (Abua)
facilitators and
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S… Speaker 1 (Abua)
the health workers within the facilities,
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S… Speaker 1 (Abua)
our role is just to monitor them and then make them comply,
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S… Speaker 1 (Abua)
provide supportive supervision.
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S… Speaker 2 (Abua)
training all right so what are the main barriers the challenges you
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S… Speaker 2 (Abua)
face in governance in terms of coordination political
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S… Speaker 2 (Abua)
interference and unclear rules well we'll have
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S… Speaker 1 (Abua)
everything for everything to work better where it has to be
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S… Speaker 1 (Abua)
in concern to the policies that have been developed but
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S… Speaker 1 (Abua)
in some cases due to positive
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S… Speaker 1 (Abua)
the workforce,
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S… Speaker 1 (Abua)
we do not have enough persons that will be
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S… Speaker 1 (Abua)
needed to carry out what is needed
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S… Speaker 1 (Abua)
in these facilities.
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S… Speaker 1 (Abua)
And again,
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S… Speaker 1 (Abua)
the political interference for me would be that
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S… Speaker 1 (Abua)
the necessary funding,
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S… Speaker 1 (Abua)
necessary funding and all the
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S… Speaker 1 (Abua)
support that is supposed to be provided.
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S… Speaker 1 (Abua)
are not there.
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S… Speaker 1 (Abua)
So this also hinders the success of
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S… Speaker 1 (Abua)
this program.
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S… Speaker 2 (Abua)
So how well equipped are your health centers in terms
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S… Speaker 2 (Abua)
of logistics?
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S… Speaker 1 (Abua)
For logistics,
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S… Speaker 1 (Abua)
health centers,
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S… Speaker 1 (Abua)
I would say they
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S… Speaker 1 (Abua)
are averagely equipped.
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S… Speaker 1 (Abua)
Medical supplies,
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S… Speaker 1 (Abua)
VPs,
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S… Speaker 1 (Abua)
emergency drugs and coaching.
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S… Speaker 2 (Abua)
So what systems are in place to ensure a
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S… Speaker 2 (Abua)
steady supply of essential medicines for
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S… Speaker 2 (Abua)
outbreaks?
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S… Speaker 1 (Abua)
and then the impact on them.
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S… Speaker 1 (Abua)
Regular funding and then regular
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S… Speaker 1 (Abua)
procurement of this essential medicine is
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S… Speaker 1 (Abua)
what is advocated.
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S… Speaker 1 (Abua)
And then for us at the LGA level,
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S… Speaker 1 (Abua)
we also follow up with monitoring of these facilities if they
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S… Speaker 1 (Abua)
comply by providing this essential medicine with the funding that has been given
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S… Speaker 1 (Abua)
to them.
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S… Speaker 1 (Abua)
So try to do a monthly appraisal.
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S… Speaker 1 (Abua)
what they are doing in the facilities to know if they are following up.
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S… Speaker 2 (Abua)
So how sufficient and trained
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S… Speaker 2 (Abua)
is the workforce to respond to emerging infectious diseases?
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S… Speaker 1 (Abua)
Of course,
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S… Speaker 1 (Abua)
I've said that the workforce is not enough.
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S… Speaker 1 (Abua)
The workforce is not enough.
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S… Speaker 1 (Abua)
We have shortfall in the human resources
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S… Speaker 1 (Abua)
across the facilities.
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S… Speaker 1 (Abua)
So I hope that the emerging
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S… Speaker 1 (Abua)
infectious disease does not overwhelm us because we do not
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S… Speaker 1 (Abua)
have...
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S… Speaker 1 (Abua)
enough workforce.
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S… Speaker 2 (Abua)
What facilitators enable effective logistics
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S… Speaker 2 (Abua)
and infrastructural support like the supply chain,
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S… Speaker 2 (Abua)
partnerships,
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S… Speaker 2 (Abua)
training programs?
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S… Speaker 1 (Abua)
There are constant training
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S… Speaker 1 (Abua)
programs that have been developed and then they
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S… Speaker 1 (Abua)
are always involved.
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S… Speaker 1 (Abua)
All the people
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S… Speaker 1 (Abua)
concerned from facility level,
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S… Speaker 1 (Abua)
EGA levels,
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S… Speaker 1 (Abua)
they are always involved.
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S… Speaker 1 (Abua)
and training and retraining and then for partnerships
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S… Speaker 1 (Abua)
to help people support from partners and
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S… Speaker 1 (Abua)
then reveler funding also help to I
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S… Speaker 1 (Abua)
think provide the needed items.
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S… Speaker 2 (Abua)
So what barriers limit this logistics and infrastructure barriers
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S… Speaker 2 (Abua)
like stock house,
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S… Speaker 2 (Abua)
train,
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S… Speaker 2 (Abua)
lack of train personnel and weak surveillance?
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S… Speaker 1 (Abua)
For this to be sustained there has the
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S… Speaker 1 (Abua)
various levels at the chain have
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S… Speaker 1 (Abua)
to be committed and then there must be the
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S… Speaker 1 (Abua)
regular funding must be sustained and there
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S… Speaker 1 (Abua)
must also be monitoring and regular
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S… Speaker 1 (Abua)
training of personnel.
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S… Speaker 1 (Abua)
Once anywhere is lacking there will be limitations,
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S… Speaker 1 (Abua)
there will be barriers.
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S… Speaker 1 (Abua)
to this once anywhere is lacking there will be barriers to this so from
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S… Speaker 1 (Abua)
the supply chain
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S… Speaker 1 (Abua)
drugs are stocked out or commodities are stocked out they are replaced
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S… Speaker 1 (Abua)
regular funding and then regular training of
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S… Speaker 1 (Abua)
the personnel must be constant so now
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S… Speaker 2 (Abua)
how do the primary health centers prepare for potential outbreaks
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S… Speaker 2 (Abua)
you know outbreaks can come at any time how do they prepare they do simulation
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S… Speaker 2 (Abua)
exercises training drills in preparation for
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S… Speaker 2 (Abua)
emergency
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S… Speaker 1 (Abua)
I've not seen that.
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S… Speaker 1 (Abua)
All I know is that they just make
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S… Speaker 1 (Abua)
do with the trainings that they've gone through.
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S… Speaker 1 (Abua)
Once there is an outbreak,
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S… Speaker 1 (Abua)
everybody is alerted.
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S… Speaker 1 (Abua)
So we now activate the teams that
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S… Speaker 2 (Abua)
are on ground.
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S… Speaker 2 (Abua)
So it's more like nothing is on ground.
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S… Speaker 2 (Abua)
It is when it happens that we now jump on.
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S… Speaker 1 (Abua)
We are more or less reactive than being proactive.
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S… Speaker 2 (Abua)
So who organizes this training and drills?
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S… Speaker 2 (Abua)
And how often is it done?
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S… Speaker 1 (Abua)
We don't organize that.
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S… Speaker 1 (Abua)
We don't organize simulation exercise.
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S… Speaker 1 (Abua)
I think we should be thinking about that.
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S… Speaker 2 (Abua)
So how do you assess the overall level of
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S… Speaker 2 (Abua)
readiness of health centers to responding to outbreaks?
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S… Speaker 2 (Abua)
Well,
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S… Speaker 1 (Abua)
I can't say that it's...
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S… Speaker 2 (Abua)
Over 10?
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S… Speaker 1 (Abua)
No,
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S… Speaker 1 (Abua)
over 10.
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S… Speaker 1 (Abua)
I would say 4.
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S… Speaker 2 (Abua)
4 over 10.
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S… Speaker 1 (Abua)
Yes, I would say 4.
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S… Speaker 2 (Abua)
40 percent so can
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S… Speaker 2 (Abua)
you share an example of a recent outbreak and how the health center responded
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S… Speaker 2 (Abua)
what works well what didn't work well measles
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S… Speaker 2 (Abua)
yellow fever ebola i can
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S… Speaker 1 (Abua)
recall out of measles outbreak long
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S… Speaker 1 (Abua)
while ago i can recall even in
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S… Speaker 1 (Abua)
that measles outbreak there was an attempt
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S… Speaker 1 (Abua)
So everyone said it was not Mesos.
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S… Speaker 1 (Abua)
So that is the area I'm talking about.
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S… Speaker 1 (Abua)
Everybody must be ready.
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S… Speaker 1 (Abua)
The LIO,
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S… Speaker 1 (Abua)
her own team,
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S… Speaker 1 (Abua)
the LGA,
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S… Speaker 1 (Abua)
the MOH and the LGA,
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S… Speaker 1 (Abua)
as well as the board must be ready.
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S… Speaker 1 (Abua)
There was a middle outbreak at Kemagor.
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S… Speaker 1 (Abua)
Kemagor is a hard -to -reach area.
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S… Speaker 1 (Abua)
You know,
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S… Speaker 1 (Abua)
dual axis.
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S… Speaker 1 (Abua)
You know, dual local government area.
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S… Speaker 1 (Abua)
And as soon as
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S… Speaker 1 (Abua)
this outbreak was communicated,
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S… Speaker 2 (Abua)
It took time,
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S… Speaker 1 (Abua)
it took days for the people,
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S… Speaker 1 (Abua)
the team from God to get to that place.
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S… Speaker 1 (Abua)
Because it was a rainy season and the roads were
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S… Speaker 1 (Abua)
inaccessible.
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S… Speaker 1 (Abua)
So getting there,
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S… Speaker 1 (Abua)
there was another issue.
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S… Speaker 1 (Abua)
Community interference,
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S… Speaker 1 (Abua)
government interference.
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S… Speaker 1 (Abua)
They didn't want the place to be painted bad.
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S… Speaker 1 (Abua)
That there was an outbreak.
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S… Speaker 1 (Abua)
And then it became an issue.
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S… Speaker 1 (Abua)
At the end of the day,
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S… Speaker 1 (Abua)
it was declared that it was an outbreak.
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S… Speaker 1 (Abua)
So,
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S… Speaker 1 (Abua)
these are some of the barriers that,
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S… Speaker 1 (Abua)
at least,
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S… Speaker 1 (Abua)
that we faced during that period.
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S… Speaker 2 (Abua)
So,
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S… Speaker 2 (Abua)
in your own opinion,
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S… Speaker 2 (Abua)
what are the facilitators that strengthen emergency preparedness?
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S… Speaker 2 (Abua)
And what are the barriers that hinder it generally?
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S… Speaker 2 (Abua)
In my own opinion,
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S… Speaker 1 (Abua)
they must be presented.
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S… Speaker 1 (Abua)
There must be constant efforts to prepare
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S… Speaker 1 (Abua)
a team and the team must be activated either
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S… Speaker 1 (Abua)
by doing regular simulation exercises.
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S… Speaker 1 (Abua)
They must be ready for this outbreak.
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S… Speaker 1 (Abua)
It shouldn't be a reactive procedure.
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S… Speaker 1 (Abua)
They must be ready and it must be funded.
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S… Speaker 1 (Abua)
It must be funded so that people will not take it seriously.
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S… Speaker 1 (Abua)
So that when there is an outbreak,
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S… Speaker 1 (Abua)
it will be handled properly.
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S… Speaker 1 (Abua)
So there must be seriousness in terms of handling outbreak
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S… Speaker 1 (Abua)
from top to down.
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S… Speaker 2 (Abua)
So what recommendations would
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S… Speaker 2 (Abua)
you give to improve the systemic preparedness in terms
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S… Speaker 2 (Abua)
of governance,
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S… Speaker 2 (Abua)
financing and logistics in these health centers?
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S… Speaker 1 (Abua)
I would say there must be a desk office created
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S… Speaker 1 (Abua)
for emergency.
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S… Speaker 1 (Abua)
preparedness and response from the board level to
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S… Speaker 1 (Abua)
the RGA level.
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S… Speaker 1 (Abua)
I don't know if it exists.
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S… Speaker 1 (Abua)
What I know is that once it happens,
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S… Speaker 1 (Abua)
everybody is told to go
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S… Speaker 1 (Abua)
into the field.
14:51
S… Speaker 1 (Abua)
But in this case,
14:52
S… Speaker 1 (Abua)
there must be a team that has been created for that and that
14:56
S… Speaker 1 (Abua)
team must be prepared,
14:58
S… Speaker 1 (Abua)
must be funded and must be monitored.
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S… Speaker 1 (Abua)
So there must be regular appraisal of their activities.
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S… Speaker 1 (Abua)
I think that once there is an emergency or
15:10
S… Speaker 2 (Abua)
an outbreak,
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S… Speaker 1 (Abua)
this team can be held responsible for whatever happens.
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S… Speaker 2 (Abua)
Thank you for taking the time to share your thoughts and experiences.
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S… Speaker 2 (Abua)
Your input is highly appreciated.
15:22
S… Speaker 2 (Abua)
Thank you very much.
15:23
S… Speaker 2 (Abua)
Thank you very much.

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موجز تنفيذي
Dr. DimKpa is conducting a study on emergency preparedness for emerging and re-emerging diseases in primary health centers in River State. He is seeking consent from participants, who are medical officers of health, to participate in the study. The participants will be asked about their roles and responsibilities in emergency preparedness, policies and guidelines for infectious diseases, and the MOH's role in ensuring governance. The study will also look at existing coordination structures in the PHCs.
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