THE HEALTH PLAN
It is the intent of this plan to solve the prevailing health crisis in Imo state by making available healthcare solutions to all residents of Imo, and to large extent residents of neighboring states as well. This plan offers simple, quality oriented, cost effective solutions to our healthcare challenges. This is a sustainable plan considering paucity of funds, need and time. It is designed to benefit all zones in the state. If adopted shall become operational in less than a year.
We have twenty seven local governments in Imo state and this plan seeks to offer healthcare remedy to all areas. Allocations per quantity and size were done based solely on the most recent census in Imo with emphasis on population of the area, density and size.
The distribution was drawn completely without bias or favour to any zone, place, organization or individual.
We seek to establish upon approval by the legislature and appropriation of funds a total of seventy “Cottage Clinics”. We used the term “Cottage Clinic” to depict the size and affordability of the proposed clinics.
The seventy proposed “Cottage Clinics” shall be spread in the format as listed hereunder
1. Aboh Mbaise – 3
2. Ahiazu Mbaise – 2
3. Ehime Mbano – 3
4. Ezinihitte – 2
5. Ideato North – 3
6. Ideato South – 2
7. Ihitte Uboma – 2
8. Ikeduru – 3
9. Isiala Mbano – 3
10. Isu – 1
11. Mbaitolu – 4
12. Ngor Okpala – 6
13. Njaba – 1
14. Nkwerre – 1
15. Nwangele – 1
16. Obowo – 2
17. Oguta – 2
18. Ohaji Egbema – 8
19. Okigwe – 5
20. Orlu – 2
21. Orsu – 1
22. Oru East – 2
23. Oru West – 1
24. Owerri Municipal – 1
25. Owerri North – 3
26. Owerri West – 3
27. Onuimo – 2
These “Cottage Clinics” will complement the works and activities of the twenty seven general hospitals that were built by the previous administration. However, if the general hospitals are non-existent, one clinic from each local government shall be upgraded for that purpose.
Ultimately under our plan as outlined in our blue print dubbed VISION 4/4, we shall seek to establish a state of the art “Specialist Hospital” that will also serve as the states teaching hospital. The specialist hospital however is not the priority and will not be part of this emergency intervention plan. The “Cottage Clinics” under our blue print will undergo continuous upgrades and or expansions to accommodate population explosion that may be due to urbanization and growth.
Our proposed “Cottage Clinics” are simple, bungalow style ten to thirty bed hospitals. The distributions of beds are based on the population density of the various areas.
They will have at the minimum;
A. Medical Staff
B. Working Phone Lines
C. Basic Medications in stock
D. A Mini Van Styled Ambulance
E. Basic Medical Equipment
F. Emergency Water Supply (Bore Hole)
They shall run on a combination of Solar, PHCN and power generators.
These “Cottage Clinics” are emergency hospitals. They will not be twenty four hour clinics. The general hospitals in each local government under this plan will be equipped and adapted for that purpose. However, in case of emergencies, or outbreak of diseases, they shall thru emergency order be made to be open for twenty four hours for the purpose of assisting with, curtailing and controlling the outbreak.
We propose that the clinics be open ten hours every day from the hours of 8am until the hours of 6pm. They will be adapted to consult in general medicine, pediatric medicine and OB/GYN.
We propose that Monday, Wednesdays and Fridays shall be solely for consultations in general and pediatrics medicine while Tuesdays and Thursdays shall be solely for OB/GYN. We propose that x-rays be done on Saturdays and the clinics closed on Sundays.
These “Cottage Clinics” are not adapted to admit patients for long term care. The beds are solely for emergency type care. All patients requiring long term admissions shall be transported to the nearest general hospital. The CMD of the local government however reserves the right to adapt the workings of any clinic in a way and manner he deems satisfactorily caters to the needs of his constituents.
They clinics shall have a dispensary for prescriptions. Patients can either buy from the state or at their choice pharmacy. However we will encourage them to fill their prescriptions at the state run dispensaries because they will be cheap and of good quality.
The Clinics shall be equipped to collect samples for laboratory testing but shall not have the equipment necessary for the testing. State laboratory testing shall be done in a central designated Laboratory/Radiology Centre. Collected samples shall be picked up daily and deposited to the central laboratory. Staff at the clinics shall be trained on proper labelling and handling of specimens. Results of testing shall be transmitted via secure email to the prescribing doctor and the patient.
The clinics will not be equipped with x-ray machines but may request x-rays for their patients. They shall be given the next available date for cases that are not emergency and the patient may be transported to a nearby general hospital if it is emergency. The general hospital shall have equipment on site to perform x-rays. The x-ray requests of the various clinics shall be fulfilled by the services of a portable x-ray machine that will be suited to be transported in a small van.
Medications in the dispensary shall be stocked and administered by pharmacy assistants. The Chief Pharmacist of every local government area shall coordinate the distribution from central supplies to the various zones.
One unique feature of our ‘Cottage Clinics” is that all Imo residents shall have their blood pressure checked for free every time during the regular hours of operation.
This emergency plan while solving our healthcare crisis will also create employment. We propose that up to one thousand eight hundred people shall be employed directly and indirectly. The job description shall range from Doctors, Nurses, Pharmacists, Laboratory Scientists, Midwives, Pharmacy Assistants, Nurse Assistants, Radiologists, Clerk, and Labourers to Drivers.
We propose to spend a total of five billion naira for this emergency health plan.