Strategic-Plan- 2015-2020

TABLE OF CONTENT

Executive Summary                                                                         2

Introduction                                                                                         3

Vision, Mission, Goal, Core Values                                           7

Environmental Analysis                                                                  7

Stakeholder Analysis                                                                      10

Strategy Formulation                                                                      15

Summary of Inputs                                                                             20

Resource Inventory                                                                           34

Implementation Plan                                                                       36

Monitoring & Evaluation Plan                                                    38

 

EXECUTIVE SUMMARY

  • This strategic plan is a five-year (2015-2020) rolling plan developed to take advantage of our opportunities and to address the challenges that the hospital is facing to achieve its mission of rendering quality care to all our patients/clients.
  • The first strategy is to render specialized services to our clients in the area of;
  • Internal Medicine
  • Obstetrics and Gynaecology
  • Dental
  • Ear, Nose and Throat
  • Paediatrics and
  • Strengthening the existing Orthopaedic services
  • The second strategy is to attract and retain staff by providing staff accommodation and extending generator power to staff quarters.
  • The third strategy is to increase internally generated funds by;
  • Creating a corporate desk to offer special services to individuals and corporate organizations at a fee.
  • Renovation of non-functioning special ward into Trauma ward to provide space for more orthopaedic admissions.
  • Creation of Research & Development Unit to conduct research into service delivery and also to make proposals for funding of projects.
  • The resources or inputs required to execute the strategies is estimated to cost GH₵12,608,004 for the five (5) years.

 

STRATEGIC PLAN (2015 -2020)

INTRODUCTION

This strategic plan is a five-year (2015-2020) rolling plan developed to take advantage of its opportunities and to address the challenges that the hospital is facing to achieve its mission of rendering quality care to all our patients/clients.

St. John of God Hospital is a Catholic Health delivery facility in Goaso Diocese.  It was established in 1951 as a dressing station but grew over the years to become a hospital in 1955.

It is the District hospital in the Tano North District of the Brong Ahafo Region, Ghana.  It provides a general patient care to the people of the Tano North District and some neighbouring towns and villages in the other Regions.  The hospital is specialized in orthopaedic services. It serves as a referral centre for orthopaedic cases for the three Northern Regions, and other regions of Ghana as well as from neighbouring Burkina Faso and La Cotê D’voir for orthopaedics and trauma case.  The hospital offers excellent Physiotherapy services.  It operates an eye clinic every day. It has a bed capacity of 142 including 11 beds in the emergency room.

In addition to the orthopaedics and physiotherapy excellence, the hospital has been designated Baby Friendly Hospital.  It established Physiotherapy and Orthotics Training School which started in 2009.

The hospital provides the following services:

 

·         Curative ·         Rehabilitative
·         Preventive ·         Diagnostic
·         Promotive ·         Special programmes

 

 

 

Curative Service

The hospital offers Out-Patient Department services (OPD) with 24 hour Emergency Services.  In-patient services are:

·         General surgery ·         Orthopaedic and Rehabilitation services
·         Maternity ·         Physiotherapy
·         Paediatrics ·         Laboratory
·         Medical services ·         Diagnostic (Ultrasound & X-ray)
·         Clubfoot Management ·         Ophthalmic services

 

Preventive Services

  • Ante-Natal,
  • Maternal and child health,
  • Natural family planning,
  • Nutrition,
  • Health education,
  • School health,
  • Supervision and retraining of village health workers at level A and B facilities in the district.

 

Special Programme

We render HIV Counseling, HIV/AIDS (CT/PMCT), Tuberculosis, Diabetes Control Programme, Hypertensive clinic, Malnutrition and rehabilitation, Orthopaedic, Trauma, Physiotherapy, Ophthalmic services and Clubfoot Management.

The hospital has a workforce of 233 staff in the following categories.

STAFF STRENGTH
CATEGORIES OF STAFF NUMBER CATEGORIES OF STAFF NUMBER
MEDICAL PARA MEDICALS
Doctors 7 Human Resource Manager 1
Orth/Trau. Doctors (Specialists) 1 Internal Auditor 2
Optometrist 1 I.T. Technical Assist 1
Physician Assistants 5  I. T. Officer 1
NURSING STAFF Administrative Manager 1
Professional Nurses Records Officers 2
SRN, RGN/Diploma 39 Typist 1
Midwives 18 Stenographer 1
Community Health Nurses 5 Accountant 3
Enrolled Nurses 16 Accounts Officer 5
Health Assistants 31 Administrator 1
PARA MEDICALS Orderlies/Mortuary 23
Pharmacists 2 Security/Night Watchman 8
Pharmacy Technician 4 Biostatistics Officer 1
Dispensing Assistant 2 Health Educator 2
Laboratory Technicians 3 Technical Officer (Biostats) 1
Biomedical Scientist 2 Biostat Asst/Records Officer/Asst 5
Lab. Assistants 1 Tech. Officer (Engineering)/Electricals 2
Physiotherapist 2 Driver 3
Occupational Therapist 1 Occupational Therapist Assistants 2
Field Technician 1 Disease Control Officer 1
Physiotherapy Assistants 6 Junior/Foreman/Artisan 5
Radiographer 1 Laundryman 4
X-ray Technicians 1 Environ. Health Officer 1
X-ray Technical Assist 1 Nutritionist 3
Storekeeper/Supply Officer 2 Technologist (Clinical Engineering) 1
Procurement Officer 1
TOTAL     233

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vision

“To continue Christ’s Healing Ministry”

Mission

“To provide High Quality Health care in the most effective, efficient and innovative manner to our clients.”

Goal

“To provide and sustain health care services for the poor neglected and marginalized segments of the society.  The service will seek to empower the people it service to take ownership of their own individual and collective health needs.”

Core Values

  • Holistic quality service
  • People centeredness
  • Professionalism
  • Integrity

 

ENVIRONMENTAL ANALYSIS

St. John of God Hospital is a conglomerate health service institution that seeks to render quality health service to all clients through using modernized equipment and skilled labour, developing its human resource and the practice of good governance.

However, this facility has its strengths(S) to utilize, weaknesses (W) to address, opportunities (O) to tap into and threats (T) to avoid – in order to achieve its vision and mission.

 

 

 

THE S.W.O.T ANALYSIS

STRENGTHS

S1:  Orthopaedic specialisation

S2:  Skill mix

S3:  Location

S4:  Team spirit

S5:  Technology

S6:  Internal control system

S7:  Provision of different health services

S8:  Youthful staff

S9:  Reputation

S10: Availability of equipment

S11: Good interpersonal relationship

S12: Therapeutic environment

S13: Ability to accommodate key staff

S14: Donors (St. John foundation, Friends of Ghana)

WEAKNESSES

W1:  Lack of knowledge of other departments

W2: Lack of succession plan for some departments

W3:  Lack of some services in the hospital

W4:  Inadequate staff for certain professions

W5:  Inability to accommodate certain staff

W6:  Lack of research and development unit

OPPORTUNITIES

O1:  Location

O2:  Self-development

O3:  Render other services

O4:  Referral centre

O5:  Easily accessible

O6:  Competitors

O7:  Political stability

O8:  FM stations giving health education

O9:  Occupational & Hydrotherapy

 

THREATS

T1:  Competitors (Neighbouring hospitals)

T2:  Negative attitude of some staff

T3:  Delayed NHIS reimbursement

T4:  FM stations giving wrong information

T5:  Lack of mechanization of staff

T6:  Ageing staff

 

 

 

Political, Economic, Social and Technological (P.E.S.T) analysis.

 

P.E.S.T
Political

1.   Government policies that support health

2.   Influence of politicians

3.   Bias consideration of project proposal

4.   Some government policies that adversely affect health

Economic

1.      Increase in taxes

2.      Inflation

3.      Increase in utility bills e.g. Electricity, water etc.

Social

1.   Negative socio-cultural believes

2.   “Negative hospitality”

Technology

1.   Computers

2.   Internet facilities

3.   Projectors

4.   Telephones

5.   Equipment/instruments

 

 

 

 

 

 

 

 

 

 

 

 

STAKEHOLDER ANALYSIS

Type & Characteristic Interest Motivation For Change To Address The Issue Degree of importance

1=low 3=high

1. Clients

  • Vulnerable
  • Aged
  • Children
  • Women
  • Disabled/physical challenged
  • Elite.
·         Quality health service delivery (Technical & Client personality.

·         Service should be Availability

Accessibility

Affordable

Acceptable.

Very good.

High Interest.

High Influence

Improve/Consolidate service delivery.

Improve Relationship.

3
2. MOH/GHS.

  • Policy making body.
  • Provide Human & Financial Resources.
  • Regulatory and supervisory body.
·         Implement the Programme of Work (P.O.W.)

·         Accountability.

·         Quality Health Service Provision (Service should be Available, accessible, Affordable and Acceptable).

·         Traditional medicine

Good

High Influence.

High Interest

·      Active engagement on Memorandum of understanding (MOU) and Administrative Instrument (MOH /CHAG).

·      Advocacy.

2
3. Community.

  • Tano North District.
  • District Assembly.
  • Traditional Authority.
  • Religious bodies.
  • District Health Directorate.
·      Shared ownership.

·      Quality Health Service delivery (Available, accessible, affordable & acceptable).

·      Specialized Attention

Very good

High Influence.

High Interest

·      Active engagement through durbars, joint meetings on development issues.

·      Priority Preferential treatment.

·      Joint meeting on Quality of care.

·      Advocacy

2
4.  National Health Insurance Authority (NHIA).

  • Financiers.
  • Regulatory body

 

·      Quality Health Service delivery ((Available, accessible, affordable & acceptable).

·      Comprehensive range of service.

·      Prompt submission of claim.

·      Accuracy and timeliness

Very good

High Influence.

 

·      Improve quality of health Care.

·      Timely submission of claims.

·      Effective Health Management information system (EHMIS)

3
5. CHAG/NCHS

Liaison between Health facilities and Ministry of Health (MOH)

Timely and accurate submission of HMIN ·      Very good

·      High Influence

·      Low influence

Engagement.

Advocacy & Lobbing.

Information sharing.

Effective HMIS

2
6. Staff

Service Implementers (Policies and Programme of work)

·      Motivation Package.

·      Resource to work with

·      Enabling environment.

·      Recognition as Partners in development.

·      Staff development.

·      Timely information delivery.

·      Rewards.

·      Good

·      High Influence

·      High Interest

Sustainability of influence and interest.

·      Retention

·      Involvement in decision making and implementation.

·      Career development.

·      Reward/ Motivation.

3

 

 

 

 

 

 

 

 

7. Diocesan Health Service (DHS)

  • Gives direction.
  • Policy Formulation.
  • Advocacy
·      Implement policies.

·      Quality Health Service provision.

·      Very Good

·      High Influence

·      High Interest

·      Advocacy.

·      Policy.

·      HMIS.

·      Involvement.

·      Regular visits.

·      Accountability.

3
8. Developing Partners Philanthropists.
  • Quality Health Service
  • Accountability.

–          Economy

–          Efficiency

–          Effectiveness

  • Result.
  • Very Good
  • High Interest

 

·      Effective management through.

·      Accountability/report system.

·      Good corporate image earned through trust & respect.

·      Innovativeness.

·      Ability to conduct impact assessment.

·      Research capabilities.

2
9. Traditional Healers.

Service providers

Competitors

·      Recognition as Service Providers ·     Poor

·     Relationship

·     Low Influence

·     Low Interest

·      Must be an engagement plan. 1

 

 

DISABLED

 

  1. Availability –             Rehabilitation.

–             Occupational therapy.

–             Orthotic

–             Physiotherapy.

 

Accessibility         –             Environmental friendliness

–             Good reception

–             Geographical location

 

Affordability        –             National Health Insurance Gap.

 

Acceptability        –             No complaint and adjustment system.

 

 

  1. Vulnerable (Children, Women & the aged)

 

Availability         –             Anaemia

–             Diarrhoea

–             Upper Respiratory Tract Infection (U.R.I.T)

–             Malaria

–             HIV/AIDS

–              Non-communicable diseases, e.g. Asthma, Diabetes, Hypertension.

 

Affordability       –             N.H.I.S.

 

Accessibility        –             Improved outreach services

–              Inadequate outreach services delivery e.g. lack of comprehensive school health.

Acceptability.

 

Elite

Availability              –             Privacy

–             Time conscious (Punctuality)

–             Confidential

–             Be treated with dignity

–             Perceive quality service.

 

Accessibility             –             Reception

–             Friendliness

 

Affordability            –             NHIS

–             Readiness to settle bill.

 

Acceptability            –

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STRATEGY FORMULATION

STRATEGY STRATEGY OBJECTIVE OUTPUT ACTIVITY
1.      Render specialized services

 

i.   Internal medicine ii.  Obs & Gynae

iii.  Dental

iv.  Ear, Nose & Throat

v.   Paediatrics

vi.  Strengthen Orthopaedics

 

To render holistic care

 

 

 

 

 

 

 

Satisfy the holistic needs of clients

 

 

 

 

 

1. Training of requisite staff (Doctors & nurses)

2. Acquisition of equipment and logistics

3. Accommodation for specialists

4.  Provision of consulting rooms

5.   Advertise services

6.   Salaries & Allowances for staff

7.   Provision of gas for staff

a.      Employ a Physician specialist

 

 

 

To improve the quality healthcare to our clients

 

 

 

Physician specialist employed

 

 

 

1.    Advertisement

2.    Short-listing

3.    Incentives

4.    Seek financial clearance

5.    Salary

6.    Accommodation

7.    Interview

b.      Train 2 Obs & Gynae specialists

 

 

 

To improve obs & gynae services

 

 

 

Obs & Gynae specialists trained and at post

 

 

 

1.    Seeking for admission

2.    Sponsorship package

3.    Accommodation

4.    Salary

5.    Incentives

6.    Equipment/instruments

7.    Logistics

8.    Supporting staff

9.    Consulting room

c.      Outsource Dental services (Outreach)

 

 

To provide quality dental services to our clients

 

To build our capacity to establish a full dental clinic

Dental services provided

 

 

1.      T & T, Fuel

2.      Allowance

3.      Logistics

4.      Equipment/ instruments

5.      Supporting staff

6.      Consulting room

7.      Furniture

8.      Accommodation

d.  Outsource ENT Specialist To provide quality ENT services to our clients

 

To build our capacity to establish a full ENT clinic

ENT services provided

 

 

1.      T & T, Fuel

2.      Allowance

3.      Logistics

4.      Equipment/ instruments

5.      Supporting staff

6.      Consulting room

7.      Furniture

8.      Accommodation

e. Outsource Paediatrics Specialist To provide quality services to paediatric clients

 

To build our capacity to establish a full paediatric clinic

Paediatric services provided

 

 

1.      T & T, Fuel

2.      Allowance

3.      Logistics

4.      Equipment/ instruments

5.      Supporting staff

6.      Consulting room

7.      Furniture

8.      Accommodation

f. Train 2 Orthopeadic Surgeons To improve Orthopaedic & Trauma services

 

 

 

Two Orthopedic specialists trained and at post

 

 

 

1.    Seeking for admission

2.    Sponsorship package

3.    Accommodation

4.    Salary

5.    Incentives

6.    Equipment/instruments

7.    Logistics

8.    Supporting staff

9.    Consulting room

g.      Supporting staff
  • Internal Medicine

5 Nurses

 

 

 

 

 

To help render quality service

 

 

 

 

 

 

5 nurses employed and at post

 

 

 

 

 

 

1.      Seek financial clearance

2.      Employ 5 nurses

3.      Salary

4.      Incentives

5.      Uniform

6.      Accommodation

7.      Training

  • Obs & Gynae

3 Midwives,

1 Sonographer

 

 

 

To help render quality obs & gynae services

 

 

 

 

 

Quality obs & gynae services rendered

 

 

 

 

 

1      Seek financial clearance

2      Employ 3 midwives

3      Employ 1 sonographer

4      Salary

5      Incentives

6      Accommodation

·                    Dental services

1 Dental nurse, 2 Dental Technicians,

1 Radiographer

 

 

 

To assist render quality dental services to our clients

 

 

 

 

Quality dental services rendered

 

 

 

 

1      Seek financial clearance

2      Employ 1 dental nurse, 2 Dental Technicians, 1 Radiographer

3      Salary

4      Incentives

5      Uniforms

·           ENT Services

2 ENT nurses

To assist render quality ENT services to our clients Quality ENT services rendered 1.    Seeking for admission

2.    Sponsorship package

3     Salary

4     Incentives

5     Uniforms

6     Accommodation

·           Paediatric Services

3 Paediatric nurses

To assist render quality Paediatric services to our clients Quality Paediatric services rendered 1.    Seeking for admission

2.    Sponsorship package

3     Salary

4     Incentives

5     Uniforms

6     Accommodation

·           Orthopaedic Services

2 Orthopaedic nurses

2 Orthopaedic Clinical Officer

To assist improve Orthopaedic services to our clients Orthopeadic services improved 1.    Seeking for admission

2.    Sponsorship package

3     Salary

4     Incentives

5     Uniforms

6     Accommodation

  • To employ 5 orderlies

 

To ensure cleanliness of equipment and environment and infection prevention

 

 

 

5 orderlies employed and at post

 

 

 

1      Employ 5 orderlies

2      Salaries

3      Incentives

4      Protective clothing

2.   Attract and Retain staff  To ensure that staff are attracted and retained Staff attracted and retained 1.      Accommodation

2.      Constant power supply

a.       To construct a 2 storey accommodation for staff (15 flats) To ensure that all critical staff are accommodated in hospital quarters Critical staff are accommodated in hospital quarters 1.      Building permit

2.      Fee for Architect

3.      Award contract

4.      Commissioning

b.      To extend generator power to staff quarters To ensure constant power supply to staff quarters Availability of power at staff quarters when VRA power go off 1.      Extension of lines

2.      Change over switches

3.   Increase Internally Generated Funds
a.       Creation of Corporate Desk To provide special service to clients who want preferential treatment at a fee Special service rendered and income accrued 1.      Telephone

2.      Office desk

3.      Office

4.      Stationery

b.      Renovation of special ward into Trauma Ward To make space for admission of more orthopaedic clients

 

To generate extra income

Backlog orthopaedic cases seen

 

Associated income accrued

1.      Award Renovation contract

2.      Furnishing the ward

3.

c.       Creation of Research & Development Unit To improve service delivery through research

 

To develop proposals for funding

Service delivery improved

 

Projects funded

1.      Employ a Research Coordinator

2.      Office

3.      Salary

4.      Incentive

5.      Stationery

6.      Accommodation

4.  Recruit additional staff to complete the staffing norm

 

To improve the quality of care Staff recruited and at post 1.   Seek financial clearance

2.   To employ:

 

3 Medical Officers

15 Nurses

1 Anaesthetist

1 Pharmacist

3 Pharmacy Technician

 

3.   Salary

4.   Incentives

5.   Uniform

6.   Accommodation

7.   Training

 

 

 

 

 

 

 

 

SUMMARY OF INPUT
ACTIVITIES REQUIRED RESOURCES GRADE QUANTITY UNIT COST (GH₵) TOTAL COST (GH₵) TOTAL COST PER ANNUM (GH₵)
1 1.   Advertisement ALL 3 712 2136 2136
2.  Shortlisting ALL 1 50 50 50
3.  Interview ALL 1 2000 2000 2000
4.  Financial clearance ALL 1 1000 1000 1000
5.  Salary Specialist 5 6500 32500 390000
General Nurses 15 1400 21000 252000
Specialized Nurses 8 1800 14400 172800
Radiographer 1 1800 1800 21600
Dental Technician 1 1800 1800 21600
Medical Officers 3 3400 10200 122400
Orthopaedic Clinical Officer 2 1800 3600 43200
Research Coordinator 1 1800 1800 21600
Sonographer 1 1800 1800 21600
Anaesthetist 1 1800 1800 21600
Pharmacist 1 1800 1800 21600
Pharmacy Technologist 3 1300 3900 46800
Midwives 3 1400 4200 50400
Orderlies 3 500 1500 18000
1225200
Incentives  
 6.  Rural allowance Specialist 5 2500 12500 150000
General Nurses 15 150 2250 27000
Specialized Nurses 8 200 1600 19200
Radiographer 1 200 200 2400
Dental Technician 1 200 200 2400
Medical Officers 3 1300 3900 46800
Orthopaedic Clinical Officer 2 200 400 4800
Research Coordinator 2 200 400 4800
Sonographer 1 200 200 2400
Anaesthetist 1 200 200 2400
Pharmacist 1 200 200 2400
Pharmacy Technologist 3 100 300 3600
Midwives 3 150 450 5400
Orderlies 3 50 150 1800
275400
7.  Fuel/T&T Specialist 3 1000 3000 36000
8.  X’mas Bonus Specialist 8 1500 12000 12000
General Nurses 15 400 6000 6000
Specialized Nurses 8 500 4000 4000
Radiographer 1 500 500 500
Dental Technician 1 500 500 500
Medical Officers 3 1000 3000 3000
Orthopaedic Clinical Officer 2 500 1000 1000
Research Coordinator 2 500 1000 1000
Sonographer 1 500 500 500
Anaesthetist 1 500 500 500
Pharmacist 1 500 500 500
Pharmacy Technologist 3 400 1200 1200
Midwives 3 400 1200 1200
Orderlies 3 200 600 600
68500
9.    Gas Specialist 5 50 250 3000
10.  Electricity Specialist 5 50 250 3000
11.  Insurance Specialist 5 30 150 150
General Nurses 15 30 450 450
Specialized Nurses 8 30 240 240
Radiographer 1 30 30 30
Dental Technician 1 30 30 30
Medical Officers 3 30 90 90
Orthopaedic Clinical Officer 2 30 60 60
Research Coordinator 2 30 60 60
Sonographer 1 30 30 30
Anaesthetist 1 30 30 30
Pharmacist 1 30 30 30
Pharmacy Technologist 3 30 90 90
Midwives 3 30 90 90
Orderlies 3 30 90 90
1470
12. Outreach Allowance Specialist 3 3000 9000 108000
13. Sponsorship package Specialist 4 10000 40000 40000
Specialized Nurses 8 7000 56000 56000
Dental Technician 2 7000 14000 14000
Orthopaedic Clinical Officer 2 9000 18000 18000
128000
14. Furnishing Accommodation
Bed specialist 5 300 1500 1500
Arm chairs specialist 5 2000 10000 10000
Fridge specialist 5 1000 5000 5000
Dinning table and chairs specialist 5 650 3250 3250
Wardrobe specialist 5 400 2000 2000
Mattress specialist 5 400 2000 2000
Cooking utensils specialist 5 400 2000 2000
Curtains specialist set 1200 1200 1200
Bed sheets specialist 15 100 1500 1500
Gas cooker specialist 5 600 3000 3000
Gas cylinder/regulator specialist 10 100 1000 1000
Kettle specialist 5 100 500 500
Cutlery sets and plates specialist 5 200 1000 1000
33950
2 1.  CONSTRUCTION OF OFFICES AND CONSULTING ROOM 700000 700000
2.  EQUIPING OF CONSULTING ROOMS 5 5000 25000 25000
3.  EQUIPING OF OFFICES 10 7000 70000 70000
4.  EQUIPING OF CONFERENCE ROOM 35000 35000
5. CONSTRUCTION OF A 2 STOREY BUILDING ACCOMMODATION (15 FLATS) 1500000 1500000
6. RENOVATION OF SPECIAL WARD INTO TRAUMA WARD 20000 20000
7. EXTENSION OF GENERATOR POWER TO STAFF QUARTERS 40000 40000
3. EQUIPMENT/INSTRUMENTS 1.  Instruments used in Obstetrics and Gynecology        
Speculum 1 1500 1500 1500
Auvard’s speculum 1 2100 2100 2100
Cusco’s speculum 1 2100 2100 2100
Sim’s double-bladed posterior vaginal speculum 1 2400 2400 2400
Scalpel 2 300 600 600
Vulsellum 1 540 540 540
Single toothed vulsellum 1 540 540 540
Multiple toothed vulsellum 1 540 540 540
Giant vulsellum 1 570 570 570
Mucus sucker – disposable or metal 1 300 300 300
Forceps 12 300 3600 3600
Long straight hemostatic forceps 12 324 3888 3888
Allis tissue forceps 12 360 4320 4320
Babcock’s forceps 12 360 4320 4320
Lanes tissue forceps 12 420 5040 5040
Uterus holding forceps 12 300 3600 3600
Sponge holding forceps 12 300 3600 3600
Kocher’s artery forceps 12 300 3600 3600
Kocher’s forceps with toothed jaws [3] 12 300 3600 3600
Green-Armytage hemostatic forceps 12 360 4320 4320
Willet’s scalp traction forceps 12 360 4320 4320
Ovum forceps 12 360 4320 4320
Punch biopsy forceps 12 360 4320 4320
Uterine dressing forceps 12 360 4320 4320
SpiraBrush CX 1 300 300 300
SoftECC 1 540 540 540
SoftBiopsy 1 540 540 540
Laminaria tent introducing forceps with laminaria tent 1 360 360 360
Needle holding forceps 12 360 4320 4320
Straight 12 300 3600 3600
Curved 12 300 3600 3600
Toothed dissecting forceps 12 300 3600 3600
Untoothed dissecting forceps 12 300 3600 3600
Delivery forceps 12 300 3600 3600
Long curved obstetrics forceps 12 300 3600 3600
Das’s long curved obstetrics forceps 12 300 3600 3600
Wrigley’s forceps 12 300 3600 3600
Kielland’s forceps 12 300 3600 3600
Axis traction device 1 600 600 600
Cannula 0 0 0
Karman’s plastic suction cannula 1 300 300 300
Hysterosalpingography cannula 1 300 300 300
Insufflation cannula 1 300 300 300
Budine’s cannula 1 300 300 300
Scissors 1 300 300 300
Episiotomy scissors 1 300 300 300
Embryotomy scissors 1 300 300 300
Mayo’s scissors 1 300 300 300
Bonney scissors 1 360 360 360
Metzenbaum scissors 1 360 360 360
Perineorrhaphy scissors 1 360 360 360
Long straight scissors 1 360 360 360
Uterine sound 0 0 0
Cervical dilators 1 360 360 360
Hawkin-Ambler’s 1 1800 1800 1800
Das 1 600 600 600
Ventouse cups 0 0 0
Metallic 1 1800 1800 1800
Silastic 1 1800 1800 1800
Oldham’s perforator 1 5400 5400 5400
Cranioclast 1 6000 6000 6000
Hook with crochet 1 3300 3300 3300
Jardine’s decapitation hook with knife 1 3900 3900 3900
Pinnard’s stethoscope 1 600 600 600
Disposable cord-clamp 1 300 300 300
Curette 0 0 0
Flushing curette 1 1500 1500 1500
Uterine curette 1 1500 1500 1500
Sharp curette 1 1500 1500 1500
Shaman’s curette 1 1500 1500 1500
Retractors 0 0 0
Doyen’s retractor 1 3000 3000 3000
Landon’s retractor 1 3000 3000 3000
Anterior vaginal wall retractor 1 3000 3000 3000
Balfour self-retaining retractor 1 3000 3000 3000
Deaver’s retractor 1 3000 3000 3000
Electronic fetal monitor with abdominal transducers 1 21000 21000 21000
Implants 1 12000 12000 12000
Copper-T uterine 1 12000 12000 12000
Hormonal implants e.g. Norplant 1 12000 12000 12000
Laparoscopic instruments for tubal sterilization 0 0 0
Veress needle 1 1800 1800 1800
Trochar 1 1800 1800 1800
Cannula 1 1800 1800 1800
Hysteroscope 1 2100 2100 2100
Telescope 1 5400 5400 5400
Coagulators 1 21000 21000 21000
Graspers 1 9000 9000 9000
Scissors 1 3000 3000 3000
Spatula and cytobrush 1 3000 3000 3000
Catheters 1 4200 4200 4200
Metallic – male or female 1 5400 5400 5400
Rubber 1 4200 4200 4200
Myoma screw 1 3300 3300 3300
Towel clips 1 2700 2700 2700
Clamps 1 4200 4200 4200
Bonney’s myomectomy clamp 1 4200 4200 4200
Cervical occlusion clamp 1 4500 4500 4500
Barkelay Bonney vaginal clamp 1 4500 4500 4500
Pessary 0 0 0
Hodge-Smith type 1 3600 3600 3600
Ring type 1 3000 3000 3000
Colposcope 1 3300 3300 3300
0 311118 311118
2.  Instruments used in DENTAL  SURGURY   0 0
Mouth mirror 1 9000 9000 9000
    Probes   0 0 0
Dental explorer (sickle probe) 1 4200 4200 4200
Periodontal probe 1 4200 4200 4200
Straight probe 1 4800 4800 4800
   Retractors   0 0 0
Mouth prop 1 5400 5400 5400
Dental mirror 1 9000 9000 9000
Cheek retractor 1 15000 15000 15000
Tongue retractor 1 18000 18000 18000
Lip retractor 1 18000 18000 18000
Local anesthesia   0 0 0
Dental anesthesia 1 21000 21000 21000
dental syringe 1 7200 7200 7200
Dental drills   0 0 0
Dental drill 1 30000 30000 30000
Operative burs   1 27000 27000 27000
Restorative instruments   0 0 0
  Excavators   0 0 0
 Spoon excavator 1 21000 21000 21000
 Half hollenbach 1 27000 27000 27000
   Chisels 0 0 0
     -Straight 1 3000 3000 3000
     -Wedelstaedt 1 2700 2700 2700
     -Bin Angle 1 4500 4500 4500
Burnishers   0 0 0
Flat plastic 1 30000 30000 30000
Ball burnisher 1 27000 27000 27000
Beavertail burnisher 1 21000 21000 21000
Cone burnisher 1 21000 21000 21000
Pear shaped burnisher 1 21000 21000 21000
Pluggers   0 0 0
Amalgam plugger 1 12000 12000 12000
49 plugger 1 27000 27000 27000
Periodontal scalers   0 0 0
Curettes   0 0 0
Universal curettes 1 4200 4200 4200
Gracey curettes 1 4200 4200 4200
Removable prosthodontics   0 0 0
Spatula 1 5400 5400 5400
Fox plane 1 5700 5700 5700
Willis gauge 1 3000 3000 3000
Bunsen burner 1 3000 3000 3000
Wax knife 1 3000 3000 3000
Le cron 1 3000 3000 3000
Calipers 1 3000 3000 3000
articulator 1 3000 3000 3000
wax carwar 1 3000 3000 3000
face bow 1 3000 3000 3000
Extraction/surgical instruments   0 0 0
Dental forceps   0 0 0
Cow horns #16 1 1800 1800 1800
Upper universals 1 1800 1800 1800
Upper universal fine 1 1800 1800 1800
Lower universals 1 1800 1800 1800
Upper canine 1 1800 1800 1800
Upper straight long 1 1800 1800 1800
Upper straight short 1 1800 1800 1800
Upper right molar 1 1800 1800 1800
Upper left molar 1 1800 1800 1800
Upper wisdom tooth 1 1800 1800 1800
Greyhound 1 1800 1800 1800
Root 1 1800 1800 1800
Bayonet 1 1800 1800 1800
Elevators   0 0 0
Narrow and wide, straight and curved luxators 1 6000 6000 6000
Couplands elevator 1 6000 6000 6000
Warwick James elevator 1 6000 6000 6000
Cryer elevator 1 6000 6000 6000
Periosteal elevator 1 6000 6000 6000
Root-tip pick elevator 1 6000 6000 6000
Potts elevator 1 6000 6000 6000
Cogswell-A elevator 1 6000 6000 6000
Chisels   0 0 0
   Osteotome 1 9000 9000 9000
Orthodontic instruments   0 0 0
Ligature 1 12000 12000 12000
Distal end cutters 1 12000 12000 12000
Brakete holder 1 12000 12000 12000
Band busher 1 12000 12000 12000
Methiose 1 12000 12000 12000
Band Seter 1 12000 12000 12000
Endodontic instruments   0 0 0
K-file 1 7200 7200 7200
Hedstrom file 1 7800 7800 7800
Gates glidden 1 7800 7800 7800
Finger spreader 1 7800 7800 7800
Lentulo spiral 1 9000 9000 9000
Endodontic explorer 1 9000 9000 9000
Apex locator 1 9000 9000 9000
Microscope 1 12000 12000 12000
0 655500 655500
3.  Instruments used in INTERNAL   MED   0 0
Exam Tables 1 9000 9000 9000
Portable Vital Signs Monitor 1 4200 4200 4200
EKG Machines 1 54000 54000 54000
Electrocautery 1 42000 42000 42000
Exam Lights 1 1800 1800 1800
Surgical Headlights 1 36000 36000 36000
Autoclaves & Sterilizers 1 36000 36000 36000
AED – Automated External Defibrillators 1 36000 36000 36000
Defibrillators 1 30000 30000 30000
Diagnostic Equipment 1 42000 42000 42000
Medical Furniture & Accessories 1 30000 30000 30000
Centrifuges 1 18000 18000 18000
Microscopes 1 12000 12000 12000
Scales & Weights 1 2400 2400 2400
353400 353400
4. EAR, NOSE & THROAT
5. PAEDIATRIC

 

 

 

 

 

 

 

 

 

RESOURCE INVENTORY
ACTIVITY TOTAL COST OF RESOURCES REQUIRED (GH₵) TOTAL COST FOR 5 YEARS (GH₵) SOURCE OF FUNDING
1.1 2136 2136 Internally Generated Fund
1.2 50 50 Internally Generated Fund
1.3 2000 2000 Internally Generated Fund
1.4 1000 1000 Internally Generated Fund
1.5 1225200 6126000 Ministry of Health
1.6 275400 1377000 Internally Generated Fund
1.7 36000 180000 Internally Generated Fund
1.8 68500 342500 Internally Generated Fund
1.9 3000 15000 Internally Generated Fund
1.10 3000 15000 Internally Generated Fund
1.11 1470 7350 Internally Generated Fund
1.12 108000 540000 Internally Generated Fund
1.13 128000 256000 Internally Generated Fund
1.14 33950 33950 Internally Generated Fund
2.1 700000 700000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
2.2 25000 25000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
2.3 70000 70000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
2.4 35000 35000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
2.5 1500000 1500000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
2.6 20000 20000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
2.7 40000 40000 St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
3.1 311118 311118 Ministry of Health, St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
3.2 655500 655500 Ministry of Health, St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
3.3 353400 353400 Ministry of Health, St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
3.4 Ministry of Health, St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
3.5 Ministry of Health, St. John Foundation, Friends of Ghana Foundation, Internally Generated Fund
5597724 12608004

 

 

 

 

Implementation Plan
No. Activity Time Frame Responsibility Assumption
Start End Assign to Assign by
1 1.1,2,3 & 4

 

Jan. 2016 Dec. 2016  Administrator Executive Director ·           Approval to recruit

·           Vacancies advertised

·           Applications received

·           Applicants shortlisted

·           Successful applicants selected

2 1.5

 

Jan. 2016 Dec. 2020 Accountant Administrator ·           Staff recruited and at post

·           Financial clearance received

·           Funds generated

3 1.6 Jan. 2016 Dec. 2020 Accountant Administrator
  • Funds generated
4 1.7, 12 Jan. 2016 Dec. 2020 Accountant Administrator
  • Outreach programmes held
5 1.8 Dec. 2016 Dec. 2020 Accountant Administrator
  • Staff at post at year end
6 1.9,10 & 11 Jan. 2016 Dec. 2020 Accountant Administrator
  • Staff are at post
  • Funds generated
7 1.13 Jan. 2016 June 2020 Accountant Administrator
  • Staff in school

 

8 1.14 Jan. 2017 June 2019 ·      Procurement Committee

·      Accommodation Committee

Administrator ·         Furnished accommodation
9 2.1 June 2013 Dec. 2016 Administrator Executive Director
  • Budget approved
  • Funds generated
  • Contract awarded
  • Offices and Consulting Rooms constructed
10 2.2, 3 & 4 July 2016 June 2017 Procurement Committee Administrator
  • Funds generated
  • Offices and Consulting Rooms equipped
11 2.5 June 2016 June 2018 Administrator Executive Director
  • Budget approved
  • Funds generated
  • Contract awarded
  • Residential flats constructed
12 2.6 Jan. 2016 Sept. 2016 Accountant Administrator
  • Budget Approved
  • Funds generated
  • Trauma ward renovated
13 2.7 Feb. 2016 Dec. 2016 Accountant Administrator
  • Budget approved
  • Funds generated
  • Generator power extended to staff quarters
14 3.1, 2, 3, 4 & 5 July 2016 Dec. 2019 Procurement Committee Administrator
  • Funds generated
  • Equipment and instruments procured

 

 

 

MONITORING AND EVALUATION PLAN

No Description Verifiable performance indicators Current performance level Performance target Means of verification Assigned to Assigned by Frequency Remarks
Normal stretch
1. Employment of 35 staff,

Training of 15 staff and

Outsourcing of 3 specialists

 

 

51 staff engaged Staff not available 51 55 Availability of staff Administrator Executive Director once
2. Construct offices, consulting rooms, residential flats, trauma ward and extension of generator power to quarters Offices, Consulting rooms, trauma ward and residential flats constructed

 

Generator power extended to staff quarters

 

Offices, Consulting rooms and residential facilities not available

 

Generator power limited to clinical areas

5 consulting rooms

10 offices

15 flats

6 consulting rooms

15 offices

16 flats

Available offices, consulting rooms, flats and generator power to residence Administrator Executive Director Once
3. Procure equipment and instruments Equipment and instruments procured Equipment and instruments not available Available equipment and instruments Procurement Committee Administrator Once