- STRUCTURE
The Department was established in January, 2014. The structure of the Department as approved by the Head of the Civil Service of the Federation is a Head of Department on SGL 17 with five Divisions, each headed by a Deputy Director on SGL 16 as follows;
- Clinical Services (CS)
- Public Health (PH)
- Pharmacy (Pharm)
- Professionals Allied to Medicine (PAM)
- Nursing Services (NS)
- MILITARY MEDICAL FACILITIES
Health care services are delivered through the 256 MOD Medical health facilities, (Primary, Secondary and Tertiary) made up of a mix of about 32 cadres spread across the 6 Geo-political zones in the country.
Two agencies are affiliated with the Department;
- MOD Health Implementation Programme (MOD HIP)
- Defence Health Maintenance Limited (DHML)
- MANDATE OF THE DEPARTMENT
- To reduce morbidity and mortality due to ill health amongst Staff (Civilian and Military) of the Ministry, increase life expectancy and quality of life.
- To domesticate and implement National Health Policies and programmes, as well as undertake other necessary action that will strengthen the health of staff to enable them to deliver effective, efficient and quality service for National Development.
4. ACTIVITIES/ ACHIEVEMENTS
STAFF WELFARE
Clinic
a) The clinic provides diagnostic, therapeutic, pharmaceutical, preventive and promotive services to staff – military and civilian with their families, and NHIS enrollees.
i. The clinic operates from 8.00am to 6.00pm and provides out –patient, observation and referral services.
ii) Accreditation – under the NHIS, the ENT & EYE Clinics, as well as the Laboratory and Pharmacy have been accredited to provide Secondary Services and attract fee – for – service charges from the HMOs.
(iii) Diagnostic – the clinic provides digital x-ray, ultra sound scan Laboratory and Mammography services.
(iv) Health Awareness Talks – there are routine Health Awareness talks on topical health issues to the staff at the headquarters, as well as in the department.
(v) Immunization – The clinic has been proactive in this regard in the areas of Hepatitis B, Yellow fever and Cerebro-Spinal Meningitis.
(vi) Health Week – This is an annual programme involving health talks, screening exercises and physical activities like walking, jogging and aerobics
(vii) Infection prevention and control in the ship
a. Provision of hand sanitizers within the ship.
b. Supervision of the cleaners of the ship.
c. Strict screening of temperature of clients accessing services in the clinic.
(viii) Ambulance Services: The clinic has three (3) ambulances, including a state –of- art Intensive Care Unit (ICU) one. These are used for referral of patients.
Crèche/Day Care
a. This helps mothers to continue with their work while the babies are taken care of by health workers at the crèche.
b. It provides a conducive atmosphere for mothers to breast feed their babies.
CLINICAL GOVERNANCE PROGRAMME
(i) Training on Clinical Governance, Research Methodology and Development, Ethics in Research, Basic Life Support and Cardio-Pulmonary Resuscitation.
(ii) Collaboration with non – Military health agencies e.g. – Federal Ministry of Health, National Primary Health Care Development Agency, Nigerian Centre for Disease Control and Prevention, US – Department of Defence
ACHIEVEMENTS:-
(i) Improvement in service delivery through better attitude to work and collaboration among different health cadres.
(ii) More staff are embarking on research work since commencement of the Clinical Governance programme.
(iii) Trained a group of ‘Trainers’ who are now able to train other health workers
(iv) Improved awareness and proficiency on Basic Life Support and Cardio –Pulmonary Resuscitation among health workers.
OTHER PROGRAMMES
Orphans And Vulnerable Children (OVC)
i. Provision of educational and nutritional items to orphans in the 6 geo-political zones.
ii. payment of school fees to orphans and vulnerable children.
iii. Skill acquisition training for OVC children and wards guardians.
iv. Provision start up vocational equipment and machines for guardians of OVCs and older OVCs as they exit the scheme (at age 18)
(i) HIV Programme (Civilian Cell)
a) Provision of HIV Testing Services to Staff and Families.
b) Integrated medical outreaches to staff in military formations and neighboring communities.
c) ‘Support Group’ of Staff Living with HIV/AIDS at the headquarters.
d) Provision of commodities – Mosquito nets, condoms, IEC materials, Work place policy on HIV/AIDS (civilian cell) etc.
(ii) Malaria TB programme
a) Indoor Residual Spraying (IRS) of Barracks.
b) Commodity provision – Anti malaria drugs, rapid test kits for malaria, mosquito nets etc.
(iii) MOD Health Research Ethics Committee
a) Review and approval of research proposals to be conducted in military facilities.
b) Monitoring implementation of approved research proposals.
c) Mandatory professional development of Committee Members.
MEDICAL OUT –REACH PROGRAMME
Improvements
i) There are regular monthly clinical meetings:-
a) General – for all staff of the Department
b) Unit-Based – for Doctors, Laboratory Staff, Nurses, and Pharmacists etc.
(ii) The Medical and Dental Council of Nigeria (MDCN) has granted accreditation to the clinic for award of Continuing Medical Education (CME) points for annual practicing license renewal of medical doctors.
(iii) Training of all staff, including school children on Basic Life Support and Cardio – Pulmonary Resuscitation is on gong. Train – the –Trainers has been done in numbers of locations for continuity and sustainability of the programme.
(iv) The staff clinic has been accredited by the NHIS to provide Primary Health Care services, as well as Secondary Health Care services in the Laboratory, Pharmacy, ENT and Eye Clinics.
INNOVATIONS
(i) Improved Civilian – Military Relationship through conduct of integrated Medical out – reach programmes involving staff – civilian and military – , as well as neighboring civilian communities.
(ii) Internally Displaced Persons (IDPs) – The Clinic has visited a number of IDP Camps within the Abuja metropolis. Prevalent health challenges, as well as other socio- economic needs have been identified for intervention starting with the IDP camp at Karamajiji, after the military cemetery.
(iii) Improved Access to the FMOH and Military health facilities leading to our collaboration and participation in programmes of the NPHCDA, NACA, Nigerian CDC, MOD HIP etc. such as the current Measles vaccination and containment exercises.
(iv) Electronic Medical Record (EMR) – This has replaced all paper – based work in the clinic leading to improvement in time management, security of records, ease of retrieval of record and statistical summaries and presentation of clinic records.
(v) ICT update for staff – part of the EMR System is the update of Clinic Staff on ICT to improve performance with the EMR.
i. There is absolutely no physical financial (cash) transaction in the clinic.
ii. Welfare patients receive services free of charge.
iii. All NHIS payments are made through the Capitation’s Remita platform.
iv. The 10% Co-payment (service and drug charges) under NHIS has been waived as welfare for staff.
Enterprise Content Management (ECM)
The clinic has observed that it has installed capacities in the Eye and ENT clinics, Laboratory, Radiology (X-ray, Mammography and USS) and Ambulances that are currently not being put to optimal use.
The Department is proposing for a Public Private Partnership arrangement with public and private health facilities to access the installed capacities in the clinic at a fee.
Oxygen Plant
There is a huge, untapped and ready market for supply of Oxygen for health facilities within Abuja and neighbouring states.
The Department plans to establish a mini-Oxygen plant for its consumption and sale to health facilities in Abuja and neighbouring stats.
