IMPROVING STANDARDS IMPROVING STANDARDS OF HEALTH CAREOF HEALTH CARE

IN CHUUKIN CHUUK

JULIO M. MARARJULIO M. MARAR

DIRECTORDIRECTOR

CHUUK STATE DEPT. OF HEALTH CHUUK STATE DEPT. OF HEALTH SERVICES, FSMSERVICES, FSM

IMPLEMENTATION OF HEALTH IMPLEMENTATION OF HEALTH CARE STANDARDSCARE STANDARDS

IN CHUUKIN CHUUKFACE HUGE CHALLENGES FACE HUGE CHALLENGES DOING WHAT WE CAN AT THE DOING WHAT WE CAN AT THE CURRENT SITUATIONCURRENT SITUATIONNEED OUTSIDE ASSISTANCE NEED OUTSIDE ASSISTANCE

CURRENT PROBLEMS HAMPERING CURRENT PROBLEMS HAMPERING HEALTH SERVICES IN CHUUKHEALTH SERVICES IN CHUUK

PROBLEMS IDENTIFIED :PROBLEMS IDENTIFIED :ISLAND POWER OUTRAGESISLAND POWER OUTRAGESNO ADEQUATE POTABLE WATER SUPPLYNO ADEQUATE POTABLE WATER SUPPLYBREAKDOWN OF MEDICAL EQUIPMENTSBREAKDOWN OF MEDICAL EQUIPMENTSLACK OF DRUGS/MEDICAL SUPPLIESLACK OF DRUGS/MEDICAL SUPPLIESMDRMDR--TB AND HEPETATIS A OUTBREAKSTB AND HEPETATIS A OUTBREAKSMANPOWER (HRH) SHORTAGEMANPOWER (HRH) SHORTAGE

IMPLEMENTATION OF HOSPITALIMPLEMENTATION OF HOSPITAL-- WIDE QUALITY ASSURANCEWIDE QUALITY ASSURANCE

SAFETY AND CLEANLINESS OF FACILITIESSAFETY AND CLEANLINESS OF FACILITIESAVAILABILITY OF DRUGS AND SUPPLIESAVAILABILITY OF DRUGS AND SUPPLIESCOMMUNICATION FACILITIES/EQUIPMENTSCOMMUNICATION FACILITIES/EQUIPMENTSSTAFF CREDENTIALING /PERFORMANCE STAFF CREDENTIALING /PERFORMANCE REVIEWSREVIEWSADEQUATE WATER SUPPLYADEQUATE WATER SUPPLY

. .

HOSPITAL RENOVATIONHOSPITAL RENOVATION

HOSPITAL ACCOMPISHMENTSHOSPITAL ACCOMPISHMENTS

RENOVATION AND REPAINTING OF RENOVATION AND REPAINTING OF HOSPITAL WARDS HOSPITAL WARDS LIMITED/SCARCITY OF RESOURCES LIMITED/SCARCITY OF RESOURCES CREATION OF MEDICAL ICU AND CREATION OF MEDICAL ICU AND REPAIR OF O.R. , E.R, AND WARDSREPAIR OF O.R. , E.R, AND WARDSCANVASBACK MISSIONS CANVASBACK MISSIONS –– SPECIALIZED SPECIALIZED CARE OF PATIENTSCARE OF PATIENTSMERCY HOSPITAL SHIP FACILITYMERCY HOSPITAL SHIP FACILITY

HOSPITAL RENOVATIONHOSPITAL RENOVATION OUTPATIENT AREAOUTPATIENT AREA

HOSPITAL RENOVATIONHOSPITAL RENOVATION EMERGENCY ROOMEMERGENCY ROOM

HOSPITAL GENERATORSHOSPITAL GENERATORS

HOSPITAL WATERHOSPITAL WATER FILTRATION SYSTEMFILTRATION SYSTEM

HOSPITAL ACCOMPLISHMENTSHOSPITAL ACCOMPLISHMENTS: : USNS MERCYUSNS MERCY

““ MERCY HOSPITAL SHIP FACILITY MERCY HOSPITAL SHIP FACILITY ””TREATED 10,316 PATIENTS IN THE TREATED 10,316 PATIENTS IN THE LAGOON ISLANDSLAGOON ISLANDS266 SURGERIES PERFORMED266 SURGERIES PERFORMEDASSISTED IN HOSPITAL RENOVATIONASSISTED IN HOSPITAL RENOVATION

THE DISPENSARY THE DISPENSARY STRENGTHENING PLAN STRENGTHENING PLAN

UPDATEUPDATE

DISPENSARY DIVISIONDISPENSARY DIVISION

DISPENSARY SUPPLIESDISPENSARY SUPPLIES

DISPENSARY STRENGTHENING DISPENSARY STRENGTHENING PLAN OBJECTIVES :PLAN OBJECTIVES :

CONSLIDATE ALL NONCONSLIDATE ALL NON--FUNCTIONING FUNCTIONING DISPENSARIESDISPENSARIESCONSOLIDATE DIEPENSARY SERVICESCONSOLIDATE DIEPENSARY SERVICES--LAGOON ISLANDSLAGOON ISLANDSCOORDINATE PREVENTIVE PROGRAMS WITH COORDINATE PREVENTIVE PROGRAMS WITH DISPENSARY SERVICESDISPENSARY SERVICESTO EXPLORE /MANDATE STRUCTURAL TO EXPLORE /MANDATE STRUCTURAL INTEGRATION OF PUBLIC HEALTH AND INTEGRATION OF PUBLIC HEALTH AND DISPENSARY SERVICESDISPENSARY SERVICESRESTOCKING AND DELIVERY SERVICES OF RESTOCKING AND DELIVERY SERVICES OF DRUGS AND MEDICAL SUPPIESDRUGS AND MEDICAL SUPPIES

DISPENSARY STRENGTHENING DISPENSARY STRENGTHENING ACCOMPLISHMENTSACCOMPLISHMENTS ::

CONSOLIDATED NONCONSOLIDATED NON--FUNCTIONING FUNCTIONING DISPENSARIES FROM 80 TO 68 DISPENSARIES FROM 80 TO 68 DISPENSARIESDISPENSARIESAT PRESENT AT PRESENT -- PUBLIC HEALTH DIVISION/ PUBLIC HEALTH DIVISION/ DISPENSARY DIVISION JOINT EFFORTS IN DISPENSARY DIVISION JOINT EFFORTS IN DELIVERING HEALTH SERVICES:DELIVERING HEALTH SERVICES:

-- IMMUNIZATIONIMMUNIZATION-- FAMILY PLANNINGFAMILY PLANNING-- MATERNAL CHILD HEALTH ( MCH), ETC.MATERNAL CHILD HEALTH ( MCH), ETC.

MDRMDR-- TB PROGRAMTB PROGRAMCDCC / WHO CONDUCTED SCREENING OF CDCC / WHO CONDUCTED SCREENING OF CONTACTS / EXPOSED PERSONSCONTACTS / EXPOSED PERSONS6 CASES 6 CASES –– EXPOSED PATIENTS AND EXPOSED PATIENTS AND

ISOLATED IN THE NEWLY CREATED ISOLATED IN THE NEWLY CREATED MDR / TB WARD.MDR / TB WARD.

-- ALL CASES UNDERGOING TREATMENTALL CASES UNDERGOING TREATMENT-- ((--) RESULT SCREENING FOR TB CONDUCTED ) RESULT SCREENING FOR TB CONDUCTED

BY USNS MERCY SHIP PERSONNELBY USNS MERCY SHIP PERSONNEL-- AVAILABILITY OF FUNDING / LONG TERM PLANAVAILABILITY OF FUNDING / LONG TERM PLAN

CONCLUSIONCONCLUSION

THANK YOUTHANK YOU