INTRODUCTION
The present Accra Psychiatric Hospital was commissioned in 1906 to accommodate 200 patients.
About 110 patients were admitted into the new hospital under the charge of 16 untrained
Attendants.
The hospital consisted of 4 wards: Criminal, General, Male and Female Wards.
And has an Administrative block, Dispensary and office for the Visiting. Medical officer, a store,
Gate Keepers room, Night Master’s Room and a kitchen.
The Lunatic Asylum later underwent modifications and extension into the Psychiatric Hospital of
today with a bed complement of 600.
THE HOSPITAL TODAY
FUNCTIONS OF THE HOSPITAL
The Hospital is responsible for the treatment, welfare, training and rehabilitation of the mentally
ill. The University of Ghana Medical School has a faculty established in the hospital for
undergraduate training in psychiatry and postgraduate training under the West African College of
Psychiatrists (WACP). The hospital thus has a symbolic relationship with the medical school.
Nurses from all over the country are affiliated to this hospital for 6-monmth proficiency training in
psychiatry. It also has facilities which are accredited for postgraduate training in psychiatry with a
Polyclinic sited directly opposite the Hospital serving the whole of Osu-Klottey, with a population
of about 1,200,000. Plans has been on the drawing board to relocate the hospital since the year
2000.
LIST OF DEPARTMENT













General Administration
Nursing Administration
Accounts Department
Social Welfare Department
Catering Department
Pharmacy Department
Stores and Supply Department
Estate and Maintenance Department
Human Resource Department
In-service Training Unit
Environmental Department
Occupational Therapy Department
Out Patients Department (Consulting Rooms, Injection Room)
1





Internal Audit Department
Mortuary Department
Welfare Union Office
Laundry Department
Records Department
COMMITTEES IN THE HOSPITAL
◦ Quadripartite Committee
◦ Management Committee
◦ Heads of Department Committee
◦ Unit Heads Committee
◦ Finance Committee
◦ Procurement Committee/Hospital Entity Committee
◦ Therapeutic and Rational Drug Use Committee
◦ Quality Assurance Committee
◦ Entertainment Committee
◦ Welfare Committee
◦ Arbitration and Disciplinary Committee
◦ Hospital Choir
◦ Estate and Accommodation Committee
◦ Ladies Club
2
VISION STATEMENT
The Accra Psychiatric Hospital seeks to become the leading Psychiatric Institution in Ghana,
providing the best quality psychiatric care to our clients and to foster partnership with other stake
holders in providing quality health service.
MISSION STATEMENT
It is to provide the best practice in Psychiatric care to clients through a dedicated work force of
health professionals in a client-friendly environment.
•
The present Accra Psychiatric Hospital was commissioned in 1906 to accommodate 200
patients.
•
About 110 patients were admitted into the new hospital under the charge of 16 untrained
Attendants.
•
The hospital consisted of 4 wards: Criminal, General, Male and Female Wards.
•
And has an Administrative block, Dispensary and office for the Visiting. Medical officer, a
store, Gate Keepers room, Night Master’s Room and a kitchen.
•
The Lunatic Asylum later underwent modifications and extension into the Psychiatric
Hospital of today with a bed complement of 600.
BEST PRACTICES









Hardworking, committed, and dedicated workforce
Clean and beautiful environment (external)
Management meetings held regularly
Excellent team work
Excellent human relations on the part of team members
Punctuality to work by Hospital Management team
Transparency in Management
Human centered leader style of Management
Excellent collaboration with stakeholders – Metropolitan Assembly, Regional Coordinating
Council, Health Institutions, Religious Bodies, NGO’s on Health, Traditional Authority.
 Prudence in use of financial and other resources
3
TARGET FOR 2011
 To introduce reforms aimed at ensuring efficiency and effectiveness in management of
resources
 Support Clinical care with availability of medical supplies to ensure quality health care
delivery
 To maintain hospital buildings to ensure their safety
 To improve on general security at Hospital.
 Improve on Water and Sanitation at Hospital.
 To open a staff canteen.
 To establish a Public Relations Unit.
 To connect gas to kenkey Factory.
 To pay off the indebtedness of Hospital to suppliers.
 To recruit, retain and maintain staff through the provision of motivation packages.
 To construct Hospital Mortuary .
NEW CONSTRUCTIONS
ESTIMATED BUDGET
GH¢
Construction of Mortuary
250,000.00
ACHIEVEMENTS FOR 2011




Hospital run successfully for 24/7 for the past 12 months without interruption.
Some development projects undertaken from the Hospital’s meager resources
Secure, safe, clean and beautiful environment
Regular supply of some psycho-therapeutic medicines, and non-medicine consumables
which enabled provision of quality health care to patients
 Close collaborations with all other Units/Dept: Hands-on approach to problem solving at all
Units/Dept
 The provision of democratic/participatory environment devoid of intimidation, animosity
which ensured the provision of quality health care to patients.
4





Staff motivated for the first time with end-of-year package
94 retired staff and 4 staff in active service rewarded
50% of Hospital’s indebtedness settled
Dramatic improvement in quality and quantity of food to patients
Limited resources used efficiently
HUMAN RESOURCE MANAGEMENT
Introduction
The Hospital provides specialist services as well as outpatient services to the public; the facility
accepts patients from all the regions of this country as well as our neighbouring states.
HR activities conducted
NOMINAL ROLL UPDATE: Efforts to remove Names of;
Dead staff
Vacation of post etc
Retirees’ names go off automatically
Try to get names of staff transferred in onto the payroll. Sometimes, we need to do
follow-up twice or thrice to get the names on our payroll.
In the case of the transfers out, officers take a long time before their names are takenoff our payrolls.
PAYROLL RECONCILIATION: This activity is carried out by the Accounting staff. Now that, I have
become familiarized with the staff (both junior and senior), I intend playing an active Roll in
this direction. However, there is no cause for alarm, since my delegatory process has not been
abused, even once.
IPPD INPUTS:
I have 2 Executive Officer who handle Inputs. I have absolute control of the inputting process
since no input goes for the Hospital Administrator’s signature without my knowledge.
Capturing inputs to reflect on payroll is a very slow process. However, experience shows that a
wait of four (4) months is usual. This length of time to staff, especially, new entrant staff
nurses is unusually long.
The Unit prepared inputs for over Seventy Three (73) new entrants for year 2011. All been
paid except one (1)
5
POSTINGS: For the year under review we received a Medical Doctor, Eighty Three (83) Nurses Psychiatric,
one (1) Executive Officer.
NO
CATEGORY
2010
2011
1.
Medical Officer
1
1
2
Staff Nurse
57
83
3
Executive Officer
1
1
4
Cooks
4
-
5
Hospital Orderlies
3
-
6
Stenographer
1
-
7
Drivers
1
-
8
Security Men
1
-
69
85
TOTAL
PROMOTIONS:
The year under review (2011) saw a vigorous progarmme to have all qualified working staff,
promoted. Fifty – Two (52) Staff Nurses were promoted to Senior staff Nurse
However, during the year under review, the following were interviewed and a report submitted to
HRDD. We are expecting their promotion letters if and only if the Ghana Health Services Council
approves it. They include, Professional Nurses (9), Principal Pharmacist Technician (1), Supt.
Enrolled Nurses (2) and Senior Catering Officer (1). A few upgrading and conversions are yet to be
effected.
RECRUITMENTS
NO
CATEGORY
NUMBERS
2009
2010
2011
Medical Doctors
-
1
1
1.
Professional Nurses (Psychiatry)
57
21
83
2.
Biomedical Scientists
-
-
-
6
3.
Executive Officer
-
1
-
4.
Cooks
-
4
-
5.
Hospital Orderly
-
3
-
6.
Stenographer
-
1
-
7.
Drivers
-
1
-
8.
watchmen
-
1
-
9.
Conservancy labourer
-
0
-
10.
Enrolled Nurses (Reappointment)
-
0
-
HR STATISTICS BY CATEGORY (3 YR TREND)
No.
1.
CATEGORIES
Medical Doctors
Medical Assistants (2 are on course)
2.
3.
2009 2010 2011
4 5
6
7 7
7
Biomedical Scientist (Laboratory)
3
3
Laboratory Technologists
Pharmacy
Deputy Director of Pharmaceutical
Services
Pharmacists
4
1
1
1
1
2
2
2
Principal Pharmacy Technician
1
1
1
Pharmacy Technicians
3
3
4
Principal Dispensing Attendants
2
2
1
Dispensing Assistant 1 Died
1
1
0
Accounts Department
7
4
Deputy Chief Accountant
1
1
1
Principal Accounts Officers
-
2
3
Senior Accounts Officers
5
3
2
Finance Officer
Administration
0
0
1
1
1
1
1
1
1
1
2
Deputy
Chief
Health
Administrator
Human Resource Manager
Service
Executive Officer
Secretaries/Typists
6
7
7
Labourers
11
11
11
Laundry
1
3
1
1
1
Senior Security Guard
5
Head Watchman
1
2
2
Watchman
1
2
2
Principal Estate Officer
1
1
1
Principal
Artisan,
Mechanical
Engineering
Mechanical Engineering Technician
1
1
2
1
1
4
Senior Artisan, Mechanical Engineering
4
4
4
Artisan, Mechanical Engineering
4
4
4
Transport Officer
1
1
1
Drivers
3
4
4
Professional Nurses
196
280
Superintendent Enrolled Nurses
43
43
Nurses
8
6
7.
8
9
Principal Enrolled Nurses
21
17
Senior Enrolled Nurses
5
2
Enrolled Nurses
1
1
0
0
2
Assistant Chief Catering Officer
1
1
1
Senior Catering Officer
1
1
1
Senior Staff Cook
3
3
3
Head Cook
8
8
4
Cooks
2
6
6
Kitchen Assistant
2
2
2
Staff Cook Supervisor
9
9
9
Diet Cook Supervisor
2
2
2
Principal Health Assistants
22
22
19
Senior Health Assistants
45
45
40
Health Assistants
2
2
3
Head Hospital Orderlies
77
77
63
Senior Hospital Orderlies
6
6
2
Hospital Orderlies
1
4
7
6
8
Anaesthetics
Catering
Health Assistants
Orderlies
10. Principal
Occupational
Therapists
Assistants
11. Stores
Senior Supply Officer
1
1
1
Supply Officers
0
0
2
Senior Store Keeper
1
1
1
9
12.
2
6
6
Technical Officers
6
4
4
Senior Biostastics Assistant
0
4
4
Biostatistics Assistant
5
1
1
SNR.Technical
Officers
Age Distribution Chart – Prof. Nurses And Enrolled Nurses As At 31/12/11
Prof. Nurses
Enrolled Nurses
<29
184
30 – 34
56
35 – 39
6
40 – 44
2
45 – 49
3
1
50 - 54
6
15
55 - 60
20
46
200
150
100
50
0
Prof. Nurses
Enrolled Nurses
<29 30 - 35 - 40 - 45 - 50 - 55 34 39 44 49 54 60
Age Distribution of Orderlies and Health Assistants
10
Orderlies
Health Asst.
<30
12
30 -34
19
35 - 39
5
10
40 - 44
4
1
45 - 46
5
1
50 – 54
20
8
55 - 60
35
11
Attrition
Type of Attrition
Number
2009
2010
2011
Deaths
7
5
7
Retirement (Compulsory)
17
21
19
Vacation of Post
2
3
3
Dismissals
-
-
0
Transfers (out)
1
7
11
11
ACHIEVEMENTS
Carried out a recruitment interview for over 200 newly qualified Registered Mental Health
Nurses and successfully got Eighty Three (83) posted to the Hospital – the highest ever.
For once, we recommended and got admission for Two (2) nurses to pursue the community
Medicine Programme two (2) for Anaesthesia, and Two (2) Medical Assistants to pursue the
Degree Top-Up at Kintampo.
The HR Manager’s office had a brand new split air-conditioner installed which has helped
enhance service delivery.
CHALLENGES
Lack of training to bring staff abreast with latest Health Sector Policy Drive enshrined in HR
documents.
Delays in obtaining financial clearance for contract staff and its attendant problems. Director
is tackling the problem.
Inability in getting newly recruited staff inputted, promptly.
Ageing Enrolled Nurses-without replacement.
An ageing Hospital Orderly cadre with the resulting negative effect on Service delivery at the
ward level.
WAY FORWARD
Increase block of flats to accommodate staff
Develop staff by organizing workshops – staff are prepared to pay for some of the workshops
Need for collective effort to introduce the Health Assistants (Clinical) training and call them
Mental Health Assistant.
Need for concerted efforts, attention and collaborative support from all concerned to improve
HR service delivery
Support required in carrying out planned training programmes for staff to keep them abreast
with new trends in HR Policy Direction Assurances received from Management to handle
Appraisal Review update and other related Human Resource issues during the year .
12
NURSING ADMINISTRATION
INTRODUCTION
The Accra Psychiatric Hospital is a specialist mental health institution that has a primary function
to manage mental illnesses.
RESPONSIBILTIES
•
Treatment of mental illnesses.
•
Welfare of mental patients.
•
Rehabilitation of mental patients.
Training of students to achieve professional competence in psychiatry.
The above responsibilities are achieved through the execution of roles and functions of the various
units and departments of the hospital.
Nursing division is one of such categories and has the largest workforce of 385, 302 of whom are
professional nurses and 83 being enrolled nurses of all categories. The division is made up of
twelve (12) units which comprises wards, specialized department and administrative offices.
BROAD OBJECTIVES FOR 2011
•
To ensure quality nursing care to all patients.
•
To pursue an agenda of networking all wards, consulting rooms and administrative offices
to enhance communication and information flow through the hospital as a system and
beyond.
•
To provide in-service training for all staff.
•
To instill and ensure adherence to professional ethics and discipline among nursing staff.
•
To liaise with the offices of the national coordinator, community psychiatric nursing and
social welfare to ensure smooth repatriation of discharged patients to the community.
SPECIFIC OBJECTIVES FOR 2011
•
To advocate early installation of the mortuary equipment for the hospital.
•
To provide a balustrade fencing at the front view of the nursing administration to reduce
heat and the persistent scorching of the doors, windows and walls of the nursing
administration offices by the sun.
13
•
To ensure installation of computers and accessories in all offices of nursing administration
and wards to ensure proper documentation and speed up administrative and nursing work.
•
To ensure continuing education in the form of orientation, structured remedial and special
courses to update and upgrade the knowledge and the behavior of staff.
•
To train and update knowledge and skills of visiting students on affiliation to perform their
duties through the IST programmes.
•
To ensure that training and teaching as core objectives of the hospital is carried out with
dispatch.
•
To speed up the proposal to revisit hospital sewage pathways and their possible
reconstruction.
•
To encourage staff on the ward and OPD to educate relatives on their responsibilities for
patients when discharged.
•
To expedite action on decision to renovate the floor of the dormitories of patients with
cracks and dents.
•
To encourage OPD staff to create mental health awareness through an open discussion and
interaction with patients and relatives at the OPD.
•
To ensure proper referral of patients to the community through the office of the
community psychiatric nurse.
•
To ensure that staff adopt planned preventive maintenance strategy to ensure system
maintenance and cleanliness.
•
To ensure that patients on admission are dewormed at least three times in the year.
•
To see to the provision of changing and rest rooms for staff.
•
To ensure regular fumigation of the wards to eradicate rodents and lice.
•
To take steps to ensure that adequate water is available for use in the wards throughout
the year.
•
To ensure improvement in security around the wards and units.
•
To take actions that will ensure punctuality and the use of the attendance book by staff.
•
To encourage wards to provide themselves veronica buckets to improve on hand washing
procedures.
14
BROAD ACHIEVEMENTS
•
Despite the occasional ECT complications that occurred and were managed successfully, no
death occurred out of the therapy that was done for 118 patients throughout the year
under perspective, 82 of whom were females and 36 being males.
•
Establishment of the 72- hour Observation ward to screen patients and ease stress and
congestion of the already over stretched wards.
•
Eighty- three (83) newly recruited staff nurses joined the Nursing Division from the two(2)
psychiatric nursing institutions.
•
Former F1 ward was renovated by a philanthropist. F1 ward now renamed, “Alkot
Foundation ward.”
•
Aeration at the OPD significantly improved through installation of wall fans and roof
extension by Data Bank
Body lice infestation is significantly reduced in special ward and admission II, i.e. two of the
congested wards.
SPECIFIC ACHIEVEMENTS
•
Nursing Administration received one new Dell table top computer to enhance
administrative work.
•
F 1 ward is now Alkot Foundation ward after having been renovated with a befitting
nurses’ station by a philantropist, Albert A. Akoto of Alkot Foundation.
•
Patients were dewormed quarterly to reduce incidence of warm infestation.
•
Fewer rodents are seen nowadays.
•
90% of wards using veronica buckets or wall taps with sink attachment.
•
Security around the wards improved
•
General water situation improved.
BROAD CHALLENGES (LOGISTICS)
 Staff shortage.
 Lack of computers to enhance ward data collection and report keeping
 Lack of vehicle solely reserved for nursing administration for prompt external engagement.
 Lack of library to support the work of IST programmes.
15
 IST has not been able to issue logbooks to nurses for the past five years.
 Lack of sterilizing machine, e.g. Boiler, to sterilize instruments, especially at the infirmary
ward.
 Lack of ambulance to ensure continuous patient care on transit to the general hospitals for
better patient management.
OFFICE SPACE
•
Lack of adequate rooms to be used as offices, demonstrations, store rooms and rest
rooms.
•
The existing structure of IST needs refurbishment and expansion.
LACK OF TRAINING
•
IST has not been earmarked any fund for workshop for a long time now.
•
No logbooks for staff to login their training experiences acquired through seminars,
workshops, short courses, etc.
SPECIFIC CHALLENGES
•
IST could not have any educational visit occurring during the year.
•
There has been some repulsive stench emanating from possibly blocked sewage pathway
to most of the female and male wards.
•
No staff common room.
•
Lack of befitting nurses station or office in most wards.
•
Lack of adequate bed sheets and mattresses.
•
A lot of patients who can be managed at home are still on the ward.
•
Lack of proper privacy for staff in most wards.
•
Most wards are congested with patients.
•
Most wards need to be renovated
•
Lack of sluice end for the infirmary wards.
•
Lack of illumination light at vantage point during power outages
•
Lack of resuscitation equipment for ECT, the infirmaries and other wards.
16
•
Inadequate water flows to the OPD and the wards is severely hampering nursing work.
•
Faulty door locks and rotten wooden frames of most wards are common.
•
Overcrowded wards, therefore resulting in most patients sleeping on the floor and open air
on mats.
•
Lack of proper time-out rooms have made handling occasional restless and aggressive
bevahiour difficult.
•
Shortage of benches on the wards is affecting smooth organization of patients’ group
meeting and therapeutic community activities.
•
Lack of sufficient male nurses to assist in handling aggressive and restless patients.
•
There are serious leakages of roofing of most patients’ dormitories.
•
Lack of regular visit by doctors to review patients’ condition.
•
General water situation in the hospital improved but significantly lacks on the wards and
consulting rooms.
TABULAR REPRESENTATION OF DATA
Tabular data representations that follow are the annual state of affairs of patients and staff
movements and retention as at 31st December, 2011 under Nursing Administration. At certain
times, two or more years are compared to appreciate developmental trends as regards patients
and staff movements.
WARD STATE AS AT 31ST DECEMBER, 2011
NAME OF
WARDS(MALE)
VOL
SPEC
VAG
SLEEP
TOTAL
ADMISSION- 1
145
-
-
145
145*
ADMISSION- 2
67
-
-
67
67*
8
1
1
10
10
MALE INFIRMARY- 1
17
MALE INFIRMARY- 2
5
1
-
6
6
WARD B
15
2
5
22
22
SPECIAL WARD
117
85
11
213
213*
B. H. C.
8
-
-
8
8
CONVAL
9
-
1
10
10
WARD E
111
-
-
111
111*
C1
15
-
-
15
15
C2
4
-
38
42
42
V. I. P.
9
-
-
9
9
72 HOURS
13
-
-
13
13
GERIATRIC WARD
19
2
6
27
27
KIDS
8
-
7
15
15
91
69
714
714
TOTAL
554
NAME OF WARDS (FEMALE)
VOL
SPEC
VAG
SLEEP
TOTAL
ALKOT FOUNDATION WARD
(FEMALE WARD- 1)
51
2
34
87
87*
FEMALE WARD- 2
42
-
2
44
44*
FEMALE ACUTE
18
-
-
18
18
FEMALE REHAB.
5
-
-
5
5
FEMALE GERIATRIC
8
1
3
12
12
FEMALE INFIRMARY
5
-
1
6
6
18
72- HOUR
4
-
-
4
4
FEMALE CONVAL
7
-
-
7
7
KIDS
6
-
3
9
9
TOTAL
146
3
43
192
192
SUMMARY OF PATIENTS POPULATION AS AT 31ST DECEMBER, 2011
PATIENTS
FEMALE
%
MALES
%
TOTAL
VOLUNTARY
146
20.9
554
79.1
700
SPECIAL(court order)
3
3.2
91
96.8
94
VAGRANT
43
38.4
69
61.6
112
TOTAL
192
21.2
714
78.8
906
A TWO- YEAR COMPARISON OF PATIENT POPULATION AT 31ST DECEMBER
YEAR
2010
2011
2010
2011
2010
2011
PATIENTS
FEMALE
FEMALE
MALE
MALE
TOTAL
TOTAL
VOLUNTARY
192
146
619
554
811
700
SPECIAL(C/O)
5
3
144
91
149
94
VAGRANT
28
43
23
69
51
112
19
TOTAL
225
192
786
714
1011
906
NB: General drop in all statuses of patients stay except vagrant that rose during the period, i.e. two (2)
years under perspective.
PROFESSIONALS STRENGH AS AT 31ST DECEMBER, 2011
PROFESSIONALS
FEMALES MALES
TOTAL
DDNS
1
1
2
PNO
4
6
10
PMO
-
-
-
SNO
4
3
7
SMO
1
-
1
NO
3
-
3
MO
1
-
1
SSN
39
12
51
SSM
1
-
1
SN
155
51
206
SM
1
-
1
TOTAL
210
73
283
20
E/N STRENGTH
ENROLLED NURSES
FEMALES
MALES
TOTAL
SUPT. E/N
22
27
49
P.E/N
14
12
26
S.E/N
2
4
6
E/N
-
2
2
TOTAL
38
45
83
HEALTH ASSISTANT STRENGTH
HEALTH
ASSISTANT
FEMALE
MALE
TOTAL
P.H/A
16
4
20
S.H/A
-
1
1
H/A
-
-
-
TOTAL
16
5
21
HOSPITAL ORDERLIES STRENGTH
HOSPITAL ORDERLIES
FEMALE
MALE
TOTAL
HEAD HOSPITAL ORDERLIES
34
15
49
SENIOR HOSPITAL
ORDERLIES
5
3
8
HOPITAL ORDERLIES
-
-
-
TOTAL
39
18
57
21
STUDENTS FIELD PLACEMENT
(IN-SERVICE EDUCATION UNIT)
SCHOOL/ COLLEGE
STUDENT CATEGORY
NUMBER
KORLE-BU NTC
RGN
523
KUMASI(KANTC)
RGN
259
AGOGO NTC
RGN
118
PANTANG NTC
RMN
183
ANKAFUL NTC
RMN
11
KORLE-BU MTC
RM
275
KUMASI(KAMTC)
RM
107
KINTAMPO RHTS
CHMO
36
MA PSYCHIATRY
MA PSYCH.
2
UG LEGON
B.Sc. PAEDIATRIC NURSIN G
30
UG LEGON
L/300 B.Sc. PSY/SOCIOLOGY
1
UNI. OF GHANA LEGON
M. PHIL CLINICAL
PSYCHOLOGY
5
UNI. OF CAPE COAST
L/400 B. Sc. NURSING
1
UNI. COLLEGE OF EDU.WINNEBA
SPECIAL EDUCATION
3
WESTERN HILLS, ACC.
HEALTH ASS. CLINICAL
135
MARTIN LUTHER,TEMA
HEALTH ASS. CLINICAL
84
NYANIBA,TEMA
HEALTH ASS. CLINICAL
128
HEALTH CONCERN,ACC
HEALTH ASS. CLINICAL
136
KETA
HEALTH ASS. CLINICAL
113
NARH-BITA,TEMA
HEALTH ASS. CLINICAL
1
HEALTH EXT. WORKERS
N.Y.E.P.
71
TOTAL NO. OF STUDENTS
2222
22
ELECTORCONVULSIVE THERAPY
MONTH
NO. OF
MALES
NO. OF
FEMALES
TOTAL NO. OF
PATIENTS
DEATH
JANUARY
2
10
12
NIL
FEBRUARY
7
6
13
NIL
MARCH
2
5
7
NIL
APRIL
4
11
15
NIL
MAY
6
10
16
NIL
JUNE
4
7
11
NIL
JULY
4
3
7
NIL
AUGUST
3
3
6
NIL
SEPTEMBER
1
9
10
NIL
OCTOBER
2
4
6
NIL
NOVEMBER
-
7
7
NIL
DECEMBER
2
6
8
NIL
OBSERVATIONS (ECT)
Most of the patients who had ECT during the year recovered fully from their conditions and have
been discharged home.
No deaths were recorded in the year under perspective.
No adverse complications were recorded during treatment
The department now has two anaesthetists
23
THE WAY FORWARD
(Plans for the year, 2012)
Decongestion of the wards should be given a priority.
Outstanding projects should be executed to lessen the stress and burden on staff.
Blocked sewerage pathways producing offensive odour should be given some priority attention.
Stench emanating from them poses severe health risk to patients and staff.
Provision of portable autoclave machine to ensure proper sterilization of instrument and
equipments should be considered.
Nursing Administration will seek to work closely with the Human Resource Office to organize more
seminars and workshop for staff to enhance professional practice which eventually leads to quality
service delivery and work output.
Planned Preventive Maintenance (PPM) should be fully adopted and practice.
Quality assurance activities should be streamlined and revamped and core group named with
terms of reference.
Effort should be made to improve staffing situation.
CONCLUSION
Though burdened with numerous challenges, the Nursing Division will continue to cooperate with
other units and sectors to work closer than before to provide quality care to our patients who are
the focus of our combined endeavours.
24
CLINICAL STATISTICS AND PERFORMANCE
INTRUDUCTION
Data are collected or aggregated at level of health care systems.
But are they used as a resource, leading to improvements in health care? If the right data are
collected, if they are converted into information and put to work in making decisions, the answer
can be yes.
Information can provide a firm basis for health service management, because it can indicate what
is really happening within the system-which is being served, whether targets are realistic and
whether they are being met in the specific period of time.
The Record office ensures that the health care data collected can be transformed into useful
information: information that can be used to improve the overall effectiveness of the health care
system.
The Record Department makes it possible to monitor trends in programme performance over
time.
CLINICAL STATISTICS
OUT PATIENTS ATTENDANCE JANUARY-DECEMBER. 2011
Age group
UNDER 1
1-4
5-9
10-14
15-17
18-19
20-34
35-49
50-59
60-69
70+
TOTAL
GRAND TOTAL
new
male
female
old
male
female
total
male
female
15
46
77
98
150
850
463
131
6
26
62
98
152
664
1209
203
97
369
537
654
775
4959
4481
1730
87
279
506
682
785
5702
6172
2980
112
405
614
752
925
5809
4944
1861
93
305
568
780
937
6366
7381
3183
41
37
63
61
802
1156
1341
717
843
1193
1404
778
1908
2538
15550
19251
17458
21795
4446
34801
25
39253
new
1000
800
600
400
new
200
0
Age UNDER
group
1
15-17 18-19 20-34 35-49 50-59 60-69
70+
A total of 39,253 patients were attended to at the out –patients department(OPD) of the hospital
7000
6000
5000
4000
new
3000
old
2000
1000
0
Age UNDER
group
1
15-17 18-19 20-34 35-49 50-59 60-69
70+
Graphical representation of New and Old cases attendance 2011.
A total of 39,253 patients were attended to at the out –patients department(OPD) of the
hospital, 4446 new cases with males 1908 and 2538 females and total of 34801 old cases with
15550 males and 19251 females were all seen at the O.P.D s for 2011, as against a total of 36829
OPD cases in 2008 with 4857 new cases and 31972 old cases,33227 OPD cases with 2927 new
cases and 30300 old cases in 2009 and a total OPD cases of 58398 with 9417 new cases and 48981
old cases in 2010.
Note: an average of about 3271 patients are attended to every month of the year, around 812
patients weekly and an average of 116 daily attendances.
26
Age group
UNDER 1
1-4
5-9
10-14
15-17
18-19
20-34
35-49
50-59
60-69
70+
TOTAL
GRAND
TOTAL
ADMISSIONS
NEW
MALE
4
26
37
598
280
70
32
17
1064
FEMALE
2
16
15
364
247
63
32
9
748
1812
OLD
MALE
FEMALE
2
8
15
539
306
90
31
14
995
8
6
215
388
130
37
15
10
789
3390
TOTAL
MALE
6
34
52
1137
586
160
63
31
2059
FEMALE
10
22
230
752
377
100
47
19
1537
3596
700
600
500
400
NEW
300
200
100
0
Age UNDER
group
1
15-17 18-19 20-34 35-49 50-59 60-69
Fig1.9. Graphical representation of patient’s admission new cases 2011.
27
70+
600
500
400
OLD
300
OLD
200
100
0
Age group
UNDER 1
15-17 18-19 20-34 35-49 50-59 60-69 70+
Fig2.0. Graphical representation of patient’s admission old cases 2011.
From the table above, a total of 3596 patients were admitted into the hospital, of these patients,
1812 were new cases with 1064 males and 748 females, a total of 1784 old patients were also
admitted within year 2011 with 995 males and 789 females, as against a total of 2152, 3918 and
3648 patients which was admitted in 2008.2009 and 2010 respectively.
28
ADMISSIONS OF PATIENTS UNDER EIGHTEEN
Age group
NEW
MALE
UNDER
1
1-4
5-9
10-14
15-17
18-19
4
26
37
TOTAL
FEMALE
2
16
15
67
OLD
MALE
2
8
15
FEMALE
8
6
215
230
TOTAL
MALE
6
34
52
FEMALE
10
22
230
297
250
200
150
NEW
100
OLD
50
0
Age group
UNDER 1
15-17
18-19
Fig.2.3. Graphical representation of admitted cases under the age of eighteen 2011.
A total of 297 patients under the ages of eighteen were admitted into the hospital during the year
2011 with 67 new cases and 230 old cases.
29
DISCHARGES
AGE GROUP
UNDER 1
1-4
5-9
10-14
15-17
18-19
20-34
35-49
50-59
60-69
70+
TOTAL
MALE
FEMALE
TOTAL
2
21
27
773
514
242
147
53
1779
1
16
22
501
329
130
66
29
1094
3
37
49
1274
843
372
213
82
2873
900
800
700
600
500
MALE
400
FEMALE
300
200
100
0
UNDER
1
15-17 18-19 20-34 35-49 50-59 60-69
70+
Fig.2.1.Graphical representation of discharges 2011.
The hospital discharged a total of 2873 patients as part of the repatriation exercise in the first
quarter of the year with voluntary discharges, 1779 males and 1094 female were discharged as
against a total of 2460, 1232and2920 discharges for year 2008, 2009and2010 respectively.
30
PATIENTS UNDER THE AGES OF EIGHTEEN (O.P.D ATTENDANCE)
Age group
new
male
UNDER 1
1-4
5-9
10-14
15-17
18-19
15
46
77
98
150
TOTAL
female
6
26
62
98
152
302
old
male
female
97
369
537
654
775
87
279
506
682
785
1560
total
male
112
405
614
752
925
female
93
305
568
780
937
1862
900
800
700
600
new
500
old
400
300
200
100
0
Age group UNDER 1
15-17
18-19
Fig1.8.Graphical representation of patients under the ages of 18 years.2011.
A total of 1862 patients under the ages of eighteen were recorded during 2011, with 203 new
cases and 1506 old cases, of these new cases, 150 were males and 152 females on the other hand,
1506 old cases with 775 males and 785 females were also recorded at hospital as shown the table
and graph above.
31
ADMISSIONS OF PATIENTS UNDER EIGHTEEN
Age group
NEW
MALE
UNDER
1
1-4
5-9
10-14
15-17
18-19
4
26
37
TOTAL
FEMALE
2
16
15
67
OLD
MALE
2
8
15
FEMALE
8
6
215
230
TOTAL
MALE
6
34
52
FEMALE
10
22
230
297
250
200
Age group
UNDER 1
150
100
15-17
50
18-19
0
NEW
OLD
TOTAL
Fig.2.3. Graphical representation of admitted cases under the age of eighteen 2011.
A total of 297 patients under the ages of eighteen were admitted into the hospital during the year
2011 with 67 new cases and 230 old cases.
32
REFERRAL (IN) CASES JANUARY – DECEMBER 2011
AGE GROUP
UNDER 1
1-4
5-9
10-14
15-17
18-19
20-34
35-49
50-59
60-69
70+
TOTAL
MALE
FEMALE
TOTAL
4
7
10
8
91
39
8
6
2
175
1
3
9
18
5
67
29
8
6
5
151
1
7
16
28
12
158
68
16
12
7
326
100
80
60
MALE
40
FEMALE
20
0
UNDER
1
15-17 18-19 20-34 35-49 50-59 60-69
70+
Fig.1.1. Graphical representation of referral (in) cases.
Graphic representation of referral (IN) cases January-December 2011.From the table and graph
above a total of 325 patients were referred from other hospitals and health centers into the
hospital, 175 were males and the majority in the age group of 20-49 while 151 females were also
reported in the year 2011.
33
CATEGORY
NUMBERS
34
AGE GROUP
UNDER 1
1-4
5-9
10-14
15-17
18-19
20-34
35-49
50-59
60-69
70+
TOTAL
MALE
FEMALE
TOTAL
1
4
15
18
4
2
10
2
5
6
25
20
1
1
19
57
38
VARGRAT CASES
30
25
20
MALE
15
FEMALE
10
TOTAL
5
0
AGE UNDER
GROUP 1
15-17 18-19 20-34 35-49 50-59 60-69
70+
Fig.1.2. Graphical representation of vagrants’ cases January-December 2011.
A total of 12 patients were brought into the hospital as vagrants by the social welfare or good Samaritans in
the year 2011, with 38 males and 19 females. As shown the table above.
35
TOP TEN PATIENTS DIAGNOSIS
Schizophrenia, Depression, Epilepsy, Acute Psychosis and Substance Abuse recorded the highest
diagnosis of the patients in the hospital during 2011, while dementia and mental retardation
recorded the lowest respectively. Substance Abuse recorded 368 males and 43 females with most of
them in the age group of 20-29 years, while the year 2010 recorded a total of 1025 patients
diagnosed with Substance Abuse. (Alcohol, Cocaine, Wee, etc), year 2009 and 2008 also recorded a
total of 110 and 583 cases of Substance Abuses respectively.
DIAGNOSIS
MALE
FEMALE
TOTAL
PERCENTAGE
SCHIZOPHRENIA
416
395
811
18
DEPRESSION
192
372
564
12
EPILEPSY
226
195
421
9
SUBSTANCE ABUSE
368
43
411
9
ACUTE PSYCHOSIS
176
231
407
9
DEMENTIA
69
84
153
3
HYPOMANIA
133
154
287
6
NEUROSIS
60
44
104
2
MENTAL
RETARDATION
OTHERS
102
86
188
166
176
342
7
TOTAL
1908
2538
4446
100
36
4
450
400
350
300
250
200
150
100
50
0
MALE
FEMALE
Fig.1.6. Graphical representation of patient’s diagnosis 2011
37
DEATH CASES
AGE GROUP
UNDER 1
1-4
5-9
10-14
15-17
18-19
20-34
35-49
50-59
60-69
70+
TOTAL
MALE
12
23
3
5
2
46
FEMALE
TOTAL
12
3
2
1
18
12
35
6
7
3
64
25
20
15
MALE
10
FEMALE
5
0
UNDER
1
15-17
18-19
20-34
35-49
50-59
60-69
70+
Fig.2.2. Graphical representation of death 2011.
From the above graph and table, a total of 64 deaths were recorded with 46 male and 18 female.
The following were the leading courses of the death, anemia, and gastro entries. C. V. A.
38
PLANNED ACTIVITIES FOR 2011
 Hope to have newly employed record officers to replace the retired officers
 Hope for the provision of the following basic equipments to the records department to assist
the staff to render their services easily:

More office chairs

Two or three additional computers to the old one.

A printer to print our report and data.

More cabinets to file Master Index and MHIS forms.

Air condition for the computers.
ACHIEVEMENTS
 The department delivered efficient and effective services
Management provided the department with the following:
Three set of LG Air Conditioners.
Nine set of office chairs and two office tables
One additional computer to the old ones
A printer
PROMBLEMS
 Inadequate workshop for the staff: there have not been enough workshops to upgrade staffs
knowledge in the department.
 Patience deceptive: Patients refusal to report to the hospital with their appointment cards
makes it difficult to trace the folder which leads to waste of time.
 Inadequate storage facilities such as cabinets for storing master index cards and MHIS
forms.
 The department needs expansion to accommodate more folders; since there is always the
problem of battling with lack of space every year.
 Unhygienic conditions of the archive’s premises such as the defecation at the entrance and
attacks by patients on the staffs has also been a major problem to the department
 The issue of filling of the MHIS forms by some doctors and nurses has been a major worry,
and the hand writing of those who fills the MHIS can hardly been read into.
39
THE WAY FORWARD FOR 2012
 Staffs have geared up to face any challenges in the coming year by timely delivery of
reports for compilation.
 Plans are underway to set up a complain desk to address patients who have problems with
their folders and other information and this will go a long way to enhance effective and
efficient delivery of services.
 To ensure that quality and accurate data are provided for the hospital, the following
department would be included in our data capturing, psychology department, CPN, and
social welfare department.
 Medical and nursing staffs would be encouraged to continue to fill the MHIS forms for
accurate data to be captured and maintained when necessary.
 We want to make passionate request to the management that national service personnel
should be requested for the department to support the existing staff every year
40
O.P.D ATTENDANCE TREADS 2008-2010 ACCRA PSYCHIATRIC HOSPITALS.
NEW CASES
years
males
females
total
2008
2628
2229
4857
2009
1518
1409
2927
2010
5254
4163
9417
total
9400
7801
17201
6000
5000
4000
3000
2000
1000
0
years
2008
2009
2010
Fig.1.0.
From the graph and table above, a total 17201 new cases were seen at the out-patients department of the
hospital from 2008-2010, a total of 4857 new cases were seen in 2008 with 2628 males and 2229
females. In 2009, the figure came down to 2927 with 1518 males and 1409 females while the year
2010 recorded the highest of 9417 new cases with 5254 males and 4163 females new cases.
41
O.P.D ATTENDANCE TREADS 2008-2010 ACCRA PSYCHIATRIC HOSPITALS.
OLD CASES
years
males
females
total
2008
15178
16794
31972
2009
13851
16449
30300
2010
24565
24416
48981
total
53594
57659
111253
30000
25000
20000
15000
10000
5000
0
years
2008
2009
2010
Fig.1.1.
The table above shows the O.P.D attendance tread of old cases from 2008-2010 in the Accra
Psychiatric Hospital, a total of 31972 old cases were seen with 15178 males and 16794 females in
2008 while a total of 48981 cases was also seen in 2009 however, year 2010 again recorded the
highest figure of 48981 old cases seen in the hospital.
42
PATIENT’S DIAGNOSIS TREND 2008-2010
DIAGNOSIS
2008
SCHIZOPHRENIA
940
DEPRESSION
2009
2010
TOTAL
248
3262
4450
26
525
146
3462
4132
24
830
301
253
1384
8
EPILEPSY
551
144
1205
1900
11
SUBSTANCE ABUSE
583
110
1025
1718
10
hypomania
408
114
522
1044
6
NEUROSIS
430
107
418
955
5
DEMENTIA
309
19
258
586
3
OTHERS
563
273
61
897
5
PERCENTAGE
ACUTE PSYCHOSIS
TOTAL
5139
1462
10466
17066
99
4000
3500
3000
2500
2000
1500
1000
500
0
Fig.1.2. From the graph above, schizophrenia, depression, epilepsy and substance abuse were the
leading top ten diagnoses of patients , representing 26%,24%,11% and 10% respectfully, of the
hospital top ten diagnosis from 2008-2010. However, neurosis, and dementia recorded the lowest
percentage (s) of 5% and 3% respectively.
43
PATIENT’S ADMISSION TREND 2008-2010
Age group
2008
2009
2010
T0TAL
10-14
11
28
184
223
15-17
48
94
420
562
18-19
110
221
550
881
20-34
1028
1992
318
3338
35-49
630
979
1311
2920
50-59
223
400
726
1349
60-69
59
128
100
287
70+
43
76
39
158
TOTAL
2152
3918
3648
9718
Under 1
1-4
5-9
44
2500
2000
1500
1000
500
0
YEARS Under 1
15-17
18-19
20-34
35-49
50-59
60-69
70+
Fig.1.3. Figure above indicates that, a total of 9718 patients (males and females) were admitted
into the hospital during the period of three years (2008-2010). Majority of these patients were
under the age group of (20-34), (35-29) and (50-59) representing about 76 percent of all admitted
patients. Meanwhile, the aged group of (60-69) and 70 years and above also represented a total
percentage of 4.5.while patients under eighteen years got a percentage of 8 as shown above.
45
PATIENT’S DISCHARGES TREND (MALES) 2008-2010
AGE GROUP
2008
2009
2010
T0TAL
1
1
2
PERCENTAGE
Under 1
1-4
5-9
10-14
5
2
8
15
.2
15-17
115
32
65
212
3
18-19
267
66
63
396
6
20-34
547
166
84
797
12
35-49
297
287
918
1502
23
50-59
149
87
375
611
9
60-69
35
23
208
266
4
11
11
.1
2920
6612
99.5
70+
TOTAL
2460
1232
46
2500
2000
1500
1000
500
0
AGE GROUP
Under 1
15-17
18-19
20-34
35-49
50-59
60-69
70+
Fig.1.6.
From the table above a total of 6612 male patients were discharged from the hospital from 20082010.
23 percent were in the age group of 34-49 as the highest, while the age groups of (1-4) and (70 +)
represented a percentages of 0.2 and 0.1 respectfully.
47
PATIENT’S DISCHARGES TREND (FEMALES) 2008-2010
AGE GROUP
2008
2009
2010
T0TAL
PERCENTAGE
5-9
1
1
3
5
.1
10-14
6
2
41
49
2
15-17
65
19
48
132
5
18-19
127
67
40
234
8
20-34
374
125
521
1020
36
35-49
259
215
328
802
28
50-59
166
108
176
450
16
60-69
47
31
24
102
3
11
11
.3
1192
2805
99.6
Under 1
1-4
70+
TOTAL
1045
568
48
2500
2000
1500
1000
500
0
AGE GROUP
Under 1
15-17
18-19
20-34
35-49
50-59
60-69
70+
Fig.1.7.
From the table above a total of 2805 female patients were discharged from the hospital from
2008-2010, 36 and28 percent were in the age group of (20-34) and (35-49) respectfully, while the
age group of (70+) and (10-14) represented 3 and 0.1 percent respectively
Manpower ratio trends 2009-2011.
2009
2010
2011
1
Medical Doctors /prescribers patients
ratio
1:3020
1:4866
1:3019
2
Professional Nurses (Psychiatry)
patients ratio
1:582
1:2780
1:485
49
ESTATES UNIT
Health infrastructure and equipment constitutes a high proportion of the budgetary allocation for
Ghana Health Service (Accra Psychiatric Hospital). It is therefore of primary importance that these
facilities are kept in very good physical condition in order that they perform the required functions
to provide a sound environment for our clients, staff as well as visitors
The Estate Management Unit is to ensure proper management and development of infrastructural
Facilities and equipment in the Hospital.
We provide direct services to the Hospital and out-reach technical support services to all
BMC’s. Some of the main activities of the unit is to manage capital investment programme,
General maintenance, PPM etc.
Staff Strength
•
PRIN. Estates Manager
1
•
Carpenter Prin. Artisan
1
•
Carpenter Artisan
1
•
Carpenter Snr. Artisan
1
•
Carpenter Casual worker
1
•
Plumber Prin. Artisan
1
(Plumber) Artisan
1
Major concerns at beginning of the year 2011
Improving PPM programmes
Preparation of hospital Asset Register, Inventory and Labeling (Embossments) of assets
Deplorable state of some structures (wards and other units)
Physical implementation of Mortuary project
Monitoring of Health Estates activities
50
OBJECTIVES
To ensure that all projects are procured and executed in accordance with specifications (Act 663,
2003)
To facilitate timely completion of projects
To provide sustainable clean and friendly environment
PRIORITIES
Monitoring, inspect all on-going projects
Carrying out rehab./repairs of staff residence, facilities and office buildings
Monitor planned preventive maintenance activities with necessary technical support at the
hospital
Collaborate effectively with other units
Co-ordinate health estates activities
Ensure preparation of assets register and inventory document
KEY ACTIVITIES CARRIED OUT
Constructional works
Rehabilitation/repairs works
Supported Environmental activities/sanitation activities
Facilitated in pruning down tree branches in and around the hospital
Collaborated with external partners
Updated hospital housing facilities DATA
Labeling of some items.
51
ACHIEVEMENTS
Labeling of hospital staff accommodation blocks
Provision additional lights on hospital compound (security lights)
Construction of dwarf wall and screening works at catering department
Renovation staff quarters No. B10 (for Dr Owusu Antwi)
General repairs /replacements – plumbing, carpentry, electricals (day to day activities) carried out.
Trimming/Pruning of tree branches.
Renovation of hospital staff quarters B10 (Estates Manager).
Painting and other works on 72 hour observation ward.
Painting inner fence wall and security house (Face-Lifting)
General painting of VIP ward
General repairs/Servicing of some air-conditioners in the hospital.
Labeling of donated mattresses.
External painting of nursing administration block
Construction of kitchen cabinet at staff quarters A3( for Hse. Man H/serv Admin
Exterior painting of female infirmary block
Servicing gas at the catering department
Mending of roof leakages at selected areas.
Painting and minor renovation of general administration
Replacement roof work at the special ward.
Fabrication and mounting sun-breakers(canopies) at OPD
Renovation work at staff quarters no. B14 (for Anaesthetics
Renovation of staff quarters no.B6 (for Nurses)
Provision and installation industrial gas cookers.
Replacement of broken slabs at the sewerage treatment plant.
Major renovational work at F1 (Now Alkot foundation)
Expansion 4 inches asbestus sewerage line to 6 inches PVC pipe
Changing wooden doors to metal doors at special ward
Expansion of gas system kenkey factory
Provision of 2 no. large size gas oven
Repair of broken-down of laundry machines
52
SPECIAL DONATION
Prophet T B Joshua donated 10 no. TVs and 2no. Strong tv decoders
Major rehab work by ALKOT Foundation.
Hospital Infrastructure which needs rehabilitation
General office block (major rehabilitation)
Hospital conference hall (Major roof work etc)
Main pharmacy block (Major rehabilitation)
O T wooden structure (Remodel into Canteen).
Special ward block (Highly deterioted)
Pavement to staff Resi block B (Suroundings)
On-going works and Progress
Floor tilling of consulting rooms- progressing steadily
Renovation of male admission 2- Progressing steadily
Rectification of roof leakages and other works at the telephone exchange – in progress
Construction of bed side cabinets for VIP & BHC wards –ongoing at workshop.
STAFF ACCOMMODATION
The general accommodation (Office & Residential) situation in the hospital is of great concern.
Accommodation is woefully inadequate and the few available are in deplorable state.
Efforts being made to rehabilitate those in deplorable state.
CONTRAINTS/CHALLENGES AND HOW MANAGED
Absence of adequate and artisans in estates Unit.
Used external artisans’ necessary/staff replacement.
Un-availability of adequate funds for the rehabilitation of staff accommodation and other
facilities.
Delay in getting transport to carry out activities promptly
53
WAY FORWARD
To carry out technical support visits to Units
Funds should be made available for the completion of all intended projects.
Intensify awareness creation and commitment to the culture of planned preventive maintenance
by all workers/Mgt.
PROJECTIONS FROM THE UNIT ON WORKS
To commence and complete inventory taking exercise and prepare assets register by the end of
first half of the year, 2012.
To remodel and furnish the hospital conference hall. (Standard type) by the middle of March, 2012
To commence and complete the rehabilitation of general office block by the end of March, 2012.
To service all fire extinguishers which are far over-due for servicing, provide additional ones and
also conduct user/fire-fighting training for staff by the middle of February 2012 due to the
emergency nature of the exercise.
To commence and connect mechanized bore-hole water to all wards/Service areas by at most, the
middle of February, 2012. To service the hospital stand-by generator by the first week of
February, 2012 and follow up with standardized periodic maintenance system.
To regularize the mode of occupancy of the hospital staff quarters and document appropriately for
tenants to pay rent for the maintenance of the same facilities
To service the hospital stand-by generator by the first week of February, 2012 and follow up with
standardized periodic maintenance system.
To regularize the mode of occupancy of the hospital staff quarters and document appropriately for
tenants to pay rent for the maintenance of the same facilities. To renovate and furnish the
hospital in-service training centre by the end of May, 2012
To renovate the 2no. Public urinals on hospital premises (By the gen. office & pharmacy) by the
end of June, 2012.
To rehabilitate and remodel the wooden OT structure into hospital canteen.
To fill and make-good (Level) undulating grounds at the hospital. To implement mortuary
construction project by April, 2012
54
To co-ordinate comprehensive rehabilitation works on the hospital sewerage lines, toilet facilities
and cover all man-holes, inspection chambers and septic tanks with durable concrete slabs.
CONCLUSION
Health Infrastructure is key for health care delivery and requires the attention of everybody since
we need decent and serene environment to work in.
Let’s therefore together plan, build and maintain.
55
INTRODUCTION
What we do
Investigations to aid Diagnoses and Treatment of Patient management as well as Teaching and
Research.
ACTIVITY EARMARKED FOR 2012.
Bacteriology Unit of the lab will be set up all things being equal.
This to a large extent will depend on the availability of space.
CHALLENGES
Information flow though has improved there still remains yet more to be done.
Space within the lab.
Non-existence of in-service training/workshop programmes.
The chairs in the department are not ergonomically friendly.
ACHIEVEMENTS
Functional and operational lab that has stood the test of time and able to perform lab
investigations.
Significant contribution towards the internally generated funds (IGF) of the hospital.
By the quality of our work, we continue to attract the confidence and trust of other health care
facilities.
We continue to optimize the use of available resources to the satisfaction of patients and clients.
Introduction of more lab tests such as Hb Genotype, G-6-PD.
RECOMMENDATIONS
The department is furnished with every relevant information on time.
Possible expansion of the lab to create more room for other equipment and further investigations.
Capacity building in the form of in-service training, workshop or professional courses for staff.
Replacement of chairs with adjustable swivel chairs.
Daily supply of newspapers to the lab.
Supply of lab coats to the staff.
Inscription of the hospitals name on all lab equipment.
Adequate representation of the Dept. on management team.
56
CONCLUSION
We hope to further improve upon our total work output and client satisfaction taking into account
the quality of service and the overall interest of the hospital.
We hope management will be more supportive to ensure the smooth running of the lab.
57
CATERING DEPARTMENT
INTRODUCTION
Hospital catering is as old as when health care came into existence, tracing its roots from the
Florence Nintingale Era. Through the mercies, grace and love of God we were not consumed, we
have lived to see a new year with beams of hope. Catering section still catering for patients
numbering about One Thousand Two Hundred. Since diet therapy /hospital feeding has been of
immense help contributing to the healing of patients; breakfast, lunch, supper never failed.
Without food the efficacy of drugs administered will not be seen.
In February, new administrator came with new ideas and innovations that helped boost up the
image of the hospital and also activated dead policies. These ideas were implemented with the full
support of the Medical Director and his team members.
Our source of finance was from the government and non-governmental organizations and a
couple of individuals. This was done through cash and goods.
CHALLENGES
We were faced with the challenge of cutting down cost and controlling wastage. Another
challenge to get replacement for the four cooks who went on retirement and to get fresh hands to
augment the strength of the failing ones.
Discipline was also another challenge especially the first half of the year. Misunderstanding
between some staff members brought about a whole lot of confusion. Indiscipline was the order
of the day, petty squabbles and quarrels, all emanating from greed and pride.
ACHIEVEMENTS
By the intervention of management all the problems that were solved were within their means.
Ranging from staff issues, equipment and utensils (maintenance and replacement) sanitation. The
most remarkable ones were the installation of gas stoves and gas connection to the bakery and
oven for the smoking of fish. The flooring for washing dais in the main kitchen and the kenkey
section was also attended to. Also a dwarf wall was erected to separate the kenkey preparation
area and the cooking area to prevent heat.
58
The last but not the least was the end of year package to all members of staff including casuals.
We say Bravo to the Medical Director and his management team members.
WAY FORWARD
It is our fervent wish that catering department will put in much effort the coming year so that our
ambitions will be to help push the hospital forward to attain its set goals by serving palatable
nutritious meals in a well sanitized environment.
Therefore it will not be news when catering department emerges as the best department in 2012.
It is our prayer that the good Lord who saw us through 2011 will see us through the coming year.
CONCLUSION
Long live The Medical Director and his team members, long live Accra Psychiatric Hospital, and
long live Ghana.
59
ENVIRONMENTAL AND SANITATION DEPARTMENT
MAN POWER/STAFF STRENGTH
Chief Environmental Officer
1
Principal Environmental Asst.
1
Conservancy Permanents
5
Conservancy Casual
5
Sanitary Labourers Permanent
4
Casual Labourer
1
Ward Orderly
2
Total
19
CLEANLINESS OF THE FACILITY
The general cleanliness of the entire environment appears clean and tidy
WATER SUPPLY IN THE FACILITY
Water Supply in the facility is mainly pipe bone, but as and when the taps are closed, the hospital
falls majority on Two (2) dug bore holes, one at the frontage of VIP ward and another at the
frontage of the Occupational Therapy Department.
However, there are wards and areas within the facility that cannot get access to the boreholes, in
this regard, the hospital then falls again on water tanker services, during these hard times which is
really draining our coffers
REFUSE DISPOSAL WITHIN THE FACILITY
Two big trenches has been dug 120 yards away from the main sewage plant, where both wet and
dry refuse are sort out and burnt.
Also, there is an incinerator sited nearer to the dumping site
which is been used for the incineration of Gauze swabs, only use syringes from wards and
laboratory department.
SEWERAGE PLANT
There is a sewerage plant, sited in between the refuse dump, where finally all liquid waste from
various wards and sections of the facility comes as the final place of disposal with the efferent
passing through necessary circulation and finally a bye product is formed as Gas for use at the
Catering Department.
60
TOILETS FACILITIES WITHIN THE FACILITY
Toilet facilities within the facility has always been a big problem, and since the hospital is an old
institution of over a hundred and six years old, the asbestos sewer lines used are all rotten in the
ground, making the lines to be choked frequently, with the effluent overflowing its banks. Giving
rise to a lot of nuisance and health hazard to the patients and staff as a whole.
DISINFECTION/DISINFESTATIONS
Fumigation was carried out in all the wards, which were infested with Bodylice, Bedbugs.
Mosquitoes, Dangerous reptiles, Cockroaches, rodents and termites within the facility. Late in the
year, there was also Cholera outbreak, which affected some wards of which that was also taken
care of with fumigation of the affected wards.
PROBLEMS ENCOUNTERED DURING THE YEAR 2011
Shortage of staff e.g. Conservancy and Sanitary Labourers.
Improper disposal of refuse within the facility. (NB)
Improper Drainage systems. (NB)
Reports from various wards about broken-down toilets and sewer lines.
Indiscriminate littering of the environment by out -patients and staff as a whole.
Sitting of dust bins at vantage points within the facility.
No changing room for Conservancy Labourers to change themselves as or keep their wares, even
when it is raining or shinning. Attention should be drawn on the urinals with the facility.
Urinals for outpatients and staff not the best.
We need Aug 2144 insecticides and not izal which is out mode in the system since suppliers don’t
supply correct izal only water.
Two trenches dug at the refuse dump meant for disposal of refuse within the faulty are all full,
now refuse is been thrown haphazardly at the sites, but, without the burning of most refuse, there
will be serious problems.
61
SUGGESTION/SOLUTIONS
Ward Orderlies should follow patients to the dumping site, to ensure proper disposal of refuse.
(NB) Digging of trenches since.
Recruitment of conservancy and sanitary labourers to the Environmental Department, since most
of the labourers are retiring and even some too old to perform efficiently.
Much and immediate attention should be drawn on the changing room for the Conservancy
labourers at the main sewerage plant. Consistent Medical attention for the conservancy labourers.
NB
Dust bins with filling covers be sited at vantage points with the facility, to avoid littering of the
environment by out patients and staff as a whole.
We need AUG 2144 for our daily routine services and not izal which has been diluted with plenty
water and not helping to kill the coats in the ward, toilets and cutters within the facility.
The change of asbestos sewer lines in the grounds which is over age and are creating a lot of
nuisance within the facility to PVC’s.
Working Gear should be provided to the conservancy and sanitary labourers 2012.
NB. IMMEDIATE CONNECTION OF THE BOREHOLE TO THE WARDS, TO AVOID SPENDING SO MUCH
ON WATER. WITHOUT WATER THE ENVIRONMENTAL DEPARTMENT CANNOT PERFORM.
THE WAY FORWARD
Much and immediate attention should be drawn on the problems facing the Environmental and
Sanitation Department, since they play a vital role to the upkeep of sanitation within the facility.
Sanitation is a way of life. it is the quality of living that is expressed in a clean home, the clean
farm, the clean hospital and a clean community being a way of life, it must come from within the
people, its nourished by knowledge and grows as an obligation, and has an ideal in human
relations” (who).
“Sanitation key to god health”
62
LAUNDRY DEPARTMENT
Introduction
•
The Laundry Department is responsible for constant supply of clean lines daily to all wards
and various departments of the facility. Our duties include receiving of dirty linens,
washing, ironing, folding and dispatch them on daily basis.
STAFF STRENGTH
Principal Leading Launderer
1
Head Hospital Orderly
1
Senior Washman
2
Senior Artisan
1
Causal
1
Total
6
LAUNDRY EQUIPMENT
Washing Machines
4
Drying Machines
2
Calendar Machines
2
Hand Ironing Board
2
Pumping Machine
1
Main Switch Board
1
Sewing Machine
1
Laundry Plastic Containers
4
Water Reservoirs
2
ACTIVITIES
We make sure to maintain the machines and report the fault to avoid any major breakdown and
to promote good work done. There was no shortage of water in 2011. The machines are in good
shape. When we report the fault immediate step is taken.
63
CONSTRAINTS
Some of the patients are left on their own to bring the lines to the laundry department.
Shortage of staff.
ACHIEVEMENT
As from January to December, 2011 our returns 97, 632 linens received.
The year 2010 it was 129,808 linens. We also work for Nima-Clinic and earn GH¢263 for the good
order.
SUGGESTION/SOLUTION (THE WAY FORWARD) CONCLUSION.
We recommend proper and frequent maintenance of Laundry machines in order to promote high
productivity. Provision of additional ceiling fans to cool the machines and keep the temperatures
at required levels. Nurses to accompany the patients in collection of their lined before and after
washing. Motivation of laundry staff, would promote us to work efficiency and effectiveness.
64
SOCIAL WELFARE DEPARTMENT
Patient Population as at 31st December, 2011
Patient population as at 31st December, 2011 is Nine Hundred and Six.
Male – 714 and Female 192.
CONTACT WITH RELATIVES/EMPLOYERS
Sixty one male cases were handled and fifty nine female cases were also tackled with either
relatives or employers during the year under review.
INSTITUTIONAL CARE OSU CHILDREN’S HOME
Four cases were referred to the Osu Children’s Home during the year review. One of the patient’s
relatives have been contacted but are yet to come for the baby whilst efforts are being made to
contact the rest.
ABSCOND CASES
Three Hundred and Sixty Six (366) patients absconded from the hospital during the year under
review. Letters were sent to their relatives in that regard
DISCHARGES
Six Hundred and Eighty three (683) patients were discharged during the year under review. Out of
this number two hundred and twenty one (221) fell under the operation 600 repatriation
SEMINARS/DURBARS/CONFERENCES/WORKSHOP ATTENDED
The 3rd Preceptor Training was held at Kintampo Rural College from the 11 th to 17th September,
2011. The main objective of the workshop was to promote mental health service delivery in the
country as a whole.
MASS REPATRIATION OF RECOVERED PATIENTS
Under the code name OPERATION 600, the Department of social welfare in collaboration with the
Community Psychiatric Unit carried out a mass repatriation of about two hundred and fifty seven
(257) recovered and discharged patients to the ten region of the country.
Most of the affected patients were vagrants whilst some were drawn from the various wards of
the hospital
65
THE MAIN OBJECTIVES OF THE EXERCISE WERE
To decongest to the wards so as to cut down the cost of running the hospital more effectively and
efficiently.
To enhance effective welfare and rehabilitation programmes for patients in their own Local
environment.
To reunite the affected patients of abandonment with their families to ease their plight.
FIELDWORK PLACEMENT OF STUDENT FROM INSTITUTIONS
During the year under review, fifty students from the University of Ghana, Legon and the School of
social work in Accra had their fieldwork placement at the hospital.
They were taken through a thorough orientation on the activities of the social welfare agency
after the background history of both the hospital and the social welfare unit had been discussed.
Under the orientation, social work was redefined and the roles/functions of the hospital social work, theory
and practice, objectives of welfare/rehabilitation processes were all brought to the fore. Case work
principles/values on some key professional issues were also observed.
Students were later taken to the various wards of the hospital in the company of social welfare
facilitators. The aims of ward rounds were:
To get the exposure of the environment in which they were to work.
To identify clients with social problems and interact with them.
To study the practicality of cases referred to the unit and how the unit addresses them.
To observe interpersonal relationship between clients and ward Nurses, and also between the
agency staff and the clients.
To identify challenges faced by both ward staff and clients. Again students were involved in the
handling of some life cases through interviews with patients/clients and some duties on the field
to follow up on some old cases under investigation within the Accra Metropolis. By the end of
their placement there was an overview of work done, case work discussion, problem
identification, solution and suggestion
66
MAIN CONSTRAINTS FACING THE AGENCY
IMPREST: This is a major concern to the smooth running of the agency. The unavailability of this facility
retards the effective and efficient running of the agency and always put the image of the hospital
in a negative light. Patients who come to the agency for assistance are numerous and their
problems mainly concern transportation to their various homes. We are compelled to use our
own meager resources to assist these unfortunate patients.
LOGISTICS: The state of the agency’s official stamps is all in poor state. It is recommended that
this particular issue should be prioritized.
CONCLUSION/RECOMMENDATION:
There should be proper record keeping at the hospital. A good database must be maintained to
provide up to date information about the patients.
It is hope the problems enumerated above will be given the necessary attention in the supreme
interest of both patients and staff.
PHARMACY DEPARTMENT
INTRODUCTION
Pharmacy department consists of two units: main dispensary (near the school) and the second
unit at the OPD (ward) Serves the hospital, CPNs, and some private the general public hospitals.
STAFFING
Pharmacists
3
Dispensing technicians
5
Revenue officer
1
Health assistant
1
Dispensing assistants
2
Total
12
OBJECTIVES
To obtain a television stand for the patients waiting area to lessen the discomfort of waiting
Organize one CME each month for the department
Organize one staff meeting each month
67
Improve on ward visitation
Reduce patient waiting time
Improve infrastructure
Activities
No. of inpatient folders served: 16,800 folders/yr, average 70 folders/day
Cmes organized
Staff meetings held: 5 Total no of OPD Rxs served: 40,515; averaging 161/day; highest in Sept.
3,942; lowest in Oct. 2,816 (all minus “lost” Rxs); (ref next slide
month
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
Total
3,551
3,050
3,516
2,979
3,532
3,728
3,658
3,836
3,942
2,816
3,214
2,693
40,515
68
no. of Rxs served/mth
5,000
4,000
3,000
no. of Rxs
2,000
1,000
months1
2
3
4
5
6
7
8
9
10
11
12
Achievements
Patient waiting time relatively reduced
Improved pharmaceutical services:
 Carrier bags for patients’ medicines
Prescription interventions
 Improvement in dispensing errors prevention
 Improvement in pharmaceutical interventions
Staff meetings were successful
Record keeping – an improvement upon the previous year.
CHALLENGES
Lack of lab coats
Dilapidated working environment
Not enough benches for patients (especially for Tuesdays and Thursdays which are very heavy
clinic days)
Television for waiting area still not installed
69
Staff strength still not enough to measure up with the patient number and needs
Shortage of medicines?
Could not improve on ward to ward visitation.
Activities earmark for 2012.
Improve infrastructure hopefully this year
Install TV unit at waiting area
Ward visitations-once a month to each ward
Staff meetings- to be held every quarter
CME every month.
70
IN-SERVICE TRAINING UNIT
INTRODUCTION
The core functions of the units in the form of orientation structured remedial and special courses
to update and upgrade staff to excel in the performance of duties were adhered to. The unit did
implement, monitor and evaluate teaching – learning activities as well.
In the year under review, 2222 personnel were taken through various courses towards their
practical attachment to the wards and relevant departments.
BREAKDOWN
CLINICAL EXPERIENCE
Registered General Nurses
-
(Korle-Bu NTC)
523
Registered General Nurses
-
(Kumasi NTC)
259
Registered General Nurses
-
(Agogo NTC)
118
Registered Mental Nurses
-
(Pantang NTC)
183
Registered Mental Nurses
-
(Ankaful NTC)
11
Registered Midwives
-
(Korlebu NTC)
275
Registered Midwives
-
(Kumasi NTC)
107
Community Mental Health Officers (Kintampo)
36
Medical Assistants
Psychiatric Trainees (Kintampo)
2
(Legon)
30
Level 300 – Psychology & Sociology (Legon)
1
M.Phil – Clinical Psychology
(Legon)
5
Level 400 – Nursing
(UCC)
1
Special education students
(U.C.E –Winneba)
–
B.Sc Paedeatric Nursing Students
71
3
Health assistant clinical students
(Western Hills)
135
Health assistant clinical students
(Martin Luther)
84
Health assistant clinical students
(Nyaniba)
128
Health assistant clinical students
(Health Concern)
136
Health assistant clinical students
(Keta)
113
Health assistant clinical students
(Narh-Bita)
1
Health extension workers
(N.Y.E.P)
71
ORIENTATION
RMN (Permanent Appointment)
-
70
Nurses (Contract Appointment)
-
9
Medical doctor (Residency)
-
1
Health administrator(Housemanship)
HEW
(NYEP)
-
1
8
Re-engagement – Nurse
-
1
Practical placement (British)
-
1
Clinical practicum
-
1
-
2
(American)
Internship (Dane-German)
Practical attachment – BA Psychology
-
1
Voluntary work (British)
-
1
Community Service
-
15
72
CONSTRAINS
FINANCE:
There was no provision of funds to organize workshops for staff. This development
is retarding the efficiency of staff with regards to modern trends of the profession
TEACHING AIDES:
Acquisition of an over-head projector, laptops, screen and video-appliances among others for
effective teaching-learning activities should be a priority to the authorities.
COMPUTER & ACCESSORIES:
The training unit is without a computer and its accessories. The lack of these equipments is indeed
a major deficit in administrative duties at the unit.
INFRASTRUCTURE:
The training unit needs a major renovation to benefit its status.
FURNITURE:
The old desks at the lecture rooms should be replace with modern ones to create comfort for
participants. The unit was provided with two arm chairs and two benches by the hospital
administrator.
REFRIGERATOR:
The authorities must provide a refrigerator and television to the unit
WAY FORWARD.
Provision must be made to the unit to befit the status of an in-service training unit. Comport and
accessories and teaching aides should be promptly acquired to the unit.
73
SPECIAL SCHOOL
INTRODUCTION
The intellectually disabled have the right to quality education just like any other individual so that
they can also live and lead semi-independent or independent lives and contribute their quota to
the development of their environment or community.
As the above statement suggests, it was based on this that the special school was established in
the Accra Psychiatric Hospital to care for and educate children with intellectual disability since
1968.
STAFF
The professional staff stood at six, males – 3 , females -3 during the year under review.
INTERNS
The University of Education, Winneba in September, 2011 sent two students under the outsegment programmes to practice in the school from September, 2011 to June, 2012.
VOLUNTEERS
Six volunteers have helped in supporting the school.
They were three Dutch volunteers, one American, one German and one Norwegian.
They really augmented the staff needs in the severe/profound class.
SCHOOL ENROLMENT
The enrolment at the end of the year stood at fifty-six (56), boys – 40, girls – 16.
The average daily attendance as twenty-three (23).
CLASS ROOMS
The school has two class rooms and the third class room was created under the nim tree due to
the large number of children to the school from the children’s ward.
Specialized services
Physiotherapy
Speech therapy
Occupational therapy
Toilet training skills
74
Behavior modification
Hydro therapy pool
Sensory programmes
Music therapy
Physical education
LONG TERM GOALS
The school has the following as its main objectives for its long-term goals they are:
Giving the students some employable skills
Preparing the students to be independent or semi-independent
Assisting
the
students
to
contribute
their
quota
to
the
development
of
their
environment/community.
To prepare the students for transition.
Creating awareness of disability issues in the country.
Creating conducive environment in the school to meet the needs and aspirations of the students,
etc.
SHORT-TEM GOALS
Assisting the handicapped to understand their problems
Teaching them some basic skills for their daily lives
Bringing the intellectually disabled closer to the outside world by way of sending them on
excursions.
To modify the inappropriate behaviors of some of these students which would help to give them
the necessary skills needed for their level of functions.
To improve their communication/social skills etc.
SCHOOL PROGRAMMES
A number of programmers have been put in place which catered for the needs and aspirations of
our special needs children.
The school in conjunction with our volunteers from Holland has designed an individual stimulation
programme for the severe/profound intellectual disabled children.
This programme was to stimulate various senses of a severe child.
75
Academic Skills
English Language
Mathematics
Writing
Reproductive Health and Sexuality
Pre-Vocational Skills
Social Studies
Communication Skills
Verbal
Non-Verbal
Motor Skills
•
Gross motor
•
Fine motor
ACHIEVEMENTS
The construction of the sanitary facility for the school came as the biggest achievement chalked
due to so many years of intensive search for such a support for over 43 years of the existence of
the school.
Most of the pupils inappropriate or deviant behaviors have been changed.
The global schools partnership has helped to a large extent the pupil-teacher relationship to be
improved.
The citizenship session under the global schools partnership increased the support from the higher
ability pupils to the lesser ones.
The cordial relationship between the hospital management and the school and also the nursing
administration promoted the easy travelling of the school to participate in games and cultural
festivals.
CHALLENGES
It was rather a pity that for so many years of persistent complaints to management on the need to
rehabilitate the school to suit its status, no mechanisms have been put in place to suite the status
the school deserves.
76
The following were the problems or challenges confronting the school or confronted it during the
past year.
The thick smoke that emanated from the kenkey factory of the catering department, this affected
teaching/learning and also some staff members complaining about pains from their eyes.
The headmasters office was more than a warehouse and visitors even had no place to sit.
No stuffy chairs for the headmaster office
No provision of school uniforms for the school
No ceremonial uniforms and foot wears for the children
The provision of snack for the children and the adults was nil
The need for provision of additional classrooms to take care of the severe/profound children did
not materialize.
The computers donated by Teachers Beyond Boarders – UK are still lying idle as there is no room
to install them.
The provision of toiletries to the school was not enough.
THE WAY FORWARD
For the school to function as expected there is an urgent need to attach a permanent health
personnel to it as has been the issue over the years.
The school in collaboration with management this year will develop a more pragmatic transition
programme or the pupils, taking their interest and skill areas into consideration.
Provision of quality teaching/learning materials to suit the needs and aspirations of more
especially the severe /profound children.
Periodic visits by the Estates Manager to the school will help to improve the present
infrastructural state of the school.
The school will try to organize more exhibitions/excursions this year.
CONCLUSION
In conclusion, tremendous developments were seen in the year through our volunteers and
partners.
It’s our pray that, one day, the provision of facilities that would make CROSS a model special
school in West Africa.
77
STORES AND SUPPLY DEPARTMENT
INTRODUCTION
The supply department has the responsibility for the purchase, receipt, custody and distribution of
very large sums of money in the form of goods.
The supply function must be managed and operate in a highly efficient way.
The stores should be considered as a temporary location for Non-medicine supply
Objectives
To liaise with the users department to know their needs in the Hospital
To help in procuring Non-Medicine Consumables and Medicines supplies for the
Hospital
To make available a balance flow of component material, equipment and any other
commodities necessary to meet Accra Psychiatric Hospital requirement
To receive and issue Non – medicine and donations items
To accept and store scrap and other discarded materials as it arises.
To account for all purchases, receipts, issues and goods in stock
To provide quality services to the users
To ensure absolute cleanliness of the storehouse and it environment.
Activities
The supply department has sub sections of Non consumable, disinfectant,
stationary, cleaning materials Electrical, Carpentry and Plumbing etc.as shown
Below.
No
Description of items
1
2
3
4
5
6
7
8
Disinfectant
Cleaning and Environment
General goods
Stationary and printing
Office Equipment
Food(perishable and non perishable
Laboratory
Pharmacy
78
Estimated
Remarks
Amount Gh¢
213,811.20
18,934.75
40,807.75
35,737.60
39,590.37
921,813.00
10,891.25
38,400.00
9
10
11
12
13
Transports spare parts
Electrical
Uniform
Plumbing /Carpentry
Works(gas networking)
Total Amount ¢
15,065.00
18,797.50
24,436.80
19,476.40
12,273.48
1,410,035.10
Achievements
The department was able to provide quality services to the wards and department in Accra
psychiatric hospital
The department was able to meet the demand of the users
The department was able to control all stock of items procure for the whole year.
Constraints
The storehouse needs to be renovated to fix all necessary facilities like toile etc
The shelf is not enough for all the items in the stores
The storehouse is too congested for a free flow of movement
There is no ventilation
Poor lighting system
The storage temperature for storage of stock is very poor.
Recommendation
More in service training program should be organized to improve our services delivery
More shelves to be created to enable effective counting, during stocktaking, and be able to display
items for easily identification.
Management should provide air conditioners and lighting system in the storehouse and chemical
room.
79
Way forward
To provide quality services
To ensure continuity of supply
80
FINANCIAL REPORT
HIGHLIGHTS
•
The financial statement for year 2011 highlights the following
•
Total monies received from Head Office and those generated internally are as follows:
•
Received
•
and Generated
•
Budgeted
variance
GH¢
•
From Head Office
•
IGF Service
•
IGF Drugs
2,825,915
4,517,435
53,797
(1,691,520)
51,700
16,204
2,097 F
15,200
1,004 F
•
ACCRA PSYCHIATRIC HOSPITAL
REVENUE AND EXPENDITURE STATEMENT
FOR THE YEAR ENDED 31ST DECEMBER
2011
I
G
F
G
O
S
S /
G
B
26.19%
23.23%
S E
RVICE
2011
Revenue
Less: Expenditure
Item 1. Casual
Hands
Item 2.
Administration
Exps.
Item 3. Service
Expenses
Item 4.
DRUG
S
2010
2011
53,797 43,654 33,184
2,600 6,870
28,796 24,254
-
(51.47%)
SERVICE
-
-
636 2,260 18,473
-
2010
12,840
2,300
2011
2010
380.6%
100.65%
D P
TOTAL
(8.41)
ADMINISTRATION
2011
2010
F
2011
2010
2011
2010
167,94
2,106,22
1,443,
5 346,095 551,745 602,415
5 438,249 2,912,896 253
-
-
-
-
27,100
4,800
29,700 13,970
906,03
2,012 551,320 602,415 827,669 277,350 1,407,785
1
164,89
1,200,62
470,61
2 342,097 7 126,328 1,384,628
5
81
Investment
Expenses
Total
Expenditure
Net
Income/(Deficien
cy)
Expenditure
Analysis
Casual Hands
Water
Telecommunicati
ons
Postal Charges
Sanitation
Charges
Armed Guard &
Security
Cleaning
Materials
Contract Cleaning
Service
Stationery
Refreshment
Items
Drugs and
Medical Supplies
Electrical
Accessories
Purchase of
Publications
Per Diem and
Inconv.
Allowance
M'tce & Repairs
of Official Vehs.
Travel Allowance
Running Cost Official Vehs.
164,89
2,055,39
1,390,
2 342,027 551,320 602,415
6 408,478 2,822,113 616
32,032 33,384 18,473
4,312
21,765 10,270 14,711
8,528 3,053
4,068
425
2,600
4,750
-
50,829 29,771
90,783 52,637
27,100
25,095
29,700
29,845
-
-
-
5,572
-
13,932
535
19,504
535
2,450
-
-
11,852
35,975
50,277
6,265
-
-
-
10,580
16,845
-
-
-
255,501
68,732
324,233
-
-
-
32,915
27,541
16,863
32,915
44,404
-
-
9,463
10,266
11,584
17,783
53,285
55,132
4,552
59,684
803
5,445
-
18,473
-
-
-
-
-
-
-
3,573
3,678
-
-
-
2,540
2,540
500
100
-
-
25,300
-
18,707
1,310
44,507
1,410
850
-
-
20,000
40,000
60,850
105
-
82
Repairs of Residential Buildings
-
Repair of Office Building
7,528
-
-
-
-
-
6,717
6,717
46,326
86,877
140,731
M'tce of Funiture & Fixture
-
-
-
26,436
47,460
73,896
M'tce of Machinery & Plant
-
-
-
33,161
39,942
73,103
M'tce of General Equipment
-
-
-
-
43,122
43,122
Car Maintenance Allowance
-
-
-
-
12,720
12,720
Meeting Allowance
-
-
-
-
4,180
4,180
Fuel Allowances
-
-
-
-
18,330
18,330
Funeral Grants
-
-
-
-
3,873
3,873
Awards & Rewards
-
-
-
-
30,718
30,718
Tools Allowance
-
-
-
-
432
432
Sub-Total for Items: 01 & 02
31,396
18,473
644,735
1,245,924
Hire of Venue
-
-
2,200
-
1,944
4,144
Refreshment Items
-
-
6,108
-
2,610
8,718
Seminars, Confrence & Workshops
-
-
21,380
-
23,442
44,822
Training Materials
636
-
551,320
-
-
-
3,670
4,306
Uniform & Protective Clothing
-
-
2,100
-
1,497
3,597
Feeding Cost
-
-
37,590
-
1,269,923
1,307,513
Chemicals, Detegents etc.
-
-
41,058
-
107,575
148,633
Stationery
-
-
9,545
-
Purchase of Publications
-
-
2,305
-
-
2,305
Night Allowance
-
-
6,366
-
-
6,366
Local Travel Cost
-
-
11,540
-
-
11,540
Fuel & Lubricant
-
-
10,580
-
-
10,580
Local Hotel Accommodation
-
-
14,120
-
-
14,120
-
164,892
-
1,410,661
18,473
164,892
551,320
Sub-Total for Item: 03
Grand Total
636
32,032
83
9,545
2,055,396
1,576,189
2,822,113
REVENUE ANALYSIS - IGF SERVICE 2011
FOLDER
LAB.
VIP
PRIVATE NURSING
TOTAL
SCHOOL
JANUARY
1,892 1,164
1,190
FEBRUARY
1,500 1,178
510
MARCH
2,028 1,386
770
-
4,245
519
3,707
1,170
5,354
APRIL
1,521 1,425
630
150
3,726
MAY
1,827 1,258
910
1,060
5,055
JUNE
2,000
708
-
-
2,708
JULY
1,836 1,345
-
2,750
5,931
AUGUST
1,821 1,351
SEPTEMBER
2,194
OCTOBER
1,717
NOVEMBER
DECEMBER
TOTAL
-
1,029
-
-
3,223
8,824
1,561 887 1,295
-
3,743
1,760 1,403
-
4,108
21,657
822 4,365
3,172
1,920
13,956
Procurement of Regents
Net Revenue
-
945
10,615
7,569
53,797
11,188
2,768
PRESBY NTC
PRESBY NTC
NYANIBA HEALTH ASST. TRAINING
37 MILITARY HOSPITAL
MARTIN LUTHER HEALTH TRAINING
84
IGF DRUG MONTHLY RECEIPTS,
•
•
JANUARY 2011
1,187.00
•
FEBRUARY 2011
1,004.00
•
MARCH 2011
1,150.00
•
APRIL 2011
1,034.00
•
MAY 2011
1,194.00
•
JUNE 2011
1,738.00
•
JULY 2011
1,470.00
•
AUGUST 2011
1,764.00
•
SEPTEMBER 2011
1,736.00
•
OCTOBER 2011
1,413.00
•
NOVEMBER 2011
1,395.00
•
DECEMBER 2011
1,119.00
•
16,204.00
IGF REVENUE PROJECTION FOR YEAR 2012
JAN
FEB MAR
APR
MAY
JUNE
JULY
AUG
SEPT
OCT
NOV
DEC
TOTAL
-
-
-
-
-
-
-
LODGE
-
-
-
-
-
-
RETEN.
5,4
33
4,7
11
6,50
4
4,76
0
6,24
9
4,44
6
7,401
5,745
7,195
4,832
5,224
5,813
68,313
TOTAL
5,4
33
4,7
11
6,50
4
4,76
0
6,24
9
4,44
6
7,401
5,745
7,195
4,832
5,224
5,813
68,313
85
BUDGET PROPOSAL FOR YEAR 2012
CODE
INPUT DESCRIPTION
2012
2210200
UTILITIES
GH¢
201
Electricity Charges
200,000
202
Water
89,000
203
Telecommunication
48,000
204
Postal Charges
8,600
205
Sanitation Charges
99,000
206
Armed Guard & Security
58,800
207
Fire Fighting Accessories
9,800
513,200
2210300
GENERAL CLEANING
301
Cleaning Materials
800,000
800,000
86
2210500
TRAVEL & TRANSPORT
502
Maintenance & Repairs - Off. Veh.
66,400
505
Running Cost of officer veh.
76,000
511
Local Travel Cost
25,000
513
Local Hotel Accommodation
39,000
514
Foreign Travel Per Diem
15,000
515
Foreign Cost Expenses
48,800
270,200
2210600
REPAIRS & MAINTENANCE
602
Repairs of Residential Buildings
78,000
603
Repairs of Official Building
760,000
604
M'tce of Furniture & Fixtures
86,000
605
M'tce of Machinery & Plant
65,000
606
M'tce of General Equipment
60,000
617
Street lights (Security Lights)
70,000
1,119,000
87
2210700
TRAINING, SEMINARS, CONF.
701
Training Materials
25,000
704
Hiring of Venue
8,600
705
Hotel Acommodation
16,000
707
Recruitment Expenses
15,000
708
Refreshment
75,000
709
Sem./Confer./Wksh. Meeting Exp.
64,000
710
Staff Development
50,000
711
Public Education & Sensitization
100,000
353,600
88
2210100
MATERIALS & OFFICE SUPPLIES
101
Printing Materials & Stationery
194,000
102
Office Facilities, Supplies & Accessories
25,000
103
Refreshment Items
75,000
104
Medical Supplies
86,000
106
Oil and Lubricants
26,000
107
Electrical Accessories
80,000
112
Uniforms & Protective Clothing
160,000
113
Feeding Cost
1,900,000
116
Chemicals & Consumables
900,000
117
Teaching & Leaning Materials
15,000
118
Sports, Recrectionals & Cultural Materias
78,000
119
Household Materials
50,000
120
Purchase of Petty Tools & Implements
35,000
3,624,000
Awards/Indebtedness to Creditors
1,841,828
Total
8,521,828
89
SCHEDULE
OF
CREDITORS
AS AT DECEMBER 31ST, 2011
(GENERAL
SUPPLIERS
&
SERVICE
PROVIDERS)
No.
Award
Date
Company Name
Items Supplied/Service Provided
Amount
1
16/02/11
Cap Noble Agency
Uniform Materials
24,436.80
2
21/02/11
Build Up Ventures
Sweeping Brushes, Brooms etc.
17,163.75
3
21/02/11
Terest Co. Ltd.
Omo, Key Soap, T. Rolls etc.
10,603.00
4
21/02/11
M.R. Koteco Ventures
Electrical Materials
18,797.50
5
21/02/11
Gabiko Enterprise
10 Drums of Dettol
10,580.00
6
03/03/11
Cap Noble Agency
Thermometer and Stethoscope
13,110.00
7
06/04/11
Gabiko Enterprise
Eight (8) Air Conditioners
13,050.50
8
26/05/11
J. A. Biney
Fifteen (15) Drums of Liquid Soap
9,300.00
9
31/05/11
Jonfiaks Enterprise
Thirty (30) Drums of Parazone
18,768.00
10
31/05/11
Emiknad Trading Co. Jet 3 and Aug 2144
Ltd.
22,540.00
11
18/05/11
Central Empire
10,207.30
Computers
90
No.
Award Date
Company Name
Items
Provided
1
16/02/11
Cap Noble Agency
Uniform Materials
24,436.80
2
21/02/11
Build Up Ventures
Sweeping Brushes, Brooms etc.
17,163.75
3
21/02/11
Terest Co. Ltd.
Omo, Key Soap, T. Rolls etc.
10,603.00
4
21/02/11
M.R. Koteco Ventures
Electrical Materials
18,797.50
5
21/02/11
Gabiko Enterprise
10 Drums of Dettol
10,580.00
6
03/03/11
Cap Noble Agency
Thermometer and Stethoscope
13,110.00
7
06/04/11
Gabiko Enterprise
Eight (8) Air Conditioners
13,050.50
8
26/05/11
J. A. Biney
Fifteen (15) Drums of Liquid 9,300.00
Soap
9
31/05/11
Jonfiaks Enterprise
Thirty (30) Drums of Parazone
10
31/05/11
Emiknad
Ltd.
11
18/05/11
Central Empire
Trading
Supplied/Service Amount
Co. Jet 3 and Aug 2144
Computers
91
18,768.00
22,540.00
10,207.30
12
31/05/11
Nyamefa Ventures
Fifteen (15) Drums of Izal
19,776.00
13
20/07/11
Spring Flow Co. Ltd.
Printing of Patients Folders
11,000.00
14
20/07/11
Cap Noble Agency
Uniform Materials
11,895.00
15
Up to 31/12/10
J. A. Biney
Detergents
51,300.00
16
11/07/11
Spring Flow Company Ltd. Patients Index cards
11,000.00
17
15/08/11
Kodez Medical Ventures
HB Electrophoresis set
3,018.75
18
29/08/11
Emiknad Trading Ent.
Jet 3 perfume
16,560.00
19
29/08/11
J. A. Biney & Co. Ltd.
Liquid Soap
17,800.00
20
29/08/11
J. A. Biney & Co. Ltd.
Parazone
15,600.00
21
29/08/11
Terrest Company Ltd.
Dustin Bins
8,280.00
22
29/08/11
J. A. Biney & Co. Ltd.
Bine 20
23,400.00
92
23
29/08/11
Ekuli Enterprise
Aug 2144
7,416.00
24
29/08/11
Danny Dee Enterprise
Izal
24,720.00
25
29/08/11
Danny Dee Enterprise
Dettol
20,085.00
26
11/10/11
Beautiful Creations Co. Ltd
Syringe & Needle
9,360.00
27
14/10/11
Terrest Company
Washing powder
4,760.00
28
31/10/11
Lynch Medical Services
Microscope bulb (lab.
Reagent)
6,372.50
29
04/11/11
Gabiko Enterprise
13 Plate Battery
2,415.00
30
22/12/11
Diagnopharma Ltd.
Olanzepine 10mg
20,400.00
453,715.10
Total
93
INDEBTEDNESS TO FOOD CONTRACTORS.
•
BUSINESS NAME
AMOUNT
•
Edevico Enterprise
230,371.50
•
Hapilla Enterprise
197,832.70
•
Pale Enterprise
55,322.00
•
LB Food Supply
253,262.15
•
Bright Candle Enterprise
156,549.25
•
Gozingstock Enterprise
•
NBS Food Supply
168,444.00
•
Nahocha Enterprise
157,979.00
•
Mettatron Enteprise
121,625.00
•
46,727.00
•
1,388,112.60
94
•
1.
Cash Balances:
GH¢
•
SBS/DPF
•
GOG Service -
•
IGF Service
•
IGF Drugs
•
Comfort Fund -
-
165,188.50
432.88
-
23,339.68
-
17,564.29
5,244.22
•
•
•
2. Creditors/Indebtedness:-
•
•
Food Contractors
•
General Suppliers/Service Providers -
-
1,388,112.60
453,715.10
•
1,841,827.90
•
3. Staff Debtors
•
4. Repatriation of Patients
•
5. Special Drugs for December only
-
29,180.00
-
5,402.00
-
16,190.00
95