Quarterly data

review (HTN/DM)
Health facility
January – September 2024
 Presentation Outline
 Health center background
 Location
 Catchment population served
 Staffing
 Service delivery
 When are HTN/DM patients are seen
 Availability of medical equipment and NCD drugs
 NCD/HIV integration
 Integrated screening center
 Data:
 Enrolment
 Screening
 Hypertension
 Diabetes
 HTN & DM
 Challenges
 BACKGROUND
• NGOAJANE HEALTH CENTRE IS A GOVERNMENT OWNWED
FACILITY UNDER SUPERVISION OF SEBOCHE AND DHMT
• LOCATED IN NGOAJANE B01 COMMUNITY COUNCIL
• SERVES 49 VILLAGES WITH 5342 PEOPLE AND 48 VILLAGE
HEALTH WORKERS
• IT OPERATES FROM 8 AM TO 4.30 PM, AND 24 Hr SERVICE
FOR EMERGENCIES
Service delivery
• NCD clients are seen on appointed days, not on certain days of the
week
• Medical equipment is available and NCD drugs
• All NCD serviced are integrated if other services including HIV and
screening point.
 Facility Human Resource

Human Resource Number

Number of nurse clinicians. 0

Number of registered nurse's single. 0

Number of registered nurse's Double (midwifes) . 3

Number of nursing assistant. 1

Health assistant (environmental) . 0

Data clerks. 2

HIV/AIDS Councillors. 3
 Number of patients enrolled
into care
INDICATORS From day 1 of enrolment till end of
September 2024

Number
Total Number of Patients with HTN Only 32

Total Number of Patients with DM Only 1

Total Number of Patients with HTN & DM 2

N screened for HTN 0 0 764

N Presumptive for HTN

Number of patients
0 0 572
screened
N screened for DM 0 0 791

Presumptive for DM 0 0 486

Indicators Jan – Mar April – June July - sept

New cases 1 2
0 2

Reattendance

Controlled 2 7 24

Uncontrolled 0 0 0
Indicators Jan – Mar April – June July - sept

New cases 1 2
0 2

Reattendance

Controlled 2 7 24

Uncontrolled 0 0 0
 Control status (HTN
only)
CONTROL STATUSST
• CONTROL
Controlled at 3 months 1 Uncontrolled at 3 months 0

Controlled at 6 months 0 Uncontrolled at 6 months 0

Controlled at 9 months 0 Uncontrolled at 9 months 0

Controlled at 12 months 0 0
Uncontrolled at 12 months
 Patients outcomes (HTN only)
Indicators Jan – Mar April – June July – sept

Active 3 11 20

Loss to follow up 0 0 0

Transfer out 0 0 0

referred 0 0 0

Died 0 0 0
 HTN CARE
Indicators Jan – Mar April – June July - sept

New cases 1 2 2

Reattendance

Controlled 2 7 24

Uncontrolled 0 0 0
 DM CARE
Indicators Jan – Mar April – June July - sept

New cases 0 0 0

Reattendance

Controlled 0 1 0

Uncontrolled 0 0 0
 Control status ( DM
only)
CONTROL STATUSST
• CONTROL
Controlled at 3 months 0 Uncontrolled at 3 months 0

Controlled at 6 months 0 Uncontrolled at 6 months 0

Controlled at 9 months 0 Uncontrolled at 9 months 0

Controlled at 12 months 0 0
Uncontrolled at 12 months
 Patients outcomes for
DM only
Indicators Jan – Mar April – June July – sept

Active 1 0 0

Loss to follow up 0 0 0

Transfer out 0 0 0

referred 0 0 0

Died 0 0 0
 Patients outcomes for
DM only
Indicators Jan – Mar April – June July – sept

Active 1 0 0

Loss to follow up 0 0 0

Transfer out 0 0 0

referred 0 0 0

Died 0 0 0
 HTN & DM CARE
Indicators Jan – Mar April – June July - sept

New cases 0 0 0

Reattendance

Controlled 0 1 1

Uncontrolled 0 0 0
 Control status for
DM&HTN
CONTROL STATUSST
• CONTROL
Controlled at 3 months 0 Uncontrolled at 3 months 0

Controlled at 6 months 0 Uncontrolled at 6 months 0

Controlled at 9 months 0 Uncontrolled at 9 months 0

Controlled at 12 months 0 0
Uncontrolled at 12 months
 Patients outcomes for
DM&HTN
Indicators Jan – Mar April – June July – sept

Active 0 2 0

Loss to follow up 0 0 0

Transfer out 0 0 0

referred 0 0 0

Died 0 0 0
 Achievements
• Availability of BP cuff in all consulting areas
• Having glucosticks
• Monthly mentorship for people involved with NCD clients
 Challenges
• Human rescourse
• NCD not being integrated in eRegister
• Too much paper work (register)
• 1 glucometer for health center
 Patients outcomes for
DM&HTN
Indicators Jan – Mar April – June July – sept

Active 0 2 0

Loss to follow up 0 0 0

Transfer out 0 0 0

referred 0 0 0

Died 0 0 0
 Recommendations
• Motivation for pharmacy personnel & nursing sister
• Integrating management of NCD clients with Lenaso tracker &
Consolers
• Reduction of paper work, allow proper data capturing of clients