Physical Assets Management (PAM) of Infrastructure and Equipment of Health Care Facilities in ten Districts in Nanggroe Aceh Darussalam (NAD), Indonesia

Project short name: IND-03-01
Time frame: 07/2006 - 05/2008
Country: Indonesia
Region: Banda Aceh, Lhokseumawe

Client: Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH

Project description:

Support of all levels of district health system and development in the six eastern districts/municipalities of Nanggroe Aceh Darussalam (NAD) Province. These are the districts of Bireuen, Aceh Utara, Aceh Timur, and Aceh Tamiang and the municipalities of Lhokseumawe and Langsa. Health services in the districts consist out of the district hospitals and the primary health services which are organized around Puskesmas (Community Health Centres). With a staff of 20-200 people, the size of Puskesmas personnel in the Eastern districts of the NAD province varies widely. Differences can also be found in regard to the size of the facilities. According to joint GTZ-KfW Fact-finding/Appraisal Mission Report, Puskemas in the Eastern NAD province may have up to 20 beds. Puskesmas are generally equipped with equipment of lower sophistication compared to the district hospitals , but occasionally also have more sophisticated equipment, such as dental, laboratory and imaging equipment. Based on the actual situation, recommendations for HCW management standards for the different levels of the healthcare facilities were developed (District hospitals, puskesmas, polindes/pustu). The recommendations for the technical standards are risk and waste stream oriented and differ partly from the actual recommendations. Coordination in the development of standards with the provincial health office is recommended. Additional, recommendation for the capacity build system were developed. A SWOT analysis was carried out to identify strong and weak points of the proposed system.

Services provided by ETLog Health EnviroTech & Logistics:

  • Carrying out of ROSA and RAP in one district hospital, three Puskesmas, and six Pustu;
  • Review of the used assessment tools and adjustment to the local needs;
  • Training of local staff on the use of the assessment tools;
  • Discussion with relevant donors on carried out and planned activities in the field of HCW;
  • Development of general HCW management strategies for district hospitals, Puskesmas and Pustu;
  • Workshop on HCW issues, presentation of developed strategies, discussion on implementation issues;

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