Setting: Alkamleen locality Gesira State -Sudan.
Objective: To set up a well structured health services that effectively led and meet the consumers needs and the aspiration of the health services providers, to facilitates an enabling environment to implement effective integration in health services in all health facilities in Alkamleen locality, to integrate the similar or related packs of health services to meet the needs of the consumers and aspiration of the health services providers, to maximize the utilization of the available recourses and, and to recommend of the interventions the support of the national health system.
Design: It is a pre-test – post-test control group design where all health personnel working at all health facilities in alkamleen locality will witness a training programme in integrated services at health facilities. That will be followed with a post intervention evaluation/study to assess the impact of the training program in improving the provision of health services.
Result: Managers at 45 health facilities were met by the study). 64% of them reporting that29 (64.4%) presence of health information system at their health facilities while 16 (35.6%) didn't. Working environment at the health facilities that 10 (22.2%) were having excellent working environment while 17 (37.8%) were of poor working condition. Training in integration of provision of health services, 18 (40%) managers reported the presence of integration system between the health service programmes while 27 (60%) didn’t and only 2 (11.1%) reported that the delivery of the health service was ideally integrated. Strength of Integration between Programs 41 (91.1%) respondents reported that the integration was present between the Health Education, Nutrition, EPI and Maternal and Child Health programs while 4 (8.9%) reported between the Health Education and/or the Nutrition, EPI and Maternal and Child Health programs. The Health Education was the intersection programme between them. Distribution of the Programmes Integrated in the Provision of Health Services. 38 (84.4%) respondents reported the presence of perfect integration between them while 7 (14.4%) reported a partial integration between them. The integration was realized in terms of cooperation among health cadre, logistics and supplies, reports writing and attendance of the monthly meetings. Efficiency of health delivery packages, the EPI is topping the list where 44 (95.6%) of the total interviewed reported the presence of a responsible person and/or a manager who overseeing the delivery of EPI service, 37 (77.8%) reported the immunization technician, 42 (91.1%) reported the presence of monitoring and evaluation activity, 41 (91.1%) reported the presence of supplies and equipments and 42 (93.3%) managers reported the presence of training programmes in relation to EPI. However, the mental health, the aged and the health education were the least efficient health packages introduced; none of them was met any of the efficiency mental health indicators. Crosscutting Integration of the Health Delivery Packages perfect integration between the EPI and the Nutrition programmes; that was reported by 40 (88.9%) of the total health managers, EPI and Nutrition programmes were of good integration with the health education programme as was reported by 35 (77.8%) and 31 (68.9%) health managers consequently. However the aged (GER), mental and dental health were seen to be stand vertically with no integration 0 (0%) with any of the health delivery packages, EPI and Nutrition programmes were of good integration with the health education programme as was reported by 35 (77.8%) and 31 (68.9%) health managers consequently. However the aged (GER), mental and dental health were seen to be stand vertically with no integration 0 (0%) with any of the health delivery packages.
Nadia Mahmoud Ali Abuzied