University Health Services

Introduction
The pharmacy unit is where most patients terminate their visit to the clinic. The section is charged with all pharmaceutical care needs of students, National Health Insurance Scheme (N.H.I.S) clients and staff of the University and their families. The unit is charged with the following responsibilities: Procurement and storage of drugs. Dispensing prescriptions to in-and-out patients, Counselling patients on proper drug usage and keeping the prescription records as required by law. Maintaining store and keeping relevant store records. Preparing extemporaneous medicaments such as mixtures, lotions, ointments, syrups etc. Providing technical information and advice to the professional staff of the hospital. Training pharmacy students on Industrial Training Fund (I.T.F). Organize and coordinate clinical meetings of medical representatives from drug companies and health care workers. Linking and liaising with sister pharmacy departments like ABUTH Shika for cooperative and effective service delivery to the benefits of the patients. Both the Main and Kongo campus units run two shifts with the pharmacists on duty on 24-hour calls.The drug policy in the clinic is guided by:
(a) the National Essential Drug Formulary
(b) the disease prevalence
(c) the prescription pattern.
(d) the University population.
The drugs are purchased in three categories:

• Direct Drug Purchase (for Students) governed by a committee.
• National Health Insurance Scheme drug supply (for NHIS clients).
• Emergency drug purchases for both students and NHIS clients.
• Direct Drug Purchase from Pharmaceutical Companies.

Service provision
The laboratory unit carries out some basic medical diagnostic investigations within its limited resources and the strength of the staff available. We actively participate in Student Industrial Training Programmes (SIWES), collecting, analyzing and providing vital information most especially data to both undergraduate and postgraduate students during their research work.
Staff Strength
Even though, the staff strength is inadequate, we have all the cadres in medical laboratory profession. 4 medical lab scientist, 11 medical lab technician, 4 medical lab assistant and 2 laboratory attendant.
Level of performance
Our patients include students, the staff of the University and their relations, members of Samaru community and registered members of NHIS. The work is arranged according to the nature of investigation and convenience in carrying out the investigations. Principally, there are five sections (benches).

1. Haematology: Includes bleeding, filmmaking, staining of film, MPS, MF, WBC, FBC/ differential and Platelet count, clotting/Bleeding time, Genotype etc.
2. Immunology: Widal test, blood group, PT, VDRL, Hepatitis B & C/Hepatitis B profile, MPs and HIV screening.
3. Parasitology: Urine microscopy and analysis, stool microscopy, Skin – snip and Occult blood test.
4. Microbiology: Culture and sensitivity on a specimen like Urine, HVS, Sputum, Pus, Ear swap, and stool, Blood, ICS, ECS. AFB on both sputum and Urine.
5. Chemical Pathology: Blood sugar, Uric acid, Serum cholesterol, Urea and Electrolytes, Creatinine and Liver Function Tests.

Skilled staff are rotated on a weekly basis while unskilled are on monthly rotation.

Introduction
General out-patient Dental services

• Oral diagnosis
• Extractions
• Root canal treatment
• Filling, Temporary and permanent
• Scaling polishing
• Gum treatment
• Replacement of missing teeth
• Fixation of fractured jaw bones
• Jacket crown
• Temporary bridge fabrication
• Practical Training of students in Technical in practical skills and Dental therapist skills

Staff Strength
The unit is run by 13 members of staff having been beefed up to enhance service delivery. Breakdown as follows; 2 chief dental surgeons, 2 dental surgeons, 1 assistant chief dental therapist, 1 senior dental therapist I, 2 dental therapists II, 2 senior dental technicians, 1 dental technician, 1 office assistant.
Equipment
The unit has 5 electrically operated dental unit, 1 X-ray, and a processing unit, 3 ultra-sonic scaling machines, 1 amalgamator machine, 1 water dispenser, 2 fridges, 2 trimming machine, 1 television, 3 desktop computers, 7 ceiling fans.

Introduction
This unit is the largest with large numbers of personnel to one of the component organs of the centre and has responsibility formeeting the nursing needs of the University Community and its environs. The Unit renders its services/oversees other satellite clinics. These are - Main Campus, Kongo Campus, I.A.R., NAPRI, SBRS Funtua, DAC, Clinics Samaru, Mando Kaduna, Kabba, then Samaru clinic where OTS (Others) in the Community are seen. The Unit renders direct services to the public in addition to certain specialized services (clinics), such as:

• O & G
• Paediatrics
• Psychiatry (Mental Health)
• Ophthalmology (Eye)
• E.N.T
• Medical
• Surgical
• T.B.L.
• A.N.C. / I.W.C.
• S.S. Clinic

Consultants do come from ABUTH to the inpatient in these clinics assigned by nurses.

Introduction
The preventive and sanitation unit is vested with so many activities with a wide scope and rending services to the University Community to ensure disease free environment and promote the public health of the University Community. The services rendered by the unit include:

1. Waste management: The unit undertake management of the solid and that is being generated from the University Community in the routine collection and disposal of refuse is carried out using refuse collectors paid (refuse truck) etc for both residential and academic area unit runs two shift daily in carry this task liquid waste (sewage) is collected through the network of underground waste pipe (sewer) down to the treatment plant along Tudun Sarki road beside the ABU Dam the septic tank collect the liquid waste from residential areas using the Ceespon tanker base on request from the occupant.
2. Immunization: Vaccination of the University community against some preventable diseases such cerebrospinal meningitis (CMS) and Hepatitis B is a responsibility of the unit. Over 10,000 population comprising students, staff, and their families in child the neighboring villages close to the university benefit from these inoculation services rendered by the Unit Hepatitis B. inoculation is done every weekly while C.S.M vaccination is from.
3. Food Hygiene: Food safety and hygiene on campus are major responsibilities undertaken by preventive and sanitation unit routine food hygiene inspection visit to cafeteria restaurant and other food establishments on campus is carried out daily. The purpose of this visit is to enforce standard operational procedure on campus.
4. Pest insect vectors control: Pest and insect vectors of medical importance e.g. mosquitoes, house flies, cockroaches, spiders, bees rodent reptiles etc are controlled by the unit through fumigation services. The pest control section attends to request/complain of the vector identified and a threat to lives and properties of the university community facilities such as knapsacks sprayer chemicals face mask personal protective devices (PPD) etc are used. For this function, a wide range of fumigation services has been rendered for the student hostel, faculties, department, centres and residential quarters.
5. Drainage Maintenance: Maintenance of both wet and dry gutters is undertaken by the prevention and sanitation unit, these services are carried out on daily basis the purpose is to eliminate and reduce the obnoxious odor that is emitting from the dirty gutters is carried out mostly in the academic environment and residential quarters.
6. Sanitary Maintenance of Public Toilet: Cleaning of public toilet using sanitary workers in carried out on daily basis the sanitary workers cleaning the public toilet runs 3 shift from 6:00 am to 11:00 pm. Detergent and cleaning material are provided for the purpose of keeping the public toilet clean for the general public use.

Transport Section
Responsibilities:-

1. Disposal of Solid and liquid waste using tractors and cesspool tankers.
2. Grass and bush control using tractors and slasher machines.
3. Flower watering during dry seasons using tractors and water tankers.
4. Carries out in-house maintenance and servicing of vehicles.
5. Carries out welding work and battery charging.

Services Provisions

• Raising of varieties of seedlings in nurseries for university communities.
• Transplanting and nurturing of seedlings.
• Land conservation by the establishment of parks and gardens for the university.
• Boundary demarcation by the planting of trees as a result of the establishment of the committee on the tree wall along A.B.U boundary to safe guard the land against encroachment.
• Trimming and felling of dangerous trees that are threats to life and property of the university buildings.
• To generate revenue for the department as a result of selling of firewood at N500/heap which also includes selling traits of mangoes and cashew.
• Land upgrading by protecting the Dam from erosion and siltation by planting of killer shrub on the gullies(Kashe-Kwari) Pomea cornea fistulosa.
• Control of stray animals over grass grazing.

Dry Season Activities

• Fire tracing of all parks.
• Well construction to provide water for our seedlings, manure procurement, and applications.
• Procurement of insecticide to control pest within our park, e.g. termites.

Introduction
The forest guard unit was established in the early days of Professor Abdullahi Mahadi administration. It was under the operation officer in the security division before transferred university.
Activities
The unit was established to provide security for university forest as part of the afforestation programe.it therefor provide security cover for all the forest/plantations, prevent intrusion, illegal grazing, farming activities and excavation in the upstream valley of University Dam among others. This role it has performed over the years on 24 hour basis, running three (30 shifts. The unit has also been given additional responsibility of providing security cover for the entire Sick bay, which now include OPD, Emergency Unit, New building/Wards, Main entrance and the rear gates and cutting of grasses around the student’s hostels.

Overview
The Ahmadu Bello University Medical Center (ABUMC) was established to take responsibility of Health Care Services for Students and Staff of Ahmadu Bello University, Zaria. However, as a result of its expansion both in infrastructure, Medical Personnel and other supporting staff, the services of the ABUMC has extended to people from Samaru and other neighboring villages. As a matter of fact, the creation of Account section became obvious in order to maintain the University Health Services account, to enhance internal control, accountability and transparency in the center. Some of the major functions of account section in ABUMC are as follows:-

1. Collection and Accounting for all monies received and expended.
2. Ensuring prudence in the expenditure of funds.
3. Ensuring rates and charges are where necessary.
4. Observing checks and balances in the existing financial regulations.
5. Ensuring internal rules and procedures are adequately guided for efficient and effective management of funds in the centre.
6. All financial activities in similar centres are provided by the section to enhance excellent performance by other sections of the center.

Activities

1. Receipt goods
2. Keep stock records of equipment, drugs, sanitary materials.
3. Inspects goods and issue them with dispatch.
4. Identification of goods using a coding system for easy identification.
5. Conducts annual stock taking.

Introduction
Medical Record Unit is the first point of call and the service rendered by the unit is felt across all specialty in the hospital as such politeness, tolerance is expected from the medical record personnel to project the image of the hospital because the first impression matters a lot toward what service will be rendered to a patient.
Activities

1. Registration of patient both old and new.
2. Retrieving of patient information when required.
3. Preservation of patient record.
4. Compilation of hospital statistics i.e. Monthly and Annually.
5. Provide data to protect the legal interest of the patient.
6. Filling of a patient record.
7. Compilation of daily NHIS Statistics.
8. Attending to a student on practical attachment ( IT ).
9. Sourcing of patient record to various special clinics.
10. Weeding of inactive record.
11. Confidentiality of Medical Record.
12. Provide totality of patient medical history in the hospital.
13. Storage of health information etc.

Introduction
The NHIS office was first established in 2013 under the leadership of Dr. M.A. Usman, the then Director University Health Services; headed by Dr. Aliyu Mohammed as the Pioneer Coordinator and subsequently other staff joined the unit which includes business manager, secretary and house Keeper. Since the establishment of the Unit, several achievements were recorded as follows:

1. Creation of TSHIP Committee
2. Expansion of NHIS Committee to include representation from Kongo Clinic, Medical unit etc. to increase effectiveness and efficiency of the programme.
3. Registration of more accredited secondary care services under the NHIS programme which includes:-
1. Ear, Nose, and Throat (ENT)
2. Obstetrics and Gynaecology (O & G)
3. Surgery
4. Ultrasound Scan Services (USS)
4. Expansion of secondary services to meet up with demands of enrollees for both Public sector and TSHIP.
5. More new enrollees are registered under the scheme and a lot are currently leaving other facilities for University Health Services due to the expansion of secondary care, easy access to qualitative healthcare.
6. The unit is also involved in regular orientation programme for new students (both Undergraduates and Postgraduates) annually and new staff orientation and re-orientation programme.
7. Expansion of the facility to meet up with excess demand due to increase number of registered enrollees for both TISHIP and Public Sector Social Health Insurance Programme.
8. The Unit had helped the University by increasing its revenue base through Capitation Obtained from NHIS based on each registered enrollee for the facility.
9. There was an increase in access to health care which subsequently increases the fee for service and consequently adds more revenue base to the University for both TISHIP and Public Sector Social Health Insurance Scheme.
10. Provision of Private health insurance scheme for most especially the expatriate in the University.
11. Acquisition of indemnity insurance for the facility under secondary care serves from Niger insurance company.
12. Facilitate prompt remittance and payment of the fee for service and capitation for both TSHIP and PSSHP.
13. Prompt generation of the authorization code to enable easy access to provision of secondary Healthcare services for the enrollees.
14. To ensure that Health education programmes are well coordinated.
15. The Unit ensures that all related workshops are well coordinated and encourage the HMOs to organize annual workshops for the facility.
16. Secondary services which required surgeries under NHIS such as O & G (including Caesarian Section, etc.), General Surgeries, and etc had commenced.
17. The Unit helps in revenue generation for the University which is used for physical development, acquisition of laboratory equipment, consumables, theatre equipment, personnel development, research etc.
18. The Unit usually demonstrates some form of appreciation to all the healthcare workers during festive period (Sallah and Christmas) annually by distributing (rice) in order to meet up the demand within the said period.
19. Due to above achievements, leadership award 2016 was given to NHIS Coordinator by National Association of Nigerian Students (NANS) as a way of recognition for invaluable contribution to the upliftment and betterment of the educational sector, leadership position, credible and unbeatable services to humanity.