The Clinic

Other hospitals in the area are on strike. An already stretched clinic here is now bursting at the seams. Yesterday we were registering over 60 women for the ante-natal clinic. This is no computer-run system either. Each woman must have a health card, detailing weight, BP, pregnancy history (‘how many time you get belle?’), health history, and all sorts of measurements and urine tests requiring private examinations. Records must be kept in separate books for the clinic and for the govt., so effectively each woman’s history is recorded 3 times.

The immunization clinic is even more hectic. Here’s one for an Away Day Team Challenge:

Can you and your team successfully manage the service delivery of the immunization clinic? The following points must be taken into consideration:

Task Details:
· Over 150 mothers and their babies likely to be present to receive different jabs depending on their age. Some are receiving multiple jabs.
· All babies must be weighed and recorded. There is one pair of scales.
· Over 500 needles must be unwrapped and drawn with a variety of fillings: Hep B, BCG, DPT, Measles, Yellow Fever, and Meningitis.
· Vaccinations should be kept cool.
· All mothers must register and should be carrying a health card for their baby. This then needs to be recorded into the book.
· They should also have a number, and should present their baby in turn.
· Payment must be made separately for each vaccination.

Other factors for consideration:
· There is only one table to work from.
· Many mothers are not sure what injection their baby should be having.
· People, bored of waiting, sit outside and chat. They miss their number being called, and try and push in later.
· African time.
· The temperature is somewhere around 34Celcius, and NEPA has taken the light (ie; Fans don’t work).
· 150 babies and small children cry A LOT when having needles puncturing them in many places.
· No-one has had anything to eat or drink since 6am.

You have six hours to complete the task, from scratch.
You may begin.