DEVELOPMENT AND ESTABLISHMENT OF MUSLIM SPECIALIST HOSPITAL ZARIA

DEVELOPMENT AND ESTABLISHMENT OF MUSLIM SPECIALIST HOSPITAL ZARIA Presented by Dr. Hassan Ibrahim On Behalf of Dr Abdulhameed Bala Abubakar Chairman, Board Of Management MSH, Zaria

BACKGROUND ZARIA � It is about 250 km from Abuja and one of the 23 LGA of Kaduna state. Populated by about 3 million people with approximately 75% Muslims. � The Zazzau emirate council is made up of 11 LGAs of the state. � It is a melting joint for most of the cities from the Northern parts of the country. � Has established Christian missionary hospitals and ABUTH. MSH April 1993 Idea of was conceived at a majlis headed by Mallam Sani Yakub where various challenges facing the Muslim Ummah was discussed. - Steering Committee inaugurated on 6 th May 1993, chaired by Dr. Ibrahim Aliyu Sambo - Proposal for a 20 bed facility - House leased by Alhaji Nuhu Babajo

TURNING POINT 1 Donation of an uncompleted building with a large parcel of land of a size 14 x 194 sqm estimated at N 150 million by Alhaji Ahmadu Ido. 2 Proposal to establish a 300 bed Specialist Hospital. Has currently reached 80 beds utilising 2 of the three floors of the building 3 The name “Muslim Specialist Hospital”. 4. Proposal to establish a nursing school 5. Completion of the overall master plan is estimasted to require over a billion Naira

The uncompleted building

The parcel of land near the building

Another view of the land

OBJECTIVES OF MUSLIM SPECIALIST HOSPITAL 1. To promote Islamic solidarity thorough fostering brotherhood and cooperation 2. To promote good health services at a reasonable cost 3. To create an avenue for the strengthening of patient’s Iman (faith) and protect their dignity while receiving treatment, as enshrined in Sharia 4. To facilitate the implementation of primary Health Care System 5. To established health training institutions for various cadres 6. To complement Government’s effort in providing Health for all, through promotion of public awareness

ORGANS OF THE HOSPITAL. Registered with Corporate Affairs Commission and State Ministry of Health Inception � 19 member Broad of Trustees inaugurated by the Emir of Zazzau on 16 th July 1995, chaired by Prof Jibril Aminu with 6 Patrons led by Sultan of Sokoto in Advisory capacity. � Hospital Management Committee (Interim). � Da’awah Committee. Since 2013, after reappraisal of the activities of the Hospital by a Technical Committee led by Prof Taofiq � 7 member Board of Trustees. � 11 member Board of Management. � Da’awah Committee. � Hospital Management Committee.

THE PROJECT � Phase 1 A Completion of the ground floor to provide 20 bed facility, including male, female and amenity wards, ante natal and maternity, laboratory, pharmacy and a theatre. Phase 1 B Completion of first and second floors to provide 80 beds capacity, with male, female, maternity and paediatric wards, SBCU, laboratory, pharmacy X-Ray and ultrasound rooms.

Phase II � To provide 200 bed facility which would include additional Male, Female, Amenity and Peadriatric wards, Specialist clinics, Laboratory and Radiology complex, Twin theatre, Mortuary, Staff quarters and Administration block with Primary Health Care and Da’awah units.

Phase III � Schools of Nursing and Midwifery with all facilities, i. e Classes, Auditorium, Demonstration room, Library Admin Block and Hostels The total bed capacity for the Hospital is expected to be 300 beds,

DEVELOPMENT Phase 1 A � Completion of ground floor from donation by individuals and an appeal fund launching in 1999. � Commencement of outpatient services 7 am – 7 pm in October 2000 � In patient services with 24 hr coverage commenced March 2001. � A mosque was built by the International Islamic Relief Organisation (IIRO) as one of their contributions.

Completed ground floor

Facilities at the ground floor

Hospital mosque donated by IIRO

Completed Phase 1 B

Main Theater on first floor

The Pharmacy on ground floor

RANGE OF SERVICES 1. General out patient 2. Ante-natal Maternity and child welfare services 3. Full laboratory services including blood bank 4. Pharmacy 5. X – rays 6. Ultrasound 7. Theatre 8. HIV/TB Counseling and Screening as well as Prevention of mother to child transmission of HIV (PMCT) services.

Collaboration � State Min. of Health with PATHS 2 – Drug supply and supply of Laboratory items, as well as maternal and child health services � ABUTH – Schools of Nursing and Midwifery, Department of Paediatrics � CHIP – HIV Services � Shehu Idris College of Health Technology Makarfi � JNI School of Health Technology Zaria � Local Governments

PERSONEL Workforce * Permanent staff * Locum staff * Seconded staff * Casual staff Present Situation � 69 permanent staff � 4 Locum Doctors � 5 Seconded Staff � 11 casual staff Average monthly wage bill N 1. 9 m – N 2. 3 m

FINANCES Sources - Revenue from Services average N 3 m – N 3. 5 m monthly - Grant from KDSG – N 200, 000 monthly - Donations �

Financial support Phase 1 B financing � Completion of 1 st and 2 nd floors estimated at N 98 million. � Application for funding from Islamic Development Bank (IDB) submitted in 1997. � IDB Grant of $250, 000 in 2004. The amount was equivalent to N 35 million � Contract awarded for completion of the structures on 1 st and 2 nd floor at N 31, 084, 540. 68 with a completion period of 14 weeks.

Financial support contd: � Hospital to source for funding to fill gaps particularly in purchase of equipment. � Delays in project execution � Project for the completion of the structure completed in 2015. � Basic furniture and equipment provided from donations and purchases from locally generated revenue.

THE NEXT STEP - Completion of the remaining Phase II and Phase III of the project

MODEL OF PROPOSED MSH COMPLEX

The Cost Estimate for the Completion of Phase II and III, prepared in 2013 is as follows A. Infrastructure 1. Wards and Clinics 2. Twin Theatre 462, 820. 00 3. Diagnostic Complex 4. Mortuary 5. Admin Block with Da’awah and PHC 6. Staff Quarters 7. Academic & Admin. Block 8. Class Room 9. Library Incinerator Public Toilet Shops 13. Generator Room External Works Preliminary and General Causes 16. Contingency - Amount N 35, 350, 334. 00 N 9, N 38, 055, 395. 00 N 5, 000. 00 N 56, 280, 000. 00 N 46, 150, 841. 00 N 46, 058, 285. 00 N 39, 073, 116. 00 N 7, 595, 811 10. N 2, 489, 565. 00 11. N 3, 436, 140. 00 12. N 6, 692, 675. 00 N 4, 705, 493. 00 14. N 111, 244, 100. 00 15. N 26, 909, 019. 00 N 10, 000. 00 Sub Total N 448, 543, 594. 00

B. Medical Equipment and Others 1. Equipment, Furniture, Fitting 2. Ambulance 3. Utility Vehicle 4. Generating Set (200 KVA) - Amount N 824, 100, 539. 00 N 6, 000. 00 N 4, 000. 00 N 10, 000. 00 Sub Total N 846, 100, 539. 00 Grand Total N 1, 294, 644, 133. 00

CHALLENGES Muslim Hospitals across the Northern part of the country are faced with developemental and sustainability challenges via: � Administrative capabilities/structure � Charity outlook/financing structure � Atrition of qualified personel

THANK YOU FOR YOUR ATTENTION