The Environmental Health Condition of the New University of Port Harcourt Teaching Hospital

Authors

  • Best Ordinioha Community Medicine Department, *University of Port Harcourt Teaching Hospital, Port Harcourt
  • Wisdom Sawyer Community Medicine Department, Niger Delta University, Wilberforce Island, Amassoma

DOI:

https://doi.org/10.60787/tnhj.v11i4.70

Keywords:

Patient safety, Environmental health condition, University of Port Harcourt Teaching Hospital, Port Harcourt

Abstract

Background: The hospital plays a significant role in modern health care delivery.While it provides an avenue for the treatment of patients, it can also encourage the transmission of several disease agents. Environmental interventions are routinely used to make the hospital safe. This study examined the facilities at the permanent site of the University of Port Harcourt Teaching Hospital (UPTH), a 510 bed multi-specialist hospital in Port Harcourt, south-south Nigeria.

Method: The study was carried out using an assessment checklist originally developed by the WHO. Data collected include the quantity and quality of water provided for services in the hospital; the number, types and maintenance of the toilet facilities; the building design as it relates to ventilation; and the methods used in the hospital for the control of mosquitoes.

Results: The hospital was built on a marshy ground, and was heavily infested with mosquitoes. It needed 24, 776 liters of water daily for its services, which was provided from an underground source, though the water was not routinely disinfected. Although the hospital had an average of 5 toilets in its out-patient clinics, and one toilet for every 12.75 in-patients, open defecation was however not common, especially close to the in-patient wards. The in-patient wards had large windows, but the out-patient clinics had poor natural lighting with small windows and had to rely on massive air conditioning sets for ventilation.

Conclusion: The permanent site of the hospital had all the facilities required for the safety and comfort of clients and staff, but maintenance has been an expensive and difficult task. Technologies and designs which are suitable for the tropical environment, with hard-wearing, durable and culturally sensitive materials are hereby recommended for the design and building of public hospitals in Nigeria, in order to enhance the environmental health status of the hospitals.

Downloads

Download data is not yet available.

References

Ikeda RM, Birkhead GS, DiFerdinando GT Jr, Bornstein DL, Dooley SW, et al. Nosocomial tuberculosis: An outbreak of a strain resistant to seven drugs. Infect Control Hosp Epidemiol 1995; 16: 152 159.

Johnston CP, Qiu H, Ticehurst JR, Dickson C, Rosenbaum P, Lawson P, Stokes AB, Lowenstein CJ, Kaminsky M, Cosgrove SE, Green KY, Perl TM. Outbreak Management and Implications of a Nosocomial Norovirus Outbreak. Clinical Infectious Diseases 2007; 45:534 540.

Muyembe-Tamfum JJ, Kipasa M, Kiyungu C, Colebunders R. Ebola Outbreak in Kikwit, Democratic Republic of the Congo: Discovery and Control Measures. The Journal of Infectious Diseases 1999; 179 (Suppl 1): S259 262.

WHO. Health through safe health care: safe water, basic sanitation and waste management in health care settings. Geneva. World Health Organization. 2005.

Adams J, Bartem J, Chartier Y (Editor). Essential environmental health standards in health care. Geneva. World Health Organization. 2008.

Billig P, Bendahmane D, Swindale A. Water and sanitation indicators measurement guide. Washington DC. Food and Nutrition Technical Assistance Project, Academy for Educational Development. 1999: 7 18.

Jensen PA, Lambert LA, Iademarco MF, Ridzon R. Guidelines for preventing the transmission ofMycobacterium tuberculosis in health-care settings. MMWR Recomm Rep 2005; 54: 1141.

Escombe AR, Oeser CC, Gilman RH, Navincopa M, Ticona E, et al. Natural ventilation for the prevention ofairborne contagion. PLoS Med 2007; 4(2): e68. Doi:10.1371/journal.pmed.0040068.

Adenuga, O.A, Odusami, K.T, Faremi, J.O Assessment ofFactors Affecting Maintenance Management of Public Hospital Buildings in Lagos State, Nigeria. Presented at The construction and building research conference of the Royal Institution of Chartered Surveyors held on 6-7 September 200, at Georgia Tech, Atlanta USA.

Granich R, Binkin NJ, Jarvis WR, Simone PM. Guidelines for the prevention of tuberculosis in health care facilities in resource-limited settings. WHO/CDS/TB99.269 ed. Geneva: World Health Organization. 1999.

WHO. Insecticide-treated mosquito net interventions: A manual for National programme managers. WHO/CDS/RBM/2002.45. Geneva. World Health Organization. 2002.

Rozendaal JA. Vector control: Methods for use by individuals and communities. Geneva. World Health Organization. 1997.

WHO. Guidelines for drinking water quality incorporating the first addendum to third edition, Volume 1, rdRecommendations, (3 Edition). Geneva. World Health Organization. 2006.

Department for International Development (DFID). Guidance manual on water supply and sanitation programmes. London: WELL/ London School ofHygiene and Tropical Medicine.1998.

Francey R, Pickford J, Reed R. A guide to the development of on-site sanitation. Geneva. World Health Organization. 1992

Downloads

Published

2015-12-06

How to Cite

Ordinioha, B., & Sawyer, W. (2015). The Environmental Health Condition of the New University of Port Harcourt Teaching Hospital. The Nigerian Health Journal, 11(4), 117. https://doi.org/10.60787/tnhj.v11i4.70
Abtract Views | PDF Download | EPUB Download: 1017 / 158

Most read articles by the same author(s)

1 2 > >> 

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.