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THE STORY OF THE UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL, PORT HARCOURT.

The establishment of the University of Port Harcourt Teaching Hospital in April 1980 came as a result of the desire of the Federal Government to provide excellent medical services, manpower training, and research in all the geopolitical zones of the country.

The mandate of the Hospital was derived from Decree 10 of 1985, University Teaching Hospitals (reconstitution of Board etc) Decree.  Our Hospital’s vision is “To be a first-rate world-class Hospital” and its mission statement is “To provide excellent Medical Services, Manpower Training, and Research, using a well trained and well-motivated workforce and the best affordable modern technology with a culture of courtesy, humanness, and patient friendliness”.

In its 38 (thirty-eight) years of existence, it has gone through a remarkable journey in terms of physical and manpower development. The Hospital started as a small cottage Hospital, the Emohua General Hospital which had a 60-bed capacity in 1981. However, in September 1983 it was obvious that the Hospital was too small to serve as a Teaching Hospital. The University of Port Harcourt Teaching Hospital was consequently relocated to the 180-bed Port Harcourt General Hospital.  Between 1983 and the present day this Hospital has been upgraded to an 800-bed Hospital with tremendous expansion in physical, equipment and infrastructure to meet accreditation requirements of the Nigerian Medical and Dental Council (NMDC) and the two Post-graduate Medical Colleges, National/West Africa for the training of both graduate and postgraduate Doctors. Thus, presently all the major clinical and pathology departments of the hospital have been fully accredited and re-accredited.

PERMANENT SITE

In 1982 the Federal Government commenced work in the Permanent Site located next door to the University of Port Harcourt.  Work was however abandoned in 1984 and later recommenced in 1998, a period spanning 14 (fourteen) years.

By 2001 the first phase was completed and some services commenced at the Permanent Site, leading to its commissioning on the 12th of October 2006 by the then President, Chief Olusegun Obasanjo. Presently, work is still ongoing in order to meet strategic development goals.

ADVANCEMENT & CONSOLIDATION

Despite the rather tortuous journey, the past 38 (thirty-eight) years have been one of consistent and progressive development in all facets of its statutory functions, i.e. training of health manpower, provision of medical services at Primary, Secondary and Tertiary levels as well as research in Medical and Health Services.

Presently, UPTH has in its employment 182 Specialist (Consultants) staff in virtually all specialties and subspecialties (such as Neurology and Neurosurgery, Cardiology and Cardiothoracic Surgery, Paediatrics and Neonatology, Paediatric Surgery, Obstetrics and Gynaecology, Endocrinology, Nephrology, Urology, Haematology, Anatomical Pathology, Chemical Pathology, Radio Diagnostics etc); 400 Resident Doctors (Trainee Specialists), 603 Nurses in various Specialties and 40 Pharmacists.

The University of Port Harcourt Teaching Hospital treats well over 400,000 out-patients per annum, over 10,000 in-patients per annum and well over 3000 surgeries per annum.

In the last 38 years, UPTH has in collaboration with the College of Health Sciences turned out over 2000 Doctors, over 1300 House Officers and well over 100 Specialists (Consultants).  Some of UPTH trained Specialists are presently working in the USA, Britain and other European countries, Middle East etc with excellent performance reports.

VAMED PROGRAMME

The Hospital is considerably well-equipped with modern medical equipment. In 2006, over two billion naira (N2b) worth of highly sophisticated medical equipment from the Federal Government/Vamed programme was commissioned to augment what the Hospital already had.  Some of such equipment include Magnet Resonance Imaging (MRI), Mammography machine, Intensive Care Monitors, 2D-Doppler Echocardiography etc.

REFERRAL SERVICES

The University of Port Harcourt Teaching Hospital is the foremost tertiary health facility in Rivers State.  However, it provides primary and secondary level care as well.

REVENUE  GENERATION & ALLOCATION

The Hospital’s Management introduced the Revolving Fund Scheme System patterned after the Drug Revolving Fund Scheme of the Federal Ministry of Health in 1998. By this Scheme, the revenue-yielding departments were made quasi-autonomous in areas of funds generation and utilization. This in itself boosted the morale of staff of the various departments as they saw themselves participating in and being responsible for the achievements of the Hospital. This also led to the reduction in the out-of-stock syndrome associated with the availability of drugs and other consumables in the Hospital.  It has now been further modified to run in accordance with the government’s policy of Due Process and accountability.

The combined effect of the implementation of the Revolving Fund Scheme Programme, Due Process, and accountability policy has boosted internally generated revenue. Similarly, equipment repairs and minor structural repairs of buildings and facilities have been affected with minimum delays through this process.

NATIONAL HEALTH INSURANCE SCHEME (NHIS)

The National Health Insurance Scheme is fully operational as the staff of this hospital and other public servants are currently accessing its services.

RESEARCH

There had been various collaborative researches/studies and drug trials.  Example of these are:

  1. The collaborative research with the University of Liverpool, School of Tropical Medicine on Female Reproductive Health.
  2. Partnership with Rice University (USA) on Prevention of Cervical cancer using PAP Smear and Colposcopy.
  3. Studies of the effect of magnesium sulfate on pre-eclampsia patients (Magpie studies) with the University of Cambridge.

There have been several hospital-based individual research by consultants; these have appeared in local, national and international scientific journals.

HIGHLIGHTS OF SOME ACHIEVEMENTS

The UPTH has recorded significant achievements in major areas in the health sector under the watchful supervision of the parent ministry, Federal Ministry of Health and other allied ministries/agencies. The achievements basically cut across various segments in the hospital ranging from manpower, clinical, infrastructural, the establishment of clinical subspecialties, improvement and increase in service delivery, Public, Private Partnership (PPP) and collaborations with Non-Government Organisations and Research.

MANPOWER DEVELOPMENTS

We have achieved massive expansion and training of resident doctors and other categories of staff on in-service training,  clinical attachments, rotations, workshops, seminars and conferences in and outside Nigeria.

  1. Massive recruitment of Resident Doctors as we now have over 400 resident doctors in training which is one of the largest in the country.
  2. Training of spinal surgeons and initiation of spinal surgery service in the hospital.
  3. High skill training for Ophthalmologists in the area of retinal and glaucoma surgery.
  1. Retraining of several surgeons in minimal access laparoscopic surgery.
  2. Retraining of Anaesthetists for new specialized services being initiated.
  3. Training of specialized nurses in various sub-specialties as follows:

(a)  The take-off of School of Post-Basic Paediatric Nursing.

      (b)  The take-off of Community Health officers’ programme.

      (c)   Commencement of School of Information Technology.

      (d)   Establishment of School of Post-Basic Accident and Emergency Nursing.

  1. Accreditation of new Residency Training Programme in Dentistry, ENT Surgery, Cardiology, Nephrology, Gastroenterology as well as re-accreditation of various existing programmes.


CLINICAL INNOVATIONS

As a result of investment in manpower training and equipment upgrade, the following previously non-existent services are now available in CLINICAL AREAS:

  1. The First successful Cementless Total Hip Replacement Surgery has been recorded by the Orthopaedic Department on 25th of January 2010.
  2. First successful Retinal Detachment Surgery:  The Ophthalmology Department performed the First Retinal Detachment Surgery on the 2nd May 2010 which was successful.
  3. First Laparoscopic Appendectomy operation and over 18 minimal access surgeries have been accomplished.
  4. Pacemaker Implantation Breakthrough:  The Cardiovascular Unit of internal Medicine performed the first Pacemaker Implantation on the 12th and 14th September 2012 on two patients respectively.
  5. Spinal Surgery operation (spine decompression and fixation with Pedide screws) was achieved by the Orthopaedic Department.
  6. Refurbishment of Federal Secretariat Staff Clinic:  The Federal Secretariat staff clinic has been refurbished through the reactivation of the Laboratory, Dental Clinic and the provision of new generator and borehole.
  7. Adoption of a UPTH protocol for the management of Neuroleptic Malignant Syndrome by the Neuropsychiatric (Mental Health) Department.


PARTNERSHIPS

The UPTH has initiated some Public, Private, Partnership as a means of  expanding the horizon of medical service delivery as well as complementing efforts and these are as follows:

Institute of Human Virology of Nigeria IHVN for:

  • The management of HIV programme of the Hospital.
  • Development and management of a drug-resistant TB centre in the Hospital.
  • Equipment and management of molecular laboratory in the Hospital.

FHI360:
This partnership has culminated in the construction and equipment of world-class tuberculosis diagnostic laboratory.

Derox Medical Equipment Services: provides diagnostic cardiology services.

Surgical Eye Expedition (SEE): provides annual free cataract surgeries to indigent Nigerians in the catchment area of the Hospital’s operation.

Smile Train: provides free cleft lip repair surgeries.

  • Other partnerships are under negotiation for a filling station, staff housing estate, provision of automated laboratory services, provision of amenity ward and shopping complex.
  • Linkages have been established with hospitals abroad for clinical on training/exchange programmes, equipment procurement, donations/maintenance, and research.

The present Management came into office in January 2018 with the assumption of duty of Prof. Henry A. A. Ugboma as the Chief Medical Director with the following members:

Prof. Henry A. A. Ugboma – Chairman
(Chief Medical Director)

Prof. Princewill C. Stanley
(Chairman, Medical Advisory Committee)

Mr. Akie Opuene Hart
(Director of Administration)

Dr. Oko-Jaja Richard I.
(DCMAC, Due Process/Revolving Fund)

Dr. Emmanuel O. Ocheli
(DCMAC, Special Project/Linkages/Research)

Dr. ObianmaOnya
(DCMAC, NHIS/SERVICOM)

Mr. P. L. Okpalo
(Director of Finance)

Mrs. Victoria Ukwu
(Deputy Director of Pharmacy)

Mrs. Obomanu Inye Hannah
(Deputy Director, Medical Laboratory Science)

Dr. (Mrs.) Patricia G. N. Harry
(Asst. Director, Nursing Services)

Mr. Igbagiri, Ibbo Patrick
(Chief Admin. Officer/Head, General Admin.)

Mrs. Mube Victoria O.N.
(Chief Admin. Officer, CS&T)

Miss Wadiri Erebi
(Chief Admin. Officer/Head,Establishment [Snr.])

MrKponee Alooma
(Asst. Chief Admin. Officer, Pension)

Engr. Atonpirikasiki Johnson
(Ag.HOD, Works & Services)

Mr. Hebron Ogolo
(Head, Internal Audit)

Barr.(Mrs.) Boma Joshua Thom-Manuel – Secretary
(Principal State Counsel/Head, Legal Unit)

The present Board was inaugurated on 28th March 2018 with the following members:

H.E. Muhktar Ahmed Anka – Chairman

Prof. H. A. A. Ugboma – Chief Medical Director

Dr. Noah Andrew
(Rep., Federal Ministry of Health)

Olori Oladunni Sijuwade
(Rep. Public Interest)

Adm. Ogbor Sylvanus Fueseme
(Rep., Public Interest)

Hon Maina Mahammed Tar
(Rep., Public Interest)

Dr. Uche R. Ojinmah
(Rep., Medical Profession)

Prince M. O. Ogundipe
(Rep.,Other Health Professionals)

Prof. S. A. Uzoigwe
(Rep., Senate University of Port Harcourt)

Prof. C. N. Mato
(Provost, University of Port Harcourt)

Dr. Mandah Chijioke O.
(Rep., Rivers State Ministry of Health)

Prof. P. C. Stanley
(Chairman, Medical Advisory Committee)

Prof. John Ikimalo
(Rep., Vice-Chancellor, Uniport)

Mr. Akie Opuene Hart – Secretary
(Director of Administration)

INFRASTRUCTURAL DEVELOPMENTS

Resuscitation/completion of 2007/2008 capital projects.

The following stalled projects were resuscitated and completed.

  • Installation of 2 (two) Nos 1000kg and 16kg Otis lifts were completed and are operational.
  • Mortuary Extension was completed through internally generated revenue and now is in use.

ONGOING 2009 COMPLETED CAPITAL PROJECTS

The following projects which were on-going in 2009 had been funded and completed:

  • Construction and completion of Nuclear Medicine Block and its utilization.
  • Construction of Paediatrics Department Block.
  • Furnishing of ward block B and offices in Block C
  • Supply and installation of 33 KVA injection substation transformers, 11KV switchboard panels.
  • Supply and installation of solar power hybrid systems.
  • Stand-alone solar street/security light.

2010 CAPITAL PROJECTS

The following projects which were initiated in 2010, some have been completed while others are at advanced stages of completion. Construction of Regional Burns Centre with 70% completed.

  1. Electrical and Mechanical Installations in Regional Burns Centre.
  2. Construction of Integrated Kidney Dialysis and Transplantation Centre is 70% completed.
  3. Electrical and Mechanical Installation in the Kidney Dialysis and Transplantation Centre.
  4. Construction of Kidney Centre main structure.
  5. Rehabilitation and fencing of Primary Health Care Centre (Completed).
  6. Rehabilitation of the comprehensive Health Centre, Ikodi-Engenni is on-going.
  7. Construction of car park, access roads and drainages are completed.
  8. Construction of Amenity Ward is on-going.
  9. Equipment of Dental Centre completed.
  10. The Perimeter Fencing is completed.
  11. Comprehensive drainage and de-flooding of Hospital is completed.
  12. External electrical distribution of burns centre and transplantation centre.
  13. Telecommunication installation for Regional Burns Centre, Kidney Dialysis and Transplantation, GOPD, A & E, CMAC and Committee offices.
  14. Purchase and installation of diagnostic equipment in Radiology Laboratory.
  15. Purchase and installation of diagnostic equipment in Internal Medicine Laboratory.
  16. Purchase and Installation of Diagnostic Equipment in Microbiology.
  17. Purchase and installation of Diagnostic equipment in Chemical Pathology Laboratory.
  18. Purchase and Installation of Diagnostic equipment in Haematology Laboratory.

2011 CAPITAL PROJECT

The under-listed projects have been initiated,  embarked upon and are on-going:

  1. Supply and installation of 2 (two) KVA generating sets and synchronizing panel.
  2. Construction of Radiotherapy Centre.
  3. Construction of Psychiatric building.
  4. The completion of 33/11 KV Injection Substation and power distribution network.
  5. Construction and furnishing of GOPD building.

2012 CAPITAL PROJECTS

  1. Construction of Paediatrics extension building through internally generated revenue – 90% completed.
  2. The take-off of cancer screening centre.
  3. Completion of Tuberculosis Reference Laboratory.

CHALLENGES

Power
The Hospital is currently mainly run with generators due to the epileptic power supply from Power Holding Company of Nigeria (PHCN) which entails huge cost on maintaining and running generating sets and also because the power is not stable for our sensitive and expensive medical equipment.

Paucity of Funds for Capital Projects and Training Programmes
Capital allocations are irregular and grossly inadequate to execute the ongoing capital projects and also the lack of budgetary provision for manpower training programmes.

CONCLUSION

The Hospital has made significant achievements with the support of the Federal Ministry of Health and it is our belief that this will be greatly consolidated under your tenure as Chairman and Members of the University of Port Harcourt Teaching Hospital Board of Management.

–FROM THE OFFICE OF DIRECTOR OF ADMINISTRATION

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