ISEYIN COLLEGE OF SCIENCE AND HEALTH TECHNOLOGY

PRACTICAL EXPERIENCE PRESENTATION

HELD AT

ILAJI OKE PRIMARY HEALTH CARE

Complied by

HAMMED ABDULLAHI TAYE (23580)

(PUBLIC HEALTH)

Supervised by

MR. ARISE VICTOR , MR. AJAYI , MR AZEEZ

Duration

NOVEMBER 2024

DEDICATION
I dedicate this to the almighty God for successful practical and I
dedicate this to my parent and to the memories, the patient of
the community served by primary health center, whose
experience and stories inspired my passion for quality healthcare.
This project is dedicated to my supervisors MR. ARISE VICTOR ,
MR. AJAYI , MR AZEEZ for their guidance and mentorship

TABLE OF CONTENT
Page

Cover page

Title page -------------------------------------------------------------------------- i

Dedication ------------------------------------------------------------------------- ii

Acknowledge ----------------------------------------------------------------------iii

Table of content -------------------------------------------------------------------

iv

Attestation ------------------------------------------------------------------------ v

Certification ------------------------------------------------------------------------
vi

Executive summary --------------------------------------------------------------

vii

CHAPTER ONE: INTRODUCTION

1.1 Background information on

SIWES----------------------------------------1

1.2 Objective of SIWES---------------------------------------------------------

2

CHAPTER TWO: DESCRIP TION OF PLACE OF ATTACHMENT

2.1 Brief history/profile of institution or establishment

--------------------3
 2.2 Vision, Mission and Core Value of institution
---------------------------4

2.3 Organogram of the

establishment-------------------------------------5

2.4 Department/units of rotation during

posting-----------------------------6

CHAPTER THREE: REPORT OF ACTIVITIES CARRIED OUT

3.1 General activities---------------------------------------------------7

3.2 Specific activities ------------------------------------------------8

CHAPTER FOUR: EXPERIENCE AND LESSON LEARNT

4.1 Experiences gained---------------------------------------------------9

4.1.1 Equipment, industrial tools etc. used and functions

---------------10

4.1.2 Training, Workshop, On the job

experience------------------------11

4.2 Lesson Learnt ------------------------------------------------------12

4.2.1 Mentoring and coaching received ------------------------------------

13

4.2.2 Major skills and competencies

acquired---------------------------------14
 4.2.3 Industrial standards, Protocols, Guidelines, Processes
etc------------15

CHAPTER FIVE: CHALLENGES AND MITIGATION STEPS

5.1 Challenges encountered during the

posting-------------------------------16

5.2 Mitigation step taken--------------------------------------------------17

CHAPTER SIX: CONCLUSION AND RECOMMENDATIONS

6.1 Conclusion ----------------------------------------------------------18

6.2 Recommendations ---------------------------------------------------------19

Appendix

Activity Photograph

ATTESTATION

I, HAMMED ABDULLAHI hereby table that, I completed my

practical posting at ILAJI OKE PRIMARY HEALTH CENTRE located at
okeho area, kajola Oyo state. From August 26th to November
1st.

The information presented in this report is accurate and reflects

my genuine experience learning outcome during the posting. I
have actively participated in the primary health care activities
and the report is based on my personal observation, experience &
skills.
 EXECUTIVE SUMMARY

TITLE: Practical posting experience at ILAJI OKE PRIMARY HEALTH

CENTRE okeho , kajola Oyo state

OBJECTIVE: to gain hands on experience in health skills and

understand people’s health and dynamic.

Through this experience amquired valuable Skills in

communication problem solving , I also gained how to conducted
patient education session and improve patient satisfaction at isola
oba primary health care center . The practical experience
completed my academic knowledge , enhancement my ability to
apply theoretical experience to real world

CERTIFICATIONS

This is the certify that HAMMED ABDULLAHI a public health , with

matric no. 23580 has successfully completed the practical field
posting and has submitted to the the department of public health
college of science and health technology iseyin Oyo State

This report embodies recruit of original work and studies

carried out by the student

Certification by supervisor officer’s

Verified and confirmed that I, _____________ has successfully
completed the practical posting at ILAJI OKE PRIMARY HEALTH
CENTRE and has demonstrated satisfactory performance
professionalism.

SUPERVISOR:

MR. SULAIMON AZEEZ

Signature and date ____________

H.O.D

MR. ARISE VICTOR

Signature and date __________

CHAPTER ONE

1.1. BACKGROUND INFORMATION ON SIWES CTION

The student industrial work experience scheme (siwes) is

established in 1973 by the federal government of Nigeria to
address the gap between theoretical knowledge and piratical
skills in the workshop. The scheme is managed by the industrial
training fund ( ITF) asnd the national board for technical
education (NBTE). It is mandatory internship programme for
understanding student in Nigeria university, polytechnic, and
college of education by exposing student to real word work
environment, siwes sought of enhance their employability and
better proper for them for the challenge of the of the work force,
aiming to provide student with valuable practical experience

Initial, the ITF funded and manage siwes, however due to

financial constraints the government transferred the responsibility
to the national universities commission (NUC) and the board for
technical education (NBTE) in 1999. In 1984, the government
retured the arrangement and implementation. Of siwes to the ITF
to leverage its expertise in industrial training aamnd
development. Since then the ITF has continued to oversee the
scheme, adapting it to evolving industrial needs and technology
advantage.

DEFINITION

SIWES stand for students industrial work experience scheme. It is

a program design to provide student with practical

1.2. OBJECTIVES OF SIWES

To provide avenue for students in institutions of higher learning to

acquire industrial skills and experience in their course of study
1) to enhance student employability

2) to gain practical experiences

3) exposure to industrial practice and technology to exopose

student to industrial standard , work ethics and professional
conduct preparing for the reality of the working environment.

CHAPTER TWO

DESCRIPTION OF PLACE OF ATTACHMENT

2.1 BRIEF HISTORY OF ESTABLISHMENT

 Ilaji-oke primary health center established in 1979 as part of
the Nigeria government effort to provide accessible healthcare
services to rural communities.

The health center is situated in okeho , a town in kajola local

government area of Oyo state, Nigeria.

Upgraded to primary health center (PHC) with expanded

service in 1985.

Introduced immunization program, family planning and

Antenatal in1992.

Renovated and expanded facilities to improve service delivers in

2001.

Introduced HIV/ Aids prevention and treatment program in

2010.

Recognize as a model primary health center in Oyo state in

2015.

Awards "Best performing PHC in kajola local government in

2018.

Present: Continue to provide quality healthcare services,with

ongoing effort to modernize and expand facilities.

Present Matron : Mr Bamigbade S.O

 2.2. VISION

1) To provide accessible comprehensive and quality primary

health care service to the community promoting health , well
being and self sufficient

2) To be a leading provide of primary health care service ,

recognized for excellence , equality and patient centered care

MISSION

To deliver the people from diseases or infection with sustainable

drugs to individuals and families to achieve their wellbeing.

CORE VALUE

Equity

Integrity

Teamwork

Innovation

Compassion

Patients

2.3. ORGANOGRAM OF THE ESTABLISH

OFFICER IN CHARGER (OIC)

DEPUTY OFFICER IN CHARGE (DOIC)

FACULITY FOCAL PERSONS FOR ALL PROGRAMS FACULITY RECORD OFFICER

IMMUNIZATION NUTRITION MALARIA FAMILY PLANNING ANTENATAL CLINIC (ANI)

2.4. DEPARTMENTS/UNITS OF ROTATION DURING POSTING

Ante natal

Family Planning

Immunization

Record keeping.

CHAPTER THREE
REPORT OF ACTIVITIES CARRIED OUT

3.1. GENERAL ACTIVITIES

There are numerous activities that are carried out at ilaji oke
primary health care, it include:

Vital sign

Family Planning

Immunization

Ante natal

Birth delivery

Post natal

3.2. SPECIFIC ACTIVITIES

Vital sign:

I participated in taking the vital signs of a patient, this was done when
patient complain of fever, headache, loss of appetite etc. I took the vital sign
by checking of a patient blood pressure using a sphygmomanometer and
clinical thermometer to check the patient temperature.

Family planning:

Various contraceptive method and counseling are offered to

help familes plan the number and timing of their children.
Additionally, education on reproductive healthy and sexually
transmitted infections is provided to promote informed decision
making.

Participated in family planning counseling and services, include

distribution of contraceptive. Conducted reproductive health
education for client.

Immunization:

CHAPTER FOUR

EXPERIENCE & LESSON LEARNT

4.1. EXPERIENCED GAINED

I have gained the practical experience in various aspect of

health care, including assisting with virginal deliveries and
providing essential thermal care to newborns. I have also attained
to malarial medications, respectively Artemeter lumefantrine
tablet (AL), to patients, contributing to their rapid diagnosis and
return to normal life, furthermore, I have experience in family
planning consultation, performing necessary test to determine
suitable contraceptive methods and preventing potential
complication.

4.1.1. EQUIPMENT, INDUSTRIALS TOOLS

USED AND FUNCTION

Sphygmomanometer: is a medical device used to measure

blood pressure, compose of an inflatable cuff to collapse and then
released the artery under the cuff in the controlled manner

And mercury and aneroid manometer to measure the pressure

manual sphygmomanometer are used with a stethoscope when
using the auscucultatory techniques.

Thermometer: is a device used to measure a body temperature.

Stethoscope: is a medical device used by health care

professionals to listen to internal sounds of the body such as
heartbeats, breathing and digestive
4.1.2 TRAINING , WORKSHOP , ON THE JOB

* TRAINING

1) patient assessment and management technique

2) to support basic life

3) training on how to administer first aid

* WORKSHOP

1) health promotion and disease prevention

2) effective communication in healthcare

3) patient safety and effective care

* LESSON LEARNED

1) I learned that hand washing is compulsory before and after

carrying out any procedure

2) I learned I should always wear protective glove which dealing

specific like blood

3) I learned two way referral system

MONITORING AND COACHING RECEIVED

I received coaching on malaria

* MALARIA : is a contagious disease which is cause by infected

female anopheles mosquito
SIGN AND SYMPTOMS

1) fever

2) vomiting

3) headache

4) body pain

TYPE OF MALARIA

1) uncomplicated malaria

2) severe malaria

DRUGS USE

1) Artemeter ( AL)

2) Artemeter combination treatment ( ACT)

MAJOR SKILLS AND COMPETENCE ACQUIRE

1) communication and interpersonal skills through patient

2) patient assessment and promising of tasks

3) diagnosis the treatment procedure

4) problem solving and critical thinking

INDUSTRIAL STANDARD

1) administration standard

2) national health insurance scheme

3) quality of care standard

PROTOCOL

1) quality assurance

2) maternal and childcare

3) infection prevention and control

GUIDELINE

1) RESPECT: patient and staff must treat each other with respect

2) REGISTRATION: patient must be registered at the health facility

before receiving treatment

3) ATTENDANCE: patient attended to a first come first serve

PROCESING

TRIAGE : patient are assessed and patronized according to the

severity

CHAPTER FIVE

CHALLENGES AND MITIGATING STEP

The SIWES programme, while a valuable learning experience

often present a member of challenges of students. one major

problem faced . Is the limitations of resources at placement site ,

student may encounter inadequate equipment , facility , or

material to effectively carrying out assigned tasks . This hindered

practical learning and limited our exposure to real world industrial

practice

MITIGATING STEP

As we did not have the capacity to solve all the problem

encountered , we took necessary precaution , such as secure

storage facilities and avoiding carrying unnecessary item

CHAPTER SIX

CONCLUSION AND RECOOMENDATION.

6.1. CONCLUSION

I hereby thank almighty Allah for this awesome journey of

practical posting. I experienced a lot of works although it was
tough, good and at the same time fun. The posting experience at
the primary health care center has provide valuable insights into
the challenges and opportunities for improvement in patient care,
inventory management, and error prevention .This study has
demonstrated the importance of

Effective communication and teamwork

Patient- center care approach

6.2. RECOMMENDATIONS

Provide clear instructions on medication concept

Ensure patient confidentially

Provide ongoing education on health activities

Ensure staff familiarity with equipment.

Conduct background checks on staff.

Maintain accreditation standards.

Use digital patient’s record.

Enhance patient education materials and programs

APPENDIX

AC- Before meal.

PC- after meals.

QD- once daily

BID – Twice daily.

TID – three times daily

QID – Four times daily.

QHS – At bedtime.

QAM – Every morning.

QPM – Every evening.

QOD –Every other day.

QH – once every hour.

Q2H – every 2 hours.

Q3H – every 3 hours.

PRN- as needed.

PO- by mouth

NPO- nothing Mouth.

APPENDIX A: SIWES PLACEMENT SCHEDULE

DATE TIME ACTIVITY

27-10-2024 8:00am – Observation of patient

4:00pm consultations

28-10-2024 8:00am – Participation in patient

 4:00pm Assessments and
diagnosis

29-10-2024 8:00am – Observation of

4:00pm treatment and
management plans

APPENDIX B: PATIENT ASSESSMENT AND DIAGNOSIS FORM

PATIENT INFORMATION
Name: John Adewale
Age: 22 years
Sex: Male
Complaint: fever, weakness of the body, loss of appetite,
headache.

ASSESSMENT AND DIAGNOSIS

 Vital signs:
Temperature- 39.1° C
Weight- 61kg
Blood pressure- 120/60mmHg
 Medical History:
MRDT- POS
 Physical Examination:
Not pale, loss of appetite, weakness of the body
 Diagnosis:
Uncomplicated malaria
APPENDIX C:
TREATMENT AND MANAGEMENT PLAN
Medication: - Tab AL4 bd x 3/7
Tab P.C.M. II tds x 3/7
Tab Albendazole 1 start

APPENDIX D:
GLOSSARY OF TERMS
Malaria: A mosquito borne infectious disease caused by
plasmodium parasites.
AL (Artemether Lumefantrine):- is a commonly used treatment for
uncomplicated malaria, particularly in areas where the parasite is
persistent to other antimalarial medications. It is usually
administered orally, and the dosage and duration of treatment
depends on the patient`s age and weight.

REFERENCES

 World health Organization (2018) Malaria.

 Canters for diseases control and acid prevention
(2022).Malaria
 McNeill WH. Plagues and People. Garden City, NY,
Anchor Press/Doubleday, 1977.
 Hopkins DR. Princes and Peasants. Smallpox in History.
Chicago, University of Chicago Press, 1983.
 Dixon CW. Smallpox. London, Churchill, 1968. (pdf)