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Second Quarter Newsletter – 2023

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Quarterly Newsletter, April – June 2023

Issue 16

Our Mission

Being called to follow the inspiration of the Gospel and the compassionate attitude of Jesus, we strive with conviction for excellence in all areas of training and nursing practice for the benefit of the community.

Our Vision

Catholic Church Health Services is an organisation whose members envision enhancing the quality of life of our people by providing a holistic approach to health care through trained, dedicated and compassionate staff.

Our Values

The Catholic Church recognises that training institutions, medical and nursing services are a continuation of the healing Ministry of Christ.
Therefore, our service will be comprehensive and holistic, embracing all people of our nation regardless of creed, colour or social status.
Catholic Church Health Services expects all of its personnel, regardless of whether they are paid or volunteers, to practice the values of:

  • Integrity
  • Justice
  • Compassion
  • Excellence
Inside this Issue
  • Lae CCHS Receives PSEAH Policies Induction

  • St Mary’s Hospital Launches New X-Ray Machine

  • Celebrating World Immunization Week in Western

  • Raihu Hospital Celebrates New Ambulance Arrival

  • Successful Integrated Health Program on Caterets Island

  • Finance Refresher Training a Success

  • Bereina CCHS Holds Long-Awaited Staff Retreat

  • TOT Master Class Mentor Training Equips Participants for HIV and STI Management

Bougainville CCHS Signs Partnership Agreement
“Bougainville CCHS Health Manageress Michaeline Pau poses with fellow signatories, proudly holding the signed Service LevelAgreement (SLA).”

In a significant move towards strengthening the delivery of effective and accountable health services in Bougainville, the Diocese of Bougainville Catholic Church Health Services (CCHS) has signed a Provincial Health Service Level Partnership Agreement with the Autonomous Bougainville Government’s (ABG) Department of Health. The agreement was signed on June 22, 2023, at Hutjena in Bougainville.

The partnership agreement aims to foster close collaboration and facilitate ongoing cooperation between the Bougainville DOH, Provincial CCHS, and National CCHS in Port Moresby. It seeks to consolidate efforts in achieving the government’s development goals while recognizing the stewardship role of the National Department of Health (NDoH) in leading and coordinating partnerships with health service stakeholders in Papua New Guinea.

The agreement outlines shared principles that will guide the partnership, including compliance with relevant national standards and the government’s policies on free primary healthcare and subsidized specialist health services. The agreement also emphasizes the need to increase access to health services for underserviced, underprivileged, and marginalized communities, with programs tailored to local priorities and developed in consultation with government and civil society.

Ms. Michaeline Pau, the Health Manageress for CCHS of Bougainville, expressed her gratitude to the people and organizations involved in making the agreement a reality. She specifically thanked Acting Health Secretary Dr. Ruline Pokote, Deputy Secretary Cooperate Health Services Mr. Matthew Monei, Vicar General for Bougainville Diocese Polycarp Kaviak, Administrator Ms. Beverly Gulaseni, and the Education and Health Ministry of ABG. Pau also acknowledged Sammy Bogen, representing Papua New Guinea Australia Transition to Health, for their consistent support throughout the process.

“In the beginning, we faced alot of challenges to get the SLA signed, with the correspondence starting in 2021 and after two and a half years, we finally have it signed, which is a big achievement for CCHS of Bougainville  and I am greatly relieved,” Pau said.

She highlighted that the implementation of the Sexual Reproductive Health Integration Project by CCHS has provided them with the opportunity to be involved in discussions with BDoH, where they were able to provide valuable expertise on primary and public healthcare services. This collaborative approach assisted in the signing process.

“Now that it’s signed, it’s making it easier for us to work much better together in terms of planning and implementing health service delivery,” Ms. Pau said, expressing her optimism about the future.

The partnership agreement marks a milestone in the collaboration between the Bougainville  CCHS and the BDoH. With this agreement in place, both entities are ready to enhance the coordination and utilization of resources at the local level, ensuring the delivery of quality healthcare services to the people of Bougainville.

NATIONAL SECRETARY’S MESSAGE

Image of Sr. Jadwiga

Greetings and welcome everyone to this 16th Issue of The CCHS Pulse. I would first and foremost want to congratulate Br Francis Meli on the reappointment as Deputy Bishop for Health. We look forward to your continuous guidance and support in what we do in CCHS, your contributions are appreciated and most welcomed.

I would like to stress the importance of our 10 years strategic health plan (2021-2030) as this year is our 2nd year of implementation after the launching in 2022. We look forward to your annual implementation plans to identify priority areas and a way forward for all of us. I am happy to say we have a Health Managers and OIC meeting coming up in August where this will give us all a chance to strategically identify areas of focus for our respective dioceses as each has their own unique challenges and advantages.

I would like to introduce Dr. Athanasius Kari to the new position of Director of Rural Clinical Development. We are pleased to have such an experienced person who can contribute meaningfully to our services at the national and regional levels. Dr. Atha previously worked with us at Aitape Raihu Hospital while completing a master’s in rural health.

In the 2nd quarter of 2023, we as individuals also have achieved many things and as an organization are continuing to grow and make our mark in the Health sector of Papua New Guinea. Our organization’s motto “Care & Compassion” should be a beacon of hope for everyone who comes to our facilities for service. They must not leave feeling worse than they first came but healed or relieved that there is hope for them to see another day.

I congratulate those staff who have attended trainings or workshops to share the knowledge they gain with their colleagues and family. Remember, the more you teach, the more you will understand, and it will become a part of you. Sharing of knowledge is important in healthcare as it will help us have more meaningful discussions that will enable us to learn more and improve our work performances and reduce negative impacts.

We also have four regional meetings coming up in the next two quarters and I urge those who are organizing to share your plans with NCCHS so we can work together to make it a successful and learning meeting for each respective region. Let us use these events as an opportunity to have meaningful discussions and conversations on how we can learn from each other’s experiences and go back enlightened with new ideas to improve our work.

May God bless you all.

Sr Jadwiga Faliszek, CCHS National Secretary

Projects Update

CCHS has witnessed a notable expansion of its investment portfolio in recent months, with a dual focus on program expansion and steady progress. The initial partnership with Caritas Australia, established earlier this year, has now evolved into a collaborative endeavor aimed at improving health infrastructure. Throughout the remainder of 2023, the project will concentrate on select provinces and gradually extend its reach to encompass additional provinces in subsequent years. The assessment phase involved visits to and evaluations of the following provinces: West Sepik, East Sepik, Simbu, Enga, New Ireland, and Milne Bay.

In addition to the collaboration with Caritas, CCHS has successfully negotiated an additional year for the “Taking Nutrition Services to Scale” project. This initiative involves partnerships with NDoH, PHAs, and UNICEF. During the initial year, TNSS was implemented in ten provinces, employing a hybrid management model that combined the efforts of CCHS and PHA. In the second year, two more provinces were included, bringing the total number of provinces to twelve. The provinces incorporated in the second year are as follows: Madang (CCHS), Morobe (PHA), Eastern Highlands (PHA), Western Highlands (PHA), Southern Highlands (PHA), Hela (CCHS), Enga (PHA), East New Britain (CCHS), Simbu (CCHS), Western (CCHS), National Capital District (PHA), and Autonomous Region of Bougainville (ARoB Department of Health).

Meanwhile, the “Sexual Reproductive Health Integration” project continues to facilitate capacity building in both clinical and administrative domains. A finance training session was conducted in May, followed by facility managers training and a Master Mentor training program. Integrated outreach activities are supported by this project, while the provision of care and treatment to HIV patients remains a concurrent aspect of its activities. Noteworthy progress has been made in addressing the needs of key population groups, particularly youth and adolescents, through health worker sensitization trainings and program follow-up reviews.

Lae CCHS Recieves PSEAH Policies Induction

“Samantha Tirang guides CCHS Lae team through the vital Child Protection and PSEAH Policies to ensure a safe and secure environment for all.”

By: Samantha Tirang, CCHS Lae Diocese

On Friday, May 19, 2023, the Catholic Church Health Services (CCHS) of Lae Diocese organized a Child Protection and Protection from Sexual Exploitation, Abuse, and Harassment (PSEAH) Policies Induction Training. The training was held during the Quarter 2 Officer In Charge (OIC) Meeting and aimed to educate new and existing staff members about the CCHS policies.

The training took place at the Center of Mercy Urban Clinic in Kamkumung and saw the participation of 32 staff members. New staff members were acquainted with the CCHS vision, mission, and core values, as well as the organizational chart at both the national and diocesan levels. Additionally, all staff members had the opportunity to understand the importance and purpose of the Child Protection (CP) and PSEAH policies.

During the training, incident forms such as the Child Incident Reporting Form and the PSEAH Incident Reporting Form were introduced to the staff. Discussions revolved around potential CP cases and how to effectively manage them. Nursing officer Mary Narowen, OIC for HIV at the Center of Mercy, expressed that they had been referring clients who had experienced violence to external organizations without reporting the cases for data collection. With the introduction of incident forms, they now plan to report such cases before making referrals.

Samantha, the Diocesan Health Service Integration Officer (DHSIO), encouraged staff members to leverage existing referral pathways and partnerships to strengthen their systems. She emphasized that CCHS works in collaboration with other partners and that having policies like the CP and PSEAH policies demonstrates compliance with donor requirements, which in turn supports the successful delivery of programs.

As a bonus to the session, the staff members were introduced to the CCHS Consent Form (Permission to Use Pictures). This form ensures patient consent is obtained before sharing patient stories online, particularly on social media platforms or related matters.

New staff members signed the Child Protection Code of Conduct while existing staff members renewed their commitment to the code. The induction training was deemed highly successful for the CCHS Lae team. The unpacking of the CCHS Strategic Plan is scheduled for the next quarterly meeting, which will once again involve the OICs and all staff members.

St Mary’s Hospital Launches New X-ray Machine

St Mary’s Vunapope Hospital, a crucial healthcare provider for East New Britain Province and the nation, has overcome a significant hurdle as it unveils its latest addition – a state-of-the-art digital X-ray machine. The transformative impact of this new equipment, made possible through funding from Caritas Australia and the National Catholic Church Health Services Office, promises to enhance patient care and transform healthcare delivery in the region.

On May 30th, a momentous event unfolded as the hospital celebrated the official launch and commissioning of the new digital X-ray machine. The entire community, including hospital management, staff, patients, and guardians, expressed their profound gratitude for this generous donation. The arrival of the machine at Rabaul Wharf on May 11th, swiftly followed by its transportation to the hospital on May 13th, marked the beginning of a new era for St Mary’s Vunapope Hospital.

To ensure a seamless installation process, a team of skilled professionals from Meddent Biomed Engineers arrived in Kokopo on May 22nd. With their expertise, the installation was successfully completed on May 26th, followed by comprehensive training for the hospital’s radiologists and laboratory technicians. Since the machine’s full operation on June 5th, over 75 patients have already benefited from X-ray services, with demand steadily increasing.

The impact of the new digital X-ray machine on healthcare services at St Mary’s Vunapope Hospital has been nothing short of remarkable. Mr. Albert Seri, the hospital administrator, expressed his sincere appreciation and gratitude, acknowledging Caritas Australia’s funding and NCCHS for their invaluable support and foresight.

“With the addition of this advanced medical equipment, the hospital’s diagnostic capabilities have been significantly elevated as accurate
diagnoses are now possible, enabling timely and effective treatments”, Seri stated in a letter of acknowledgment to the NCCHS office.

“The machine not only fills a critical gap in the hospital’s capabilities but also instills hope and confidence in the community. Patients and their families can now receive comprehensive care locally, reducing the need for costly and time-consuming referrals to distant healthcare facilities.” Seri added.

As the new digital X-ray machine continues to operate and save the lives of patients in ENB, St Mary’s Vunapope Hospital remains committed to providing comprehensive and accessible healthcare services. The hospital’s achievement showcases the remarkable impact that strategic
investments in medical technology can have on transforming healthcare delivery in resource-limited areas.

Celebrating World Immunization Week in Western

By Karl Buai, CCHS Daru Kiunga Diocese

Once again, the Catholic Church Health Services (CCHS) of the Diocese of Daru-Kiunga in Western Province gathered to commemorate World Immunization Week, a time dedicated to raising awareness about the importance of vaccines and protecting children from preventable diseases. This year’s event was made possible through the support of the Western Provincial Health Authority, World Vision’s AIHSS Program, and other partners and stakeholders.

CCHS of DKD organized various activities within their facilities and surrounding communities to mark this special week. Among the facilities that actively participated were the Iowara Health sub-center, MCM Urban Clinic, Matkomnai Health sub-center, Membok Health sub-center, Kungim Health sub-center, and Tarakbits Health Sub Centre.

With generous assistance from the AIHSS Program, these facilities were able to conduct awareness campaigns on the importance of vaccination, explain the significance of World Immunization Week, and even stage role plays and dramas to engage the communities. Vaccinations were administered to babies and children, ensuring they received the necessary protection against preventable diseases.

At the Iowara Health sub-center, where a functioning vaccine fridge was not yet available, Mr. Ronald, the officer in charge of the Expanded Program on Immunization (EPI), raised awareness about the benefits
of vaccinating children under five years old. Following the awareness session, refreshments were shared with mothers, children, and other patients.

MCM Urban Clinic joined forces with district staff, Kiunga Hospital staff, and other facilities in the area to launch the event. The clinic conducted vaccinations and awareness campaigns on immunization’s importance for static and outpatient cases. After the activities, the staff shared the donated items provided by World Vision through the AIHSS Program.

On the 18th of May, Sr. Agnes and her staff at Matkomnai Health sub-center seized the opportunity during their Maternal and Child Health (MCH) clinic day to educate mothers about the significance of immunization. Additionally, they conducted a School Health clinic at Matkomnai Primary School to reach even more children.

The team at Kungim Health sub-center, led by Officer Donatus and assisted by Village Health Volunteers (VHVs), organized an awareness and vaccination session on the 11th of May. The event attracted numerous mothers and children from the surrounding villages. VHVs set up a banner to commemorate the day and helped deliver other health education messages. Refreshments were shared with the community afterward.

Sr. Rose and Nurse Maryanne from Tarakbits Health sub-center and the local community commemorated the entire first week of May at the facility. On the 9th of May, during Well Baby Clinic, they conducted an awareness session that drew mothers and children from faraway villages. The celebrations were followed by refreshments shared among all participants.

Membok Health Sub Centre’s staff traveled to Kukuzaba, one of their catchment villages, to raise awareness and provide vaccinations on the 26th of April. The Village Health Volunteers were instrumental in organizing the event and assisting with the Well Baby Clinic. As in all other facilities, everyone received their fair share of the donated items.

While the event was largely successful, there were challenges in delivering the items to all the facilities before World Immunization Week.  Three facilities could not receive their items in time and planned to celebrate later once they received the necessary supplies.

Supervision and monitoring of the program were carried out by the Catholic Church Health Services Daru-Kiunga Diocese, ensuring that the activities were properly implemented in each facility. Facility managers provided reports on the use of donated resources, along with a brief overview of the day’s celebrations, supported by photographs shared via WhatsApp.

Looking ahead, the Catholic Church Health Services emphasized the need for continued technical support from partners and stakeholders and the early submission of funding requests. These measures would aid in the ongoing commemoration of World Immunization Week and contribute to eradicating vaccine-preventable diseases within the communities they serve.

Raihu Hospital Celebrates New Ambulance Arrival

The staff at the Raihu District Hospital (DH) in Aitape, Sandaun Province, were filled with joy and relief as a brand new ambulance arrived on May 4th, providing much-needed support to the healthcare facility. For the past four years, the hospital has been grappling with inadequate delivery of health services, particularly in the area of ambulance services, including patient transfers, referral cases, and transportation of the deceased from the morgue to their homes.

Recognizing the urgent need for an ambulance, the Raihu Hospital Management team, led by Fr. Patrick Iwu, made a heartfelt appeal to the National Catholic Church Health Services (NCCHS) in Port Moresby. In a commendable display of prompt action, the NCCHS, under the
guidance of National Health Secretary Sr. Jadwiga Faliszek, generously purchased a new ambulance for the CCHS Hospital.

The bishop of Aitape Diocese, Bp. Siby Mathew, Diocese of Aitape CCHS, Raihu District Hospital Staff, the Raihu Hospital Management team, and the entire community of Aitape-Lumi and Nuku Districts expressed their profound gratitude to NCCHS and Sr. Jadwiga for their generous donation of the new ambulance. They emphasized their commitment to maintaining a strong partnership with the NCCHS and ensuring effective service delivery to patients in the Aitape Diocese, with patient care remaining the highest priority.

The ambulance was officially blessed by Fr George and Fr Patrick Iwu as a welcome ceremony was witnessed by CCHS staff and the local community members.

Raihu Hospital serves a catchment population of over 12,900 people, while the Diocese of Aitape CCHS provides healthcare services to a broader community of more than 126,000 men, women, and children across its 12 active facilities. The hospital caters to the healthcare needs of residents in Aitape, Lumi, Nuku, Telefomin, and Vanimo.

In 2022, Raihu Hospital recorded over 900 outpatient cases, more than 120 deliveries with complications, and over 600 patients transferred out. The presence of the ambulance is expected to significantly reduce these figures, ensuring timely and efficient healthcare services.

While the new ambulance is a vital addition, Raihu Hospital still faces challenges in terms of infrastructure maintenance and the acquisition of new medical equipment to further enhance its service delivery capabilities. One significant obstacle is the long distance of over 200 kilometers between Raihu and the Boram General Hospital in Wewak. However, the acquisition of the new ambulance will greatly facilitate emergency referrals and improve access to critical healthcare services for patients in need.

As the Raihu District Hospital welcomes this much-needed addition to its fleet, the community remains hopeful that further support and investment will follow to address the infrastructure and equipment requirements of the hospital. With the dedication of healthcare professionals and the continued collaboration between Raihu Hospital and NCCHS, the vision of providing quality healthcare services to the people of the Aitape Diocese can be realized, ensuring the well-being of the community for years to come.

Successful Integrated Health Program on Caterets

Health workers carried out awarenesses and conducted immunisations on the Islands for five days.

In a commendable effort to improve healthcare services, a dedicated team of health workers embarked on a five-day Integrated Health Service Program Delivery on Caterets Island in the Atolls district of Northern Region, Bougainville. Led by the Health Manager for Catholic Church Health Services of Bougainville, the team comprised five Community Health Workers, two TB/HIV Orientated CHWs, and a Rural Laboratory Assistant.

During their visit in June, the team successfully conducted a Well Baby Clinic and carried out TB/HIV testing. The outcome of their efforts was remarkable, as they identified two positive cases out of 95 suspects screened. Moreover, an impressive 80% of the population on the island received HIV counseling and testing, highlighting the team’s commitment to spreading awareness and ensuring the well-being of the community.

Additionally, the team also focused on immunization during the SIA (Supplementary Immunization Activities) service, resulting in 50% of children aged 0-5 years receiving the necessary immunizations. These efforts have undoubtedly contributed to safeguarding the health of the young population and protecting them from preventable diseases.

The Integrated Health Service Program Delivery has proven to be a vital initiative in extending essential healthcare services to remote areas, ensuring better health outcomes for the community.

Finance Refresher Training a Success

The National Catholic Church Health Services (NCCHS) recently organized a Finance Refresher Training for finance officers from the 19 dioceses of Papua New Guinea (PNG) at the Mahuru Seaview Hotel in Port Moresby. Held from the 13th to the 15th of June 2023, the training aimed to enhance financial management skills and promote effective utilization of funds within the Catholic Church Health Services (CCHS).

Supported by the Sexual Reproductive Health Integration Project, the training saw the participation of 23 finance officers representing the 19 dioceses in the country. The comprehensive program covered topics such as the Chart of Accounts of CCHS, Key Result Areas & Cost Allocation, CCHS Finance Manual – Policies & Procedures, Path Compliance & Government of PNG Funds Budget Preparations, among others.

On the final day of the training, Sr Jadwiga Faliszek, National Secretary for CCHS, commended the participants for their commitment and dedication. Each attendee received a certificate of training, and Sr Jadwiga expressed her expectations for improvement from the participants.

“I expect improvements for each one of you, especially those who have attended the other Finance training that we have facilitated over the years,” Sr Jadwiga said.

Addressing the recently joined finance officer, Sr Jadwiga extended a warm welcome adding “I welcome you all and I urge each of you to reach out to our Finance officer in the National Office if you need any assistance or clarifications.”

Emphasizing the significance of financial accountability, the National Secretary urged the finance officers to closely monitor the CCHS accounts in their respective dioceses, particularly in relation to operational grants. She advised the officers to guide their Health Managers in allocating funds based on activity plans for the year, including outreaches and awareness programs. Stressing the importance of utilizing the allocated funds appropriately, Sr Jadwiga reminded them that government grants should be actively utilized rather than accumulating in accounts.

Furthermore, Sr Jadwiga encouraged the finance officers to voice concerns and highlight areas that require attention, as it would contribute to improving services for those in need.

The recently revised and approved CCHS Finance Manual, ratified in March 2023, was thoroughly reviewed during the training. This provided an opportunity for participants to suggest revisions and refinements before the official copies are printed and distributed to all the dioceses. The training received positive feedback from participants, with Sr Nomita Rozario, the Health Manager for Alotau Diocese, expressing her gratitude and satisfaction. She stated, “Thank you for the opportunity as there are some things that I now finally get. I was struggling a bit, but now I understand, and I thank the team for facilitating this training.”

In a gesture of appreciation for outstanding performance, Sr Jadwiga presented two new computers to the most improved CCHS units in two dioceses: Daru-Kiunga and Kerema. This act aimed to acknowledge their dedication and commitment to improved financial management within their respective regions.

The successful conclusion of the Finance Refresher Training signifies a step forward in strengthening financial practices within the CCHS network. The improved skills and knowledge acquired by the finance officers are expected to enhance the overall financial management and effectiveness of the CCHS in serving their respective communities.

Bereina CCHS Holds Long-Awaited Staff Retreat

The Catholic Church Health Services (CCHS) of Bereina Diocese recently concluded a two-day staff retreat at the serene Nazareth House of Prayer. This retreat marked a significant milestone for the staff, as it was their first in 16 years, with the previous retreat held in 2007.

Over 30 participants from the administration office, health centers, and support staff, eagerly participated in the retreat. However, due to logistical constraints, the staff of facilities situated in the distant Goilala area were unable to attend on short notice. Responding to this issue, Health Manager Sr Gisela Sele arranged for a separate retreat for the staff who missed out.

The Nazareth House of Prayer provided an ideal setting for the retreat, perched on a ridge overlooking the Laloki River and the bustling city of Port Moresby. Its seclusion from the bustling city life offered a serene and calm environment for reflection.

During the retreat, Sr. Gisela acknowledged Sr. Jadwiga Faliszek the National Health Secretary for CCHS of PNG, and the remarkable support she provided to the staff. She said, “Sr. Jadwiga continues to support Bereina Diocese in many different ways. We have a lot of issues with our CCHS, and Sr. Jadwiga never said no. We are really lucky to have her in this office.”

Sr. Gisela also expressed her appreciation for her dedicated team at Amater, highlighting their invaluable support and contributions. She remarked, “I cannot do everything on my own without the help of this amazing team. They are the ones running everywhere to ensure everything is done properly.”

Sr. Jadwiga, who was delighted to meet the nurses, delivered an emotional message after the Holy Eucharist celebration. She reflected on the healing ministry and the impact it had on the lives of countless individuals. Sr. Jadwiga said, “I am so honored to witness you freely renewing your promise that you, for the rest of your life, will fight for every life. I hope that in the last two days, you have had a very deep connection with Jesus, with yourself, and with everything that you experienced.” Expressing her gratitude to the nurses working in remote areas, Sr. Jadwiga stated, “We at the National Office always pray for you who are on the ground. We think of you wherever you are because we know that you represent us there, and we represent you at the national level.”

Margaret Keukeu, a Community Health Worker from Veifa Health Center, expressed her gratitude on behalf of the staff present by acknowledging Fr. Bernard MSC for his inspiring sermon and teachings, despite his disability and health condition. She remarked, “By God’s grace, you have enriched and nourished us in our journey to be His witnesses everywhere and anywhere.”

Fr. Bernard concluded the retreat’s closing liturgy with an encouragement to the staff to continue their vocation as health workers. He commended their dedication and assured them of divine strength and blessings. Fr. Bernard also thanked CCHS for their services and reminded everyone that even in times of sickness, the nurses would always be there to help.

“I am a person with a disability due to the loss of my leg, but I want you to know that it hasn’t diminished my faith. I want to inspire you by saying that while illness or disability may try to bring you down, there are always people and healthcare professionals who will be there to lift you up, so never give up the good that you are doing.”

As the retreat came to an end, the staff left with renewed spirits, grateful for the opportunity to reconnect with their faith and serve their communities with a deeper sense of purpose.

Mentor Training Equips Participants for HIV and STI Management

A Trainer of Trainer Master Mentor class training took place as a joint effort by the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, PNG Sexual Health, and Catholic Church Health Services, aiming to enhance the skills of master mentors in effectively managing HIV and STIs. The four-day training session, held from 27th to 30th June 2023, provided valuable insights to 15 participants from 10 Sexual Reproductive Health Integration Project sites and East New Britain Province. Led by experienced facilitators, including Dr. John Millan from the PNG Sexual Health Association, Dr. Arun Menon, and Cherie Bennette from ASHM Health, and support from Rose Suruka of CCHS, the training fostered active engagement between participants and facilitators. It encouraged participants to reflect on their experiences at health facilities and equipped them with the necessary knowledge and skills to become effective trainers.

Throughout the training, participants identified several challenges hindering effective HIV and STI management, including staff turnover, limited human resources, inadequate technological proficiency, equipment and testing kit shortages, financial constraints, and poor communication between staff and superiors. To address these issues, participants emphasized the importance of clear communication, sharing information, and suggested utilizing platforms like WhatsApp for continued learning and support.

The participants also recommended increased collaboration between Health Managers and Master Mentors, and the presence of CCHS representatives during future training sessions to provide technical support.

Feedback from both participants and facilitators indicated that the training was highly beneficial, highlighting the identification of skill gaps and the importance of continuous support from health managers. The suggestions put forth during the training should be taken into careful consideration to further improve future sessions. Overall, the TOT Master Class Mentor Training successfully concluded with a sense of teamwork and a commitment to ongoing professional development among the participant.

CHILL OUT CORNER

Quarterly Newsletter  April – June 2023

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Categories
Newsletters

First Quarter Newsletter – 2023

Quarterly Newsletter  Jan– March 2023

CCHS logo

Issue 15

Our Mission

Being called to follow the inspiration of the Gospel and the compassionate attitude of Jesus, we strive with conviction for excellence in all areas of training and nursing practice for the benefit of the community.

Our Vision

Catholic Church Health Services is an organisation whose members envision enhancing the quality of life of our people by providing a holistic approach to health care through trained, dedicated and compassionate staff.

Our Values

The Catholic Church recognises that training institutions, medical and nursing services are a continuation of the healing Ministry of Christ.
Therefore, our service will be comprehensive and holistic, embracing all people of our nation regardless of creed, colour or social status.
Catholic Church Health Services expects all of its personnel, regardless of whether they are paid or volunteers, to practice the values of:

  • Integrity
  • Justice
  • Compassion
  • Excellence
Inside this Issue
  • New Bitokara CHP Building opens
  • Holistic Approach to End TB is Crucial
  •  Dioceses Commemorating World TB Day
  • HIV Prescriber Trained in Milne Bay
  • NCCHS Staff on Radio Maria
  • New Building for Wirui Urban Clinic
  • Training to Strengthen HIV Services in AROB
M&E Training a success
CCHS M&E Officers and the Training Facilitators posing for a group photo.

Monitoring and Evaluations officers of the Catholic Church Health Services attended a successful five-day training program on Data Analysis conducted from March 13th to March 17th, 2023.

The program aimed to build the skills and capacity of CCHS M&E officers to collect, analyze, interpret, and visualize data for decision-making purposes.

The training was conducted by the National CCHS M&E team, Public Health Specialist Dr. Gilbert Hiawalyer from Vital Strategies, National Department of Health ICT/Network officer David Josh Rupenti and PNG Program Manag­er for Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) Brooke Dickson.

A total of 17 M&E officers attended the training except for officers from the diocese of Wewak, Bougainville, and Alotau. The training program was highly successful in achieving its aim and objectives as the participants were enthusiastic and actively engaged in discussions and practical exercises.

“The best thing that we achieved apart from our training objectives was that we made sure everyone is well acquainted with each other in the first two days so the rest of the week everyone was communicating and interacting freely.” NCCHS M&E Officer Sally Laka said.

During the training, the participants learned how to collect, manage, analyze, interpret, and visualize data using Excel and other tools.

They also learned the basic concepts of epidemiology and public health data, and how to use data to improve health indicators. The participants were able to apply the skills learned during the training to real-world scenarios and reported that they would be able to use these skills acquired in their daily work.

“We have given them an assignment to do in a month and once we get their reports, we will be in a better position to evaluate their individual skills and mentor them accordingly,” Laka said.

To ensure that the skills acquired during the training are put into practice, it was recommended to the National CCHS M&E team to regularly analyze and report on the data collected through the distribution of dashboards and diocese quarterly feedback. This will enable them to identify areas for improvement and make informed decisions based on the data.

NATIONAL SECRETARY’S MESSAGE

Image of Sr. JadwigaGreetings to you all.

I would first like to thank you all for the successful year 2022. Despite challenges in our personal lives or work, we have achieved a lot as a team and have much to celebrate for all our efforts and contributions.

We have all started this year 2023 with staff retreats and dedication services. It is important to begin the year on an enriching note. Reverend Bishop Rozario Menezes who is the NCCHS Spiritual Director reminded the NCCHS staff to remain committed to our work which impacts mostly the people in the rural areas of our country.

In this year’s first quarter, NCCHS has successfully coordinated several trainings for our clinical and non-clinical staff, and we are looking forward to upskilling more of our staff in this 2nd quarter.

To those dioceses that have already started working on your Service Level Agreements with your Provincial Health Authorities, I applaud you all and urge you all to continue fostering partnerships that will help us in improving service delivery.

I hope everyone has had a wonderful Easter holiday with your families as you reflect on the life of our Savior, Jesus Christ, and the examples that He had set for us when He came down, as a human and lived among us.

Easter, of course, is all about the death and resurrection of Jesus. We are reminded also of those who lovingly cared for Him as He made his way toward the cross. In their home in Bethany, Mary, Martha, and Lazarus showed Jesus unusual kindness at His most challenging time.

I am sure you have all been showing kindness to many but how good are you at receiving it from others? Consider then, the body of Jesus as it was taken from the cross – the physical challenges of all that he had endured, now culminating in His body being laid to rest. Think what that rest accomplished in just a few days later, He rose again in what the Bible refers to as “The Resurrection and Life Everlasting” so that He could give life to others.

In this Eastertide, we are reminded to celebrate our Savior’s resurrection and welcome the Holy Spirit into our lives.

I would like to thank all the hard-working staff for their continuous work in ensuring our people receive the necessary treatment for their healing.

Sr Jadwiga Faliszek, SSpS

CCHS National Secretary

People came from all over the Talasea District to witness the opening of their Bitokara Health Post. Top Left: Minister for Health, Honorable Dr. Lino Tom, and other distinguished guests ready to cut the ribbon to officially open the new building. Bottom Left: His Excellence, Bishop John Bosco Auram of the Kimbe Diocese blessing the building and dedicating the building to serving the people of the Talasea District. Pictures by Manas Photography

The Catholic Church Health Services of Kimbe Diocese celebrated the grand opening of the Bitokara Community Health Post on the 8th of March 2023.

CCHS has 15 health facilities in West New Britain Province, 9 of which are in the Talasea District including Bitokara HCP.

The facility upgrade began in 2020 as all normal primary health services were moved to a temporary building to allow infrastructure upgrades to take place.

The Bishop Deputy for Health said that the total estimated costs of the Health Post include medical equipment, fencing, staff houses, labor costs, and others most probably total to almost K10 million.

“As Bishop Deputy for Health in CCHS in PNG, I wish to express my deepest and sincere gratitude to the CCHS Health Manageress of WNB, Theckla Nohan, and her team of nurses, CHW, a cadre of health professionals who took time to prepare and attend the occasion.”

“The people of Talasea District especially in the Bitokara Health Post areas for their support and participation in the project which now they are proud and can take pride in their well deserve Community Health Post Facility.” Bp Francis Meli added.

The project was cofounded by the Government of PNG, the Australian Department of Foreign Affairs and Trade, the Asian Development Bank, the National Department of Health, WNB PHA, and the Catholic Church Health Services.

The Minister for Health Hon. Dr. Lino Tom officially opened the CHP in the presence of the Bishop for Kimbe Diocese Bp. John Bosco Auram, Bishop Deputy for Health, Bp Francis Meli, Governor for WNB Hon. Sasindra Muthuvel, Member of Parliament for Talasea District Hon Freddie Kumai and Chairman for WNB Provincial Health Authority Chief Mathias Sapuri.

The Minister for Health expressed his gratitude to the Catholic Church for the partnership and its continued support of Health and Education to the people of PNG, especially in the rural parts of the country.

In his speech, he also acknowledged the women in health care who continue to serve the people in rural areas despite daily challenges.

Bitokara CHP received acknowledgment for its well-built, constructed, and equipped interior and exterior from the guests. Bitokara has a catchment population of over 15 000 people and the upgrade will have a positive impact on the lives of the people and can also cater to the nearby local-level government areas.

Holistic Approach to End TB is Crucial

Group picture of the participants from the TB Training with their certificates taken with the National Secratary for CCHS Sr Jadwiga Faliszek.

A two-day training was conducted in partnership with Médecins San Frontières from the 13th to the 14th of March 2023 at the Lamana Hotel in Port Moresby.

The training includes a total of 16 participants, 3 health workers from CCHS and one from each of their PHAs in Milne Bay, West New Britain, Enga, and Simbu.

The training covered a refresher on Basic TB, Infection Prevention Control, Triaging, Drug Sensitive Tuberculosis (DS-TB), and Drug-Resistant Tuberculosis (DR-TB).

CCHS National Secretary Sr Jadwiga Faliszek who was present at the opening ceremony encouraged the PHA representatives to work together with the CCHS teams in their province.

“We are all implementing the same goals set by the National Department of Health so we must work together.”

During one of the presentations, MSF Clinic Supervisor Homate Huwa shared MSF’s holistic approach to the management of TB patients.

“Indeed, TB is unfortunately still a stigmatizing disease that affects patients in all aspects of their lives.”

“That is why it is crucial to take care of the patients in their physical, psychological, social, environmental, and spiritual dimensions.”

Huwa stated that this will all be possible if everyone worked together starting from health workers down to the community leaders.

In the two days, the participants were able to outline the different challenges faced at their health centers in caring for TB patients and come up with solutions to the challenges.

CCHS data records over 2000 new Tuberculosis cases every year and it is now more than ever crucial to adopt effective approaches to the management of patients with TB.

CCHS is collaborating with Caritas Australia under the project “Tackling TB through CCHS” with a goal to enhance existing responses to TB through workforce capacity building and institutional strengthening.

Through this collaboration, CCHS was able to purchase microscopes, print and distribute IEC materials and facilitate TB training for the four implementing dioceses.

MSF health worker facilitating the training.
Healthworkers from Bereina CCHS voluntarily sign a declaration of serve the people of all walks of life.
CCHS Health workers from Yampu Health Center in Enga posing with a ICE Material distributed during the TB training.
Fr Bernard blessing one of the health workers during the Eucharist celebration.
Villagers gathering to listen to Yampu health workers doing TB awareness.

Dioceses Commemorating World TB Day

Healthcare workers from Alexishafen in the Archdiocese of Madang doing TB Testing in one of the catchment areas.
Archdiocese of Madang CCHS
Fr Bernard blessing one of the health workers during the Eucahrist celebration.
Health workers from Alexishafen Health Center doing TB awareness in Rivo, Madang.
Diocese of Wabag CCHS
Yampu health worker doing TB awareness.
Diocese of Lae CCHS
Students from Christ the King Primary School with health workers from Bishop Henry Aidpost posing with TB posters.
Diocese of Aitape CCHS
Health Manager Fr Patrick Iwu and health workers from Raihu Hospital.
Diocese of Kimbe CCHS
CCHS Kimbe joined WNBPHA to Commemorate the TB World Day and launched a Portable X-Ray Machine.
Diocese of alotau-sideia cchs
CCHS Alotau-Sideia joined MBPHA and celebrated the World TB Day.

30 HIV Prescriber Trained in Milne Bay

health workers with their Certificates
Group photo of Milne Bay CCHS and PHA healthcare workers with their HIV Prescriber Certificates.

A total of 30 Healthcare work­ers, 5 from Milne Bay Provincial Health Authority and 25 from the CCHS facilities in the province received certificates as HIV prescribers after attending a full HIV Prescriber training from the 24th of November to the 1st of December 2022.

The training is supported by the Sexual Reproduction Health Integration Project under Papua New Guinea- Australia Transition to Health.

The lead facilitator for the training was Dr. John Millan of the PNG Sexual Health Society and who was assist­ed by CCHS Health Extension Officer Joanwalker Jerome.

“The training has now enabled the health workers to provide HIV testing and be able to prescribe ART for their patients on-site at their respective facilities.”

“Having ART at all health centers will enable PLHIV to easily access their medication and significantly reduce lost to follow up and deaths.” Dr. John Millan stated.

As part of the training program, the participants had four days of classroom-based sessions and a day of particle sessions in the Alotau Provincial Hospitals’ sexual health, STI, and HIV clinic.

“The clinic visit enabled the participants to see some clinical cases and they were also introduced to the different clinical reporting forms and the patient record booklet.”

“The participants were able to see the antiretroviral drugs and were also fortunate to see the GeneXpert machine and the viral load testing.” Dr. Millan added.

On World AIDS Day, the participants were divided into 4 groups of 6 and 7 and were allocated different locations in the Alotau town area to conduct awareness.

Dr. Millan assured the health workers that he will continue to provide clinical mentoring support to all of them on managing STI and HIV patients in the facilities.

Dr. Jacob Morewaya from the MBPHA and Dr. Katherine Lepani a hospital board member was present at the closing of the training and both gave positive comments about the partnership between the PHA and CCHS in the province.

Health Manager Fr. Patrick Iwu and Fr. George leading the blessed ceremony to commemorate the arrival of the new ambulance at Raihu.”

NCCHS Staff on Radio Maria

CCHS staff live on air at Radio Maria
NCCHS staff in the Radio Maria Studio doing live broadcast on 24th March, World TB Day.

Staff from the National Catholic Church Health Services took part in the community development program run by Radio Maria PNG to raise awareness of Tuberculosis in the country on the 24th of March 2023.

It was the first-ever appearance of the NCCHS team, and they are excited to have more sessions in the studio.

The team consisted of Communications and Advocacy officer Jelilah Kum, Monitoring and Evaluations Manager Elizabeth Akuire, and M&E officer Sally Laka.

The purpose of the awareness was to share what CCHS does in terms of its partnership with the government of PNG in delivering health services and to also promote conversation about support, care, and respect for TB patients.

The director of Radio Maria PNG, Fr Martin We-en welcomed the team to visit the studio for more similar sessions once every month. Radio Maria is currently broadcasting in 11 dioceses and they are working towards reaching all the dioceses soon.

New Building for Wirui Urban Clinic

Deputy Chairman for East Sepik Provincial Health Authority Max Manimbi, Bishop Józef Roszyński of Wewak Diocese and ESP PHA Director Curative Health Dr Jimmy Kambo at the ground breaking ceremony for the new Wirui Clinic Building.

The Diocese of Wewak and representatives from the East Sepik Provincial Government held a short official ground-breaking ceremony at the new site for the Wirui Urban Clinic on the 3rd of March 2023.

“It was a humble celebration for the much-needed development which was desired and planned long ago.” Bishop of Wewak Diocese, Bishop Józef Roszyński, S.V.D said.

The new building would provide all clinical services including testing and treatment for HIV, tuberculosis (TB), sexually transmitted infections (STI), and maternal health care with spacious specialist rooms for examination and treatment.

Due to the increasing number of patients, they see every day, the new building will help improve their service delivery to the surrounding communities and settlements.

According to the Catholic Church Health Services Data, in 2022, the Wirui clinic saw over 12 300 outpatient cases and over 1000 reattendances.

The new building will be funded by the Asia Development Bank, the Diocese of Wewak, and the East Sepik Provincial Government.

The contract for the construction of the new building was awarded to Pacific Development Contractors who just completed the Bitokara Community Health Post in Kimbe West New Britain Province.

ESP PHA Chief Executive Officer Mr. Mathew Kaluvia, PHA Board Deputy Chairman Max Manumbi, PHA Director Curative Health Dr. Jimmy Kambo, and representatives from ESP provincial government office, Divine Ward Uni­versity Nursing School, Boram Hospital, and all the CCHS staff also attended the ceremony.

Training to Strengthen HIV Services in AROB

Twenty-one healthcare workers received certificates as HIV Prescribers after undergoing a weeklong full-prescriber-training at Dobs Inn, Hutjena in Buka District on the 3rd of February 2023.

The aim of the training is to enable healthcare workers in Catholic Church Health Services facilities in the Autonomous Region of Bougainville to provide HIV testing, prescribe ART after diagnosis and provide other related essential services in their health facilities.

Facilitating the training was the Director of PNG Sexual Health Society Dr. John Millan who is collaborating with CCHS to conduct training on HIV and Sexual Health under the Sexual Reproductive Health Integration Project. He was assisted by Momase Regional HIV Officer, Dr. Elsie Ryan.

The training was conducted for healthcare workers who were selected by the CCHS Health Manager and the Diocesan Health Service Integration Officer of the Bougainville Diocese.

They also extended the Invitation to the AROB Department of Health and Buka Hospital where 5 participants were nominated to attend the training.

Of the 21 participants, the Diocesan Health Services Integration Officer, Rosemary Ravana, was the only person who has had exposure to HIV information and knowledge on HIV/STI and sexual health. Despite attending the training with no prior exposure to the contents, the 20 participants showed great interest and enthusiasm in all the sessions.

“We had mixed feelings about how well the participants would be able to grasp all the concepts taught to them, however, we were impressed at the end of the training with their eagerness to commence their ART programs in their facilities when they go back after the training.” DHSIO Rosemary Ravana said.

“The training given was an eye opener for most of our participants and an opportunity to enhance their skills to provide quality essential care, treatment & support to those who need it,” Ravana added.

Ravana said that from the participants’ comments and the interest they showed, she believes that their networking will be strengthened and their work in relation to HIV will be improved in the region.

Buka General Hospital offered to work together and support each other in their HIV/ART programs.

The Chief Executive Officer of Buka General Hospital Dr. Tommy Wotsia and the Director of Medical Services Dr. Mathias Tovilu were present at the closing ceremony which included the presentation of certificates to the participants and tokens of appreciation to the facilitators.

Categories
Quick Reads

A glimpse into early missionary work in health

A glimpse into early missionary work in health

Yule Island Missionaries - 1892

Catholic Church Health Services is defined by the efforts of its early missionaries, dating back to the eighteen hundred. Through education and training of the people embedding the early development approaches for health. It has been an important part of the church to demonstrate the healing ministry for Jesus Christ in caring for the sick and dying.

This short history provides a medical historical story of how Christian mission efforts in the early years evolved to Catholic Church Health Services.

It seems appropriate, when documenting the present stage of the National Catholic Health Service, to go back 100 to 150 years, and look at the Colonial Powers and their attitudes and their allegiance to Christianity.

Sir Hubert Murray, Lieutenant Governor, of British New Guinea in 1912 wrote of the missionaries in these words: “The civilizing influence which the mere presence of a missionary has upon the native population, and the fact that all the schools in Papua are conducted by missionaries, together with the devoted assistance which the missions have given in combating the epidemics constitute, in my opinion, a sufficient answer to the contention that the missionaries have done no good”.

“I think not only that the missions do good, but that they are absolutely necessary to the development of backward races.”

With this positive encouragement and support from the colonial powers, the Christian Missions spread rapidly across the country bringing the Good News of the Gospel to the people, and at the same time performing works of mercy on all fronts, especially in times of epidemic’s, caring for the orphans and the sick.

There is convincing evidence that the Churches did work together in many areas, although this is very often contested.

The first Missionary Health Conference was therefore held in Raboul, ENB from the 20th June to 11 July 1927.

There were fourteen missionaries present, representing the Sacred Heart Fathers and the Sisters, Divine Word Missionaries from Madang, Methodist, Lutheran and Anglican Missions.

These highly motivated missionaries convinced the two Government Officers who attended the meeting, Dr. R.W. Cilento and Mr. H.C. Cardew, Commissioner for Native Affairs, that their service to the people was of immense importance.

These Officers in turn reported this to Canberra, to the House of Representatives.

History tells us that PNG attracted not only missionaries and people in search of gold, but also Researchers such as the famous Dr. Robert Koch, a German Doctor, who is renowned for detecting the Tuberculosis Bacilli.

Dr. Koch arrived in PNG on the 29.12 1899 and stayed for six months. He was mainly interested in malaria and he did extensive research on “ Black- Water Fever” which was very prevalent at that stage.

However, since he worked for a German Company, he found in the sick Chinese and Malay laborers, the presence of TB.

TB has become one of the major Health issues in PNG, the Department of Health is battling with today.

In the mid 1880 ‘s and in 1927 an epidemic of smallpox swept through much of the country and spread to parts of West New Britain. Missionaries became vaccinators and cares for the people. They vaccinated 30,000 people, risking their own lives. We know today, how dangerous and contagious smallpox are.

According to documents, Nurse Augusta Hertzer, was the first trained nurse working in Papua New Guinea. She arrived from Germany on the ship “Isabel” in 1891. She died 16th May 1934 aged 78 and is buried at Raboul.

The first recognized Midwife in PNG is Sr. Barnaba Zirkel S.SP.S. from Germany,  She started work in 1905 at Alexishafen, Madang. She spent about 40 years in Alexishafen and died during the second World War on the Dores Maru which was accidentally bombed by the American during the war.

The second World War destroyed much of what had been established by the different Missions.  However, after the war, new missionaries and nurses from overseas arrived in great numbers and they truly established a network of cooperation. New hospitals, training schools for Nurses and Aid Post orderly sprang up, in order to serve the local people better.

For the Catholic Church, the Nurses Training Schools in Vunapope, ENB lemacot N.I.re-opened in 1951 and St. Gerard’s  training school in Veifa, run by the O.L.S.H Sisters in the C.P. became of immense importance. At the same time the Government Schools trained local doctors, at the Medical Faculty in Port Moresby, and trained nurses, in almost all major Hospitals in the country.

After the second World War the Hansen’s Disease, Leprosy, became a serious problem in the country. Centre’s were opened across the country by the Department of Health and the Churches, to care for these often very disabled and deformed patients. The Catholic Church had a large Centre in Aitape W.S.P and Jampu in Enga Province. Yampu was opened in 1956, to give relief to the over crowed Wabag Hospital.

Wards were being built from bush material, 16 wards in all, where about 400 patients were admitted, many with advanced marked deformities and destruction of hands and feet. By 1960 the number of patients had increased to 576.

Sr Ewaldine S.SP.S. an American nurse and Sr. Maurentia S.SP.S. a German   nurse, who was expelled from China, started work in Yampu in 1958.

These were truly devoted missionaries, who worked with local trained Orderlies for many years. Yampu provided later in the 1970 a well set up Occupational therapy department, were clients could learn weaving and other cores to sustain their living. Quite a few Sisters, who were trained Nurses, and Brothers from Germany, the Netherlands and Australia worked in these two Catholic Lepra Hospitals, as they were called then.

In Aitape Dr. Sr. Peter Baptist Ogden, F.M.D.M. took charge of the Lepra Patients and performed corrective surgery.  Aitape also had a very well set up Physiotherapy Department in 1967, since physio is an important aspect of reconstructive surgery.

Missionaries became inventive and instead of going on horseback, as was previously the case, they used one engine planes to be faster, bringing supplies for new buildings and supplies for the missionaries to remote air strips build by, and with the people. Especially the Divine Word Missions, who acquired a few of Cessna’s one engine planes, were the Bishop, Rev. Leo Arkfeld SVD, became the main pilot for the very remote areas of East and West Sepik. Many a patient, esp. mothers in labor, were brought to main stations and Hospitals where appropriate care could be given, and many lives were saved in this way.

Brother Pilots from Germany, Australia and America served the large mountain areas with all necessary supplies. Isolation and remoteness were thus greatly reduced.

In reading the extensive historical documentation of Church Health Service in PNG, one becomes aware of the main Health concerns the Territory and its people were faced with.

Malaria, Yaws, Small Pox, Leprosy, Tuberculosis, and since 1987 the HIV epidemic. In all these epidemic’s the Churches were at the forefront, supporting the Australian Government, in care, vaccinations, and treatment.

It is does not surprising, that before and after Independence, the Government valued the health care provided by the Churches and is supporting them financially.

The Catholic Church however became the largest service provider in Health, next to the Department of Health. Many overseas doctors and nurses served for several years in Hospitals and Health Centre’s across the country and thus, health education, vaccination, elimination of Yaws and Filaria’s, Training of Nurses and AID Post Orderlies, like at Mount Ambra in Western Highlands, greatly increased Health Patrols, Care and treatment of the local population.

When HIV was detected in PNG in 1987, the Catholic Church has been again at the forefront, providing counseling, testing and treatment for over 10,000 people. The program of prevention of ‘HIV from Mother to Baby’ was officially launched by the Catholic Church, on Independence Day in 2003.

It appears also that the Hanssen’ s disease, with the appropriate treatment, and advanced new treatment that can be controlled and eradicated. Although today we still have sporadic cases.

Cases of Yaws and Filaria are seen very seldom now, although in very remote areas of West Sepik, they still can be found.

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