When Prof. Abiodun Ilesanmi was appointed the new CMD of the hospital on 01 March 2003, he immediately swung into action by reorganizing the hospitals entire administrative structure and initiating major reforms, in line with the Federal Government’s Health Sector Reform Programme.
By the time of Prof. Ilesanmi’s appointment, the hospital had been in steady decline, due to poor funding from the federal Government, the hospital’s major source of subventions. Standards had also been Compromised due to staff indiscipline, scarcity or non-availability of essential medical facilities and equipment.
Moreover, many of the equipment still functioning were obsolete, some of them as old as the hospital itself. Staff morale was at its lowest ebb; patients had become disenchanted and had generally lost confidence in the services being provided at UCH.
Prof. Abiodun Ilesanmi launched his reform agenda in the Accounts Department by introducing revenue collection by commercial banks, thereby replacing the former system of using hospital staff as revenue collectors. Fountain Trust Bank was subsequently appointed in 2004, to collect all the hospital’s revenue.
The new system had an immediate impact: the hospital’s revenue increased phenomenally from less than N20 million/month to an average of N35.40 million/month and incidents of fraud took a downward spiral.
The Board of Management has since approved additional banks to collect the hospital’s revenue. It is remarkable that this bold and imaginative initiative has been copied by many hospitals and at least two state governments in the country.
F.G. Adekunle Cole
Mr. Chairman, Distinguished Guests, Ladies and Gentlemen
In the past 30 years, health care has become one of the most challenging, expensive and dynamic of all sectors of human activity. In these days of visioning in Nigeria; thanks to Vision 2010, I believe it is now mandatory, if not crucial that health management demands be adequately addressed. I have mentioned 30 years because I have been actively involved in Health Management both in the public and the private sectors since 1967 and if one looks outside our shores to advanced countries like the United Kingdom and USA, one will come to the conclusion that the demands of health management are really very crucial because choices are becoming harder and more constrained and there now exist, tools for making the right choices. As real incomes grew and people’s expectations and standard of living advanced, several societies found ways of overcoming the financial problems of access to medical care for the generality of its citizens except the wealthy.
Prof. Olajide O. Ajayi CON, FACS (Hon.)
Former Chief Medical Director
University College Hospital
Fifty-two years ago, the ambition to read medicine at the University College Hospital, Ibadan made me a frequent visitor to Ibadan in preparation for the entrance examination. I was a frequent guest of a friend and classmate who lived in the unventilated garage of Dr. (later Professor) Sanya Onabamiro, the famous Nigerian Scholar and parasitologist. My friend, Festus Osiyemi, (now a retired professor of biochemistry) and Dr. Sanya Onabamiro were brothers-in-law.
The train journey from Lagos ended opposite the central post office in Dugbe, Ibadan. In the skyline, as you faced east on the way to join Oyo Road for the university campus, was a massive building under construction. It was Nigeria’s premier university teaching hospital: The University College Hospital (UCH). It was magnificent as it stood propped up by an extensive network of scaffolding. It was an inspiring sight which had a multiplier effect on my ambition to be a doctor. I dreamt of the day that I would become one and work in that hospital when completed.
The dream became a reality twelve years later. The reality lasted thirty-two years and ended with my headship of the institution as the chief medical director, for eight years. Today, almost ten years after retiring, I stand before you in celebration of the Golden Jubilee Anniversary of the University College Hospital. To God be the glory. I must thank the current hospital leadership for counting me worthy on the occasion to be the ‘special guest lecturer’, an opportunity which, for me, in a moment of deep reflection, is not only an emotional experience but also a reason for personal thanksgiving.
By C. Adebayo Adebamowo
“All of us are fascinated by the future, because that is where we will live the rest of our lives.” - Criswell
The occasion of one’s birthday is always one for sober reflection and stocktaking. This is so in the life of us humans and should be no less so in life of an institution, especially one as venerable and as important as the University College Hospital, Ibadan, the “father” of all medical institutions and the progenitor of the most significant medical services and research centres in Nigeria. To many people outside Nigeria, there is only one medical institution in Nigeria and that is the University College Hospital, Ibadan. While this is no doubt partly due to its pioneering role in medical education in Nigeria, the outstanding clinical and investigative work of its staff is of no less importance. It is, therefore, quite appropriate that as it graduates into middle age, a period that also coincides with the expectation of a new millennium, it should pause and reflect.
The question on whether the University College Hospital, Ibadan has fulfilled the expectations of its founders is one that should exercise all our minds. However, as we ponder it, we must not forget the equally important one of what the future holds. Illustrious as our past is, and difficult as our present circumstances are, we can and must build our future. Defining an agenda for that task is the objectives of my paper today.