In Wamba general hospital in Nasarawa State, functional equipment for supportive management including treatment for severe malaria was unavailable, resulting in a challenge in appropriate provision of health care. In 2013, a malaria integrated supervisory system (MISS) was established and subsequently supervisory visits to the health workers in secondary and primary health facilities began with technical support.
Supervisors realised that Wamba’s blood bank was defunct, as there was no electricity in the building in which it was housed. The supervisors drew up a plan of action and reported it to the hospital’s management board. The blood bank is now fully functional and as a result patients with anaemia resulting from severe malaria receive blood transfusions when they need.