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Early lessons learned and promising practices: Supporting Provincial Health Departments and Districts in Mozambique Dr.

Early lessons learned and promising practices: Supporting Provincial Health Departments and Districts in Mozambique Dr. Antonio Mussa. Overview. Transition Approaches in Mozambique Activity up-date Lessons learned next steps. Transition Approaches in Mozambique.

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Early lessons learned and promising practices: Supporting Provincial Health Departments and Districts in Mozambique Dr.

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  1. Early lessons learned and promising practices:Supporting Provincial Health Departments and Districts in MozambiqueDr. Antonio Mussa 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  2. Overview • Transition Approaches in Mozambique • Activity up-date • Lessons learned • next steps 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  3. Transition Approaches in Mozambique • To augment sub agreements with the Government of Mozambique (GOM) at provincial & district level to include some of the activities previously directly supported by ICAP • To ensure sustainability and to directly strengthen health system capacity • To strengthen role of civil society by facilitating transfer of key activities to existing or new local NGOs 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  4. History of sub agreements ICAP - GOM • Human Resources for Health (HRH) / Staffing with 5 Provincial Health Departments (DPS), 1 Central Hospital, Ministry of Interior & Ministry of Defense since 10/2008 • Provincial Health Sciences Institute (Nampula): 3 pre-service Training courses Since 9/2008 • New pre-service Training sub agreements with Inhambane Province & Ministry of Defense for 5 courses in 2010 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  5. HRH/STAFFING 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  6. Expenses on HRH Staffing 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  7. Sub agreements 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  8. Step I Expand SOW of Provincial and District subcontracts to further transition responsibilities for greater sustainability and strengthening of health systems • Consensus Building meetings with each DPS • District Planning Sessions: ICAP provincial teams discussed facility reports (checklists and programmatic data), Standards of Care (SOC) Continuous Quality Improvement (CQI) instruments with the Districts as a basis for District planning: • Indicators with low performance were prioritized & analyzed • Solutions identified have been transformed into activities for the District plans 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  9. Step II Transition responsibility to Provincial & District level to ensure sustainability and strengthening of health systems Provincial Planning meetings • Participants: District Director, Chief Medical Officer & admin/finance staff from each District where ICAP is operating, representatives from DPS & ICAP team • Presentation of transition objectives, planning process and tools to be used • Districts & DPS present their plans which include activities, time line and the resources needed • Compilation and final revision of an overall plan by Districts & DPS 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  10. Lessons learned- I • Transition is a new approach for all stakeholders (CDC, ICAP, MOH) “learning by doing” • Time constrains of DPS that impede participation in scheduled meetings & review and release of documents lead to slowing of process; a focal point person could facilitate progress • Limited planning and administrative/finance management capacity at DPS level indicates need for increased capacity building activities 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  11. Lessons learned II • More guidance from central level MOH to DPS would facilitate planning and implementation process • More consensus building needed among central level MOH & CDC to better define indicators and targets; strengthen M&E system to monitor transition • Need for better harmonization of tools used by Track 1.0 transition implementers (planning, finance training, funding proposal writing) to standardize the USG approach for DPS support 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  12. Next Steps- I • Finalize and obtain CDC approval for DPS subcontracts • Build operational capacity of the DPS through: • additional staffing & program management training of existing staff • building financial management capacity 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  13. Next Steps- II • Build programmatic capacity of DPS in: • data collection and reporting • supportive supervision • partner coordination activities • program management in technical areas • adherence support & patient empowerment • Monitoring & Evaluation of the successful implementation of sub agreements and plans 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  14. conclusion • Plan to support and monitor the process from the administrative/financial perspective as well as from its potential impact on achievement of targets and on quality of care 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

  15. Thank You ! 8th Annual Track 1.0 ART Program Meeting Maputo - ICAP Mozambique

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