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BACKGROUND. The Global Fund Project to provide HCT and SRH/HIV integration services: A PERFORMANCE BASED PROJECT By Nov 2011 ( Q rt 5) the targets for: HCT was 492,948 (54,828) 657,264 Sites providing services was 486 (206) 486
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BACKGROUND • The Global Fund Project to provide HCT and SRH/HIV integration services: A PERFORMANCE BASED PROJECT • By Nov 2011 (Qrt 5) the targets for: • HCT was 492,948 (54,828)657,264 • Sites providing services was 486 (206) 486 • SRH/HIV integrated services 169,350 (42,231) 225,800 Cut off date for periodic review was setting in Late grant signing Stock out of commodities Fear by staff to be labelled non performer Services were not provided optimally
ACTION FOR CHANGE: What did we do? • Develop a contingency plan • Situated the plan within a theoretical model - Kotter's 8-Step Model • Urgency • Create work sub groups • Develop shared vision • Communicate vision widely • Empower staff • Develop short term goals • Consolidate and create opportunity for change • Stick to the change and create more change
Change Outcomes and Lessons Learnt cont. • Change performance of: • Site: Health Facilities • HCT 79% • SRH/HIV integrated services • The overall grant performance was 113% (rated A1 by the Global Fund) • Given the right condition of work, health personnel can overcome the challenges in performance based grant • Intensive mobilisation and shared vision is an important condition for managing change in performance based grant
Acknowledgement • IPPF Colleagues: Dr Yilma Melkamu; Dr. Ginette Hounkanrin; • PPFN Colleaques: Dr. I. M. Ibrahim; I. O. Ogo; Dr. O. Opeyemi; Dr. D. Toki; • The Global Fund • Government of Nigeria • The proprietors of health facilities