Child Friendly Communities/ Real Time Monitoring: An integrated approach to community platforms

1. Child Friendly Communities/ • Real Time Monitoring: • Anintegrated approach to community platforms

2. OUTLINE • CFC/RTM: Vision and key components • Program implementation: Where, what and how • Data and feedback flows • Innovation: electronic records and data visualizations

4. Key components of the CFC/RTM approach VILLAGE / COMMUNITY

5. Key components of the CFC/RTM approach VILLAGE / COMMUNITY Data Collection Data Analysis Real Time Action Capacity building Tool Development New Technologies

6. RTM FEATURES: Data at the core • Registration and active follow up of pregnant women and children using electronic and paper based community registers (DENOMINATOR!) • Strengthening health worker capacity through skill development, new tools and improved support system at the community and district level • Establishing social accountability mechanisms, and feedback loops at all levels • Establishing mechanisms for regular program performance reviews with timely course correction (bottleneck reduction and equity gaps reduction) • Monitoring increase of effective coverage of key interventions

7. WHERE is the project being implemented and HOW?

8. Where: 5 Countries (Chad, DRC, Guinea, Liberia, Togo), >10 Districts and >1,000 Villages Mauritania Mali Niger Cape Verde Chad Senegal Gambia Burkina Faso Districts= 2 Villages = 71 Guinea-Bissau Guinea Benin Nigeria Sierra Leone Ghana Cote d'Ivoire Togo Liberia CAR Cameroon Equatorial Guinea Sao Tome and Principe Congo Gabon DRC Districts=3; Villages = 254 Districts= 1 Villages = 309 Districts= 3 Villages = 419

9. How: Using Immunization-Plus as entry point

10. Using innovation to address key bottlenecks Bottlenecks • What is innovation? • Technology • Implementation strategies and accountability frameworks • Products (family kits) • Ways of working • Basic principles • Evidence-Based • Adapted to Context • Scalable and sustainable Calculation of denominators Lack of follow up services Poor quality of care Frequent Stock outs Poor engagement of communities

11. CFC/RTM Data flows: Comparison of treatment and control areas Knowledge management exchange and contextual documentation

12. Data and feedback flows

13. Community Registers Key principles • Identification of each: • pregnant woman • newborn • child < 5 years • Longitudinal follow-up throughout pregnancy, the postnatal period and first 5 years of life • Integration of interventions from 5 sectors: Health, Nutrition, Child Protection, WASH & Early Childhood Development

14. Priority pregnant women & newborn interventions • Antenatal care at health facility - verify: • Timeliness of visits and contents • Vaccination with TT containing Vaccine • IPTp for malaria • HIV and Syphillis testing • Monthly antenatal home visits • Promote ANC • Promote birth at HF • Identify danger signs • Nutritional counselling • Taking IFA supplementation • Sleeping under LLITN • Essential newborn care – verify: • Early initiation of breastfeeding • Umbilical cord care • Skin-to-skin contact • Bathing after 6 hours • Eye Care • Immunization • Postnatal care – MOTHER • Timeliness of visits • Counseling on danger symptoms 5. Postnatal care – NEWBORN • Timeliness of visits • Key interventions and danger signs • Family planning

15. Priority child health + interventions • Birth registration CP • Complete vaccination • Make ORS and Zinc available at household level for immediate treatment of diarrhea • Promote sleeping under a LLITN • Early initiation of breastfeeding • Exclusive breastfeeding during first 6 months of life • Vitamin A supplementation every 6 months • Deworming every 6 months • Multiple micronutrient powder supplementation during first 2 years of life • Dietary diversification • MUAC to screen for malnutrition Nutrition Health • Availability of functional hygienic latrine for disposal of feces • Availab. of handwashing facilities • Availab. of clean drinking water WASH • Developmental milestones • Stimulation skills of caregiver • Attend early learning opportunities ECD

16. Flow of data: Community level Population census & tool for calculating: • age in months for children < 5 years • duration of pregnancy in weeks WHO Community Health worker Registry for children < 5 years Report including tally sheet for each intervention WHAT Registry for pregnant women and newborn WHEN • Project inception • End of month • Every day • End of month • Every day

17. Flow of data: Community up to district level Community worker Health Facility District Monthly report (CHW plus facility) Monthly report form (compilation) Monthly report Annual report Annual report

18. Roles & Responsibilities • Data compilation • Data analysis • Data transfer • Feedback • Data compilation • Data analysis • Data transfer • Feedback • Review report • Feedback • Data collection • Data analysis • Data transfer Village Committee District Comm. worker Health Facility NOTE: THE DATA FLOWS UP, AND FEEDBACK FLOWS DOWN! ACTION IS EXPECTED BASED ON THE DATA AT EVERY STEP

19. Innovation: electronic registers and data visualizations to drive action

20. Electronic registers Modules

27. District Dashboard In-app Reporting

28. In-app Reporting: Geo-Location of children In-app Reporting - GPS mapping of children

29. District Dashboard

30. CFC/RTM – Timeline for implementation areas

31. CFC/RTM – Timeline for implementation areas Guinea, Chad, Liberia DR Congo Togo

32. Thank you Shukrani Merci MuitoObrigada Murakoze