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Project Improved Health Service Delivery in Aweil West & North Counties, Northern Bahr-el-Ghazal

Project Improved Health Service Delivery in Aweil West & North Counties, Northern Bahr-el-Ghazal. Improved Health Service Delivery . Location : 11 Payams of NBeG Aweil West : 6 payams (Ayat East/Centre/West, Gumjuer East/Centre/West)

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Project Improved Health Service Delivery in Aweil West & North Counties, Northern Bahr-el-Ghazal

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  1. Project Improved Health Service Delivery in Aweil West & North Counties, Northern Bahr-el-Ghazal

  2. Improved Health Service Delivery • Location: 11 Payams of NBeG • Aweil West: 6 payams (Ayat East/Centre/West, Gumjuer East/Centre/West) • Aweil North: 5 payams (Malual West/North/Centre/East, Ariath) • Duration: January 2009 – June 2010 • Total cost: £1,227,942 • BSF contribution: £848,838

  3. Aim of the Project • To sustainably increase access & availability of PHC services to the communities of Aweil West & North through strengthening clinical service provision & administrative management capacity of the CHDs

  4. Project Strategy/Approach Foci: • Saving lives through provision of nutrition services • Support to service delivery re comprehensive PHC support to PHC facilities (Inc curative care, ANC, EPI, MCH etc) • Capacity development strengthen the capacity of CHDs to deliver PHC services

  5. Project Activities • PHC services • Nutrition interventions • MCH • EPI • Community Oriented Services • Capacity Building to the CHD & health facility staff through training • Community mobilization & participation • Infrastructure development

  6. 115,500 out-patients treated 1,700 in-patients treated 7,943 admissions to nutrition services 2,884 children <1 year vaccinated (DPT3) 3,756 pregnant women receiving ANC 80 VHC members trained on mobilization 70 TBAs trained on safe motherhood 20 teachers & 20 village facilitators trained on health education 8 health workers attended long-term training 33 SMoH staff received refresher trainings 2 PHCUs constructed & 1 rehabilitated Project Targets/Outputs

  7. Progress towards Objectives - 1 • 7,303 out-patients received curative care • ARI 28.4%, malaria 22%, diarrhoea 10.9% • 121 in-patients admitted & treated in PHCC • 853 women received ANC treatment • 50% attended for a 2nd or 3rd visit

  8. Progress towards Objectives - 2 • Nutritional services provided in all supported health facilities & FCs • 1,105 moderately malnourished children & • 153 malnourished adults newly admitted in SFP • 139 severely malnourished children newly admitted to CTC (OTP&SC)

  9. Progress towards Objectives - 3 • 242 children immunized (DPT3) & • 437 women vaccinated (TT2) • EPI services available & implemented at 4 facilities • EPI services to commence in the remaining 2 clinics this month • Health & nutrition survey conducted • Nutritional status in children under 5 & Knowledge Attitude & Practice (KAP) assessed • KAP findings (expected in May) to serve as baseline information & to develop health education messages

  10. Progress towards Objectives - 4 • 16 health workers & 19 extension workers received 4 days training on screening & management of acute malnutrition & growth monitoring • 25 TBAs received 5 days refresher training at community level to improve knowledge & skills on safe delivery, PNC & reporting • 4 health staff identified for external long-term training • 1 enrolled for 18 months laboratory course in Rumbek

  11. Progress towards Objectives – 5 • CHD conducted first coordination meeting in February attended by all stakeholders to increase capacity to deliver & manage sustainable PHC services • Patient consultation & drug registers printed & distributed to facilities to improve Health Management Information Systems • facilities submitting HMIS data monthly to CHD • Communities & local authorities allocated property for construction of 2 PHCUs • Mobilization of local materials completed & construction work started (Anyuopjang PHCU)

  12. Progress Analysis Quarter 1 • PHC service delivery (treatment of in- & out-patients) uptake slow as expected. Increase expected with onset of rainy season • Nutritional services delivered to 20% of projected beneficiary numbers. Peak in admissions expected with hunger gap • Training took place as proposed & is on target • ANC services delivered to 25% of projected beneficiary numbers. Introduction of ANC services in more facilities, uptake will increase in Quarter 2

  13. Challenges • EPI: The target to vaccinate 30% (approx 13,000) of the women of reproductive age in the project area (45,000) is rather unrealistic & may not be met. DPT3 vaccinations will be carried out to 2,100 children (not 2,884 as proposed) • Out-patient treatment: The proposed target of treating 115,500 out-patients in the clinics is rather ambitious. A more realistic manageable target for the 1.5 year contract period is 80,000

  14. Project Improved Health Service Delivery in Aweil West & North Counties, Northern Bahr-el-Ghazal

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