Maternal Child Survival Program Quarterly Progress Report
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Maternal Child Survival Program Quarterly Progress Report Prepared for Juliana Pwamang United States Agency for International Development/Ghana C/O American Embassy No. 19 Fifth Link Road Cantonments Accra, Ghana Prepared by Jhpiego 1615 Thames Street Baltimore, MD 21231 January 1 – March 31, 2017 Maternal Child Survival Project; FY 2017 Q2 PROGRESS REPORT Cooperative Agreement iNo. AID-OAA-A-14-00028 The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. ii Table of Contents Contents ACRONYMS AND ABBREVIATIONS ................................................................................. 4 I. MATERNAL CHILD SURVIVAL PROGRAM EXECUTIVE SUMMARY ...................... 6 II. SUBSEQUENT QUARTER’S WORK PLAN ................................................................... 7 III. PROGRESS NARRATIVE ................................................................................................ 8 IV. PERFORMANCE MONITORING...…………………………………………………………19 V. LINKS TO OTHER USAID PROGRAMS ....................................................................... 20 VI. LINKS WITH GOG AGENCIES .................................................................................... 21 VII. USAID FORWARD ........................................................................................................ 21 VIII. SUSTAINABILITY ........................................................................................................ 21 IX. LEVERAGED FUNDING ................................................................................................ 22 X. PLANNED ACTIVITIES FOR THE NEXT QUARTER ................................................ 22 XII. PROJECT ADMINISTRATION .................................................................................... 22 ANNEX I: PROJECT PERFORMANCE INDICATORS ..................................................... 25 ANNEX II: IPC PERFORMANCE INDICATORS…………………………………………....27 ANNEX III: SUCCESS STORIES ........................................................................................ 28 ANNEX IV: CHPS FAA MILESTONE DASHBOARD ...................................................... 30 ANNEX V: IPC FAA MILESTONE DASHBOARD…………………………………………36 iii Acronyms and Abbreviations ACNM American College of Nurse Midwives BEmONC Basic Emergency Obstetric and Newborn Care CHN Community Health Nurse CHNTS Community Health Nursing Training Schools CHO Community Health Officer CHPS Community-based Health Planning Service CST Country Support Team DACF District Assembly Common Fund DCOF Displaced Children and Orphan Fund DG Director General DHIMS District Health Information Management System E4H Evaluate for Health EBF Exclusive Breastfeeding EMMP Environmental Monitoring and Mitigation Plan ERC Ethical Review Committee EVD Ebola Viral Disease FAA Fixed Amount Award FP Family Planning GAC Ghana AIDS Commission GCNM Ghana College of Nurses and Midwives GGHE General Government Health Expenditure GHS Ghana Health Service GIFEC Ghana Investment Fund for Electronic Communications HRDD Human Resources Development Directorate (GHS) HIV Human Immuno-Deficiency Virus HTI Health Training Institute HQ Headquarters iCCM Integrated Community Case Management ICD Institutional Care Division ICT Information Communication Technology IMNCI Integrated Management of Neonatal and Childhood Illnesses IP Implementing Partners IPC Infection Prevention and Control IPTp Intermittent Preventive Treatment in Pregnancy IT Information Technology TWG Technical Working Group 4 JHU Johns Hopkins University KNUST Kwame Nkrumah University for Science and Technology LMS Learning Management System MCHIP Maternal and Child Health Integrated Program MCSP Maternal and Child Survival Program M&E Monitoring and Evaluation MER Monitoring, Evaluation and Research MIS Management Information Systems MOH Ministry of Health MOP Malaria Operations MOU Memorandum of Understanding MSF Midwifery Services Framework MTS Midwifery Training School NACP National AIDS/STI Control Programme NITA National Information Technology Agency NMC of G Nurses and Midwives Council of Ghana NMCP National Malaria Control Program NMTC Nursing and Midwifery Training College OSCEs Objective Structured Clinical Examination PMI President’s Malaria Initiative PMTCT Prevention of Mother-to-Child Transmission of HIV PPME Policy, Planning, Monitoring & Evaluation, GHS PPMED Policy, Planning, Monitoring & Evaluation Division, GHS RFP Request for Proposal S4H Systems for Health SBCC Social Behaviour Change Communication SDHT Sub-District Health Team SOP Standard Operating Procedure TA Technical Assistance TAG Technical Advisory Group THE Total Health Expenditure TIWG Technical Implementation Working Group USAID United States Agency for International Development WHO World Health Organization 5 I. MATERNAL CHILD SURVIVAL PROGRAM EXECUTIVE SUMMARY The goal of this project is to contribute to the improvement of health outcomes for HIV, malaria, nutrition, family planning and maternal, newborn and child health services. MCSP is working in close collaboration with the Ministry of Health (MOH), Ghana Health Service (GHS) and other United States Agency for International Development (USAID) funded partners (e.g., Systems for Health [S4H], Malaria Care, Evaluate for Health [E4H]), to achieve the following objectives: Objective 1: A better prepared midwifery and nursing workforce that is equipped with the knowledge and skills to effectively provide HIV, malaria, nutrition, family planning (FP) and maternal, newborn and child health services. Objective 2: Improved national and regional capacity to implement a harmonized CHPS model which provides high quality HIV, malaria, FP, nutrition, and maternal, newborn and child health services in 5 regions in Ghana. In FY17 quarter two (Q2), MCSP has completed the following activities: • Organized workshop to create interactive app on HIV 90-90-90 for health care professionals and implementers. • Completed local procurement for medical equipment for the 16 PY3 skills labs. • Participated in site visits with the USAID Mission Director to the Volta and Central regions. • Assisted in the selection of 10 CHPS compounds for adoption as model training sites by four community health nursing schools (CHNTS) and one public health nursing school in collaboration with the principals and tutors, regional and district health directorate. • Submitted the program learning question on urban CHPS to the Johns Hopkins Institutional Review Board for ethical clearance. Received approval and study was determined to be exempt. • Prepared urban CHPS protocol and tools for submission to GHS Ethical Review Committee. Submission to take place in Q3. • Printed and disseminated 200 copies of the national CHPS implementation guidelines in collaboration with Policy, Planning, Monitoring & Evaluation (PPME), GHS. • Completed about 75% of the CHPS FAA milestones in the five MCSP regions. • Participated in the “Institutionalizing Community Health Conference (ICHC)” in Johannesburg, South Africa from 27-30th April, 2017 and made a presentation on the topic “Community Health Practitioner; Evidence To Policy” • Prepared for the upcoming mid-term evaluation visit. The following activities were achieved for Ebola pillar IV Infection Prevention and Control (IPC): • A total of, 3,799 healthcare workers were trained by the end of March 2017: 2,748 (72%) were clinical staff and 1,051 (27%) non-clinical staff. Average knowledge test scores increased from a baseline of 45% to 70% post training. • Conducted all regional hospital IPC trainings in four regions (Brong Ahafo, Eastern, Upper East and Upper West). Monitoring and Evaluation Results to date are presented in Annex 1. Subsequent Quarter’s Work Plan During quarter 3 (April 1 – June 30, 2017), the team will continue to implement activities outlined in the work plan. For preservice education, the Q3 focus will be on the following major activities: • Distribute equipment and models to 16 schools in order to set up skills labs. 6 • Submit requisition for both local and overseas purchases in order to set up additional skills labs for the three additional schools under the higher education fund • Set up skills labs in 16 schools and train tutors on the use of the anatomical models in the midwifery and community health nursing schools. • Hold shared lessons learnt meeting with six pilot midwifery schools. • Develop the scope of work and budgets with Nursing and Midwifery Council (NMC) (supervision tool) and Ghana College of Nurses and Midwives (GCNM) (implementation of the midwifery service framework) for their PY3 fixed amount agreements (FAA). • Train eight preceptors each from 12 CHN schools and one public health school on new GCNM preceptor curricula. • Equip CHPS compounds at 12 CHN schools and one public health schools to support clinical practice of students. • Continue to follow up on development of the CHO checklist with the NMC. • Support the midwifery services framework (MSF) multi-stakeholder meeting, in collaboration with GCNM, in first week of May, 2017. For eLearning, the team will focus on the following activities: 1. Continue with the development of modules by performing the activities below: • Organize workshop for content development for modules on IPC, IMNCI and maternal, newborn and child vaccination • Finalize contract process with the vendor • Develop and review storyboard for modules 2. Commence with the development of interactive