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Annual Report Improvement October 1, 2014– HEALTH SERVICES ANNUAL REPORT IMPROVEMENT OCTOBER 1, 2014– SEPTEMBER 30, 2015 COMPONENT HSI Component Annual Report: October 1, 2014–September 30, 2015 1 Cooperative Agreement No.: AID-685-A-11-00003 Project Dates: October 1, 2011–September 30, 2016 Submitted to USAID/Senegal by: INTRAHEALTH INTERNATIONAL Senegal Country Office Dakar, Senegal Email: [email protected] The Health Services Improvement project is part of the USAID Health Program and is implemented by IntraHealth International in partnership with Helen Keller International, Medic Mobile, and the Siggil Jigéen Network. HSI Component Annual Report: October 1, 2014–September 30, 2015 2 TABLE OF CONTENTS Abbreviations and Acronyms .................................................................................................................. 4 I. Executive summary ............................................................................................................................ 6 II. Main achievements ............................................................................................................................ 7 Sub-component 1: Increased access to an Integrated Package of Quality Services .............. 7 Sub-component 2: Improved quality of health services in health posts, health centers, and regional hospitals ..................................................................................................................... 24 Sub-component 3: Improved human resources management in public sector health facilities .............................................................................................................................................. 32 Sub-component 4: Development of relationships with private sector health facilities ........... 37 III. Main challenges ............................................................................................................................... 56 IV. The way forward and priorities for Year 5 ...................................................................................... 57 V. Financial report ................................................................................................................................. 58 VI. Annexes ............................................................................................................................................... 0 Annex 1: Performance monitoring plan ........................................................................................... 0 Annex 2: On-site supervision coverage for SDPs, by package and by health district ............ 10 Annex 3: Summary of IPQS training ................................................................................................ 14 Annex 4: Integration of FP and vaccination .................................................................................. 16 Annex 5: Summary of results of the implementation of integrated advanced strategies ....... 17 Annex 6: Planning tools for ECRs and ECDs ................................................................................... 18 Annex 7: Sample sermon ................................................................................................................. 19 Annex 8: mEbola Concept Note ..................................................................................................... 23 Annex 8: Equipment and supply inventory for 31 October 2015 ................................................ 25 HSI Component Annual Report: October 1, 2014–September 30, 2015 3 Abbreviations and Acronyms Artemisinin-based Combination HC Health Center ACT Therapy HD Health District Marketing and Social ADEMAS HKI Helen Keller International Development Agency HP Health Post Active Management of the Third AMTSL Stage of Labor HSI Health Services Improvement ANC Antenatal Care ICP Head Nurse Health Workforce Information APL Acceptable Performance Level iHRIS Software AS Advanced Strategies Integrated Management of Adolescent and Youth IMCI AYRH Childhood Illnesses Reproductive Health IPC Interpersonal Communication Health Emergencies Operations COUS Integrated Package of Quality Center IPQS Services CPR Contraceptive Prevalence Rate IPT Intermittent Preventive Therapy Nutritional Recovery and CREN Information System for Education Center ISM Management DAN Division of Food and Nutrition ITN Insecticide-Treated Bednet Directorate General of Health DGS Services IUD Intra Uterine Device Long-Term and Permanent DHIS District Health Information System LTPM Method DRH Department of Human Resources MCD Chief District Medical Officer Department of Reproductive DSR/SE Health and Child Survival MCR Chief Regional Medical Officer Maternal, Newborn, and Child ECD District Medical Team MNCH Health ECR Regional Medical Team Ministry of Health and Social Emergency Obstetric and MSAS EmONC Action Neonatal Care MSI Marie Stopes International ENC Essential Newborn Care NGO Non-Governmental Organization Expanded Program on EPI Immunization ORS Oral Rehydration Salts EVD Ebola Virus Disease PAQ Quality Improvement Partnership FP Family Planning PHF Public Health Facility Infection Prevention and GBV Gender-Based Violence PIPE Environmental Protection HAS Hydro-Alcoholic Solution HSI Component Annual Report: October 1, 2014–September 30, 2015 4 Prevention of Test Technical and PMTCT Mother-to-Child Reach Every TFP Financial RED Transmission District Partners PNC Postnatal Care Cheikh Anta Reproductive UCAD RH Diop University National Malaria Health PNLP Control Program United Nations Regional UNFPA Population Fund Post-Partum RPM Program PP/IUD Intra Uterine Manager United Nations Unicef Device Réseau Siggil Children's Fund RSJ Public-Private Jigéen Nutrition PPP Partnership Situational UREN Recovery and SA Education Unit Regional Analysis PRA Procurement National United States Pharmacy Agency for SAMU Emergency USAID International National Medical Service Development Nosocomial PRONALIN Standard Days Infections SDM World Health Method WHO Control Program Organization Service Delivery SDP USAID Regional Point Coordination RB Automated Data Bureau for the SEDA Exchange Health Program System RDT Rapid Diagnostic HSI Component Annual Report: October 1, 2014–September 30, 2015 5 I. Executive summary The Health Services Improvement (HSI) component of the USAID health program is a five- year project that is implemented by IntraHealth International in partnership with Helen Keller International (HKI), Réseau Sigils Jigéen (RSJ), and Medic Mobile though cooperative agreement AID-685-A-11-00003. The goal of the project is to overcome major challenges in the delivery of quality health care services (accessibility, operations, health care staff, and the private sector) to support the Senegalese government’s efforts to achieve the Millennium Development Goals. The component’s primary objective is to strengthen the delivery of quality health services at health facilities through the following four sub-components: 1) Increased access to an Integrated Package of Quality Services (IPQS) 2) Improved quality of health services in health posts, health centers, and regional hospitals 3) Improved human resources management in public sector health facilities 4) Development of relationships with private sector health facilities The fourth year of implementation has been a pivotal year, characterized by: Greater coverage of districts by on-site supervision, with 74% of enrolled service delivery points (SDPs) having received at least one tutor visit A 73% increase in the number of newly enrolled users of a family planning (FP) method through integrating FP into services and advanced strategies compared to last year Launching of innovative interventions such as the post-partum IUD (PP/IUD) in Touba health district and the approach to improve postnatal care (PNC-1) in the Sédhiou region Registration of 12,672 employees from the Ministry of Health and Social Action (MSAS) in the Health Workforce Information Software (iHRIS), which allowed for mapping human resources in health Scale-up of the Automated Data Exchange System (SEDA), which has now been introduced in 11 regions and 66 health districts Needs inventory of equipment and training to prepare for the Ebola response in five intervention regions The signing of Memoranda of Understanding between the TutoratPlus districts and 326 private health facilities HSI Component Annual Report: October 1, 2014–September 30, 2015 6 II. Main achievements Sub-component 1: Increased access to an Integrated Package of Quality Services For greater availability of the Integrated Package of Quality Services (IPQS), the component prioritized TutoratPlus implementation and specific interventions in FP, maternal health, child survival, nutrition, and malaria control. Analysis of progress Expected results for Year 4 Results achieved The coverage rate for SDPs receiving on-site Tutors conducted 2252 of the planned 2500 supervision increases from 32% to 80%. visits, or an annual performance rate of 90%. The number of SDPs that received at least The number of new users of FP methods is one tutor visit went from 426 in Year 3 to 973, increased with the implementation of at least or 74% of enrolled SDPs. 2249 information sessions and delivery of FP services during vaccination sessions and The total number of new enrolled users for advanced strategies implemented by head the year through integrated services is 30,197 nurses (ICPs) in health huts. compared to 17,417 last year, or a 73% increase compared to the previous year. The skills
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