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Strengthening Reproductive Health Service Project Through Improving Health Facilities and Capacity Building for Medical Service Workers

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Strengthening Reproductive Health Service Project Through Improving Health Facilities and Capacity Building for Medical Service Workers This project is funded by the Government of Japan and ADRA Japan and implemented by ADRA Nepal in partnership with Safe Motherhood Network Federation (SMNF) Nepal Strengthening Reproductive Health Service Project through Improving Health Facilities and Capacity Building for Medical Service workers Annual Report May 2014 – May 2015 Submitted To: ADRA Japan/Nepal Submitted By: Safemotherhood Network Federation Nepal 1 Project activities and its achievement Strengthening Reproductive Health Service (SRH) Project is funded by ADRA Japan and implemented by ADRA Nepal in partnership with Safe Motherhood Network Federation Nepal (SMNF/N) .The goal of this project is to improve the maternal and Neonatal health in the Jajarkot district. SRH is assisting Government agencies such as District Health Office (DHO) to increase support and access to services for remote communities. SRH Project in Jajarkot has made significant stride of progress towards the achievement of project results particularly in year three with almost all of its targeted activities implemented at its full swing to meet the overall goal of improving maternal and neonatal health and reducing the associated mortality. The SRH project constructed well equipped birthing centers on six VDCs whereas ANMs of 11 health institutions had gained 60 days skilled birth attendant training and six permanent health service providers were trained for implant services. ADRA SRH Project ppppppp pr Construction + SBA (6) SBA only (5) Implant site (6) Photo: Working VDCs of SRH project at Jajarkot District A notable progress has been achieved in all planned activities that SRH project intended to implement in Jajarkot in third year. Major highlights that featured third year project included: Construction of well equipped birthing centers assembled with solar power to promote uninterrupted and quality service delivery, installation of solar system at district hospital/delivery ward & cold chain room for 24 hours 2 cold chain maintenance, capacity building of VDC level stakeholders through Result Oriented Leadership Development Training (ROLDP), significant number of ANMs trained on Skilled Birth Attendant (SBA) and Health service providers were trained on Implant service. Considering family planning (FP) as essential component of reproductive health, SRH endorsed new practice. Micro planning on FP, a newly emerging concept to enhance CPR from micro level, SRH had implemented in coordination with Family Health Division, DoHS. Individual micro plan on FP of each health facility was developed with detail implementation plan. FCHVs of all VDCs were oriented on FP micro planned along with their responsibilities and mobilized to bring substantial utilization of quality FP services. The most importantly the project activities reached to beneficiaries, couples, youths, pregnant and mothers through capacity building of service providers and HFOMC members, mobilization of FCHVs, logistics support, various ward level interactions, mother’s group meetings, radio airing, health day celebrations and school health programs. Key Achievements of Third Year Project v Five well equipped birthing centers back up with solar power system constructed promising safe delivery and sound health of mother and child v District hospital and cold chain room is being provided regular electricity through 3,780 Wp solar power supply v Eleven ANMs from project VDCs trained on SBA v Six service providers trained on Implant service delivery v Two days Result Oriented Leadership and Development Program (ROLPD) training provided to District Reproductive Health Coordination Committee (DRHCC) members. 26 DRHCC members and DHO staffs were benefited from this training v 79 HFOMC members and social workers (key decision makers) of six birthing centers construction sites capacitated through Result oriented leadership development training v 178 institutional deliveries assisted by SBAs in supported sites (until 15th April 2015) v 174 clients benefitted from implant services (until 15th April 2015) v 26 personnel including DHO focal persons, health workers, line agencies staffs and SRH staffs Capacitated through Master ToT on FP micro planning v All of health workers of periphery level including new recruited staffs were oriented on FP micro planning v 248 FCHVs were oriented on FP micro planning and mobilized to their respected wards v Family planning & safe motherhood related message is being broadcasted 480 times through two local FMs v Supported District Health Office on celebration on Family Planning day 3 Project activities with details: 1.1 Construction of Birthing Centre: Six Birthing Center buildings were constructed by SRH project in six remote VDCs of Jajarkot district namely Archhani, Dhime, Punma, Jhapra, Suwanauli and Salma. The agreement for construction was done on 11th June 2014 with six different contractors. The construction work was started on first week of July 2014 and completed and handover all buildings to HFOMC by 16th May 2015. The inaugural ceremony was organized with huge participation of villagers, HFOMC members, FCHVs, representatives from DAO, DDC, DHO, Journalists, team of ADRA Japan/Nepal, SMNF/N members along with SRH project staffs. The SRH project handed over constructed birthing centers first to District Health Office (DHO) then DHO hand over to respective Health Facility Operation and Management Committee. Birthing Center buildings were designed and constructed as per standard of Government of Nepal. Total plinth area of each birthing centre is 78.8 m2 covering a delivery room, a multipurpose room, sluice, scrub and a toilet. Further, the project approved additional fencing work around the BCs for better security. Photo: Constructed Birthing Center building at Punma VDC 1.2 Equipment Support for constructed Birthing Centers: SRH project supported the constructed birthing centre with essential equipments approved by Family Health Division. Forty different types of SBA equipments were supported to six constructed birthing centers. Further, the project supported required equipments for SBA trained ANMs five birthing centers for effective and regular delivery of services. The equipments were supported at Jungathapachaur, Laha, Dalli, Ramidada and Dasera health facilities. Similarly Gooseneck lamp, delivery bed and baby warmer were provided at delivery ward, district hospital. 4 Photo: Necessary equipments supported at Jhapra & Dhime birthing centers respectively Photo: Baby warmer, Delivery bed, Gooseneck lamp and step stool supported by SRH project at District Hospital, Jajarkot 1.3 Equipment support (Solar power) to District Hospital and Birthing Center The project supported two sets of hybrid solar power system (2100+1680 Watts) to District Hospital and Cold Chain room to operate all the equipments and to provide 24 hours services. Similarly, solar power systems (950 watts) were installed in constructed buildings to promote uninterrupted and 24 hours services ensuring smooth operation of all the equipments supported. 5 Photo: Installation of solar power at District Hospital and cold chain room Photo: Installation of solar power at Dhime Birthing Center 2.1 Result Oriented Leadership and Management Training to District Reproductive Health Coordination Committees (DRHCC): Two days Result Oriented Leadership and Management Training was conducted on 14th - 15th September 2014. Twenty two participants (N=22) from different line agencies, local NGOs including DRHCC members, DHO focal persons, project staffs were benefited from this training. The objective of this training was to develop the leadership, management skill and capacity development of DHRCC members. By the end of the training the participants prepared their own CHALLENGE PROJECT. 6 Photo: DRHCC members on their group work during ROLDP training During this training, District Health Officer, Dhir Jung shah committed to appoint one additional ANMs in coordination with DDC for approved birthing centers of Punma, Archhani, Jhapra, Salma and Suwanauli and consider for their sustainability of services. 2.2 Mobilization of Management Committees (HFOMC) and Community members: v ROLDP Training Three days Result Oriented Leadership and Management training was conducted at each selected construction sites for Health Facility Operation and Management Committee (HFOMC). Total 79 members were benefited from this training. The objective of the training was to train HFOMC for having their active participation in each meeting, creating accountability to responsibilities, capturing local resource for health services improvement and to prepare the CHALLENGE PROJECT for their management committee. Five members quality care group (construction monitoring committee) was also formed during ROLDP training. This committee conducted regular monitoring of construction works ensuring the quality controls. After receiving the training, the HFOMC actively participated in HFOMC meeting, involve in follow up of construction activities and deploy for completion of challenge 7 project. Photo: HFOMC members of Archhani HP actively participated on ROLDP training v Review and follow up of Result Oriented Leadership and Development Program: In this project period two quarterly review meeting of ROLDP to HFOMC members were completed on all six Birthing center sites constructed by SRH. This meeting was facilitated by Health facility incharge and community Officers. The objective of this review meeting is to review and follow up on challenge projects, strengthening of HFOMCs,
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