Mamoni HSS FY16 Q3 Quarterly Report
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MaMoni Health Systems Strengthening Activity (USAID Cooperative Agreement AID-388-LA-13-00004) Annual Report October 1, 2015 – September 30, 2016 After watching a video program conducted in her village, Shilpi Begum became motivated to come to recently renovated Binoykathi UH&FWC in Jhalokathi Sadar sub-district for four ANC checkups, and returned again to give birth to a baby girl on August 23, 2016. Binoykathi is one of the 75 facilities where delivery and newborn service was introduced to bring lifesaving services closer to home. Submitted October 30, 2016 Cover Photo Story: Binoykathi Union Health and Family Welfare Centre (UH&FWC) was renovated with MaMoni HSS support. It is one of the 75 UH&FWCs where MaMoni HSS supported MOH&FW to introduce normal vaginal delivery and essential newborn care services. Photo Credit: Mr. Nizam Uddin, Partners in Health and Development/MaMoni Health Systems Strengthening Project This document is made possible by the generous support of the American people through the support of the Office of Population, Health, Nutrition and Education, United States Agency for International Development (USAID), Bangladesh (USAID/Bangladesh), under the terms of Associate Cooperative Agreement No. AID-388-LA-13-00004 through Maternal and Child Health Integrated Program (MCHIP). The contents of this document are the responsibility of the MCHIP Project and do not necessarily reflect the views of USAID or the United States government. Table of Contents MaMoni Health Systems Strengthening Activity ................................................................................................ 1 Table of Contents .................................................................................................................................................. i Abbreviations ................................................................................................................................................. ii Executive Summary....................................................................................................................................... 5 Introduction .......................................................................................................................................................... 8 Program Results for the YeAr ....................................................................................................................... 8 IR 1. Improve Service Readiness through Critical Gap Management ................................................. 8 IR 2: Strengthened Health Systems at District Level and Below ..................................................... 29 IR 3. Promote an Enabling Environment to Strengthen District Level Health Systems .................. 46 National level technical assistance .................................................................................................... 46 IR 4. Identify and Reduce Barriers to Accessing Health Services .................................................... 48 Challenges, Solutions, and Action Taken ................................................................................................. 51 Challenges ........................................................................................................................................... 51 Way Forward ........................................................................................................................................ 51 Appendix 1: Scope and Geographical coverage of Mamoni HSS project ............................................... 52 Appendix 2: Program Performance Indicators (October 2015–September 2016) ............................... 53 Appendix 3: MNCH Essential Drugs Monitoring Report ........................................................................... 69 Appendix 4: Documentation and Dissemination of MaMoni Program Learning .................................... 72 Appendix 5: Links to Safe Motherhood day Videos and Media Stories Published ................................ 73 Appendix 6: Status of Health Facility Renovations .................................................................................. 76 Appendix 7: Mid Term Evaluation and How the Recommendations were incorporated ....................... 78 MaMoni Health Systems Strengthening Activity: FY’16 Annual Report i ABBREVIATIONS AHI Assistant Health Inspector AMTSL Active management of third stage of labor BCC Behavior Change Communication BEmONC Basic emergency obstetric and newborn care BNF Bangladesh Neonatology Forum BSMMU Bangabandhu Sheikh Mujib Medical University CAG Community Action Group CB Community-based CEmONC Comprehensive emergency obstetric and newborn care CHW Community Health Worker CHX Chlorhexidine CIPRB Center for Injury Prevention and Research, Bangladesh CMAM Community-based management of acute malnutrition cMPM Community microplanning meeting CNCP Comprehensive newborn care package CSBA Community Skilled Birth Attendants CV Community Volunteer CVRS Civil registration and vital statistical system CYP Couple years of protection DDFP Deputy Director Family Planning DDS Drugs and Dietary Supplements DGFP Directorate General Family Planning DGHS Directorate General Health Services DRS District Reserve Store EPCMD Ending Preventable Child and Maternal Deaths FPI Family Planning Inspector FWA Family Welfare Assistant FWV Female Welfare Visitor GOB Government of Bangladesh HA Health Assistant HBB Helping Babies Breathe HPNSDP Health, Population, and Nutrition Sector Development Program HS Health systems HSS Health systems strengthening ii MaMoni Health Systems Strengthening Activity: FY’16 Annual Report IFA Iron plus Folic Acid IMCI Integrated Management of Childhood Illness IPHN Institute of public health nutrition IR Intermediate result JSV Joint supervisory visit LAPM Long-acting and permanent method LMIS Logistics management information system MAMA Mobile Alliance for Maternal Action mCPR Modern contraceptive prevalence rate MCWC Maternal and Child Welfare Center MNCH/FP/N Maternal, newborn and child health, family planning, and nutrition MNH Maternal and newborn health MOH&FW Ministry of Health and Family Welfare MOLGRD&C Ministry of Local Government Rural Development & Cooperatives MOU Memorandum of understanding MPDR Maternal and perinatal death review NIPORT National Institute of Population Research and Training NNS National nutrition services OGSB Obstetrics and Gynecology Society of Bangladesh PPIUCD Postpartum intra-uterine contraceptive device QA Quality assurance QI Quality improvement QPRM Quarterly performance review meeting RD Rural Dispensary RHIS Routine health information system RRQIT Regional roaming quality improvement team SACMO Sub-assistant Community Medical Officer SAM Severe Acute Malnutrition SBA Skilled Birth Attendant SBM-R Standards-Based Management and Recognition SC Save the Children SCANU Special care newborn unit SDP Service delivery point SIAPS Systems for improved access to pharmaceuticals and services SSN Senior Staff Nurse MaMoni Health Systems Strengthening Activity: FY’16 Annual Report iii STG Strategic thematic group TBA Traditional Birth Attendant TOT Training of trainers UEHFPSC Union Education Health and Family Planning Standing Committee UFPO Upazila Family Planning Officer UHC Upazila health complex UH&FPO Upazila Health and Family Planning Officer UH&FWC Union Health and Family Welfare Centers UP Union parishad USAID United States Agency for International Development USC Union sub-centers iv MaMoni Health Systems Strengthening Activity: FY’16 Annual Report EXECUTIVE SUMMARY Key Accomplishments of the MaMoni Health Systems Strengthening Project (MaMoni HSS) In the third year of implementation, MaMoni Health Systems Strengthening Activity (MaMoni HSS) Project strengthened its focus to support the national level initiatives of the MOH&FW by supporting the development of an implementation plan of the fourth sector program, initiating new collaboration in human resource management and quality improvement. MaMoni HSS also consolidated its inputs at the district level to ensure integration of services and stronger demonstrable results in service readiness and utilization in MNCH-FP-N at all levels. Of the many accomplishments in Year 3, of note are three major accomplishments: In collaboration with the Directorate General of Family Planning, MaMoni HSS has completed a nationwide facility assessment covering all 4,461 union level health facilities to determine their readiness to provide normal delivery care and essential newborn care services. The output was a comprehensive database of these facilities, which will be used to advocate for investments from MOHFW and development partners to strengthen these facilities. MaMoni HSS has also completed seven divisional level dissemination and advocacy events to prioritize this initiative as part of the new Health Nutrition and Population (HNP) sector program. MaMoni HSS has completed the initial roll out of 7.1% chlorhexidine application for newborn umbilical cord care through public sector health facilities in all 64 districts of the country. MOHFW is supporting the roll out by procuring and distributing the product, whereas the project has supported the training of 80,579 public sector health workers, supervisors and managers at all levels. The project has also supported integration of CHX into the routine monitoring systems of MOHFW, and has supported a Newborn and Child Health Cell within the Integrated Management of Childhood Illness (IMCI)