I'--== P~ ...-- ---• - Projet De Gestion Regionale Maroc Des Services De Sante
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_i'--== p~ ...-- ---• - Projet de Gestion Regionale Maroc des Services de Sante C/O Ministere de la Sante. km 4,5 route de Casablanca, Rabat, Maroc. Tel: (212)37298423131 Fax: (212}37690664 ... .... Quarterly Performance .... Report .. Q-5 ... .. July 1 to September 30, 2001 ... ... Submitted: December 24, 2001 ""' ""' ... .. TABLE OF CONTENTS Acronyms .................................................................................................................. 1 Introduction .............................................................................................................. 3 Result I: Roles, Responsibilities and Capabilities Identified, Defined and Developed at the Various Levels of the Ministry of Health ................................... 3 Institutional Environment ........................................................................................ 3 Planning and Evaluation ......................................................................................... 5 Quality Assurance ................................................................................................... 7 Result II: Innovative Models to Improve the Accessibility, Utilization, Quality and Efficiency of Services Developed and Tested by Regional and Local Teams ................................................................................................................. 8 Family Planning .................................................................................................... 11 Child Health .......................................................................................................... 11 .. STI/AIDS ............................................................................................................... 11 Partnership ........................................................................................................... 12 Support Activities ......................................................................................•............ 13 In-service Training ................................................................................................ 13 Family Planning .................................................................................................... 13 Information System ............................................................................................... 13 Partnership ........................................................................................................... 14 .. Administrative Activities ....................................................................................... 15 Project Planning .................................................................................................... 15 Personnel ....................................................................................................., ....... 15 Finance ................................................................................................................. 15 Procurement ......................................................................................................... 16 Training/Study Tours ............................................................................................ 16 Annexes .................................................................................................................. 17 ... Annex 1: Consultants List. ........................................................................................ 18 Annex2: Local Training ............................................................................................. 20 .. Annex 3: Procurement.. ............................................................................................ 24 Annex 4: List of documents, reports and training and IEC materials ........................ 26 .. ... Contract No.: HRN-I'()()'98-00032 Acronyms ACS Assistance and Communication Skills AIDS Acquired Immune-Deficiency Syndrome IiiIit BEOC Basic Emergency Obstetric Care CAB Chtouka Ait Baha .. CHU Centre Hospitalier et Universitaire CHFRH Centre National de Formation et Reproduction Humaine CRAQ Commission Regionale d' Assurance Qualite ... CRESP Comite Regional Sante et Population DELM Direction de l'Epidemiologie et la Lutte contre les Maladies DEM Direction de I'equipement et de la Maintenance DHSA Direction des Hopitaux et des Soins Ambulatoires DIEC Direction de l'lnformation, Education et Communication DIM Division de l'lnformation et des Methodes DP Direction de la Population ... DPRF Direction de la Planification et des Ressources Financieres FP Family Planning FP/MCH Family Planning and Maternal and Child Health HES Health Economy Service HIS Health Information System HSPH Harvard School of Public Health lAM Inezgane Ait Melloul ... IEC Information, Education and Communication IFCS Institut de Formation aux Carrieres de Sante IMCI Integrated Management of Childhood Illnesses ... IS Information System 1ST In-service Training ... IUD Intra-Uterine Device JSI John Snow Inc. MCH Matemal and Child Health ... MH Maternal Health MOH Ministry of Health ... MV Mohammed V NGO Non-Govemmental Organization OR Obstetrical Register PAIN Projet d'Audit Inteme sur les Nouveau-nes PCP Partnership And Community Participation .. PMU Project Management Unit PNAQ Programme National d'Assurance Qualite .. (National Quality Assurance Program) p~ Projet de Gestion Regionale des Services de Sante QA Quality Assurance RCC Regional Coordination Committee RPMU Regional Project Management Unit ... SEIS Service des Etudes et de l'lnformation Sanitaire SIMP Service d'infrastructure des Actions Ambulatoires Provinciales SMD Souss-Massa-Draa SMIPF Matemal and Child Health (only used for the Health Information System) SNIS-SA Systeme National d'information Sanitaire des Soins Ambulatoires • p~ Contract No.: HRN-I-OO-98-00032 .. 1 \~ SONU Soins Obstetricaux et Neonatals d'Urgence ... (Emergency Obstetric and Neonatal Care) STI Sexually Transmitted Infection TACS Training in Assistance and Communication Skills TRG Training Resources Group n Tanger-Tetouan URC University Research Corporation USAID United States Agency for International Development VSC Voluntary Surgical Contraception WP01 Work Plan 2001 ... .... ... ... ... .. .. Contract No.: HRN-I-OO-98-00032 2 " ,,.i ... QUARTERLY PERFORMANCE REPORT ... Contractor: John Snow, Inc . Reporting period: July 1 to September 30, 2001 Contract nO: HRN-I-00-98-00032 Report nO: Q-5 Introduction ... The major investment of p~ during this reporting period was in the strengthening of the data collection of the obstetric information system. During this quarter, importance was also accorded to the finalization of the terms of ... collaboration in SONU training between the region, the CNRFH and the in-service training division. Procedures have also been initiated with the Souissi maternity and the Marrakech CHU to help, respectively, Taroudant and Ouarzazate to become SONU training sites. The upgrading of the sites as well as ACS training are progressing to prepare for SONU training scheduled to start in October 2001. The main event of the summer was the dissemination of the results of the study of the relation between parturients and service-providers undertaken by the Agadir IFCS in collaboration with the provincial delegations. ... The period of the summer slack was marked by a major reshuffling of all MOH delegates. These changes, accompanied by the appointment of new regional walis (governors), provided the project with an opportunity to review and consolidate the communication and information strategy with the new regional decision-makers. While this quarter generally sees a slowing down of the pace of action implementation because of a massive departure on annual leave of many staff in July-August, several activities could be implemented in September. This quarterly report does not' present different chapters for each level of implementation. On the contrary, all of the achievements, analysis of opportunities and constraints are made by component. The reader will therefore have an exact idea of the achievements at each level and an overall view of project achievements. Result I: Roles, Responsibilities and Capabilities Identified, Defined and Developed at the Various Levels of the Ministry of Health INSTITUTIONAL ENVIRONMENT Outstanding facts: ... In order to progress with the regionalization debate within the 1. Initiating the study on MOH, a meeting is scheduled for the beginning of October in budget allocation in the Agadir. This meeting, to be held also within the framework of the province of Tangier ... Assilah thematic days programmed for the SMD region, will allow for the 2. Change of delegates discussion of the major ideas of Tom Bossert's conSUltancy 3. Executive brief OIl report. The participation of the central MOH directorates, of addressed to the new managers of the SMD region, of the different Moroccan regions delegates. Contract No.: HRN-I'()()"98-00032 3 - that have initiated a decentralization experience as well as of donors and local and ... regional authorities for the SMD region and of resource persons in decentralization has been considered. Preparing this activity resulted in an effective collaboration between the central level and the SMD region. Tom Bossert arrived on September 24, to assist with the preparation and supervision of this meeting. The major objectives of this meeting will be to: • Share the state of the internal deconcentration process. ... • Clarify and strengthen the role and responsibility of the central level, the region and