I Guide in Conducting an Implementation Review of the Community Health Service Record System
Total Page：16
File Type：pdf, Size：1020Kb
Guide in Conducting an Implementation Review of the Community Health Service Record System i ii Guide in Conducting an Implementation Review of the Community Health Service Record System This Guide was made possible by the generous support of the American People through the United States Agency for International Development (USAID). The contents of this Guide are the sole responsibility of RTI International and do not necessarily reflect the views of USAID or the United States Government. Guide in Conducting an Implementation Review of the Community Health Service Record System iii iv Guide in Conducting an Implementation Review of the Community Health Service Record System Guide in Conducting an Implementation Review of the Community Health Service Record System v Table of Contents Acknowledgments ..................................................................................................................... vii List of Acronyms ........................................................................................................................ ix About This Guide ........................................................................................................................ x I. Background ....................................................................................................................... 1 II. The Community Health Service Record Implementation Review Process and Tool .......... 3 A. Clarifying the Roles and Tasks of Government Agencies and Partner Nongovernment Organizations/Community Health Volunteer Groups ............................................................... 3 B. Conduct of Preparatory Activities ..................................................................................... 4 C. Developing/Modifying the CHSR Implementation Review Tools ....................................... 5 D. Actual Conduct of the CHSR Implementation Review Workshop ..................................... 7 III. Next Steps .......................................................................................................................27 References ...............................................................................................................................29 ANNEXES .................................................................................................................................31 Annex A: Sample Activity Design ..............................................................................................33 Annex B: Table of Gaps and Challenges in the CHSR Process and Actions Taken/Recommendations .........................................................................................................39 Annex C: CHSR Summary Discussion Forum ...........................................................................41 Annex D: CHSR Referral Percentage Contribution Worksheet ..................................................43 Annex E: Good Practice Writing Guide .....................................................................................45 Annex F: Sample Presentation of a Good CHSR Practice - 2016 .............................................47 vi Guide in Conducting an Implementation Review of the Community Health Service Record System Guide in Conducting an Implementation Review of the Community Health Service Record System vii Acknowledgments Sincere gratitude is extended to the following individuals for their invaluable contribution in the development and review of this Guide in Conducting an Implementation Review of the CHSR System and all the tools contained therein: 1. , Regional Director, DOH Regional Office III 2. , Regional Director, DOH Regional Office IV 3. , former Regional Director, DOH Regional Office IV 4. , OIC Regional Director, DOH Regional Office V 5. Head, Family Health Cluster, DOH Regional Office V 6. , Regional FP Nurse Coordinator, DOH Regional Office III 7. , Development Management Officer IV, Provincial DOH Office, Albay 8. , Regional MNCHN Coordinator, DOH-Regional Office IV 9. , Provincial Health Officer II, Nueva Ecija 10. , Provincial Health Officer I, Nueva Ecija 11. , Provincial Health Officer, Tarlac 12. , Provincial Health Officer, Bulacan 13. , Provincial Health Officer, Albay 14. , Provincial BHW Coordinator, Provincial Health Office, Tarlac 15. , City Health Officer, Sta. Rosa CHO I, Sta. Rosa City 16. , City Health Officer, San Carlos City 17. , Municipal Health Officer, San Manuel, Pangasinan viii Guide in Conducting an Implementation Review of the Community Health Service Record System Guide in Conducting an Implementation Review of the Community Health Service Record System ix List of Acronyms ANC Antenatal Care BHS Barangay Health Station BHW Barangay Health Worker CHD City Health Department CHO City Health Office CHSR Community Health Service Record CHT Community Health Team CHW Community Health Volunteer CPR Contraceptive Prevalence Rate CU Current Users DOH Department of Health DOHRO Department of Health Regional Office DSWD Department of Social Welfare and Development EBF Exclusive Breastfeeding EPI Expanded Program on Immunization FAQs Frequently Asked Questions FBD Facility-Based Delivery FHSIS Field Health Service Information System FIC Fully Immunized Child FP Family Planning HSP Health Service Provider HUP Health Use Plan ICV Informed Choice and Voluntarism IPC Interpersonal Communication IPCC Interpersonal Communication and Counseling KP Kalusugan Pangkalahatan LCE Local Chief Executive LuzonHealth Integrated Maternal, Neonatal, Child Health and Nutrition/Family Planning in the Philippines MNCHN Maternal, Newborn, Child Health and Nutrition NA New Acceptors NDP Nurse Deployment Project NHTS National Household Targeting System PHN Public Health Nurse PHO Provincial Health Office PIR Program Implementation Review PDO Provincial DOH Office RHM Rural Health Midwife RHU Rural Health Unit RHU-MHC Rural Health Unit Main Health Center RPRH Responsible Parenthood and Reproductive Health SBA Skilled Birth Attendance TB Tuberculosis TCL Target Client List UHC Universal Health Care USAID United States Agency for International Development x Guide in Conducting an Implementation Review of the Community Health Service Record System Guide in Conducting an Implementation Review of the Community Health Service Record System xi About This Guide This Guide in Conducting an Implementation Review of the Community Health Service Record System describes the workshop process and tools used during a review of the implementation of the Community Health Service Record (CHSR) System. The two-day implementation review workshop aims to assess the status of the implementation of the CHSR System in data collection, recording and reporting by the Community Health Team (CHT) partners/barangay health workers (BWHs). This activity serves as the venue for discussing the contributions, gaps, and sustainability of CHSR in collecting/gathering data from the National Household Targeting System (NHTS)/non-NHTS families to provide quality health services to those found with unmet need for family planning, maternal, newborn, child health and nutrition, and TB (FP/MNCHN/TB). Through house-to-house profiling of household members, all those found with unmet need are identified and immediately referred for utilization of appropriate health services, thus, significantly reducing unmet health needs and resulting in achievement of higher-level health outcomes. For FP, this strategic activity continues to be important at this time when the Department of Health Regional Offices (DOHROs) and Provincial/City Health Offices (P/CHOs) are scaling up FP strategies and activities in response to Executive Order No. 12 (Attaining and Sustaining Zero Unmet Need for Modern FP) issued in January 2017; and to DOH Administrative Order No. 2017-0005 entitled “Achieving the Desired Family Size through Accelerated and Sustained Reduction in Unmet Need for Modern Family Planning Methods.” This guide is intended for the use of the BHW coordinators of the DOHROs and P/CHOs in assessing the use of the CHSR, in coordination with the Regional/Provincial/City/Municipal Program Managers/Coordinators for FP/MNCHN/TB Programs. For health program managers, there is a need for them to provide oversight in ensuring continuous quality improvement in the implementation of health programs; and for the CHSR System, in particular, regular conduct of an Implementation Review is essential to institutionalize a periodic evaluation system to determine the status of demand generation, community referral system, and quality of community-generated data vis-a-vis referral data entries in the Target Client Lists (TCLs) as a support mechanism for improving the implementation of FP/MNCHN/TB Programs. The conduct of this CHSR System Implementation Review had been introduced in 2015 and 2016 by the United States Agency for International Development (USAID) LuzonHealth Project in selected sites that were implementing CHSR, particularly in San Carlos City, San Manuel Municipality in Pangasinan, Santa Rosa City in Laguna, and in the provinces of Tarlac, Nueva Ecija, Bulacan and Albay.. In the conduct of the review, the use of the CHSR Summary and Discussion Form and the CHSR Referral Percentage Contribution Worksheet was introduced. The CHSR Summary and Discussion Form is used during the review of the CHSR notebooks of the BHWs in a barangay health station (BHS) catchment area and the Rural Health Midwives’ (RHMs’) Target Client Lists or Tuberculosis (TB) Registry for the different health conditions