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Mamoni Health Systems Strengthening Activity (USAID Cooperative Agreement AID-338-LA-13-00004)

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Mamoni Health Systems Strengthening Activity (USAID Cooperative Agreement AID-338-LA-13-00004) MaMoni Health Systems Strengthening Activity (USAID Cooperative Agreement AID-338-LA-13-00004) Quarterly Report October 1 – December 31, 2015 The newly formed Regional Roaming Quality Improvement Team for Barisal region examining the Operation Theatre of Jhalokathi Maternal Child Welfare Center Submitted February 5, 2016 Cover Photo Story: Mr. Md. Taiabur Rahman, DDFP (in charge), Barisal District, and Regional Consultant, FP-CST/QAT for Barisal region visited Jhalokathi Maternal Child Welfare Centre to assess quality gaps. MaMoni HSS Project is supporting the Quality Improvement Unit of MOH&FW, and developed a regional roaming quality improvement team in Barisal division. Photo Credit: Partners in Health and Development/Save the Children 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-338-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 ................................................................................................................................ 1 Introduction ............................................................................................................................................ 3 Program Results for the Quarter ............................................................................................................ 5 IR 1. Improve Service Readiness through Critical Gap Management ......................................... 5 IR 2: Strengthened Health Systems at District Level and Below .............................................. 15 IR 3. Promote an Enabling Environment to Strengthen District Level Health Systems........... 27 IR 4. Identify and Reduce Barriers to Accessing Health Services ............................................. 29 Challenges, Solutions, and Action Taken .......................................................................................... 31 Challenges .................................................................................................................................... 32 Opportunities ................................................................................................................................ 32 Appendix 1: Case Studies and Success Stories .................................................................................. 33 A.1.1 Crash program at char abdullah, Ramgoti, Lakshmipur brings much needed services to a remote island ............................................................................................................................... 33 Appendix 2: Program Performance Indicators (October–December 2015) ........................................ 37 Appendix 3: MNCH Essential Drugs Monitoring Report ...................................................................... 49 Appendix 4: Dissemination of MaMoni Program Learning .................................................................. 55 Appendix 5: Environmental Compliance Report .................................................................................. 56 Appendix 6: Links to Media Stories Published .................................................................................... 58 MaMoni Health Systems Strengthening Activity: FY’16 Q1Quarterly Report i ABBREVIATIONS AHI Assistant Health Inspector AMTSL Active management of third stage 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 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 IFA Iron plus Folic Acid ii MaMoni Health Systems Strengthening Activity: Annual Report 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 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 STG Strategic thematic group TBA Traditional Birth Attendant TOT Training of trainers MaMoni Health Systems Strengthening Activity: FY’16 Q1Quarterly Report iii 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 iv MaMoni Health Systems Strengthening Activity: Annual Report EXECUTIVE SUMMARY Key Accomplishments of the MaMoni Health Systems Strengthening Project (MaMoni HSS) In the first quarter of year three, the key accomplishments of the project include the following: • MaMoni HSS has been supporting the Directorate General Family Planning (DGFP) in assessing all Union Health and Family Welfare Centers (UH&FWCs) in Bangladesh for readiness to provide 24/7 delivery services. During this quarter, assessment of 1,703 UH&FWCs in all of Rangpur division and parts of Dhaka, Khulna and Rajshahi divisions have been completed, bringing the total assessment to 3,052 out of a projected 4,000 health facilities nationwide. MaMoni also organized the first meeting of the technical assistance cell (TAC) at DGFP where the preliminary findings from the assessments were reported. • MaMoni HSS has been supporting the routine health information system (RHIS) initiative of the Directorate General Health Services (DGHS) MOH&FW to pilot the automated population registry system (PRS). As of December 31, 2015: 342,200 household members in 47,802 households of Madhabpur upazila of Habiganj district have been registered, and preparations were completed to introduce PRS in Lakhai upazila in January 2016. In three unions of Madhabpur, Family Welfare Visitors (FWVs) were trained to record service data in maternal, newborn, and child health (MNCH) e-register, which includes antenatal care (ANC), delivery, newborn, and post-natal care (PNC) modules of the UH&FWC register. The FWVs shared that, after a learning curve, it has been very helpful for them to use the automated system, both in laptop and tablet PCs. • MaMoni HSS successfully advocated with DGHS to place four gynecology consultants, and two anesthesia consultants in CEmOC designated centers. These staff were posted in Habiganj and Jhalokathi district hospitals, Hatiya Upazila Health Complex (UHC) in Noakhali district, Ajmiriganj and Baniachang UHC in Habiganj district. MaMoni is working with the district administration to ensure that these consultants stay at their work place and contribute to improve CEmONC service delivery. • National Scale-up up of Chlorhexidine support has included training of 17,077 service providers in 20 districts. In January 2016, the Chlorhexidine procurement has been transferred to Central Medical Store Depot (CMSD), and distribution
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