2012 Annual Report North Fly Health Services Development Program CONTENTS Foreword ................................................................................................................................................................................... 4 1 Introduction ....................................................................................................................................................................... 6 1.1 Background to the North Fly Health Services Development Program ..................................................................... 6 1.2 Annual reports ......................................................................................................................................................... 6 2 Progress against program activities ................................................................................................................................. 7 2.1 Maternal and child health services........................................................................................................................... 7 2.2 Outreach patrols ...................................................................................................................................................... 9 2.3 Supporting the prevention and treatment of STIs, HIV and AIDS .......................................................................... 14 2.4 Controlling the transmission of tuberculosis .......................................................................................................... 16 2.5 Environmental health in focus ................................................................................................................................ 19 2.6 Community awareness across all program components ....................................................................................... 20 3 Supporting fundamental factors that enable the provision of core health services ......................................................... 21 3.1 Supplementing essential drugs and medical supplies ........................................................................................... 21 3.2 Health radios .......................................................................................................................................................... 22 3.3 Strengthening health worker performance ............................................................................................................. 23 3.4 Infrastructure .......................................................................................................................................................... 27 3.5 Enabling the collection of routine health information ............................................................................................. 27 4 Tabubil Urban Clinic ....................................................................................................................................................... 28 4.1 General outpatient services ................................................................................................................................... 28 4.2 Opportunistic immunisations .................................................................................................................................. 28 4.3 Outreach services .................................................................................................................................................. 28 4.4 Other Tabubil Urban Clinic activities ...................................................................................................................... 29 5 Kiunga Hospital .............................................................................................................................................................. 30 5.1 Background ............................................................................................................................................................ 30 5.2 Moving forward ...................................................................................................................................................... 32 6 Program Coordination .................................................................................................................................................... 33 6.1 Implementation Coordination Committee ............................................................................................................... 33 6.2 Program Activity Groups ........................................................................................................................................ 34 7 Partner Profile ................................................................................................................................................................ 35 8 Program Monitoring and Evaluation ............................................................................................................................... 36 8.1 External evaluations .............................................................................................................................................. 37 9 Program Administration .................................................................................................................................................. 38 9.1 NFHSDP Employee of the Year ............................................................................................................................ 38 10 Challenges in 2012 ......................................................................................................................................................... 39 11 Key themes and opportunities in 2013 ........................................................................................................................... 40 12 Financial report ............................................................................................................................................................... 41 13 Contacts ......................................................................................................................................................................... 42 1 2012 Annual Report North Fly Health Services Development Program LIST OF TABLES Table 2-1 Progress against NDOH Annual Sector Review Maternal and Child Health indicators ......................................... 8 Table 2-2 Number of outreach clinics by health facility in North Fly District 2008-2012 ........................................................ 9 Table 2-3 Progress against cold chain integrity indicator .................................................................................................... 11 Table 2-4 Outreach services provided on patrol - 2012 ...................................................................................................... 11 Table 2-5 Progress against NFHSDP program indicators ................................................................................................... 14 Table 2-6 NFHSDP support for STI, HIV and AIDS activities .............................................................................................. 15 Table 2-7 NFHSDP support for the TB Program ................................................................................................................. 16 Table 2-8 Progress against malaria-related indicators ........................................................................................................ 17 Table 3-1 Progress against indicator for reporting of nil shortages of drugs ....................................................................... 21 Table 3-2 NFHSDP supply of supplementary drugs and medical supplies to Partner agencies 2012 ................................ 22 Table 3-3 Functioning health radio system ......................................................................................................................... 23 Table 3-4 NFHSDP facilitated on-the-job training ............................................................................................................... 24 Table 3-5 NFHSDP Scholarship Awarded and Completed – 2010-2012 ............................................................................ 25 Table 4-1 Presentations to Tabubil Urban Clinic by age category for 4 specific health conditions, 2012 ........................... 28 Table 5-1 Key activities in 2012 to improve systems and processes at Kiunga Hospital .................................................... 31 Table 6-1 Progress against NFHSDP partnership indicators .............................................................................................. 33 Table 6-2 Key partnership activities in 2012 ....................................................................................................................... 35 Table 8-1 Progress against NFHSDP M&E indicators ........................................................................................................ 36 Table 10-1 Key challenges of the NFHSDP in 2012 ........................................................................................................... 39 LIST OF FIGURES Figure 6-1 ICC attendance - 2009 ....................................................................................................................................... 34 2 2012 Annual Report North Fly Health Services Development Program ACRONYMS ACT Artemisinim-based combination therapy ANC Antenatal care