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Background

• Ngaputaw township is situated in delta region but most of the areas are mountainous and hard to reach areas which are difficult to get health care activities.

• Total population is 313,420 and • about 90% of the population are residing in

rural and mountainous area.

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HEALTH SYSTEM ASSESSMENT

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• In December 2011, Health System Assessment team came to Ngaputaw and conduct baseline assessment on Ngaputaw township Health System.

COORDINATED TOWNSHIP HEALTH PLAN WITH EVERY RHC

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The plan was based on social, economic and physical hardship and plan to conduct service package tours with group of BHS to these hard to reach areas under each and every RHC. Supervision and quarterly meeting were also scheduled in the CTHP.

PACKAGE TOUR (Near High Way Road)

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On conducting package tour activities HAs, LHVs from the responsible RHC together with midwives from the other subcenters. Some package tour activities (especially in physically hard to reach areas) conducted together with EPI .

MCH SERVICES

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CLEAN DELIVERY KITS SUPPLY

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NUTRITION

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VITAMIN A SUPPLIMENTATION

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Nutrition services – weight monitoring to under 5 children, Deworming, Vitamin A supplementation and HE.

ENVIRONMENTAL SANITATION

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TT IN PACKAGE TOUR

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Package Tour-School Health Service

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Package Tour- General Clinic

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MALARIA

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CONDOM PROMOTION

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HE sessions• Health education for

– birth spacing and methods of contraception– breast feeding, – weaning diet and three main group of nutrition – danger of food abstinence during pregnancy and

breastfeeding period with true histories.

• Also give HE on priority health problems like ARI, TB, GE, Malaria including methods for prevention.

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Training• Refresher and recruitment training of AMWs and CHWs

• Through these trained volunteers the community can get true information and health knowledge and they can correct the wrong beliefs

• The communication between these AMWs/CHWs and the BHS become more in touch so it become better linkages between the health staff and community

• Can get early referral of emergency cases. (leading to reduction in IMR, MMR)

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AMW/CHW REFRESHER TRAINING

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Hospital Equity Fund (HEF)• Since May 2012 with the support of GAVI HSS a hospital

equity fund was developed and used for the poor mother and under 5 children who are critically ill, under the management of budgetary sub committee at the township.

• Advocacy about HEF have been make through local authority up to the village level, the local authority from the villages can refer directly to the hospital and can get timely referral.

• In compare to the previous year hospital utilization increases and early referral of high risk pregnancy also increased.04/10/23 19

HOSPITAL EQUITY FUND

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Month Total Patient Delivery cases

Under 5 yrs children

Cost/Kyat

May 2012 2 2 0 144850

June 2012 5 2 3 95860

Comparing Hospital Data with previous year

Duration Operative cases Deliver y case Total inpatients

From Jan to June(2011) 82 77 464

From Jan to June(2012) 139 101 563

WITH HEALTH COMMITTEE

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Quarterly Review Meeting

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