quarterly report - squarespaceq3+report+2016.pdf• completed all short-term post-earthquake...

QUARTERLYREPORT

Quarter 3: July 2016 - September 2016

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Districts in Phase 1: Set Up Taplejung I Panchtar I Terhathum

OHW gets approval from the District Health Offices for programs; hires district level team; sets up field office; conducts a baseline study and needs assessment; and establishes a plan of action for program activities. Taplejung

• Set up Field Office; field implementation is ready to start. • Made official briefing to District Health Officer announcing OHW plans and program activities. • Performed district-wide rapid needs assessment in order to identify current gaps. • Conducted birthing center needs and feasibility assessment in two health facilities to upgrade.

Panchtar

• District Coordinator and a Field Supervisor have been hired. • Rapid Needs Assessmen completed in order to identify current needs. Terhathum

• District Coordinator was hired.• Rapid Needs Assessment has been initiated.

Districts in Phase 2: Implementation Dhading I Sindhupalchok I Bhojpur I Khotang

OHW implements all training programs and facility upgrade activities. We train medical providers (nurses and doctors) to become Skilled Birth Attendants (SBAs); we offer continuing medical education to existing SBAs (high-risk obstetrics/neonatology and ultrasound training); we train female community health volunteers and health workers to become community outreach providers; and we train local stakeholders into birthing center management and program allies. Health facilities are upgraded into fully functioning government certified birthing centers. Dhading (earthquake zone)

Q1 Q2 Q3 Q4 Total Target Variance

Community Outreach Providers Trained 267 0 89 TBD 356 280 +78Local Stakeholders Trained 891 0 43 TBD 934 890 +44Medical Providers Trained as SBAs 1 0 2 TBD 3 20 -17Continued Medical Education for SBAs 34 41 18 TBD 93 102 -9Birthing Centers Fully Upgraded 1 5 1 TBD 7 5 +2

• Partial birthing center upgrades: o 14 birthing centers received additional medical equipment o 2 birthing centers received solar suitcases


Dhading (earthquake zone) continued

• Conducted community outreach activities through street drama, public display boards, and school health programs were organized in nine village development communities to raise program awareness.

• Conducted Quality of Care (QoC) assessments in four birthing centers to assess the quality of service at existing birthing centers.

• Conducted additional joint supervision visits with the District Health Officer to ensure service delivery quality, program sustainability and ownership.

• Completed all short-term post-earthquake recovery activities and submitted a project completion report to the Ministry of Health.

Sindhupalchok (earthquake zone)

Q1 Q2 Q3 Q4 Total Target VarianceCommunity Outreach Providers Trained 665 0 49 TBD 714 775 -61Local Stakeholder Trained 1,105 599 79 TBD 1,783 1,195 +588Medical Providers Trained as SBAs 8 0 8 TBD 16 10 +6Continued Medical Education for SBAs 21 0 40 TBD 61 63 -2Birthing Centers Fully Upgraded 1 0 0 TBD 1 4 -3

• Completed Quality of Care (QoC) assessment for one birthing center.• Joint supervision visits along with regular program supervision and follow-ups continue to take place

with the District Health Officer to ensure sustainability, quality, and ownership of the programs at the district level.

• Under the leadership of the Local Development Officer, conducted a District Project Advisory Committee (DPAC) meeting during which OHW planned activities were compared against current progress.

• Partial birthing center upgrades: o 15 birthing centers received additional medical equipment. o 1 birthing center received a solar suitcase • Completed all short-term post-earthquake recovery activities and submitted a project completion

report to the Ministry of Health.

Bhojpur

Q1 Q2 Q3 Q4 Total Target VarianceCommunity Outreach Providers Trained 0 0 770 TBD 770 786 -16Local Stakeholders Trained 0 208 607 TBD 815 760 +55Medical Providers Trained as SBAs 9 0 0 TBD 9 10 -1Continued Medical Education for SBAs 0 0 26 TBD 26 25 +1Birthing Centers Fully Upgraded 0 0 0 TBD 0 5 -5

• Participated in a District Reproductive Health Coordination Committee (RHCC) meeting led by the District Health Officer during which existing maternal neonatal health related challenges were reviewed and an action plan was created.

• Initiated preliminary work with three new health centers to fully upgrade their bithing centers • Provided financial and technical support to organize a MCH-related health management information

system (HMIS) review meeting. • Organized community outreach activities to increase awareness of our programs through messages

aired on local FM stations.


Khotang

Q1 Q2 Q3 Q4 Total Target VarianceCommunity Outreach Providers Trained 0 0 72 TBD 72 690 -618Local Stakeholders Trained 0 0 0 TBD 0 500 -500Medical Providers Trained as SBAs 0 0 0 TBD 0 0 0Continued Medical Education for SBAs 0 0 3 TBD 3 20 -17Birthing Centers Fully Upgraded 0 0 0 TBD 0 2 -2

• Set up field office and initiated program implementation phase this quarter.• Officially launched programs and OHW plans and shared program activities with the local stakeholders

and government officials. • Conducted birthing center needs and feasibility assessment in two health facilities to upgrade.

Districts in Phase 3: Transition Baglung I Dolpa

OHW transitions program activities to the local District Health Office (DHO). We maintain regular contact with the DHO, trainees, and birthing centers; monitor relevant impact indicators to assess long-term program maintenance; offer refresher trainings; perform quality assessments for birthing centers and provide them with support when necessary.

Dolpa

• Repaired sanitation system of the birthing center in Saldang.

Organizational CapacityNew Hires in Nepal

• Amrit Banstola, District Coordinator, Taplejung Office • Maya Dangi, Office Assistant, Kathmandu Office• Sagun Gurung, Training/Field Supervisor, Khotang Office • Rabin Joshi, District Coordinator, Bhojpur Office • Susma Lama, Training/Field Supervisor, Taplejung Office • Mina Shrestha, Training/Field Supervisor, Panchtar Office • Yadav Thapa, District Coordinator, Panchtar Office (transferred from Bhojpur)• Surya Upreti, District Coordinator , Khotang Office

Integration of New Technology

• Hired mHealth program manager with a background in computer engineering.• Submitted study protocol for mHealth piloting in Dhading district to Nepal Research Council for ethical

approval; developed and tested SMS reporting indicators, finalized training materials, and tested and purchased cell phones.


All Mothers Alive (AMA) Center of Excellence for Maternal and Newborn Health

The Center of Excellence is being developed in collaboration with Dhulikhel Hospital in Nepal to mobilize institutional, national, and international expertise towards creating a space that promotes leadership, best practices, research, support and training on maternal and child healthcare in low-resource settings.

• The Nepali Government approved Dhulikhel Hospital as the site for All Mothers Alive (AMA) Center of Excellence for One Heart’s Network of Safety demonstration site and central training venue.

• First ten SBA trainees were enrolled into Dhulikhel’s SBA training program (our goal is to eventually streamline all SBA training programs through Dhulikhel).

• Training equipment was provided to strengthen the capacity of the Dhulikhel SBA training site. • Two US midwives conducted an assessment of the Dhulikhel SBA training program and birthing center.

They also provided technical input on the new four-year midwifery curriculum that is currently under development at Dhulikhel.

• Three-day international conference was organized for 138 medical providers (85 doctors and 53 nurses) from across Nepal to improve their skills in managing pregnancy complications. Visiting US faculty conducted the training.

• A new type of ultrasound training was conducted for thirty SBAs using an iPad with a newly designed embedded training program to be used along with regular ultrasounds or portable transducer probes (also new technology). After the training, both iPads and transducers were distributed among the trainees to improve access to services in remote communities where referral services are not available.

• Six of Dhulikhel outreach health centers received a solar suitcase to ensure 24/7 lighting for their BCs (2 in Dolakha district, 3 in Kavre, and 1 in Nuwakot).

Central Level Operations & Program Scale-Up

• Signed a five-year project scale up agreement with the Social Welfare Council (SWC) with joint approval from nine Ministries and the National Planning Commission of the Nepali Government. This agreement includes thirteen districts in Eastern, Central, and Northern areas of Nepal and is in effect from October 2016 until September 2021.

• Contracted an outside agency to conduct a baseline mortality survey in all of our new districts. The survey was completed in three districts already (Dhading, Sindhupalchok, Bhojpur). A report was submitted to the Nepal Health Research Council.

• Participated in several consultative and support meetings led by the Ministry of Health. Our work was presented to the MoH.

• Nepal team met with USAID Health and Education Director, Deputy Health Director, and Senior Advisor to seek future partnerships and collaborations.

• Nepal team provided a brief progress report (financial and programmatic) to the management division of the MoH for publication in the Ministry of Health’s Annual report 2015/16.


Income and Expenses (Quarter 3, 2016)

New Donors in Q3: • Natalie Orfalea Foundation - $26,750 • Planet Wheeler increased their funding to $300,000

quarterly report - squarespaceq3+report+2016.pdf• completed all short-term post-earthquake...

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