report submitted to (1)
TRANSCRIPT
Report submitted to:
USAID-MAPS8th Floor, River Plaza 470
Agbogo Largema Street, Central Business District,Abuja
Nigeria
(Batch 2)Consultants Names:
Dr Agbenin Andrew - Team leader
Mrs Nwani Chinyere
Mr Nwazunku Augustine A
12th September-14th September, 2012
Final Approval
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
1
Management Capacity Building for Officers-in-charge of Primary Health Care Facilities and Local Government Area Malaria Focal Persons, Afikpo
North/South Local Government Areas, Ebonyi State.
Report approved and Signed off by:
(Note that final payments can only be made when reports are finally signed-off)
Table of ContentsSection Page No.Section 1 Title Page 1
Table of Contents 2Acronyms 3Acknowledgements 3
Section 2 1 page Executive Summary (summary of findings and recommendations)
3,4&5
Section 3 2 pages(max)
3.1 Background & Introduction 5&63.2 Objective of the Assignment 73.3 Approach and Methodology 7&8
10 pages(max)
3.4 Key activitieso Preparationo Opening sessiono Technical sessionso Selection of participants for the next activity
8-14
3.5 Emerging issues 143.6 Recommendations 153.7 Next Steps 15
Section 4 Annexes:Annex 1: Terms of ReferenceAnnex 2: Consultants profile-12 lines (max)Annex 3: Agenda for preparatory meeting Annex 4: Time tableAnnex 5: List of Participants – (disaggregated) Annex 6: Completed Assessment sheets Annex 7: Groups for Modules in practice session
15-99
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
2
Approval Date InitialsLead AdvisorChief of Party
Annex 8: How to organize the practice session Annex 9: Allocation of topics for Modules in practiceAnnex 10: Presentations (if any)
AcronymsACTs - Artemisinin Combination Treatments
EURO - Established systems, Usable technology, Respect for timeliness,
Organisational guidelines
MAPS - Malaria Action Program for States
MTEF - Medium Term Expenditure Framework
MoH - Ministry of Health
NEEDS - National Economic and Empowerment Development Strategy
NToT - National Training of Trainers
RAVES - Reliable, Appropriate, Valid, Easy and Sensitive
SWOT - Strength, Weakness, Opportunity and Threat
SToT - State Training of Trainers
SUFI - Scale Up For Impact
SuNMaP - Support to the National Malaria control Program
SMART - Specific, Measurable, Achievable, Realistic, Time-bound
SEEDS - State Economic and Empowerment Development Strategy
TOR - Terms Of Reference
USAID - United State Agency for International Development.
AcknowledgementsThe consultants are grateful to the following for their assistance in the production of this
report:
Name Position OrganisationMrs Igwe Uchenna Capacity Building
Officer(CBO)
MAPS
Disclaimer: The contents of this report are the sole responsibility of its authors and do
not necessarily reflect the views of USAID-MAPS project.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
3
2.0 Executive SummaryThe system strengthening component of MAPS’ support is geared towards improving
capacity for malaria program management at the state and Local Government Area
levels. Setting the stage for this process involves State Executive Management
Orientation(SEMO) for senior state health executives, program management training to
enhance the capacities of heads of health facilities, Local Government Area Primary
Health Care(PHC) coordinators/medical officers of health and officers-in-charge(OICs)
of Primary Health Care(PHC) facilities. The aim is to build their capacity in program
management that will enable them to carry out their roles and responsibilities more
efficiently and effectively in resource and systems management, their roles and
responsibilities in malaria interventions, leadership and coordination of malaria
programs.
To accomplish this, the Local Government Area Management Training (LGAMT) for
batch 2 was held for OICs and malaria focal persons at Ebonyi Hotels, in Afikpo North
LGA of Ebonyi state on the 12th-14th September, 2012. To support the training activities,
three consultants including a coordinating consultant arrived Abakaliki, the capital of
Ebonyi state, on the 9th of September, 2012 to draw up a training plan for the program.
The preparatory meetings of 10th and 11th September were held in Abakaliki after which
the team of consultants moved to Ebonyi Hotels in Afikpo North LGA of Ebonyi state on
the 12th of September to deliver the training that ran from 12 th-14th of September
involving thirty (30) participants. These participants were trained on general
management, integrated supportive supervision and on-the-job capacity building,
planning and budgeting and monitoring and evaluation. At the end of each session, the
bridging of gap between management theory and practice form was administered to all
the participants who attended the session
The adult learning participatory approach was used to expose all the participants to the
four program management modules that were contextual and interactive in nature. The
training was able to emphasize the importance of program management for OICs and
malaria focal persons towards achieving malaria control programs for a strengthened
health sector. There was enthusiasm and passion to learn among the participants.The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative
through United States Agency for International Development4
In evaluating the training, 95% of participants rated the training as very good while 5%
of participants rated it as good, on the relevance of the training to their job, 85% of
participants described the training as very relevant to their schedules of duties as
against 15% who rated the training as relevant to their work. On methodology used in
delivering the training modules, all the participants (100%) rated the approach as very
satisfactory. Ninety five(95%) percent of the participants were satisfied with everything
that was done during the training and did not have issues that needed to be addressed
but 5% of the participants said they would have loved the training to be a residential one
for them because of issue of going and coming from home to the training venue
On the whole, the training did meet its overall specific objectives.
3.1 Background and IntroductionNigeria is committed to making progress towards the achievement of the Millennium
Development Goals (MDGs). An effective malaria control Program is required for the
achievement of the targets related to child mortality, maternal mortality, and reducing
the burden of communicable diseases.
A rapid baseline capacity building needs assessment for malaria control at federal level
and in six Nigerian States (SuNMaP, 2008 & 2010) found a wide range of training
materials for malaria control; many of them neither targeted nor domiciled in NMCP.
With support from SuNMaP (another Malaria Control program supported by UK
Aid/DfID), the National Malaria Control Program (NMCP) has developed a harmonized
capacity building package for program management and service delivery. The package
includes 14 modules developed through utilizing, re-aligning, re-working, and updating
existing materials and developing new ones where necessary. The Program
Management modules include:
- General Management
- Program Planning & Budgeting
- Integrated Supportive Supervision and
- On-the-Job capacity building and Monitoring and Evaluation
- Etc
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
5
USAID-funded Malaria Action Program for States (MAPS) is a 5 year project taking on
the USAID mandate of improving malaria control at scale in seven Nigerian States
(Benue, Cross-River, Ebonyi, Kogi, Nasarawa, Oyo and Zamfara). Health Partners
International (HPI) is part of a consortium led by FHI 360 implementing the MAPS
program on behalf of USAID. HPI is specifically responsible for the implementation of
improved capacity for malaria program management at the State and local government
levels. Treeshade Associates, Nigeria Ltd., a firm of Health and Social Development
Consultants is working with HPI during 2012 to provide technical assistance to the initial
roll-out of the Program Management Modules in the MAPS Project - supported States.
The overall objective of the assignment is to assist the six MAPS-supported States to
strengthen their capacity in the management of malaria control. More specifically, the
key activities include:
o Training plan development (undertaken separately by MAPS)
o National Training of Trainers
o 3-day state level orientation of health sector executives using the management
support modules
o State Training of Trainers (SToT)
o State level training of heads of health facilities, LGA PHC Coordinators/Medical
Officers of Health
. Training of officers in charge of PHC facilities
3.2 Objectives of the assignmentThe specific objectives of the Management Capacity Building for Officers in Charge of
Primary Health Care facilities and LGA Malaria Focal Persons include to:
i. Initiate the process of enhancing their capacity to apply the basic elements of
management
ii. Share with them the basic elements of general management required to make the
provision of quality health services more efficient, effective, and sustainable
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
6
iii. Introduce the Integrated Supportive Supervisory system and the On-the-Job
Training process, highlighting the roles and responsibilities of Officers in Charge of
Primary Health Care facilities and LGA Malaria Focal Persons in operating the
system
iv. Discuss the structure, process and importance of Monitoring and Evaluation (M&E)
and ways to improve the management of malaria specific data through the routine
Health Management Information System (HMIS) and other sources.
v. Identify proper planning and budgeting at LGA and health facility level as vital to
the achievement of national policies and strategies for malaria
vi. Discuss their roles and responsibilities in the development, implementation and
evaluation of State comprehensive operational plans and LGA action plans for
malaria control.
3.3 Approach and MethodologyThe adult learning participatory approach was used to facilitate the sessions through
participation and experiential learning and sharing and this involved group activities in
executing tasks and plenary sessions presentations.
The training involved thirty (30) participants who are OICs in their health facilities and
whose categorization by rank is as follows:
Rank Frequency % Frequency1 CCHEW 1 3.33
2 HSCHEW 3 10.0
3 PCHEW 4 13.3
4 JCHEW 3 10.0
5 ACCHO 1 3.33
6 SCHEW 6 20.0
7 MLT 3 10.0
8 JCHEW 2 6.67
9 HMIS officer 1 3.33
10 HCHEW 1 3.33The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative
through United States Agency for International Development7
11 PMLT 2 6.67
12 HMRT 1 3.33
13 PT 1 3.33
14 Nurse 1 3.33
TOTAL 30 100
The Table above Shows Categorization of OICs by Ranks/Designations
Key:
CCHEW -Chief community health extension workerHSCHEW -Higher senior community health extension workerPCHEW -Principal community health extension workerJCHEW -Junior community health extension workerACCHO -Assistant chief community health officerSCHEW -senior community health extension workerMLT -Medical laboratory technicianJCHEW -junior community health extension workerHMIS -Health management information systemHCHEW -Higher community health extension workerPMLT -Principal medical laboratory technicianHMRT -Higher medical record technicianPT -Pharmacy technician
NOTE: The senior community health extension workers (SCHEW) represent the highest
number 0f OICs that took part in the training and that represents 20% of the participants
and this was closely followed by principal community health extension workers
(PCHEW) with 13.3% of participants as OICs that were part of the training.
3.4 Key ActivitiesPreparatory meetingThe two day preparatory meeting for the Local Government Area Management Training
(LGAMT) commenced on the 10th September, 2012 at the MAPS office, Abakaliki, with
the lead consultant coordinating the session .
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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The activities of the first day started with self-introduction followed by the development
of the preparatory meeting agenda (see annex 3). The terms of reference was clarified
by the lead Consultant (see annex 1).The activities and roles of the Consultants were
also clarified (see annex 9). The time table for the meeting was developed and roles
assigned (see annex 4). The opening session agenda (see annex 7) and the opening
session plan (see annex 8) were developed. The Consultants worked on the technical
session plans (see annex 9) after which the filling of the bridging the gap form between
management theory and practice was discussed and issues clarified on how to fill them
(see annex 11)On the second day, 11th of September, 2012, all the materials and equipment
requested for were sighted, inspected and assembled ready for transportation to the
venue of the meeting in Afikpo North LGA of Ebonyi state. This was followed by a
discussion on the format for report writing. The session plans were rehearsed and
adjusted based on time allotted for the sessions. The list of Participants was reviewed
and allocated to four groups (see annexes 5 and 6) and the lists were printed to be
placed on each table to determine seating arrangement.
The Consultants departed Abakaliki at about 3:00pm for Ebonyi Hotels, Afikpo North
LGA of Ebonyi state, which was the venue for the training.
On arrival, the hall was inspected and arranged. The activity strips were developed and
printed.
Opening SessionThe opening session started a bit late due to late arrival of participants, however, the
session went as planned. The session started with an opening prayer that was said by
one of the participants and this was followed by self-introduction of all participants
including the facilitators. The objectives of the training were clarified by the lead
facilitator while logistics and administrative issues were also clarified by the MAPS
officer in the state.
Technical Sessions:General Management Session
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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This session was facilitated by Dr Agbenin Andrew. In this module there were six
activities. The facilitation of the General Management module was guided by
participatory adult learning principles/experience sharing and respect for all opinions.
The session started with a brief introduction on why managers in the health sector need
training on General Management. This was followed by several activities/tasks, group
work and plenary presentations revolving on who a manager is, the activity profiling of
managers, definitions of key terminologies in management: resource, resource
management and systems
The general approach for the training was interactive and participatory and their
performances from group work were highly commendable and satisfactory. The group
activities were managed by respective team leaders, presenters and the notes takers.
These officers were usually changed after each activity.
The EURO concept and how it applies to various resources in the Health Sector was
introduced and participants demonstrated a high level of enthusiasm to use the
knowledge acquired for effective and efficient management of their resources. The
presentation of the EURO task was by Gallery involving all the groups or teams.
In other activities, participants were asked to share their understanding of the following terms:
delegation of authority, meetings, leadership, capacity building (not just training or workshop)
and report writing. Other activities included the description of the composition of their state
malaria control program, they were requested to list the roles and responsibilities of their state
malaria control program on flip chart and also list their own roles and responsibilities in their
state and LGA plans for malaria control.
The module remained the standard guide. Major teams’ activities were concluded with a short
Question and Answer session. This served to clarify views through guided reference to the
General Management Module.
The session was concluded with a task of bridging the gap (see annex 11). In general, the task
served to test their understanding of the module and sensitise them to applying the skills
learned from this training.
Issues in the management module: There is a need for more examples to illustrate the
different systems of the different resources and operational guidelines, rules and processes as
indicated in the EURO concept.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and Budgeting SessionThe program planning and budgeting session was facilitated by Mr. Nwazunku
Augustine Alugbala on Thursday September 13, 2012. It was guided by its module-
specific session plan based on the core “must know” contents of the module. The
session therefore provided opportunity for acquisition of in-depth knowledge on the
essentials of planning and budgeting process. Familiarity with the manual was
repeatedly emphasized as intra and post training reference. The facilitation occurred in
two distinct sessions, namely, planning and budgeting. Mrs. Nwani Chinyere, a
colleague state based consultant and the national consultant, Dr Agbenin Andrew
embedded the two sessions. The sessions which included group work were carried out
as outlined in the session plan. Five nos. group activities were used in the planning
session and 6 for the budgeting session. Session strips which outlined each group work
were distributed to the participants for easy reference. Where possible there were
presentations of group work in plenary and inputs obtained from participants to promote
shared understanding of issues under consideration. Interactive and participatory
approach was employed to fully engage the trainees during the sessions. Participants’
views and opinions were respected and discussed based on the training objectives and
the key module massages. Specifically Individual reading of selected sections of
training module and subsequent sharing of individual understandings within groups;
group reading of selected sections of training module and group presentation of Group
activity views/responses; gallery presentation, role play and facilitator’s explanation in
response to questions, concerns and issues from participants were approaches
employed during the sessions. Both sessions were very informative and the
participants appeared to grasp the concepts of ‘plan is essential for informed action’ and
‘resource need list is helpful for prioritized allocation of scarce fund’. Bridging the gap
instrument was administered respectively at the end of planning and budgeting
sessions.
Many of the participants appeared to have attained a realization of the negative effects
of low opportunity for application of planning and budgeting process in their place of
work.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Advocacy to policy makers towards improving participants’ involvement/inputs into the planning and budgeting should be explored.
Integrated Supportive Supervision and On-the-Job Capacity Building (ISS/OJCB)
The ISS (Integrated Supportive Supervision) training commenced on the 13th of
September, 2012 after lunch and was concluded on the 14 th of September, 2012 being
the next day before morning tea break with 90 % attendance and was facilitated by
Nwani Chinyere. To achieve effective participation, participants were divided into 4
groups and each was asked to appoint a note taker, presenter and a leader.
The adult learning principles approach was totally adapted and the learning strategy
used was mainly participatory. The session started with an energiser by one of the
participants. As an introduction, the specific objectives of the training on ISS were
carefully outlined and the reason why managers should be trained on ISS was clarified
and an overview of Integrated Supportive Supervision (ISS) and the current supervision
process was expressed. ISS was introduced extensively.
The participants were taken through the core elements of ISS, the 8 steps of
establishing the ISS system, how to compose the ISS team and the 11 steps to employ
when thinking of implementing ISS visit. To further deepen their understanding on the
difference between ISS (Integrated Supportive Supervision), the current Supervision,
supportive supervision and on – the – Job – Capacity Building (OJCB), I organised the
four groups to act a short drama within 2 minutes to illustrate the various descriptions.
The participants did it so well that they got the clear picture of what the session was
about. I also showed pictures of the reaction of workers to supervisors and supportive
supervisors to them and they applauded the supportive supervision and labelled it the
best when compared with the “old” supervision practice.
The participants were so excited with the new ISS system and showed keen interest
and participation. I also got eight (8) participants to take part in the activity explaining
the 8 steps of establishing the ISS system. Also the participants presented on gallery
the eleven (11) steps of the ISS visit.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Also the participants got to acquire a clear understanding on what on – the – Job
Capacity Building entails and was able to see the difference between the structured and
unstructured OJCB.
At the end of the session, responses from the excited participants showed that they
were eager to immediately replace the “old” supervision with supportive supervision and
on – the – Job – Capacity Building. They are also anxiously expecting that Integrated
Supportive Supervision shall start up in the State and in their LGAs.
Generally the ISS module was extensively our guide throughout the session and
participants were intermittently referred to the modules for clarifications.
It was a great privilege and exposure using this new innovative adult learning approach
which is participatory to facilitate this level of training. The difference in this style was
very massively beneficial as participants were able to demonstrate an in-depth
understanding of ISS generally and also as it relates to malaria control program.
Monitoring and Evaluation (M & E) This session of the training took place on 14 th of September, 2012 immediately after the
morning tea break and lasted for a total of 5 hours with about 100% attendance of
participants. For effectiveness, the participants were shared into four (4) groups with
each appointing a leader, a note taker and a presenter.
After these preliminary arrangements and emphasis on the strict observance of the
training ground rules; the technical session commenced using adult learning approach
and the learning strategy was mainly participatory. This session was facilitated by Mrs
Chinyere Nwani and supported by Dr Agbenin Andrew. Mrs Chinyere Nwani started the
session by telling the participants a short story about a woman whose daughter will be
getting married by December but doesn’t know how to cook Bitter leaf soup, how she
set out to achieve her set goal by giving her daughter money to go and buy ingredients
from the market, and then was always coming around as she was implementing the
cooking and then evaluated at the end by telling her the food was sweet. The specific
objectives of the training on monitoring and evaluation were carefully specified and few
of the many areas I internalized through active participation-group work, plenary and
gallery presentations were:The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative
through United States Agency for International Development13
Introduction to M & E Operational terms Malaria Specific Data Data collection/ tools Understanding Indicators Analysis, interpretation and use of data
The session was quite enterprising and interactive as there was maximum
concentration from the participants. I was challenged by the high level of concentration,
participation, intelligence and enthusiasm from the participants at every bit of the
session.
At the end of the session, bridging the gap between management theory and practice
form for M&E was administered on the participants.
Module content issue: Issue in the monitoring and evaluation training module was the
omission of data management cycle in the trainee module and the inclusion of
information management cycle which was omitted in trainer module.
Process Evaluation:At the end of every technical session, starting with General Management Module till the
last module, the facilitators usually held daily meetings in the evening of the training
days (12th-14th September, 2012) to review process by applying the concept of
appreciative inquiry and appraisal to detect strengths and weaknesses in the delivery of
the module and proffer suggestions for improvement in the next day tasks. This really
guided us to stay on track as outlined in’ how to train’ module and avoid didactic
methodology.
Secondly, at the end of the training, the participants perception of the training was
evaluated using the standard evaluation format for the capacity building roll out and the
responses were collated and analysed.
3.5 Emerging Issues:The EURO concept in the General Management module was strange to the participants
and it took the facilitator much time to explain this concept for their understanding
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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especially the examples of systems and organisational/operational guidelines. This
could be attributed to their level of education which was not so impressive as majority, if
not all of the participants, do not have a university level education but middle level
tertiary education
Secondly, distraction of the participants was evident in the course of the training as
some participants had to leave the venue of the workshop in the middle of their training
for one screening or the other taking place in their LGAs where their presence was
sought. This affected their understanding of some parts of the program management
modules as some of them had to abandon the training to attend to issues in their LGAs.
Because of this, some of the participants did not fill the bridging the gap forms as they
were not around during the administration of the forms.
Some participants wished they were accommodated for the training to save them from
the hassles of coming from their various LGAs every day for the 3-day training. They
expressed dissatisfaction for the organizers for not making the training a residential one
for them.
3.6 Recommendations:Training of this type should be made a residential one for the participants probably
outside their LGAs to create a conducive environment for learning and to avoid the type
of distraction that was observed during the training.
3.7 Conclusions: The three-day training for officers-in-charge of primary health care facilities and malaria
focal persons for batch 2 did indeed meet all its specific objectives.
3.8 Next step:The next step should be to put a system in place to track how well this line of managers
have been able to bridge the gap between management theory and practice in their
various health facilities having undergone this training and this will enable MAPS/USAID
to know whether or not these managers have learnt and unlearnt new management
practices.
AnnexesAnnex 1: Terms of reference
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
15
Terms of ReferenceManagement Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons; being part of the roll out of the Program Management Modules of the Harmonized Training & Support Materials for Strengthening Capacity for Malaria Control in the six USAID/MAPS -supported States(Benue, Cross-River, Ebonyi, Kogi, Nasarawa, Oyo and Zamfara)
Background/IntroductionNigeria is committed to making progress towards the achievement of the Millennium
Development Goals (MDGs). An effective malaria control Program is required for the
achievement of the targets related to child mortality, maternal mortality, and reducing
the burden of communicable diseases.
A rapid baseline capacity building needs assessment for malaria control at federal level
and in six Nigerian States (SuNMaP, 2008 & 2010) found a wide range of training
materials for malaria control; many of them neither targeted nor domiciled in NMCP.
With support from SuNMaP (another Malaria Control program supported by UK
Aid/DfID), the National Malaria Control Program (NMCP) has developed a harmonized
capacity building package for program management and service delivery. The package
includes 14 modules developed through utilizing, re-aligning, re-working, and updating
existing materials and developing new ones where necessary. The Program
Management modules include:
- General Management
- Program Planning & Budgeting
- Integrated Supportive Supervision and
- On-the-Job capacity building and Monitoring and Evaluation
- Etc
USAID-funded Malaria Action Program for States (MAPS) is a 5 year project taking on
the USAID mandate of improving malaria control at scale in seven Nigerian States
(Benue, Cross-River, Ebonyi, Kogi, Nasarawa, Oyo and Zamfara). Health Partners
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
16
International (HPI) is part of a consortium led by FHI 360 implementing the MAPS
program on behalf of USAID. HPI is specifically responsible for the implementation of
improved capacity for malaria program management at the State and local government
levels. Treeshade Associates, Nigeria Ltd., a firm of Health and Social Development
Consultants is working with HPI during 2012 to provide technical assistance to the initial
roll-out of the Program Management Modules in the MAPS Project - supported States.
The overall objective of the assignment is to assist the six MAPS-supported States to
strengthen their capacity in the management of malaria control. More specifically, the
key activities include:
o Training plan development (undertaken separately by MAPS)
o National Training of Trainers
o 3-day state level orientation of health sector executives using the management
support modules
o State Training of Trainers (SToT)
o State level training of heads of health facilities, LGA PHC Coordinators/Medical
Officers of Health
o Training of officers in charge of PHC facilities
So far, in pursuance of the roll out of the Program Management Modules of the
Harmonized Training & Support Materials for Strengthening Capacity for Malaria Control
in the six USAID/MAPS - supported States, the Program have supported Benue, Cross-
River, Ebonyi, Nasarawa, Oyo and Zamfara States as follows:
1. Development of costed comprehensive training plans
2. National Training of Trainers (NToT) which took place from April 26 to May 2nd
2012.
3. 3-day State Level Orientation of Health Sector Executives using the Program
Management Modules.
4. State Training of Trainers (SToT)
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
17
5. 3-day State Level training of Heads of Hospitals and LGA Primary Health Care
Coordinators / Medical Officers of Health
RationaleThe system-strengthening component of MAPS’ support aims at improving capacity for
malaria program management at the State and LGA level (Intermediate Reporting area
(IR 4). Setting the stage for this process involves enhancing the capacities of heads of
health facilities, LGA PHC Coordinators/Medical Officers of Health and officers in
charge of PHC facilities to understand and carry out their roles and responsibilities more
efficiently and effectively in resource and systems management, oversight of malaria
interventions, leadership and coordination of malaria programs at the respective levels.
In five out of the six States, national level trainers and a core team of State level
facilitators have begun to work together, using experiential / adult learning and sharing
techniques through in-depth training events, hands-on support and on the job capacity
building to roll out the management modules at State and LGA level. Very recently,
Heads of Hospitals and LGA Primary Health Care Coordinators / Medical Officers of
Health have been trained. The management capacity building process will now be
extended to Officers in Charge of Primary Health Care facilities and LGA Malaria Focal
Persons.
PurposeThe purpose of this assignment is to provide technical assistance to conduct a 3-day
Management Capacity Building for Officers in Charge of Primary Health Care facilities
and LGA Malaria Focal Persons; being part of the roll out of the Program Management
Modules of the Harmonized Training & Support Materials for Strengthening Capacity for
Malaria Control in the six USAID/MAPS -supported States.
Specific objectivesThe specific objectives of the Management Capacity Building for Officers in Charge of
Primary Health Care facilities and LGA Malaria Focal Persons include to:The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative
through United States Agency for International Development18
vii. Initiate the process of enhancing their capacity to apply the basic elements of
management
viii. Share with them the basic elements of general management required to make the
provision of quality health services more efficient, effective, and sustainable
ix. Introduce the Integrated Supportive Supervisory system and the On-the-Job
Training process, highlighting the roles and responsibilities of Officers in Charge of
Primary Health Care facilities and LGA Malaria Focal Persons in operating the
system
x. Discuss the structure, process and importance of Monitoring and Evaluation (M&E)
and ways to improve the management of malaria specific data through the routine
Health Management Information System (HMIS) and other sources.
xi. Identify proper planning and budgeting at LGA and health facility level as vital to
the achievement of national policies and strategies for malaria
xii. Discuss their roles and responsibilities in the development, implementation and
evaluation of State comprehensive operational plans and LGA action plans for
malaria control
MethodologyAll the capacity building modules are designed to maximize adult learning through
participation and experiential learning and sharing. Didactic techniques must be kept at
the barest minimum. Each of the modules is designed to have both the trainer and
trainee versions, doubling as a training material and also as a guide to help managers in
the health sector to undertake specific tasks on their own. For example, the
management module addressing ISS/OJCB outlines in significant detail, how to set up
an ISS/OJCB; while the planning and budgeting module doubles a handbook for
developing annual operational and other plans.
The 3-day (non-residential) training with be carried out in clusters of 30 participants.
Each cluster will consist as follows:
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Category Number LGA malaria focal person 1
Officers – in charge of 29 Primary Health Care Facilities 29
TOTAL 30
Key activities will include:
Preparatory meeting (2 days)
Workshop (3 days)
Report writing (1 day)
Consultants and State level trainers per State
As much as possible, every opportunity to provide technical assistance (TA) to States,
SMCPs and LGAs is considered an opportunity for hands-on support and on the job
capacity building. Against this backdrop, TA activities are deliberately designed to
enhance stakeholder inclusion, participation, buy-in and ownership. Against this
backdrop, the Technical Support Team for each event will consist of one (1) national
consultant two (2) State level trainers. The skill mix of the three (3) technical support
team members will include General Management, Monitoring & Evaluation, Integrated
Supportive Supervision and Planning & Budgeting. The entire process will be
coordinated by one other national consultant.
Bridging the gap between management theory and practice
At the end of each module, participants are expected to identify issues/challenges in
their places of work and decide on specific action they will take to ensure improvement.
The table (attached below) will be used to facilitate the process.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported States
Bridging the gap between management theory and practice
NAME: LGA/PHC Facility:
Session Issue areas in my place of work Specific action I will take to ensure improvement
General
management
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Planning and
budgeting
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Annex 2: Consultants’ Profile
Dr. Agbenin Andrew is a clinical pharmacist with the University of Calabar Teaching
Hospital and holds a bachelor of pharmacy (Bpharm), Doctor of Pharmacy (PharmD)
and Masters of Public Health (MPH) degrees. He is currently an associate of the West
African Postgraduate College of Pharmacists (WAPCP) with a bias for
cardiovascular/Renal pharmaceutical care. He has less than one year consultancy
experience on program management but has vast experience in clinical pharmacy
practice that has spanned over six years. He is single.
Nwazunku Augustine Alugbala is an employee Environmental Health officer in the
Ebonyi State ministry of Health. He is the Executive secretary of the Ebonyi State
Agency for the Control of AIDS, (EBOSACA), as well as the Project Manager of the
Ebonyi State World Bank Assisted Nigerian HIV/AIDS Program Development Project.
Previous work experiences include: Expanded program on Immunization manager for
Ezza LGA, Anambra State; Health Tutor at Enugu State School of Health Technology,
Oji River; Acting State Epidemiologist for Ebonyi State Ministry of Health; Health
Management Information Management Officer for Ebonyi State ministry of Health.
Augustine holds the following academic qualifications: Master in Public Health (MPH);
Masters of Science (Msc.) in Environmental Health Science; Bachelor of Science (Bsc.)
degree in Environmental Health Science; Higher National Diploma (HND) in Public
Health; certificate in computer application and information management ; certificate in
information communication technology and a Doctor of Philosophy (PhD.) in
Environmental Health Science (in View). His membership of professional
associations/institutes/council include: Licensed member Environmental Health officer’s
council of Nigeria; Fellow institute of Cooperate administration of Nigeria (FCAI);
member institute of management Consultants.
He has interest in general administration, management consulting, Environmental
management/quality improvement and socio-economic research/community capacity
development via involvement in civil society social work.
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Augustine is a studious, self-motivated team player of significant exposures,
experiences and open readiness to learn. He desires to contribute positively to the
common good of humanity through personal improvement.
Nwani Chinyere is the Case management / Microscopy officer of the Ebonyi State
Malaria Control Program (SMCP),State Ministry of Health(SMOH). She holds a degree
(B.Sc) in Applied Microbiology, Diploma certificate in Computer repairs and
maintenance, a masters degree program in Public Health (In view). Chinyere has 3
years experience in malaria case management. Other areas of special skills and
competencies are in participatory training and facilitation. She also assists malaria
program managers in coordination, program planning, costing and implementation
related activities. Mrs Chinyere trains health care providers on the national guidelines,
framework and policy on the treatment and management of malaria. I also conduct
laboratory services and pharmacovigilance at health facilities. She is a self-motivated
and courteous team player who desires to contribute her experience and knowledge
while seeking avenues and opportunities to improve professionally.
Annex 3: Agenda for preparatory meeting
MAPS/USAID-funded Management Training for officers-in-charge of Primary Health Care Facilities in Ebonyi State.Preparatory meeting for Management Training for Officers-in-Charge of Primary Health Care Facilities and LGAs Focal Persons in Ebonyi StateHeld at 3,Hon Nwazunku Close,Abakaliki,Ebonyi State10th-11th September, 2012Agenda.
1. Understand the Terms of Reference (ToR)
2. Discuss the objectives for the Management Training
3. Draw up an agenda for the opening session
4. Develop a time table
5. Get a list of participants and their designations.
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6. Put the participants into groups
7. Have a shared understanding of the module
8. Report writing arrangement
9. Checklist of workshop materials
10.Logistics arrangement- Travel to Afikpo
11.Arrangement of the hall for the training
Annex 4: Time table
MAPS/USAID-funded LGAMT for the roll out of the Programme Management
Modules of the Harmonized Training & Support Materials for Strengthening Capacity
for Malaria Control in Nigeria
LGA Management Training for Officers-in-charge Of PHC,Ebonyi State
Ebonyi Hotels,Afikpo North LGA,Ebonyi State
12th-14th September, 2012
Time Wed,12th Sept,2012 Thursday,13th Sept,2012 Fri,14th Sept,2012
8.00am – 8.30am Registration Reflection(Nwani&Agbenin)
8.30 – 10.00am Opening Session Planning & Budgeting(Mr Nwazunku)
ISS/OJCB/Bridging the gap
10.00am – 10.30 Tea Break
10.30 – 11.30General Management(Dr Agbenin)
Planning & Budgeting/Bridging the gap
Monitoring & Evaluation(Mrs Nwani)
11.30 – 1.30pm General Management
1.30pm -2.30pm Lunch/Prayer
2.30 pm – 4.00pm General Management ISS/OJCB(Mrs Nwani)
Monitoring & Evaluation/bridging the gap
4.00pm – 4.15pm
4.15pm – 5.30pm General Management/bridging
ISS/OJCBWrap up/feedback(Dr Agbenin)
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the gap5.30pm Tea break/Closure
Annex 5: List of participants.
AFIKPO LGAMT LIST OF PARTICIPANTS
S/N NAME LGA HEALTH FACILITY
DESIGNATION QUALIFICATIONS
1 Omeri Dorathy
Afikpo
North Amangbala
H/c
CCHEW
2 Ogbuu Charity .c.
Afikpo
North Poperi H/c HSCHEW
3 Ewa Agnes .O.
MDGs
Amankwo PCHEW
4 Uche Kingsley.A.
Afikpo
North Ibii H/c JCHEW
5 Oko – Azu Eunice
.u.
Ivo
Obulor H/c ACCHO FSLC,WASC,Diploma(CHO)
6 Nkpana Benedeth Amaeze H/c SCHEW OND,FSLC,SSCE
7 Obasi
Christopher.O.
Ivo Ivo LGA HMRT
8 Ekenma .C. Ibiam
Afikpo
South
Model PHC
Ebunwana SCHEW
9 Kama Janet .E.
Afikpo
South
Afikpo South
LGA.
Pharmacy
Technician Pharmtech certificate
10 Azubuike Uzochi
Afikpo
North MCH Clinic Nurse General nursing
certificate(GNC)
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11 Ogba Queenta
Afikpo
South Itim MDG
H/c
SCHEW
12 Comfort Nnachi.
A.
Afikpo
South Ugwuama
H/c
CHEW
13 Ngene Rita. N.
Afikpo
North Amangbala
H/c
SCHEW
14 Nkechi Uka Ruth
Afikpo
South Itim MDG
H/c
LT HND(Microbiology)
15
Orji Uzor .C. Ivo Model H/c JCHEW
16 Kalu Gold .N. Ivo Model H/c Lab. Tech. HND(Laboratory
technology)
17 Nkechi Oko
Afikpo
North Evuko MDG HMIS Officer
HND(Information
management)
18 Alu Obia
Afikpo
North MCH Clinic SCHEW
19 Felicia Ekenma
Afikpo
South
Model PHC,
Ebunwana HSCHEW
20 Agatha .O. Okorie
Afikpo
South Amangwu
H/c
HCHEW
21 Azubuike Ugwu
Afikpo
South G/H Owutu PMLT
MLT,WASC,FSLC
22 Rita Ogbuu .E.
Afikpo
South Ogbuu H/c SCHEW
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23 Aja Jane .O. Ivo Amaeze H/c PCHEW FSLC,SSCE
24 Amadi Chimezie Ivo G/ H Ishiagu PMLT HND(Science laboratory
technology)
25 Ogbuagu
Christiana
Afikpo
North Ndibe H/c PCHEW
26 Uguba Angela .E.
Afikpo
North Unwana H c SCHEW
27 Chukwu Monica Ivo Iyioji H/ c JCHEW BA(English)
28 Ndukwe
Emmanuel Ama
Afikpo
South
Ogwuma
Health post
Lab.
Technician. OND(MLT)
29 Agwu Mercy
Olughu
Afikpo
South Ekoli PHC HSCHEW
30 Nwegwu Daniel Ivo Amaeze H/c PCHEW
Annex 6: Grouping of Participants(Disaggregated)
TEAM ONE(Dr Agbenin Andrew)
1. Omeri Dorothy .O.
2. Ogbuu Charity C
3. Ewa Agnes.O.
4. Uche Kingsley.A
5. Oko – azu Eunice.U.
6. Nkpana Benedeth
7. Obasi Christopher
8. Ekenma Ibiam.C
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.
TEAM TWO (Dr Agbenin Andrew)
1. Kama Janet.E.
2. Azubuike Uzochi
3. Ogba Queenta
4. Comfort Nnachi.A.
5. Ngene Rita.N.
6. Nkechi Uka
7. Orji Uzor.C.
TEAM THREE(Chinyere Nwani)
1. Kalu Gold .N.
2. Nkechi Oko
3. Alu Obia
4. Felicia Ekenma
5. Agatha .O. Okorie
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6. Azubuike Ugwu
7. Rita Ogbuu.E.
8. Aja Jane
TEAM FOUR(Nwazunku Augustine.A.)
1. Amadi Chimezie
2. Ogbuagu Christiana
3. Uguba Angela.E.
4. Chukwu Monica
5. Ndukwe Emmanuel Ama
6. Agwu Mercy Ohegbu.
7. Nwegwu Daniel
Annex 7: Opening Session Agenda
MAPS/USAID-Funded management training for Officers-in-charge of Primary Health Care Facilities in Ebonyi StateTitle: Opening session agendaVenue: Ebonyi Hotels,Afikpo North LGA
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Date: 12th Sept,2012
1 Opening prayer
2 Welcome address/opening remark by SMCP
3 Self introduction
4 Objective of the meeting
5 Setting of ground rules
6 Administrative/logistics announcement by MAPS officer of the state
Annex 8: Opening session plan
MAPS/USAID-Funded management training for Officers-in-Charge of Primary Health Care and Malaria focal persons in Ebonyi State
Venue: Ebonyi Hotels,Afikpo North LGADate: 12th Sept,2012
SESSION PLAN FOR OPENING SESSION SESSION TITLE: OPENING SESSION OBJECTIVES OF THE OPENING SESSION
1 To create an avenue for participants and facilitators to get acquainted with one another
2 To introduce the participants to the purpose of the meeting.
3 To generate ground rules.
4 To clarify administrative/logistics issues
EQUIPMENT NEEDED FOR OPENING SESSION1. Flip chart stand
2. Public address system
3. Multimedia projector and screen
4. Laptop
5. Power point
6. Electrical extension box
7. Printer
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MATERIALS MEEDED FOR THE OPENING SESSION1. Flip chart
2. Markers
3. Masking tapes
4. Adhesive papers
CONTENTS AND SUBTIMING OF ACTIVITIES DURING THE OPENING SESSIONACTIVITY I:
Opening prayer: Nwani Chinyere 8:30 – 8:35AMACTIVITY 2:
Welcome address: SMCP 8:35 -8:40AMACTIVITY 3:
Self introduction: Nwani Chinyere
(Name,designation and place of work) 8:40 – 9AM ACTIVITY 4:
Objectives of the meeting: Dr Agbenin Andrew 9AM – 9:05AMACTIVITY 5:
Ground rules: Nwani Chinyere 9:05AM – 9:20AMACTIVITY 6:
Administrative/logistics announcement PHARM. UCHE IGWE, MAPS SCBO : 9:20 – 9:30AM
Annex 9: Technical session plans
Management Capacity Building for Officers in Charge of Primary Health Care Facilities and LGA Malaria Focal Persons in Ebonyi StateEbonyi Hotels,AfikpoGENERAL MANAGEMENT SESSION PLAN
BYDr Agbenin Andrew
Date :12th September, 2012
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Generate a list of regular and non- regular activities in the work of managers
in the health sector
Identify the basic management tasks performed by managers in the health
sector.
Describe the different types of resources available to managers in the health
sector and discuss ways to improve on how resources are currently managed.
Describe the set up and workings of malaria control teams.
‘Time allocated: 5hrs 30mins
Equipment needed: flip chart stand,
Materials needed: flip chart paper, markers, trainee modules, EURO worksheet, puzzle
for activity 5, (NMPC organogram), activity slips for group work in activity 5, paper, and
cardboard.
Part One
S/N Activity Description Allotted Time Comments
OPENING Opening-
Share learning objectives and
ask participants to read
Request the group to appoint:
A Group Leader, A Note
Taker and Decide on who will
present
5 minutes
5 minutes
Plenary
Group work
Introduction: Why do health
workers need management
training?
10minutes Give two examples of the
usefulness of management in
real life situations if you can.
ACTIVITY ONE
1 Request participants to think as
a group and write a brief
description on a flip chart
15mins
Group work
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(operational definition) of:
WHO IS A MANAGER IN THE
HEALTH SECTOR?
2 A group presents in the plenary
and others to fill in the gap
25 minutes Distribute module, and refer
participants to page 5 to read
out the definition Total=
60min (11.30am to 12.30am)
ACTIVITY TWO1 Participants as a group to think
and using bullet points on a flip
chart make a list of
management type activities
(routine and non-routine) they
undertake in their daily, weekly,
monthly or annual work.
(EXCLUDE CLINICAL
DUTIES)
15minutes
Group WorkThings needed flip chart paper
and markers.
2 Presentation by one group to a
large group, comparison and
filling in the gaps by other
groups
15 minutes Other groups to paste their flip
charts on the wall. Refer to
Activity Profile on page 6 of
your manual and page 5 on
the trainee manual.
3 Summarize the session 5 minutes Summarise by saying that all
what the manager does in the
health sector is to manage
resources using established
systems…skilfully and
objectively
Total=35mins
(12.30 to 1.05pm)
ACTIVITY 3
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1 ASK participants as a group to
answer the following three (3)
questions :
o ‘What is a resource?’ (give
examples)
o ‘What is resource
management?’
o ‘What is a system?’
10 minutes Group work
2 Ask a group to present and
others to fill in the gaps
10 minutes DISCUSS with the group,
refer to page 6 of the module
and ensure that the points
therein are covered
3 Summarize & Mention that
management modules of the
Harmonised Training & Support
Materials For Strengthening
Malaria Programme
Management And Service
Delivery in Nigeria covers 5
major systems:
o Planning and Budgeting,
o Supportive Supervision
and on the job training
o Monitoring and
Evaluation
o Procurement, logistic
and supply chain
management
o Accounting and records
5 minutes In the activity profiling of the
manager in the health sector
we identified planning,
supervision, review, etc. as
parts of his management
duties. This module is cross-
cutting and sets the stage for
in-depth discussion of some of
these activities….
Time (25mins) 1.05 to 1.30pm
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The General Management
module
cross-cuts/introduces/sets the
stage for the five other
modules. However, in this
training, we shall be focusing
on:
o Supportive Supervision
and on the job training
o Monitoring and
Evaluation
o Planning and Budgeting
Total Time Allocation 2 hours Break for lunch
Part Two
Basic Elements of Resource Management: the EURO ASSIGNMENT – Examples, Challenges, and Recommendations
ACTIVITY FOUR1. Ask Participants to read the
introduction to section 3.1. Basic elements of resource management
10 minutes
The E U R O Group workPages 6 and 7 of the trainee
module
2. DISTRIBUTE the printed EURO activity work sheet,
Discuss one point each with
each group to be sure that there
is a clear understanding of what
is expected.
Ask participants to fill in the
chart for the resource that
40 minutes Resources to work on:
1. Human Resource for
Health
2. Finance
3. Infrastructure, equipment
and supplies (including
drugs)
4. Service Delivery
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relates to their Teams
Introduce an energizer if
participants seem dull.
Points/Facilities
4. Ask each group to paste their
completed EURO worksheets
on the wall for a gallery
presentations
30 minutes (In plenary )
SUMMARISE the challenges
and solutions that the groups
present. DISCUSS any
problems that groups might
have experienced and clarify
any outstanding issues.
TOTAL TIME 1 hr 10mins 1hr 10mins ( 2.30pm to
3.50pm)
3 Wrap up the session 5mins (Emphasize the importance of
the EURO concept in resource
management and their needs
to understand the concept and
apply it in their management
activities)
Part threeINTERNAL MANAGEMENT OF MALARIA CONTROL PROGRAMME(MCP)ACTIVITY 5
1 a)Describe the composition
of your state malaria
control program(SMCP)
5mins for group
work
Discuss in plenary and refer
participants to page 27 of
trainee’s module for
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comparison with how it is
described in the module.
(10minutes)
b) Use bullet points to list
the roles and
responsibilities of State
Malaria Control
Programme(SMCP)
5mins for group
work
10mins for presentation in
plenary
2 List your roles and
responsibilities in your
state and Local Goverment
Areas plans for malaria
control
5mins 10minutes for a group to
make their presentation and
others to fill in the
gap(Plenary presentation)
3 Wrap up the session 10minutes Emphasize that a well
constituted,equipped and
functional SMCP is essential
to the achievement of the roll
back malaria targets of
Nigeria
ACTIVITY 6
1 Ask the participants to,in
the context of MCP,share
their understanding of:
a) Delegation of
authority
b) Meetings
c) Leadership
d) Capacity
building(not just
training or
15minutes(grou
p work)
10 minutes of
one group
presentation
while others fill
in the gap
Refer participants to pages
12-22 of Trainee’s module.
Wrap up the
session(5minutes)
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workshop)
e) Report writing.....
Planning and Budgeting Session.BY
NWAZUNKU AUGUSTINE A.September 13, 2012.
SESSION TITLE PLANNING & BUDGETING.
AIMS/OBJECTIVES/
OUTCOMES
At the end of this session, participants should be
able to
1. Identify planning & budgeting as major
management tools.
2. Discuss the major elements of planning and
budgeting.
3. Associate planning and budgeting as
interwoven process.
4. Demonstrate an enhanced understanding of
the process of operational planning and
evidence based budgeting for malaria
control.
5. Explain how planning and budgeting for
malaria control at various levels could work
together to enhance the achievement of
national targets to improve health and reach
the millenniums Development Goals.
6. Identify the various national/State level
documentations (policies, strategies,
guidelines etc) within which context planning
and budgeting for malaria control must be
situated.
EQUIPMENT NEEDED Flipchart stands, flipchart papers, projector, public
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address system, Laptop, Printer.
MATERIALS NEEDED Flipchart, marker, masking tape, cardboard sheet,
Plain sheets, writing materials for participants
( jotter, pen, pencil, sharpener, eraser), trainer and
trainee modules.
CONTENT SUBTIMIN
GS
ACTIVITIES.
PLANNING & BUDGETING 1 2hrs. RESPONSIBLE PERSON: NWAZUNKU A. A.
Session one:
introduction.
Session 2. AN
OVERVIEW OF
PLANNING IN THE
HEALTH SECTOR.
Session 2. Plan
33mins
o Stakeholders’ introduction. 2mins
o Ask each group to appoint a leader,
note taker and a presenter. 1mins.
o Make sure that what is required for
each section is are available. 1 mins.
o Get a volunteer to read the learning
objectives of the session. 2 mins.
o Ask participants their understanding
of planning & budgeting and guide
their discussion. 5mins.
o Discuss with the group and ensure
points on page 5 of trainee module
are covered. 5 mins.
Give group activity one, capture response in
flip chart and present. 15 mins.
Emphasis existence of many different
approaches to planning & budgeting and the
suitability of this module in Nigeria context
particularly as it relates to malaria control
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Session 3. Planning and
other documentations.
programme. 1 mins.
Refer and read page 5 of trainee module.
Explain that plans are not the only
documents that provide managers guidance
on MCP.
Show copies of the National/state level
documentations-policies, Strategies and
frameworks in malaria control are handy.
Explain that other documents and plan
provide managers with guidance on malaria
control.
Give group task 2. 10 mins
(One group should present in plenary, while
others will fill in the gaps.) 5 mins.
Refer participants to relevant trainee module
pages 7 & 8 for standard description of the
various documentations. 5 mins
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Session 4. DIFFERENT
TYPES OF PLANS,
POLICY, STRATEGY,
GUIDELINES AND
FRAMEWORKS.
29 mins. Refer participants to overall
framework on page 9 trainee module,
let volunteer read through same,
explain chart columns, Participants
facilitated to understand the range of
words used in planning. 2mins
Discuss any questions, queries that
participants have 5mins
Give activity task 3: completion of
individual work station plan trainee
module pg 10 10mins.
Refer to box on page 11of trainee
module. 2mins.
Summarise by going through the plan
types details in trainee module pages
9-10.
Refer and read page 12 of trainee
module.
Provide sample copies of
documentations for trainee
observation. 2 mins
SESSION 5. EIGHT STEPS IN
PLANNING 15 min
Task 4: Participants to read one of the 8
steps in planning process allocated as a
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s member of the group and share
understanding with other group members
each of 4 groups to discuss 2 of the 8 steps
within groups and list 3 reasons why the
each of the 2 steps of planning process is
important.
Refer participants to planning cycle diagram
on page 14 of trainee manual and guide a
reading by volunteer.
Volunteers to read through 8 steps in
planning process (pgs 15-18).
Explain and check participants
understanding of concepts (SWOT, SMART,
but why problem analysis), demonstrate that
the 8 steps are ‘building blocks’ as
sequential actions that need to be taken for
getting there.
5 mins.
Session 6. REVIEWING THE
SMCP PLAN AND STATE
LEVEL OPERATIONAL
PLANNING PROCESS.
15 mins
Briefly draw participants’ attentions to 4 phases
which the State has followed to develop their
operational plans for malarial control. 5mins
Ask if there are participants who were part of the
process and get them to share their experiences
with each phase (note same on flip chart sheet)
5mins.
Give activity
Ask a volunteer to read through the phases (pgs
24-26) annual/operational plan format (19) of
trainee module.
Explain the entries in the various sections of the
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formats, clarify any issues raised by participants
and ensure that they all understand the points
listed .
PLANNING AND
BUDGETING 2.
RESPONSIBLE PERSON: NWAZUNKU A. A.
Session 1: OVERVIEW OF
BUDGETING
23
mins.
Confirm that the participants’ modules on planning
and budgeting are available 1 minute
Ask groups of participants of their understanding of
budgeting in areas of purpose and benefits
budgeting to an organization as well as the
components of budgeting (note the common
responses on the flipchart). Read box 1 on page
29 of the trainee module with participants for
standard points. 5mins.
Give group activity 1 on page 27 of trainer module
and capture their responses in flip chart sheet.
One group presents while others fill in the gaps. 10
mins.
Emphasise the preponderance of different
approaches to planning and budgeting and the
adequacy of this module for the national/state
malaria control program. 2mins.
Summarise by listing and explaining some
common terms used in budgeting (group read
page 29) and take comments and question – 5
mins.
Session 2. BUDGETING
PROCESS.
15
mins.
Ask participants to read through budget
process( pg 30) of trainee module. 10 mins.
Talk with participants to be fully familiar with
different step in the budgeting process.
Ask for comments from participants and question
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Session 3. Basic elements in
Budgeting.
Session 4: Fund allocation and
releases by Government
30
mins.
19
mins.
them about what was said on this. 5 mins.
Ask the participant to discuss in each of their 4
groups the six basic elements in budgeting
process. 10 Mins.
Let the participants in the groups capture their
response, as they are practised in the LGAs, by
filling the form on page 29 of trainee module.
5mins
Give activity task to participant to discuss within
their groups the six elements of budgeting and
record on clip chart sheet how the 6 elements are
practised within their LGA/HF. Then ask one of the
participants groups presents to plenary their
response,allow others fill in the gap. Explain the
steps in Plenary. 15 Mins .
Give group activity task and ask participants to
discuss (page 30 of the trainer module) and use
bullet points to present their responses on a flip
chart. One group presents and the others fill the
gap. 15 Mins.
Discuss any issues that may arise. 2mins.
Explain any Questions or concerns that
participants may have( 2mins).
Session 5. BUDGET FORMATS. 9mins. In plenary, discuss budget details and budget
progress tables on pages 33-35 of the trainee
module. 5mins.
Clarify any issues raised by the participants.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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2mins.
Summarise the benefit of formats, application of
chart, and the application of format in periodic
analysis and tracking of malaria commodity.2mins.
Session 6: COSTING 22
mins.
Refer participants to trainee module page 32 and
ask them to read boxes 1 and 2 by themselves in
their groups. 3mins
Explain the text
Talk with participants until they are familiar with the
different aspects of costing as key element to
developing a budget. 2mins
Give group task to develop a resource list for the
strategy they were allocated and activities they
developed using template in page 37 of trainee
module and in the larger group discuss what each
group has come up with. 15mins.
Summarise by reference standard points on page
37 of trainee module. 2mins.
.
Session 7: DEVELOPING A
BUDGET,
19
mins.
Give a group task for each group to develop a
budget for a LGA for one strategies, using format
on page 37 of trainee module, let them present in
plenary, guide their discussion.15mins.
Explain any issues of concern or confusion.
3mins.
Inform participants that there is a balance on how
far we develop the budget components, because
significant resources already exist. Page 34 of
trainer module. 1mins.
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BUDGET ANALYSIS AND
TRACKING AND
RELEVANCE OF BUDGET
DATA.
10mins
.
Inform participant of two key aspects to budget
tracking in Nigeria. 2mins.
Ask participants to read budget tables on pages 38
-39 of trainee module themselves. 5mins
Talk with them until they are familiar with different
aspects of tracking expenditure as key aspects of
management. 2mins. Explain the table in own
word, take comments and question them on what
they have been told to check their learning .3mins.
Summary / wrap up. 5 mins Highlight the must know points.
FOLLOW ON/FOLLOW UP
ACTIVITIES.
10mins Take and respond to questions.
INTEGRATED SUPPORTIVE SUPERVISION AND ON THE JOB CAPACITY BUILDING TRAINING
SESSION PLAN.Prepared by : Nwani Chinyere13th & 14th September,2012.
SESSION TITLE INTEGRATED SUPORTIVE SUPERVISION
AND OJCB.
AIMS/OBJECTIVES/OUTCOMES At the end of this session, participants should
be able to
7. Describe their roles as health managers
in the process of ISS.
8. Describe supervision and identify any
shortcomings/ challenges of current
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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supervisory arrangements.
9. Identify the core components of a model
ISS system.
10.Discuss the characteristics of an ISS
team.
11.Demonstrate a clear understanding of
how an integrated Supportive
Supervision system can contribute to a
high quality care service.
12.Describe a typical On-the-job-capacity
building process.
EQUIPMENT NEEDED Flipchart stand, flipchart, in-focus, public
address system, Laptop, Printer.
MATERIALS NEEDED Flipchart, marker, masking tape, cardboard
sheet, Plain sheets, writing materials for
participants( jotter, pen, pencil, sharpener,
eraser), trainer and trainee modules.
CONTENT SUBTIMINGS ACTIVITIES.
ISS 1 2hr:30 mins . RESPONSIBLE PERSON: NWANI CHINYERE
(1) OVERVIEW OF CURRENT
SUPERVISION
PRACTICES
5mins
55 mins
Ask each group to appoint a leader,
note taker and a presenter.
Outline the learning objectives of the
session.
(1) Ask each group to describe the following
operational terms:
Supervision, supportive supervision, integrated
supportive supervision, OJCB and compare
monitoring and supervision.
( one group should present in plenary, while
others will fill in the gaps.) 10 mins.
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*plenary presentation 5 mins.
*REFER PARTICIPANTS TO TRAINEE
MODULE pg 6. 5mins
* give out team work no 3 and refer to pg 7
boxes 2 and 3.
1. Give out team work no 4. 3 mins.
* one group presents and others fill in
the gap.5 mins
2. Give each group activity script
containing questions as asked in
trainer’s module pg 7. 5 mins for writing
and 10 mins for presentation. (All
groups)
15 mins.
3. Capture the various shortcomings of the
current supervision on flip chart in the
plenary. 3 mins.
(2.) CORE ELEMENTS,
BEN7EFITS AND
CHALLENGES OF ISS.
15 mins
1. Ask the participants to read from their
trainee module pg 8 (participatory) and
you explain later. 10 mins
2. Refer them to pg 9, boxes 1 and 2.
3 mins and then
you summarise 2 mins.
(3.) ESTABLISHING AN ISS
SYSTEM. 50 mins
Refer trainees to their module pg 10.
Distribute activity strips. Allow them 5 mins
reading time. 10 mins overview.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Give 2 step allocated cardboard sheets
to each group.
Request the group reps. To hold up
their cards and give an overview to the
large group. 20 mins
Finally, explain shortly the steps.
5 min
Ask a volunteer to try to explain the
chart in pg13, 10 mins.
ISS 2 2 hrs:30min
1. Checklist / tools 50 mins Ask the participants to list in plenary the
checklist and indicators they use during
supervision.( each group should present in
plenary.) writing = 5 mins and presentation =
15 mins.
Ask participants to discuss the possible
benefits and challenges in the usage of the
harmonised ISS tools and suggest solutions,
write on the flipchart and present in plenary.
One group presents while others fill in the gap.
25 mins
*refer participants to trainee module pg 37
Read – 5 mins.
2. ISS visit 40 mins *refer them to the trainee module pg 39 and
then divide the 11 steps among the groups and
ask them to read and explain to themselves
the steps allocated to them.
Reading time = 3 mins
Discussion = 5 mins.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Then ask the participants to paste and explain
the steps in gallery. 20 min
Ask the participants to read the. Trainee
module pg 41 (10 commandments of the ISS
visit.) then read the box. 10 mins.
3. ISS teams 15 mins Refer participants to trainee module pg
16, read boxes 2 and 3.
3 mins
Ask participants to use their own experience to
list challenges that people face when they work
together as a team and suggest ways to avoid
or address each of the challenges. Afterwards
they should present in plenary.
15 mins.
4. OJCB / Mentoring. 35 mins
Ask participants to describe OJCB, mentoring
and coaching and let them present in plenary,
guide their discussion. 10
mins.
Ask participants to read through the trainee
module pgs 44 – 46. And then summarise
each box. 15mins.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Ask participants to use their own experience to
discuss:
OJCB experiences they have had
Whether this goes beyond knowledge
and skills sharing and address attitude.
Whether the OJCB has been structured
or unstructured. 10 mins
5. Summary / wrap up. 5 mins Highlight the must know points.
FOLLOW ON/FOLLOW UP
ACTIVITIES. Take and respond to questions.
MONITORING AND EVALUATION.SESSION PLAN.
Prepared by : Nwani Chinyere14th September,2012.
SESSION TITLE MONITORING & EVALUATION.
AIMS/OBJECTIVES/OUTCOMES At the end of this session, participants should
be able to
13.Describe MONITORING &
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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EVALUATION (M/E) and the current
tools used to collect data.
14.Discuss the difference between
SUPERVISION, MONITORING AND
EVALUATION.
15.Explain the basic characteristics of each
step of the data management cycle,
outlining the roles and responsibilities of
service providers and managers in the
implementation of each step.
16. Identify the current weakness of the
routine HMIS system, with a specific
data elements and data flow.
17.Discuss the necessity of a core set of
SMART objectives/targets and
indicators that RAVES.
18.Demonstrate how to analyse, interpret
and utilize the data generated from the
indicators.
EQUIPMENT NEEDED Flipchart stand, flipchart, multimedia projector,
public address system, Laptop, Printer.
MATERIALS NEEDED Flipchart, marker, masking tape, cardboard
sheet, Plain sheets,envelope, writing materials
for participants( jotter, pen, pencil, sharpener,
eraser), trainer and trainee modules.
CONTENT TIME: 5 HRS SUBTIMINGS ACTIVITIES.
INTRODUCTION TO M&E
OPERATIONAL TERMS. 5mins
ACTIVITY 1: Ask each group to appoint
a leader, note taker and a presenter.
ACTIVITY 2: Ask a volunteer to read in
plenary the KEY MESSAGES & another
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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1hr, 35 mins
to read the OBJECTIVES. 10 mins.
REFER PARTICIPANTS TO TRAINEE
MODULE pg 4 (why do managers need
training on M&E). 5mins
ACTIVITY 3: Ask participants to discuss
and use bullet points to describe the
following operational terms on a flip
chart: SUPERVISION, MONITORING
AND EVALUATION. (Each group to
present in plenary (30 mins). Refer to
trainee guide pg 4 - 5. (10 mins)
ACTIVITY 4: Participants will discuss
and use bullet points to differentiate b/w
monitoring and supervision.10 mins
Another group will discuss and write on
flipchart how M&E helps managers.10
mins
Refer to trainee module pg 5-6.(10
mins).
Summarise: 10mins.
(2.) MALARIA SPECIFIC
DATA 50 mins
Refer participants to trainee module pg 6
(Malaria Specific Data)
ACTIVITY 5:
Give activity as it is in trainer’s module pg 7
50 mins
(3.) DATA
COLLECTION/TOOLS
ACTIVITY 6:
Ask participants to discuss and write on
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1 hr, 10 mins a flipchart the data flow mechanism
present in plenary while others fill in the
gap. 15 mins.
Refer participants to trainee module pg
13 – 14. 15 mins
Refer participants to trainee guide pg 16
10 mins
ACTIVITY 7:
Ask participants to list the tools used for
collection of data in malaria control
programme and possible indicators.
Present in plenary.20 mins
(4) UNDERSTANDING
INDICATORS
10 mins Refer participants to trainee module pg 26, 38
and 44. 10 mins
(5) ANALYSIS,
INTERPRETATION AND USE OF
DATA.
30 mins Ask a volunteer to explain when data should
be collected, collated and analysed
A CTIVITY 8:
Ask participants to list on a flip chart the usage
of data. Gallery presentation.
(6) PHARMACOVIGILANCE. 30 mins Ask a volunteer to describe pharmaco -
vigilance. Refer to trainee guide pg 53
(7) WRAP UP/ COMMENTS Take questions and comments.
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Annex 10: Evaluation form
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons,Afikpo North/South LGAs,Ebonyi StateDate: 12th September-14th September,2012Evaluation Form
1. How would you describe the training?
A. Poor
B. Fair
C. Good
D. Very good
2. How relevant is the training to your work?
A. Not relevant
B. Relevant
C. Very relevant
3. In your opinion how would you describe the methodology used.
A. Not satisfactory
B. Satisfactory
C. Very satisfactory
4. What other issues do you think should have been addressed in the course of the
training that was not addressed?
……………………………………………............................
……………………………………………………………………………….....................
.................................................................................................................................
...........................................................
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Annex 11: Bridging the gap between management theory and practice.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:AGATHA OKORIE LGA/PHC Facility: Afikpo South, Amangwu H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Lack of SP and ACT drugs I will report to HOD Health of my
LGA so that she will report to
MAPS.
The use of LLINs is
inadequate
I will health educate my people
on how to use it.
No RDT. I will appeal to MAPS to provide
it for us.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
We don’t plan for ISS We will plan for ISS.
Non-use of LLINs and RDT. I will teach my workers to use
RDT and LLINs.
No capacity building. I will introduce capacity building
in my place of work.
Monitoring and
Evaluation (M&E)
Not knowing the purpose of
monitoring and evaluation
To now ensure data are kept for
future use or purpose
Diagnosis and treatment of
malaria are not properly
Will ensure correct diagnosis
and treatment for malaria
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done
Improper supervision For better data collection,I will
ensure regular supervision
Planning and
budgeting
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:AZUBUIKE UZOCHI LGA/PHC Facility :Afikpo North, MCH.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Non – availability of anti -
malaria drugs.
I will write to the agencies to
provide e.g SMCP and LGA
Chairman.
Lateness to work and
absenteeism without
permission.
Proper staff orientation by
having meeting with them.
Lack of some equipment and
lack of water supply.
Notify the LGA Chairman about
it via writing.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
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Building
Monitoring and
Evaluation (M&E)
Planning and
Budgeting
Other staff do not know the
National policy for malaria
I will organize a training for my
staff and tell them about the
National policy for malaria
control i.e how to prevent and
treat malaria.
Distribution of LLINs to the
communities within the health
facility(how to distribute)
I will budget taking note of the
number of people in the
community, what it will cost and
then I will involve the village
heads.
Some drugs are out of
stock(drugs procurement.)
I will write to the appropriate
authorities for provision.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME: Ogbuu Rita E LGA/PHC Facility:Afikpo South, Ogbu H/C
Session Issue areas in my place of work Specific action I will take to ensure improvement
General
management
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Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Inadequate monitoring and
evaluation
Will take steps to ensure
proper monitoring and
evaluation.
I don’t usually give feedback Will be giving feedback to
my workers as from now
Untimely reporting Will be respecting
timeliness in reporting as
from now on.
Planning and
budgeting
Poor funding in the collection of
malaria commodity
I will write to HOD for
transport in collection of the
commodity.
Lack of fund I will appeal to the HOD
(Health) to write to the
authority.
Inadequate usage of LLINs. I will visit communities to
educate them.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Personsin USAID/MAPS supported StatesBridging the gap between management theory and practice
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NAME:Nkechi Oko LGA/PHC Facility:Afikpo North,Evuko MDGs H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Non- delegation of duty From now onwards I will
delegate duty to my
subordinates to enhance
performance and productivity.
Leadership I will become a good leader who
influences others to achieve a
goal.
Health Education I will educate mothers on the
use of LLIN, ACT, SP. When I
go back to my health facility.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Inadequate data collection From now on,I will be collecting
accurate data
Lack of monitoring I will now be involved in routine
monitoring to enhance
performace and to track
programmatic progrss
Improper activities evaluation I will double my effort to ensure
proper evaluation of activities
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and
budgeting
Poor usage of LLINs I will health educate the
community within my catchment
area on the importance of LLINs
and the usage, so that malaria
can be reduced in the area.
Lack of adequate supply of
malaria commodities in the
health facility.
will always write a report to the
LGA malaria focal person that
we need malaria commodity in
our health facility in advance.
Improper distribution of
LLINs to households.
. From now on I will always
inform the focal person of d
need to have more supervisors
for effective distribution of LLINs
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons
in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Felicia Ekenma LGA/PHC Facility:Model PHC, Ebunwana Afikpo South.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Alu Obia LGA/PHC Facility:Afikpo South, MCH.
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Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Nkpana Benedeth LGA/PHC Facility:Ivo LGA, Amagu H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Poor report I will start to write report to my
superior officer.
No visiting I will begin to attach
importance to home visit.
No delegation of duty I will begin to delegate duty to
my subordinates.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
What I practice now is strict
supervision.
I will no longer harass but
correct my subordinates in a
friendly manner.
No OJCB. I now know the importance of
OJCB, I will do it in my work
place.
Monitoring and
Evaluation (M&E)
Lack of Monitoring and
evaluation
Will henceforth be involved in
monitoring and evaluation
Delaying for vaccine collection
in my center.
Now with the training,I have
acquired the knowledge of
cutting my coat according to
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and
budgeting
my size by knowing the way I
can be applying for my vaccine
that it can be easy for me.
Lack of materials to enhance
my duty smoothly.
With the knowledge I have
learnt today I can now do
budgeting for my insufficient
materials to meet my demand
for any activity am involved in,
e.g. ACTS, .IPTs.
Lack of planning always brings
about failure of any business
I have learnt how I can be
planning and budgeting.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Kalu Gold .N. LGA/PHC Facility:Ivo LGA, Model H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Poor record keeping I will try to be keeping record
when I go back to my facility.
No RDT kits for malaria I will write a letter of appeal to
USAID /MAPS for help to
provide the kits.
No antimalarial drugs. I will appeal to SMCP manager
to provide the drugs.
Integrated
Supportive
Supervisory
No advance notification to the
Health Facility before going
on supervisory visit.
I will begin to give notice before
I come for supervision.
No supportive supervision When I go back to my work
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system and On-
the-Job Capacity
Building
place, I will introduce the
almighty supportive supervision
i.e to correct my subordinates
mildly and congratulate them on
the one they did well.
I don’t plan my visit to health
facilities.
I will draw a plan that will show
names of health facilities to visit
and when to visit.
Monitoring and
Evaluation (M&E)
Lack of evaluation in my
place of work
Will be evaluating my workers
now to ensure program
effectiveness
Inadequate personnel
assessment
At the end of the each month,I
will assess myself to see if I am
putting correction to what I
learnt in this seminar
Irregular monitoring activity AS from now,I will be monitoring
my subordinates to achieve a
set goal
Planning and
budgeting
Poor usage of LLINs I will plan for a seminar to health
educate the public about how to
use the LLINs and the nets
importance to the household.
Irregular release of
money/fund.
I will write to the HOD to discuss
it in the F & G meeting for the
release of fund.
No regular environmental
sanitation
I will plan and visit many homes
and advise them on personal
hygiene and environmental
sanitation.
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Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME :Aja Jane .O. LGA/PHC Facility: Ivo LGA, Amaeze H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Lack of ACTs drugs and
IPTs.
I will report to my HOD so that
she will in turn send the report to
the state.
Lack of RDTs. I will report the problem to the
Local Government Control
Manager.
Poor record keeping. I will begin to keep proper
record.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Lack of OJCB I will start training and correcting
my subordinates at the work site
without any criticism.
Inadequate supply of
checklist.
I will report to the M&E officer to
bring it.
Poor supervision. I will start now.
Monitoring and
Evaluation (M&E)
Irregular monitoring activity I will suggest that the monitoring
should be done regularly for
improvement
Poor personal assessment When I go back,I will assess
myself to see whether I have
covered the target required of
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me
Lack of record keeping Reports and records should be
done on daily basis
Planning and
budgeting
No regular supply of vaccine
for routine services.
I will plan for the supply of
vaccine in time in order to
increase the turn-up.
Poor funding in collection of
malaria control commodities.
I will write to the HOD for her to
help in the release of fund for
transport in collection of the
commodities.
Inadequate supply of LLINs I will report to the LGA Malaria
control focal person for
intervention.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Orji Uzor .C. LGA/PHC Facility:Ivo LGA, Model H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Late submission of data to
the malaria focal person.
I will start to submit data on
time.
Inappropriate meeting with
community leaders.
I will begin to carry out
community mobilization.
Poor delegation. I will now start to delegate duties
to those under me.
Inadequate checklists. I will write to appropriate
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Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
authorities.
No OJCB I will start OJCB so that when
am not around my subordinates
can carry on.
No supportive supervision. I will cease shouting on my
workers but will guide them
friendly.
Monitoring and
Evaluation (M&E)
Not able to follow up patients
who needed it due to lack of
manpower in my working
place
As from today,I will continue
following up patients or clients
who need it
Inaccurate data analysis Now that I have been exposed
to this module,from now on I will
ensure good data analysis in my
facility and shall be done on
time
Computer illiterates in my
working place
I will deliver information to
higher authority for computer
supply in our working places
Planning and
budgeting
Use of nets in the community
where I’m working (LLINs).
Visiting community
householders to know if the net
issued them are being used
accordingly.
Scarcity of materials I will write to the council to help
in providing RDTs tool and
various health facilities.
No budget on how materials
and drugs should be
provided.
I will write to the HOD health,
the scarcity of malaria materials
and and drugs,budget for them
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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and I will follow up.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Uguba Angela .E. LGA/PHC Facility:Afikpo North/ Unwana H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
No report writing As from today I will begin to
write report.
Too much work on one
person.
I will share duties to my junior
officers.
No knowledge of capacity
building.
I will involve the community
members.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Inadequate monitoring and
evaluation as a manager
Will be involved in monitoring
and evaluation as from now
I am not involved in data flow I have now known the need for it
and will ensure regular data flow
I was not practicing feedback
as part of data management
cycle
Will be doing that henceforth
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and
budgeting
Poor planning of
immunization in my health
center
Now I know it is important to
plan for your work from today
will be planning weekly or
monthly.
Problem of plan evaluation
not being done in my center
But now I will be writing through
the HOD to LGA authority.
Have not been doing it
budgeting, have not been
involved in budgeting input.
But now, will be doing it now.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Oko – Azu Eunice . U. LGA/PHC Facility:Ivo LGA, Obulor H/C.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
No report writting I will begin to write report
No home visit I will begin to visit my clients.
No delegation of work I will share duties with my
colleagues.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
No proper checklist for
supervision.
I will start and introduce the
usage of checklist for
supervision in my place of work.
No supportive supervision. I have learnt the benefits of
supportive supervision and I will
practise it with my subordinates.
No OJCB I will begin to practise it.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Monitoring and
Evaluation (M&E)
Lack of checklist I will try and develop checklist
for my monitoring activities in
order to meet my goals
No proper evaluation I will try to make it as a mandate
to evaluate all activities carried
out in my center every month
end
No proper record keeping Since data is very important in
all aspects of our work,I will from
now on find a means of safe-
keeping all records/data from my
health center
Planning and
budgeting
Delay in bring vaccines to
the health centers
Since I have learnt of budgeting,
I will start budgeting for vaccines
transportation to the and fro the
health centre to NPI office with
my own money to avoid delay.
Analyzing situations Since I have learnt the
importance of work analysis, I
will start to analyze my work
plan every month.
Detailed planning I will try and carry out detailed
planning of activities to be
carried out in the health centre
where I work.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practice
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
70
NAME:Ogbuu Charity .C. LGA/PHC Facility:Afikpo North LGA, Poperi H/c
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
No report writing I will start to write report
Poor leadership When I go I will try to apply
integrity and self discipline to
my leadership style.
No capacity building I will implement capacity
building.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Delay in sending data to the
appropriate unit or center
Won’t delay data transmission
any longer
Don’t usually do monitoring
and evaluation
Will be doing that now as from
today
Don’t usually adhere to
information cycle
Having gone through this
training,I will ensure my
information passes through this
recognized cycle of collection,
processing, analysis,
presentation, self assessment
and feedback
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and
budgeting
Tracking I have seen that it is very
important to track expenditure
against approved budget. So
when I go back to my health
centre I will make sure I will
help.
Budgeting When I go back from this
training, I will make sure that
every week, I will remove N500
so that it will help me in
transporting the net(LLINs), SP,
ACTs.
Strategy When I go back to my H/C I will
make sure that I will help and
prevent malaria by using LLINs
and helping them in distribution
of LLINs.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME: Ewah Agnes LGA/PHC Facility: Afikpo North LGA, MDGs
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
No report writing I will begin to write reports from
today.
Poor leadership I will show good example by
carrying out my duties and
delegating responsibilities.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
No supportive supervision I will be supervising my
subordinates now in all the
activity in the clinic.
No OJCB I will correct and guide my
subordinates.
No supervision at all. I will begin to supervise them.
Monitoring and
Evaluation (M&E)
Management theory It is not always good to depend
on theory without practising it.
From now, I will start applying
what I have learnt in theory into
practice
Planning and
budgeting
Unplanned work I will be making good use of my
plan in all the activities am
carrying out in the clinic(malaria
treatment).
Budgeting In my clinic, I will be budgeting
within my reach, that is, the
amount I can afford to carry out
my activities.
Adequate budgeting If you budgeted well, you will
carry out your work well.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported States
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Bridging the gap between management theory and practiceNAME:Omeri Dorathy .O. LGA/PHC Facility:Afikpo North/Amangbala H/c.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
No delegation of duty I will delegate duties to my
subordinates and explain our
goal to them and tell the
importance of feedback.
No meetings I will begin to hold meetings on
monthly /quarterly basis.
Poor leadership I will influence my people
positively and will also lead by
example.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Lack of monitoring Henceforth, will be monitoring
my workers.
Don’t usually carry out
evaluation activities
Will now be evaluating my
activities to ascertain
programmatic effectiveness
No knowledge on data flow I now have knowledge on the
steps involved in data
management.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and
budgeting
Unit plans Plan with my subordinates on
how to distribute malaria
commodities given to the centre
correctly.
budget I will make my request known to
my HOD concerning any
shortage of malaria items so that
they can include it in while
making budget in the council.
Tracking budget. I will track my expenditure
against approved budget and
report to my boss.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Chukwu Monica LGA/PHC Facility:Ivo LGA., Iyioji H/C
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Inadequate information and
awareness.
I will involve the community stake
holders.
Too much work on one
person
I will delegate some of my duties
to my co-workers for easier
implementation.
Inadequate knowledge on
the causes of malaria.
I will health educate them on the
causes of malaria and also on
preventive measures.
Inadequate knowledge I like the idea and will introduce it
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
about ISS. in my work place.
No feedback after
supervision.
I will always get back to my
subordinates so that they will
know the areas to improve.
Incomplete tools. I will make sure I get all the tools
I need and will make use of
them.
Monitoring and
Evaluation (M&E)
Inadequate monitoring I will devout more time to monitor
all the activities in my center and
collect the correct data
Bridge in data flow I will make sure that my data
follow the right route
Lack of feedback Since I have learnt that feedback
is important,I will always get back
to my workers so that they will
know the areas they need to
improve on
Planning and
budgeting
Incomplete planning. I will follow the 8 steps in
planning process.
Lack of adequate use of
guidelines
I will make sure that I follow the
specific guidelines.
Inadequate resources I will budget on available capital.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported States
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Bridging the gap between management theory and practiceNAME:Uche Kingsley LGA/PHC Facility:Afikpo North LGA.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
No delegation of duties I will delegate duties to staff
Irregular meetings I will adopt the idea of holding
meetings regularly.
Poor record keeping I will begin to keep proper record to
enhance good performance.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Lack of monitoring I will always monitor the activities of
ante-natal unit in my center
Lack of evaluation I will also check if those ante-natal
women do take their
sulfadoxine/pyrimethamine at the
spot(IPT1) and to check their level
of health education on
environmental management to
prevent malaria infection.
No proper record keeping Will ensure proper keeping of
collected and analyzed data
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Planning and
budgeting
Program/project. I will always link to the NMCP on
our unit before embarking on a
project.
Budgeting on how to carry
out program on distribution
of LLINs.
In the place of my work, I must
make sure and budget fund for
unforeseen circumstances
Issue on project
accommodation.
I will also inform the authority for
the completion of their last month
project.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Ogbuagu Christiana LGA/PHC Facility:Afikpo North, Ndibe H/c
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Report writing has been an
issue in my place of work
I will start writing report and
will pass the message back to
my subordinates.
There is too much work in the
Health Center.
I will ensure that work is
shared .(delegated)
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Monitoring and
Evaluation (M&E)
Inadequate monitoring of
activities in our health facility
I will begin to routinely collect
and measure data before
reporting
Lack of timeliness in data
reporting to the LGA
I will begin now to report all
data collected timely from my
health facility
Lack of knowledge on data and
the importance of feedback
Will educate my workers on
the use of data and the
importance of feedback.
Planning and
budgeting
Poor planning in our routine
immunization/malaria control
I will make a schedule for the
weekly routine immunization
and follow it sequentially, and
treatment according to the
national policy guideline.
Inadequate
materials/guidelines for
reference purpose during
malaria treatment.
As a manager, I will ensure
that the available ones are
utilized.
I have not be involved in
budgeting and planning
From this workshop I can now
be going to budget and
planning for future
implementation.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Amadi Chimezie .O. LGA/PHC Facility:Ivo, G/H Ishiagu.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Hoarding of knowledge and
ideas.
I will step this training down to
my subordinates and will start
delegating duties.
Irregular and late submission
of returns and reports.
I will begin to respect timeliness
in all things for effective
management. I will write and
submit reports on time too.
Negligence of departmental
meetings.
I will begin to call for periodic
meetings in the department for
review of activities.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Supervision is often bossy and
a fault finding exercise.
It will be supportive now.
There is usually no feed back
after supervision.
I will be given feedback and
follow up after supportive
supervisory visit.
Sometimes skilled jobs are left
undone in the absence of
OICs.
I will adopt and practice OJCB,
so that my subordinates know
how to do their job as better as
I can.
Monitoring and
Data/information not sent
promptly to the next level user
Ensure prompt and regular
submission for regular flow of
data and possible usage
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Evaluation (M&E) Lack of feedback Will now make feedback an
integral part of data flow
Sometimes fill in figures to let
go the ‘troubles’
Will make sure its specific and
relevant
Planning and
budgeting
Haphazard planning To take all the 8 steps involved
in planning.
Low coverage of LLINs
distribution
Budget to include logistics for
volunteers to help.
Heads of facilities are not
involved in budgeting.
To make the LGA management
see need for officers in charge
in various units to be part of the
budgeting.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Kama Janet. E. LGA/PHC Facility:Afikpo South LGA
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
We don’t know the
importance of report writing.
I now know how to write report
and I will start to write.
Lack of RBM commodities eg
ACTs and SPs
I will notify the LGA Chairman
for procurement of these drugs.
Integrated
Supportive
Lateness to duty and
rudeness to the patients.
I will no longer scold them but
support them.
Poor feedback I will always give feedback from
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Supervisory
system and On-
the-Job Capacity
Building
today.
No notification before
supervisory visit.
I will notify the Health facility
Monitoring and
Evaluation (M&E)
Planning and
budgeting
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Ogba Queenta LGA/PHC Facility:Itim MDG H/c, Afikpo South.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Patients do not come to
clinic for treatment.
From today I will start going for
home visit.
Patients not taking ACT drug
accurately.
I will go for follow up to know the
outcome of the treatment.
Negligence of duty in the
side of workers.
I will organize a meeting to tell
them the importance of coming
to work early.
Personnel not trained. Telling them the importance of
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
upgrading their certificate.
No feedback or report writing
after collecting data and
supervisory visit.
I will give feedback and write
report.
Monitoring and
Evaluation (M&E)
Poor data recording Will ensure that data is properly
recorded and kept for reference
purpose
Inadequate data collecting
tools
Will inform the malaria focal
person in my LGA of inadequate
tools in my facility for data
collection
No computer in the facility to
record and store data
Will make a recommendation to
the LGA for supply of a computer
for data entry
Planning and
budgeting
Expired drugs We need to call the authority that
will come and dispose them.
Low turn up during
immunization
From this training, I have learnt
that before you start doing
something, that you must plan
first, telling the mothers the day
that it will take place, time and
where.
Budgeting of health program
at the LGA levels.
The HOD is the person to know
what and what the department
needs and from there he will
know the numbers of Health
Centres that are involved.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME: Comfort .A. Nnachi LGA/PHC Facility:Afikpo South/Ugwuama H/C
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Lack of ACT and IPT and lack
of staff.
I will always come to work early
as from now and I will tell Govt.
to get people employed.
Lateness to work I will try to find out the problem
they have.
No equipment I will tell Govt. to bring those
equipment.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
No supportive supervision. I will start now.
Scolding and embarrassment. I will practise supportive
supervision.
No feedback. I will start to tell them.
Monitoring and
Evaluation (M&E)
Lack of monitoring activities Will be involved in monitoring
activities as from now on
Lack of computer in the facility
Planning and
Low turn-up during
immunization time.
I have to go home visit all the
time to check mothers and
others.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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budgeting Out of stock I have to budget how much I
will keep every month.
Treatment of malaria case for
pregnant women & children
under five.
I have to tell them the
importance of sleeping under
LLINs.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Ngene Rita LGA/PHC Facility:Afikpo North/Amangbala H/C
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Lack of ACT, IPT and RDT
kits
Will write to the LGA dept on
health to supply them
Lateness to work and staff
absenteeism.
I must come to work on time
and I will call for a meeting.
Drug administration I will monitor my client to make
sure he or she takes the drug
correctly.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Poor data recording From today and since I have
learnt, every data must be
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Monitoring and
Evaluation (M&E)
collected properly
Inadequate tools to collect
malaria data
Will put measures in place to
ensure these tools are available
and since my malaria focal
person is here and having
listened to this lecture,she will
ensure these tools for collecting
data are provided
Lack of computer in my
health facility for data
entering
Will request from the LGA
chairman
Planning and
budgeting
Planning and distribution of
LLINS
You first of all identify what you
need in order to know the
quantity you need
Some community members
like going to the chemist to
get drugs.
I will mobilize them on the
dangers of patronizing them and
will health educate them on the
needs of getting the right
treatment.
Treatment of malaria in
pregnant mothers and
children under five years.
I will advise the pregnant
mothers the needs for them to
sleep under LLINs.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Agwu Mercy Olughu LGA/PHC Facility:Ekoli PHC, Afikpo South
Session Issue areas in my place of work
Specific action I will take to ensure improvement
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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General
management
The issue of RDT I will health educate my people
to do the RDT before treatment.
The use of LLINs I will instruct my people to use
LLINs
Low Staff participation of the
distribution of ACT.
Will sensitize them
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
No proper OJCB I will make sure they improve in
what they know how to do.
No knowledge of ISS. I will practise ISS.
We dodge from work to avoid
our superiors if we know they
are coming.
I will try to do things better now.
Monitoring and
Evaluation (M&E)
Planning and
budgeting
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Ekenma Ibiam .C. LGA/PHC Facility:Afikpo South, Model PHC Ebunwana.
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
The use of LLINs I will health educate them on
how to use the LLINs so as to
prevent malaria.
Treatment of malaria case I will inform them that there are
commodities for treatment of
malaria sickness like ACT, IPT
and the use of LLINs.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Routine immunization. I will mobilize them.
No OJCB. I will try to improve my workers.
No data analysis. I will try to obey the data
collection cycle.
Monitoring and
Evaluation (M&E)
Lack of monitoring Will ensure this is done regularly
in my facility
Lack of evaluation activities Will now be involved in
evaluation activities
Improper data collection As from now I will ensure data
are collected properly
Planning and
budgeting
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Obasi Christopher .O. LGA/PHC Facility:Ivo LGA,Model H/c Isiaka
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
Lack of knowledge (skilled
workers.
Govt. should allow for study
leave- in service with pay.
Clients requesting for ACTs
and SP in all the health
facilities rendering RBM
services in my LGA
The MAPS should gear up
through my writing on push or
pull system as to get the RBM
commodities in my LGA.
Lack of work plan Activities work plan should be
drawn from the first day to the
last day of the month in order
to see that all the staff in the
facility know their job.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
No motivation, incentive and
recommendation.
I will try to motivate and give
incentives to my subordinates
so that they will be happy.
Some staff don’t take their
work seriously.
I will do supportive supervision.
No report writing Will now use data collected in
my facility to write report
Undue delay in gathering of Will ensure timeliness in data
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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Monitoring and
Evaluation (M&E)
data gathering
Planning and
budgeting
Abuse of Chloroquine instead
of the correct use of ACTs for
malaria treatment.
Advocacy visit to the
community, churches and
schools for more awareness in
the treatment of malaria rather
than abuse of chloroquine.
Out of stock drugs in my
facility
Getting the HOD health
involved in making requisition
though the chairman and
H.P.M of the council
Budgeting. After I left this meeting hall, I
will be sure that every month
N100 will be kept aside to use
for a coordinating meeting
transport to & fro.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Ndukwe Emmanuel Ama LGA/PHC Facility:Ogwuma H/p, Afikpo South LGA.
Session Issue areas in my place of work
Specific action I will take to ensure improvement
General
management
The use of LLINs I will help to health educate the
people on how to use it.
Treatment of malaria case I will inform them about the
malaria commodities
Health worker-patient I will create rapport between the
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
90
relationship patients and health workers.
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Monitoring and
Evaluation (M&E)
Lack of Health Management
Information System forms for
data collection
I will make sure that I collect the
HMIS forms from the LGA so as
to put all the relevant
information needed
Planning and
budgeting
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Nkechi Uka LGA/PHC Facility:MDG Itim Edda, Afikpo south
Session Issue areas in my place of work Specific action I will take to ensure improvement
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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General
management
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Supervision always too strict. I will create a friendly
environment for the
subordinates and
encourage them.
Always assign duty to subordinates
without showing them how to do it.
I will assign work and also
show them how to do it.
Supervisors and subordinates not
always in good terms.
I will create a friendly
atmosphere which I will
make the subordinate to
respect and adhere to
opinion.
Monitoring and
Evaluation (M&E)
Poor data keeping I will improve in my data
keeping which will help me
to assess my performance
Lack of follow up in monitoring and
evaluation
I will improve by following
up after monitoring and
evaluation
Lack of electronic storage system I will try to be computer
literate in order to use
computer during storage
Planning and
budgeting
Other health staff have not known
the national protocol for malaria.
I will organize a sit down
training as trained
personnel on the use of
ACTs in malaria treatment.
How to get to remote areas. Budget on the cost involved
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and how to get it.
Community going to the chemist to
get mixture of malaria drugs.
I will mobilize the
community and health
educate them on the
importance of coming to the
PHC for malaria treatment.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practiceNAME:Azubuike ugwu S. LGA/PHC Facility:G.H.Owutu Edda, Afikpo South.
Session Issue areas in my place of work Specific action I will take to ensure improvement
General
management
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Lack of proper supervision. I will organize a step down
training on supportive
supervision and OJCB.
No proper procedure Will begin to do things
accordingly.
Lack of active participation in some
job practice.
I will always join the junior
workers in performing the
job and correct their
mistakes without harassing
or creating tension on them.
Lack of monitoring and evaluation Will ensure these are done
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Monitoring and
Evaluation (M&E)
regularly from now on
Cases and treatments in the health
facility are not recorded
Will ensure these no longer
happen.All cases and
treatments will be recorded
and kept
Lack of supervision of subordinates
and monitoring
Steady supervision of
workers and possible
corrections to eliminate
errors in case of data
collection, and evaluation
will be conducted
Planning and
budgeting
Identifying what is needed in my
place of work
I have to list out all the
things I need to improve my
service in malaria control.
Skeletal frame work and strategies. Knowing cost and
availability of materials and
getting the health sector in
the LGA for procurement of
items needed.
Delivery of drugs and RDTs, LLINs I will make sure that drugs
are well distributed and
educate them on proper
use of drugs, LLINS to the
community for malaria
control.
Management Capacity Building for Officers in Charge of Primary Health Care facilities and LGA Malaria Focal Persons in USAID/MAPS supported StatesBridging the gap between management theory and practice
The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development
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NAME:Nwangwu Daniel LGA/PHC Facility: Ameze H/C,IVO
Session Issue areas in my place of work Specific action I will take to ensure improvement
General
management
Integrated
Supportive
Supervisory
system and On-
the-Job Capacity
Building
Lack of supervisory tools. I will make supervisory tools
available.
Fragmented supervision. Supervision will be done
monthly, quarterly and
annually.
No feedback after supervision. I will give feedback to my
junior workers.
Monitoring and
Evaluation (M&E)
Inadequate manpower Will advocate for more
personnel to be employed
Inadequate flow of data Making sure data get to the
right route
Lack of feedback/follow up Will ensure there is regular
feedback from now on
Planning and
budgeting
Distribution of LLINs, problem of
conveying it from the LGA to the
health facility.
I will set aside some
percentage of the money
realized as service charge
to convey the LLINs from
the LGA.
Immunization activities- no power
for vaccine storage.
I will liaise with the LIO for
cold boxes.
Inadequate manpower. I will train volunteer health
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workers top assist.
Annex 12: Participants’ bio-data form
MAPS/USAID- Funded Management Training for Officers-in-Charge of Primary Health Care Facilities LGA Malaria Focal Persons in Ebonyi State.
Participants’ Bio-Data Form
LGA: ………………………………………
1. Title (pls circle) : Hajia Mrs. Miss Ms Mr. Pharm. Dr. Mal. Alh. Pst.
2. Name in full :
surname Middle First
3. Sex (pls tick) : Male ¨ Female ¨
4. Educational / Professional Qualification(s):
5. Position / Rank at work:
6. Place of work (full address) …………………………………………………………
…………………………………………………………
…………………………………………………………
7. Phone number(s):
8. E-mail address:
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9. Computer literacy: Yes ¨ No ¨
10. Computer ownership: Yes ¨ No ¨
11. Areas of Competency / Proficiency:
Signature: Date:
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