sessions 2.1 and 2.2 2.1: introduction to …sessions 2.1 and 2.2 2.1: introduction to coordination...

District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 1

District Level Management NTD Training Course

Module 2: District Coordination and Programme Management of the NTD Programme

Sessions 2.1 and 2.2

2.1: Introduction to Coordination and Management

2.2: Programme Coordination and Management

Revised :15.7.2015(Global)



Module 2: Purpose

• This module provides the general overview of coordination and management of an NTD Programme.

• It defines the scope of a district health system and relevant management / coordination structures.

• It defines the relevant NTD stakeholders, their responsibilities and how they can be coordinated.

• It also highlights the responsibilities of NTD coordinator



Learning objectives

At the end of the session, the participants will explain:

• general overview of management and coordination of a district NTD programme;

• coordination structures of an NTD programme at district level;

• scope of district health system; ensuring that the NTD programme remains integrated within the existing health system;

• ensure that all stakeholders are identified and roles of each are clearly defined;



Concept 1: Leadership

• An effective health programme manager (NTD programme manager) at the district level should demonstrate leadership qualities and also able to blend the national development agenda/goals, national health policies and strategies within the district health system.

Dr. Jon Warner in Topic Cartoons

http://blog.readytomanage.com/author/jon-warner/

http://blog.readytomanage.com/category/topic-cartoons/



Concept 2: Coordination

• Coordination is the act of organizing, making different people or organizations to work together in order to achieve a goal.

• Effective coordination requires active involvement of key stakeholders (role players) in a programme/ activity.

• Communication is the key to successful coordination of activities

• Ownership and commitment are built by open and transparent dialogue between all the players.






Concept 3: Management

• Management is an overall function of District NTD manager to use Leadership and Coordination capacity to achieve the set objectives of the NTD programmes.

• Encompasses planning, budgeting, organizing, staffing, coordination, monitoring and evaluating the outcomes of your programme interventions.

• In the management of health programmes at the district level, several internal and external activities related to health and non-health sectors need to be effectively coordinated to achieve set goals harmoniously.



Why do we need a strong NTD district coordination and management capacity?

A strong district coordination framework is vital for effective implementation of the NTD interventions

While previous NTD control efforts were vertical for each specific disease, the current approach integrates implementation of all NTDs in order to: avoid wastage of human, material and financial resources ensure avoidance of duplication of activities amongst

stakeholders avoid unnecessary competition between different partners

The district authorities should be in charge of the NTD Programme to promote ownership and sustainability (A manager should be able to answer key questions; Where are we? and where are we going?).

Its advisable to integrate with other existing health & non health programmes.



District NTD Coordinator / Focal Person: Roles

The district Medical Officer appoints District NTD Coordinator with the following responsibilities :

coordination of all NTD stakeholders “holds the responsibility of communication between all departments, NGOs and other stakeholders” setting and achieving programme goals through planning, budgeting,

organizing, coordination, Implementing, monitoring and evaluating the outcomes of a NTD programme;.

reporting to the DMO for decision making providing technical and programme guidance to various levels in the district Community mobilization and their participation for MDA activities Manages all programme implementation activities involving all the team

members develop and promote programme ownership in the district estimating, procuring and supplying medicines and diagnostics (supply chain

system); and equipments, vehicles etc



NTD activities to be coordinated at district level

Planning, budgeting, resource mobilization, training, management and coordination

Actively participating in NTD endemicity mapping

Stakeholder mapping to identify, engage and involve all stakeholders

Advocacy and Social mobilization

Registration of target population

Medicine delivery (Mass drug administration)

Monitoring and Evaluation(M&E) and Supervision

Data management and reporting

Feedback to all stakeholders and guidance



District NTD coordination structure

Health

Education

Environment

Water and sanitation

Agriculture

NGOs, FBOs, Private sector

Community



District NTD organization structure

PHC

• DC, DED, District chairperson, Heads of departments

• NGOs

CHMT

• Core members

• Co opted members

NTD Secretariat

• Members from various departments

HF

• Zonal coordinators

• Frontline health workers(FLHW)

Schools & Community

• Community members, leaders, teachers, CDDs



District NTD Secretariat

DMO - Chairperson

District NTD coordinator - secretary

District HMIS/DHIS personnel

District School Health Coordinator (Health Department)

District School Health Coordinator (School Department)

District Environmental Officer

District Health Officer/Health Promotion Officer

NGO/Representatives of NTD Partners

Zonal co-ordinators

District Health secretary

District pharmacist

District social worker



Roles of the District NTD Secretariat(1)

Conduct quarterly meetings to review relevant NTD elimination components

Provide technical support to the District NTD Programme

Trainings at lower level

Community mobilization

Share updates, reports and resources for a common goal



Roles of the District NTD Secretariat (2)

Planning of programme implementation actvities

Supervise monitor and evaluate programme implementation in collaboration with the CHMT, regional and national teams

Review MDA and other NTD related reports , drug inventory and forecasts and propose recommendations to improve performance

Discuss concerns and recommendations obtained from FLHFs and CDDs



District NTD programme stake holders

NTD elimination is achieved if the district level coordination is strong and encompasses all the following relevant stakeholders:

1. Health sector stakeholders

2. Schools and Community

3. Other stakeholders



The composition and roles of Health sector stakeholders

1. Composition

• Council health management team (CHMT)

• Health workers and facilities (public and private facilities) including hospitals as referrals, includes support services, such as laboratory, promotive, preventive, curative, and rehabilitative services.

• Social welfare,

2. Responsibilities

• Planning and implementation of NTD activities

• Supervision, monitoring and evaluation

• morbidity management

• Responsibilities of FLHW (refer to module 7)



Roles of Schools and Communities

1. Composition

• Community leaders and other members

• Community drug distributors

• Religious leaders

• Teachers

2. Responsibilities • Selection of CDDs

• Community sensitization and mobilization

• Provision of food if PZQ is given

• CDDs – Sensitization and mobilization, Census, drug distribution

• Teachers – Sensitization and mobilization, drug distribution

• Religious and community leaders - Sensitization and mobilization



The composition and roles of other stakeholders

their actions and inactions have direct bearing on health of an individual, groups and communities.

1. Composition

• Local government –District/Sub-district/village

• Agriculture

• Environment

• Education (formal and non-formal),

• Water and Sanitation

• Transportation and communication

• NGO/CBO

2. Responsibilities

Advocacy, Technical support, Community sensitization and mobilization, Fund mobilization, Financial support



Leadership, managing and coordination


Coordination





Module 2: Key messages

• Leadership and coordination qualities are essential for the success of district NTD elimination programme

• District health system is an effective platform for NTD elimination services

• Planning programme coordination with the district health activities involving all stake holders at district level is important

• District NTD programme managers(Focal point) is a “Team Leader” of the district NTD programme who will be coordinating with all role players



Activity Two – Group of Five (10mins) S/N Area What could

be done When Who is

Responsible

1. Leadership and Governance

Enhance Coordination

Enhance Partnerships

2. HMIS NTD Data integration into district Information systems

3. Finance Effective Integration of NTD Plans into CCHP



Activity Two – Group of Five (10mins) S/N Area What could

be done When Who is

Responsible

4. Drugs and Technology

Enhance NTD SCM within the District health System

Enhance NTD Inventory within the District health System

5. Workforce (Community drug Distribution)

Sustainability

Integration within the district systems



Activity: In groups of five (15mins)

Situation analysis: 1. List key NTD components required to reach NTD control and

elimination goals in Tanzania. 2. Identify strengths in coordination that enable effective

implementation of NTD Elimination components in your districts

3. Identify challenges in coordination that are affecting effective implementation of NTD Elimination components in your districts

Proposed Strategies: 1. Referring to the listed challenges in No. 3 above, propose

three key strategies/options for each to strengthen NTD coordination at district level

sessions 2.1 and 2.2 2.1: introduction to …sessions 2.1 and 2.2 2.1: introduction to coordination...

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