staying alive! making maternal health work kenya monitoring and evaluation training tools and...
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STAYING ALIVE! MAKING MATERNAL HEALTH WORK KENYA
MONITORING AND EVALUATION TRAININGTools and AkvoFlow
BY
ALEXIA WADIME
30TH OCTOBER 2013
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PRESENTATION OUTLINE
Project background
Project intervention areas and expected outcomes
Project strategies
Achievements
Challenges
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BACKGROUND Project Sites: West Pokot
Budget: Euros 1,530,000
Funding agency: Dutch Government
Project duration: Three (3) years – Jan 2013 to Dec 2015
GOAL To contribute to the achievement of the MDG 5a, to reduce by 75%
the maternal mortality, and significantly reduce the maternal morbidity of 116,000 WRA in West Pokot County
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EXPECTED OUTCOMES (1)
# Project intervention Area
Expected outcomes
1 Family Planning At least 20% of the women accept a family planning method post-deliveryAt least 60% of the women aged 15-20 yrs of age have access to FP methods of their choice
2 Safe delivery At least 50% of the deliveries are attended to by skilled attendantsAt least 70% of the pregnant women have essential care & drugs timely administered to prevent haemorrhage, eclampsia & infections during their delivery
3 Abortion & PAC care
At least 20% of the women who had a reported abortion receive adequate post-abortion care
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OUTCOMES (2)
# Project intervention Area
Expected outcomes
4 Antenatal care 100% coverage of 1 ANC visitAt least 60% coverage of 4 ANC visitsAt least 50% of the pregnant women with obstetric complications are referred to health facilities for care
5 Fistula prevention & treatment
At least 50% reduction in fistula incidenceAt least 80% of identified women with fistula are treated & rehabilitated
6 PMTCT At least 80% of the HIV-positive pregnant women receive treatment to prevent mother-to-child transmission
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PROJCT STRATEGIES (1)
1. INCREASING KNOWLEDGE & CREATING DEMAND FOR MATERNAL HEALTH SERVICES
- Training CHWs on maternal health CHS technical module
- Introducing performance-based incentives for CHWs
- Working with the community leaders including religious & council of elders
2. ENHANCING THE CAPACITIES OF HEALTH FACILITIES
- Train health workers on maternal health – FANC, PAC, BEmOC
- Minor renovations for health facilities in project sites- Supply of basic equipments for maternal health services- Supply of basic drugs & other supplies- Conducting fistula repairs using AMREF surgeons, and onsite
training of County based doctors & nurses- Setting up youth friendly centres
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PROJECT STRATEGIES (2)3. QUALITY ASSURANCE
- Conducting supportive supervision – CHMT and Sub –CHMTs- Initiating partnership defined quality (PDQ) at health facilities in
project sites- Enhancing mentorship
4. DOCUMENTATION AND DISSEMINATIONS OF BEST PRACTICES FOR REPLICATION
- Conducting Operations Researches (OR)
- Publications in peer review journals
- Presentations in local and international conferences
- Case-studies & CBHMIS
5. ADVOCACY
- Influencing policies
- Increased budget for maternal health services in the County
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ACHIEVEMENTS
Start-up team Project work plan revised & approved by donor Recruitment of staff - 4 staff on board, recruitment for an M&E officer
in progress Regional planning meeting – Baseline survey, OR Office space identified – Teachers’ Plaza, 2nd floor County health team sensitized on the project Project sites identified – Pokot North, Pokot South and Pokot West,
but fistulae management to the entire county Baseline survey undertaken Year 2 work plan developed and submitted to donor
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CHALLENGES
Delayed signing of the agreements thus leading to delays on the commencement of the activities
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ACKOWLEDGEMENTS
Dutch Government for funding
AMREF Netherlands
West Pokot Health Management Team
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END
THANKS & BE BLESSED