short programme review on child health experience from sri lanka family health bureau ministry of...

Short Programme Reviewon Child Health

Experience from Sri Lanka

Family Health BureauMinistry of HealthSri Lanka 1Regional Programme Managers Meeting

CH Kathmandu

Planning and implementation cycle

Develop strategic

plan(5-10

yearly)Prepare for planning

Evaluate health

impact and intervention coverage

Evaluate program outputs

and outcomes

;

Manage implementatio

n (Ongoing)

implementation plan(1-2 yearly)

WHO Managing program to improve Child health

Maternal and Newborn health SP

Child Health SP

Medium Term MCH/FP Plan (5yrs)

District

National

District Plan

Health Master Plan

MCH Policy

School and Adolescent Health

2Regional Programme Managers Meeting CH Kathmandu

Programme Review


Need and the opportunity

• Need for organized reviewing of the Programme implementation

• Three National Programme Officers (Government &WHO) attended Regional Training Progrmme on SPR on Child Health at Nepal 2007


IMPROVED SURVIVAL AND

HEALTH

INCREASED POPULATION-

BASED COVERAGE

of key effective

Interventions Quality

Equity

PROGRAMME OUTPUTS

Increased availability/access of

services

Increased demand for services

Improved quality of services/care

Improved information to / knowledge of

families

PROGRAMME ACTIVITIES

Advocacy

Mobilizing human, material and financial

resources

Capacity development

Programme communication

Health system supports

Monitoring progress using data


Step 1

Step 2

Step 3

Step 4

Step 5

Step 6

Are interventions reaching women and children?

How well are program activitiesBeing implemented?

What are the main problems?

What are solutions and recommendations?

What are next steps for taking action?

Where are we going? WS 1 WS 2

WS 3WS4

WS 5

WS 6

WS 7


Human Worksheet 5 sources development

Discussion points Status of implementation(fully, partly or not at all)

Reasons for observed implementationPerformance

Strengths Weaknesses

Policy, planning and management

Human resources/training

Development of community support

Strengthening Health Systems

Communication/IEC

Monitoring and evaluation


Worksheet 6: Identify the main problemsInterventions where more action is needed (from coverage

data):__________________________

Activity area problem

Policy, planning and management

Human resources/training


Worksheet 7: Develop solutions and recommendations

Problem Causes Solution recommendations


Follow up action of the training - Pilot testing at the District of Matale- 2010

Child Health Adaptation of the worksheets Limited success - intervention and activities Opportunities - Familiarizing with the overall process - Identified the short-comings


Lessons learnt

• Child health alone – not cost effective - time consuming - deviated from overall MCH planning - District /Divisional staff deliver integrated package of Overall MCH

Need for combined MCH/FP/Nutrition 16Regional Programme Managers Meeting

CH Kathmandu

Pilot testing at the District of Puttlam- 2011

Identification of interventions - maternal and newborn

Implementation level

• Evidence based effective interventions – all possible

- in place

• Four levels – home community, Field clinic, First referral, Tertiary care

Maternal Newborn and Child Health (MNCH)


Data for WS 1 & 2 – data

available But data to address equity gap

was not available at district level• Routine – RG, HMIS,IMMR, H 830• Periodic survey – DHS, Nutrition Surveys

Data lacking – WS 3,4 & 5• Surveys – data extraction H 512 ,CHDR,BHT• LQS - data extraction - Exit interviews

• Identify information gaps

• Learn to use different data sources

• Possibility of them included into the routine system

Groundwork ct. - Identification of data sources Groundwork ct. - Identification of data sources


• Data collection formats for each MOH area and summary sheets

• Could be used later

Groundwork ct. – preparation of data collection

formats

Groundwork ct. – preparation of data collection

formats


Advocacy meeting – PD/RD/Hospital

administrators, clinicians, Ward sisters , District MCH planning team, other public health

Convinced them of the importance –

Methodically looking at

issues rather than adhoc activities Data collector training –

Public Health Staff

Future use - • Availability of data • Data collection

methodsFacilitator training 21Regional Programme Managers Meeting

CH Kathmandu

Working Groups

• Team 1 – Antenatal, Postnatal care and Family planning

• Team 2 - Intra partum and Newborn care

• Team 3 – Infant and Child care

• 20-30 for each group• Facilitator –

programme managers


Process and learning points Process and learning points


Advantages • Convinced the importance of scaling up of

intervention to get the universal coverage• Implementation of all categories of activities order

to have intervention coverage .• Provided forum to use the available data and review

the district MCH Plan • Staff is well aware of the process ,improve the

participatory approach in reviewing data • Make baseline data available for review in another

programme cycle• Recommendations for both district and national level26Regional Programme Managers Meeting

CH Kathmandu

Way forward

• Further amendments to the worksheets – live • Introduce the methodology for other districts

- have next in line as observers • Incorporate other life stage interventions e.g.

school and adolescent health


Thank

• WHO SEARO Office – Dr Rajesh Mehtha Dr Aravind Mathur • WHO CO SL – Dr anoma Jayathilake/NPO


short programme review on child health experience from sri lanka family health bureau ministry of...

Documents

ch kathmandu programme

ch kathmanduworksheet

ch kathmanduplanning

ch kathmandustep

ch kathmandu need

ch kathmanduimproved

ch kathmanduhuman worksheet

regional training progrmme