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PAIMAN Annual Work Plan

October 1, 2008 to September 30, 2009

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Lead Partners)

Supporting Partner

Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 1: Conduct Formative ResearchTask 1: Literature Review X Report available X JHU JSI

Task 2: Prepare ToRs and award contract X Copy of ToRs. Implementing partner hired. X JHU JSI

Task 3: Monitor research in DI Khan & Sibi X X X Formative Research report in 2 districts X X JHU CM Partners

Task 4: Share findings X X X Report/ NFR available X X JHU `Activity 2: Review and revise CAM Strategy

Task 1: Prioritize health issues based on Formative Research X Key issues/packages identified X JHU

Task 2: Conduct Thematic Group Meeting to revise and finalize the CAM Strategy X Thematic Group Meeting held;

minutes of the meeting prepared X X JHU

Task 3: Share the revised Strategy X Revised CAM Strategy X X JHU CM PartnersActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 1: Draft District Action Plans X Draft of District Action Plans prepared X X X JHU CM Partners

Task 2: Finalize and share District Action Plans X 23 action plans finalized and shared X X X X CM partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X JHU CM PartnersActivity 4: Support MoH to Develop and implement health communication campaigns/activities.Task 1: Conduct need assessment X Report on Need Assessment X XTask 2: Devise a strategy for strengthening health communication at MoH X Strategy for MoH X X X JHU

Task 3: Support MoH in implementing the activities as outlined in the abovementioned strategy X X Report/ NFR available X X X X X X X X JHU JSI, CM

partnersActivity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 1:Review IEC material requirements by cadre X Material reviewed X X X X X X X X X JHU CM partnersTask 2: Print new IEC material (if required) X Printed IEC material X X X X X X X X X JHUTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI CM partnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 1: Produce mini TV drama serial on MNCH/ FP X Drama produced X X X JHUTask 2: Televise the drama serial X X X Drama televised JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced; airing

schedule available X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 5: Produce additional TVCs on child health X TVCs on child health produced X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators (input/process/

output)

National Annual Workplan 2008-2009

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Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X

Task 8: Produce and air PAIMAN radio talkshow X X X 39 talk shows produced & aired X X X X X JHU JSI

Task 9: Conduct already developed Putlee Tamashas for two districts of Baluchistan (Sibi & Quetta) X 100 Putlee Tamashas held X X X JHU

Task 10: Review and adopt to incorporate child health and family planning messages in Putlee Tamashas X Revised version of Putlee

Tamashas prepared. X X JHU

Task 11: Conduct revised Putlee Tamashas in selected districts (Vehari, Khairpur, Bhimber and Sudhnoti) X Putlee Tamashas performed in 4

districts (200) X X X JHU JSI, CM partners

Task 12: Dub and air PAIMAN drama series in regional languages (Sindh, Baluchistan and NWFP) X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X JHU

Task 13: Develop concept and produce a TV Magazine show on MNCH/ FP X TV Magazine Show on MNCH/

FP X X X X X JHU

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHUTask 15: Support/ organize theatre groups / performances (existing districts) X

22 theatre performances reports available (8 SCUS, 6 PAVHNA and 8 MC)

X X X X X X X X X XSCUS/PAVHNA/MC

Task 16: Produce and air District Television Talkshow (new districts only including Swat) X X X 13 District Television Talkshow

aired X X X JHU CM partners

Task 17: Conduct pilot-testing of drama road-shows (Sindh) X 15 drama Road-shows conducted X X X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 1: Support the National MNCH/ FP (WRA-P) group X X Support provided X X X X X X X X X X X JSI JHU

Task 2: Celebrate National Mothers Day X X National Mothers Day held X JHU JSI, CM partners

Task 3: Stage play at federal/provincial headquarters (as per National Program's requests) X X Stage plays organized X X X X X X X X X JHU JSI

Task 4: Review Ulama resource material to include new areas X Ulama resource material revised X X JHU

Task 5: Map key Ulama and community influentials in new areasin additional districts X Mapping report available X X X X JHU CM Partners

Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material. X 350 ulama contacted X X X X X X X JHU

Task 7 Pilot test innovations involving Ulama as outline in the CAM Strategy (Charsadda, Mardan, DI Khan, Swat and Upper Dir)

X Pilot test in 5 districts completed X X X X X X X JHU JSI

Task 8: Organize special trainings for journalists from additional PAIMAN districts X X See SO4 Activity 13 X X X X X X JHU

Task 9: Develop and support networks of Journalists and Ulama X Networks of Journalists/Ulama established X X X X X X JHU CM partners

Task 10: Plan and conduct a seminar for policy makers to advocate on the issue of MNCH/ FP X Seminar Report available X X JHU JSI, CM

partners

Task 11: Participate/support meetings of provincial MNCH/ FP oversight committees X 10 meetings

participated/supported X X X X X X X X X X X X JSI PartnersDHD, PHD, development partners

National Annual Workplan 2008-2009

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Task 12: Develop a strategy to involve school teachers in promoting MNCH/ FP in DI Khan X Strategy developed X JHU JSI, CM

partners

Task 13: pilot test the strategy in DI Khan X Test report available X X JHU JSI, CM partners

Task 14: Refine and scale up work with school teachers in other districts X X X Report available X X X JHU JSI, CM

partnersTask 15: Organize Seminar on MNCH/ FP & FP for District Assembly Members (existing districts) X

11 Seminars on MNCH/ FP organized reports available (1/existing district)

X X X X X X X X X XSCUS/PAVHNA/MC FALAH

Task 16: Organize local events for MNCH/ FP &FP (existing districts) X

61 local events on MNCH/ FP & FP organized, Reports available (7 SCUS, 50 PAVHNA and 4 MC)

X X X X X X X X X X

SCUS/PAVHNA/MC FALAH

Task 17: Organize mega events/MNCH/ FP Health days X

39 mega events/MNCH/ FP health days organized, Reports available (35 SCUS, 2 PAVHNA and 2 MC)

X X X X X X X X X X

SCUS/PAVHNA/MC JSI

Task 18: Seminar on MNCH/ FP &FP for school teachers (Lasbella & Jaffarabad) X 5 seminars conducted, reports

available X X SCUS/MC

Task 19: Organize Health Camps/Melas (Sindh, Baluchistan) X11 health camps/melas organized. Reports available. (2 PAVHNA and 8 MC)

X X X X XCM partners

Task 20: Organize sensitization events for MNCH/ FP and Family Planning in new districts X

12 sensitization events on MNCH/ FP/FP organized, Reports available (1/year/ new district)

X X X X X X X X X X

SCUS

Task 21 Organize district launches X 12 district launches organized X X X JSI All Partners DHD, PHD

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 8: Capacity building of partners/ managers (public and private) in communication

Task 1: Conduct trainings programs in Strategic Communication X See SO4 Activity 13 X X X JHU JSI

Activity 9: Monitor CAM activities and improve / refine campaigns/initiativesTask 1: Develop an evaluation model for media products (talk show, Drama Series, Music video and TVCs) X Monitoring tools available X X X JHU PC

Task 2: Document the process of production of media products XFinalization of document outlining the process of production

X X X JHU PC

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PCTask 4: Develop tools for monitoring ulama and journalist projects X Quarterly monitoring report X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

National Annual Workplan 2008-2009

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Task 6: Review social and community mobilization strategy and approach and suggest improvements X Review report available X X X JHU SC/US

Task 7: Review and develop monitoring tools for community social mobilization activities X Monitoring tools reviewed &

developed X X X JHU SC/US

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings X X X X X X X X X X X X JSI DHD

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings X X X X X X X X X X X X JSI DHD

Activity 11: Sensitize and gain support of stakeholders for MNCH/ FP activities

Task 1: Coordination meeting with district Health department X

60 meetings held, NFRs available. (44 SCUS, 8 PAVHNA and 8 MC)

X XSCUS/PAVHNA/MC

Task 2: Coordination meetings with Tehsil/UC Nazims in Sindh & Baluchistan existing districts only X 12 meetings held. Reports (8

PAVHNA & 4 MC) X X X X X PAVHNA/MC

Task 3: Seminar with NGOs/CBOs/Line dept./DCO/Nazims in Baluchistan X 2 seminars organized. Reports

available. X MC

Task 4 : Monitoring/spot checking of LHW's Support GroupsX

1714 LHWs monitored, NFR available (1394 SCUS, 128 PAVHNA & 192 MC )

X X X X X X X X X X X XSCUS/PAVHNA/MC

Task 5: Monitoring/spot checking of LHW's Health Committees X

1530 HCs monitored, NFR available (1394 SCUS, 64 PAVHNA & 72 MC)

X X X X X X X X X X X XSCUS/PAVHNA/MC

Task 6: District Coordination meetings of PAIMAN Partners X86 meetings held NFRs available(50 SCUS, 24 PAVHNA & 12 MC)

X X X X X X X X X X X XJSI/ CM partners

Contech DHD

Task 7: Review meeting with National Program at Provincial level X 5 meetings NFRs available

(1/year/ province)X X X SCUS PAVHNA/M

C/JSITask 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X

224 meetings held, NFR available (137 SCUS, 12 PAVHNA and 12 MC)

X X X X X X X X X X X XSCUS/PAVHNA/MC

DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X

608 facility based meeting with LHWs and LHS held NFR available (528 SCUS, 48 PAVHNA & 32 MC)

X X X X X X X X X X X X

SCUS/PAVHNA/MC

DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 158487 support group meetings

reported X X X X X X X X X X X X SCUS/PAVHNA/MC

Task 2: Conduct regular monitoring of SG/HC/community social mobilization activities X NFR available X X X X X X X X X X X X MC, SCUS,

PAVHNA JSI, JHU

National Annual Workplan 2008-2009

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Activity 13: Strategize social marketing of health products and Good Life providers and link to CAM strategy and capacity building plansTask 1: Market CDKs

X XSample= 20,000 Units Commercial & Institutional = 52,200

X X X X X X X X X X X XGS

Task 2 Airing of GL Advertisement on Cable X 10,000 Spots X X X X X X X X GS MoH, PHD, DHD

Task 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 120 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 100 Launches in 6 districts only X X X X X X X X GS MoH, PHD, DHD

Task 5: Print media insertions X 100 Insertions 6 districts only X X X X X X X X GS Activity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

12,243 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 24,486

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

231 Clinic Sahoolat activities conducted. Activity Reports. X X X X X X X X X

GS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH/ FP services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH/ FP Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH/ FP equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH/ FP equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

National Annual Workplan 2008-2009

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Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on contract X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the DHQ/THQ hospitals where specialists are not available X X No. of specialist doctors visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 1: Technical support for the district to establish functional integration of services between DOH and PWD X See SO3 Activity 5, Task 3 JSI DHD

Task 2: Training of the HCPs on FP through Client Centered Approach X 400 HCPs trained X X X X X X X X X JSI FALAH

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorities for advocacy on FP X MoM available X X X X X X X X X X X X JSI FALAH

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 70 HCPs trained X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI Sub-grantee NGOs

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI PC Sub-grantee

NGOsTask7: Coordination meeting with FALAH and TACHMIL for integration of FP services X MOM/NFR available X X X X X X X X X X X X JSI FALAH,

TACHMIL

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH/ FP

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI NP for MNCH/

FPTask 6: Greenstar HSO Follow-up Plan in 9 districts

XHSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS CM Partners

Task 7: One day TBA Orientation Workshop by Greenstar HSO X 108 workshops done by HSO (1 workshop / month) X X X X X X X X X X X X GS CM Partners

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured and

placed X X X X X X X X X JSI Contech PHD, DHD

National Annual Workplan 2008-2009

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Task 3: Identify/utilize indigenous means of transport through VHCs X

999 indigenous means of transport available (10 % of male health committees of LHWs)

X X X X X X X X X X X X CM partners NP for MNCH/ FP

Task 4: Operation of the community managed emergency transport system X See Grants Management

activity 6 task 3Sub-grantee NGOs

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 NP for MNCH/

FPActivity 6: Refresher Midwifery Training

Task 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCH/ FP

Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 230 existing LHVs/midwives

trained X X X X X X JSI NP for MNCH/ FP

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH/ FP

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH/

FPTask 5: Design refresher training based on the results of post training assessment if required X X Training design available X X X X JSI NP for MNCH/

FPTask 6: Conduct newly designed refresher training of selected LHVs/midwives X 100 LHVs/midwives trained X X X X X JSI NP for MNCH/

FPActivity 7: Enrollment of CMWs (18 months) on new curriculumTask 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 550 CMWs identified X X X JSI SCUS NP for MNCH/

FPTask 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required

X X 2 midwifery schools strengthenedand up-graded X X X X X X JSI NP for MNCH/

FP

Task 4: Training of midwifery tutors X 100 tutors trained X X X X X X JSI NP for MNCH/ FP

Task 5: Print and distribute the training manuals, curriculum, books and teaching material for the identified schools X

training manuals, curriculum, books and teaching material printed and distributed

X X X X JSI NP for MNCH/ FP

Task 6: Enroll of CMWs in the identified midwifery schools X 550 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/ FP

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/

FPTask 3: Post training assessment of the knowledge and skill of the trained midwifery tutors X Report available X X X X X X JSI NP for MNCH/

FP

National Annual Workplan 2008-2009

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Task 4: Design refresher training based on the results of post training assessment if required X X Training design available X X X X X JSI NP for MNCH/

FPTask 5: Refresher training of midwifery tutors based on the assessment report including FP services X X 100 midwifery tutors trained X X X X X JSI NP for MNCH/

FP

Task 6: Special study on the nursing training program X Study report available X X X X X X X X JSI MAP NP for MNCH/ FP

Task 7: Dissemination/ sharing of the study report with stakeholders X X X Report available X X X JSI MAP NP for MNCH/

FP

Activity 9: Placement of newly graduated CMWs in the field

Task 1: Consultative meetings at the national & provincial level to finalize the strategy for the placement X X Consultative meetings organized X X X X X X JSI PC MOH and PHD

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC MOH and PHD

Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FP

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory reports

available X X X X X X X X X X X X JSI PC NP for MNCH/ FP

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCH/ FP

Task 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH/

FPTask 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH/ FP

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI

Task 9: Disseminate OR results X X X OR results disseminated X X X JSI PC NP for FP & PHC

Task 10: Study tour of the policy makers and health managers to observe the best model of CMW placement in the field X X X X X JSI NP for FP &

PHC

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollmentTask 1: Consultative meetings with the stakeholder at the national & provincial level X X X Consultative meetings organized X X X JSI NP for MNCH/

FP

Task 2: Signing of working document with MOH and AIOU X Working document signed X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP X 80 Young women identified X X X JSI CM partners NP for MNCH/

FPTask 4: enrollment of the under matric young women for educational support with AIOU X 80 Young women enrolled X X X JSI NP for MNCH/

FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports available X X X X X X X X X X JSI NP for MNCH/ FP

Activity 11.Educational support to the under 8th. Grade young women to qualify as LHWTask 1: Consultative meetings with the stakeholder at the national & provincial level X X X Consultative meetings organized X X X JSI NP for FP &

PHC

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Task 2: Signing of working document with MOH and AIOU X Working document signed X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP X 200 Young women identified X X X JSI NP for FP &

PHCTask 4: enrollment of the under 8th. Grade young women for educational support with AIOU X 200 Young women enrolled X X X JSI NP for FP &

PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI NP for MNCH/ FP

Task 2: Review/adaptation of the existing curriculum X See SO4 Activity 5 AKU JSI NP for MNCH/ FP

Task 3: Printing of the IMNCI curriculum X See SO4 Activity 5 JSI NP for MNCH/ FP

Task 4: ToT for IMNCI trainings (Facility based) three trainings (11,5 and 3 day) X X See SO4 Activity 5 NP for MNCH/

FP

Task 5: DIP for facility based IMNCI X X See SO4 Activity 5 JSI NP for MNCH/ FP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCH/ FP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCH/ FP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI NP for MNCH/ FP

Activity 13: Improving referral and access to IMNCI JSITask 1: Review/ adaptation and printing of the of the IMNCI guidelines X IMNCI guidelines available at

HFs X X X X X AKU MNCH/ FP program & NP

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established at

DHQ/THQ X X X X X X X X X JSI Contech MNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech MNCH/ FP

program & NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of thecore child health interventions X Core child health interventions

implemented X X X X X X X X X X AKU MNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7, task 22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as Baby

Friendly Hospitals X X X X X X X X X X JSIMNCH/ FP program & NP

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Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 1: Review and adaptation of the community IMNCI curriculum X Curriculum reviewed and

adapted X X AKU SCUS NP for FP & PHC

Task 2: Printing of the revised community IMNCI curriculum X Curriculum printed X X X X JSI SCUS NP for FP & PHC

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS NP for FP & PHC

Task 4: Provincial TOTs of community IMNCI X See SO 4 Activity 4 X X X SCUS NMNCH &NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS NMNCH &NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS NMNCH &NP for FP & PHC

Task 7: Study tour of the policy makers & health managers to thebest international model community IMNCI X Study tour conducted X X X X X X X JSI SCUS NMNCH &NP

for FP & PHCActivity 15: Innovation to improve access to MNCH/ FP services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants Management JSI Sub-grantee

NGOsTask 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI Sub-grantee

NGOsTask 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications system

established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meetings held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 2 Activity 4 X X X X X X X X X X X X GS CM PartnersTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1

X X X X X X X X X

Task 5: Follow-up on Voucher scheme (For ANC/facility based delivery/TT injections & PNC) Compensation to Providers & Beneficiaries in D G Khan

X Upto 2,000 Providers & Beneficiaries compensated X X X X X X X X X X X X

GS

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH/ FP equipment at selected HFs

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Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report available X X X Contech JSI DHD

Sub task1.2: Preparation and finalization of the list of Equipment Required X List of equipment available X Contech JSI

Sub task1.3: Preparation of Specifications of Required Equipment X Specifications available X Contech JSI

Sub task1.4: Preparation of Procurement Plan X Plan available X JSI ContechSub task1.5: Approval of Procurement Plan and Formal No Objection from USAID X Approval letter available X JSI Contech

Sub task1.6: Market Research for the finalized equipment X Market research available X X X JSI ContechSub task1.7: Submission and approval of Source and Origin Waiver Requests for Non-US commodities X submission letter available X X JSI Contech

Sub task1.8: Preparation of Solicitations (RFQs/ IFBs / RFPs) for open competition X Solicitations available X X JSI Contech

Sub task1.9: Bids / Proposal openings and evaluation X MOM available X JSI ContechSub task1.10: Award of Purchase Orders / Contracts X PO/contracts available X JSI ContechSub task1.11: Tax-free Exemption Certificates from EAD, Government of Pakistan and custom clearance X Certificate available X X JSI Contech

Sub task1.12: Delivery of commodities at JSI warehouse and Inspection X Delivery report available X X X JSI Contech

Sub task1.13: Preparation and Approval of Distribution Plan and facility wise packaging X Approved distribution plan

available X X JSI Contech

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate available X JSI Contech DHD

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X X JSI Contech DHD

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X X X Contech JSI DHD

Sub task 2.3: Preparation of Details Estimates facility-wise X Estimates available X X X Contech JSISub task 2.4: Formal No Objection from USAID X NOC available X JSI Contech

Sub task 2.5: Identification and pre-bid orientation of the civil works contractors in consultation with District Authorities

X MOM and list of contractors available X X JSI Contech

Sub task 2.6: Issuance of DNITs to short-listed civil works contractors X NFR available X X JSI Contech

Sub task 2.7: Opening of Bids and bid evaluation X MOM available X X JSI ContechSub task 2.8: Award of Contracts X Contracts available X JSI ContechSub task 2.9: Hiring of Site Supervisor X Hiring letter available X Contech JSI DHDSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHDSub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

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Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities with

MNCH/ FP protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHDActivity 2:Improve quality of community based MNCH/ FP servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 1: Identify the best performing district X District identified X X X X X X X X JSI CM PartnersTask 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 4: Hospital waste management at selected HFs (Quetta, Vehari and Khairpur)

Task 1: Consultative meeting to prepare implementation plan X Implementation plan ready X X X X X X JSI DHD

Task 2: Training of the staff on hospital waste management X No. of staff trained X X X X JSI DHD

Task 3: Provision of logistic support, utensils and at selected HFs X 6 HF provided utensils X X X JSI DHD

Task 4: Construction of conventional incinerator at selected HFs (Quetta, Vehari and Khairpur districts) X Incinerator constructed at 6 HFs

in three districts X X X X X X JSI DHD

Task 5: Supervision & monitoring by district managers X Reports available X X X X X X X X X JSI DHDTask 6: Assessment of the pilot testing X Assessment reports X X X JSI DHDActivity 5: Functional integration of services at district level in Peshawar, Quetta and VehariTask 1: Consultative meeting of stakeholders at provincial & district level to share the pilot study report along with recommendation and areas of integration

X X X Minutes of the meeting X X X X X X JSI DHD

Task 2: Training workshop to finalize the implementation strategy and plan of action of functional integration X X Minutes/report available X X X X X JSI DHD

Task 3: Technical Support district districts for functional integration X Areas integrated X X X X X X X X X JSI DHD

Task 4: Assessment of Functional Integration X assessment report available X X X JSI DHDTask 5: Presentation of report and experience sharing with policymakers for scaling up X X Minutes of meeting X X X JSI DHD

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Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report available X X X Contech JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 3: Training of Health Managers and HCPs on IP & C X Training of 250 HCP and managers X X X X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 5: Provide logistic support for the IP & C X Logistic support provided X X X X X X X X X JSI DHD, PHD Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of catchment area of the health facilities selected for upgradation in new districts X Mapping reports of selected

facilities in 12 districts available X X X X X X SCUS DHD

Task 2: Consultative meetings for planning and designing of PDQ process X

PDQ implemented at 80 facilities (58 SCUS, 14 PAVHNA & 8 MC)

X X X X X X X X X X SCUS/PAVHNA/MC

DHD

Task 2.1: Building support for the PDQ process X X X Support provided X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality explored in catchment area of 80 facilities, reports available

X X X X X X X X X X X X SCUS/PAVHNA/MC

DHD

Task 4: Organize and participate in bridging the gap workshops X Conducted 80 workshops, reports available X X X X X X X X X X X X

SCUS/PAVHNA/MC

DHD

Task 5: Working in partnership/ formation of QI teams X # of QI teams formed, reports available X X X X X X X X X X X X

SCUS/PAVHNA/MC

DHD

Task 6: Follow up meetings with quality improvement teams X 552 meetings of QI teams held, minutes available. (504 SCUS, 32 PAVHNA & 16 MC)

X X X X X X X X X X X X SCUS/PAVHNA/MC

DHD

Activity 8:Improve the image of MNCH/ FP service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GS DHD

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Strategic Objective 4: Increase capacity of MNCH/ FP managers and health care providersActivity 1: Implementation of EMNC training Task 1: Conduct Provincial TOTs for EMNC trainings for additional districts X 75 HCPs trained X X X X X SCUS DOH, PHDC,

PHSA, NP

Task 2: Orientation workshops for EMNC Monitors X Five workshops , one for each province , 75 HCPs trained X X X X SCUS DOH, PHDC,

PHSA, NP

Task 3: Conduct EMNC trainings X 507 HCPs trained (existing 27, Swat 60, new districts 420 X X X X X X X X X X X SCUS DHD

Task 4: EMNC Refresher trainings conducted XNine training sessions conducted

and 119 HCP s trained ( carry forwarded task)

X X XSCUS, DOH, PHDC,

PHSA, NP

Activity 2: Advanced skill training for specialists

Task 1: Conduct Advanced skills training for obstetricians X Two Training sessions conducted, 30 HCPs trained, X X X SCUS DHD

Activity 3:Implementation of LHWs trainings

Task 1: Provincial ToT on Support Group Methodology X 45 trainers trained X X X SCUS DoH, NP, PHDC, DHDC

Task 2: District ToT of NP for FP & PHC X 560 HCPs trained X X X X X X X X X SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 3770 LHW trained (existing 1170, Swat 200, New district 2400)

X X X X X X X X X X XSCUS DoH, NP,

PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each districtX

23 planning meetings (one in each district) conducted X X X

SCUS National MNCH/ FP Program, NP

Task 2: Provincial TOTs of community IMNCI X

75 HCPs trained X X X X X X

SCUS National MNCH/ FP Program, NP

Task 3: District TOT for community IMNCIX

640 HCPs trained (Existing 320, Swat 20, New districts 300)

X X X X X X XSCUS National

MNCH/ FP Program, NP

Task 4: Roll-out LHW trainings on community IMNCIX

5555 (existing 2955, Swat 200 and New district 2400) X X X X X X X

SCUS National MNCH/ FP Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSINational MNCH/ FP Program

Task 2: Review/adaptation of the existing curriculum X Curriculum adapted X X X AKU JSINational MNCH/ FP Program

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Task 3: Printing of the IMNCI curriculum X Curriculum printed X X X JSINational MNCH/ FP Program

Task 4: ToT for IMNCI trainings (Facility based) three trainings (11,5 and 3 day) X X Trainers trained X X X X X X X X X AKU

National MNCH/ FP Program

Task 5: DIP for facility based IMNCI X X DIP prepared X X X JSINational MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 1100 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSINational MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSINational MNCH/ FP Program

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X XJSI National

MNCH/ FP Program

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X XJSI National

MNCH/ FP Program

Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 100 LHV in GoodLife Network with GoodLife Surgical Providers

X

300 deliveries performed by 100 LHVs under supervision of GoodLife Surgical Providers X X X X X X X X X

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Activity 8: Performance assessment Task 1: Complete and finalize the Performance assessment of EMNC trainings (Public Sector - Intervention Group) in remaining districts of Pakistan

X X Performance is assessed in terms of knowledge and skill retention of health care providers

X X X X X X AKU SCUS

Task 2: Performance assessment of EmONC trainings of Specialists/Pediatricians (Public Sector)

X Performance is assessed in terms of knowledge and skill retention of health care providers (Pediatricians/Specialists)

X X X X X X X X AKU SCUS

Task 3: Data entry and Analysis of Performance assessment X Analyzed Data X X X X X X X X X X X X SCUSTask 4: Development of training software database for each type of training X EMNC, EMONC and LHW

database functional X X X X X X X X X X X X SCUS

Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports Available

X X X X X X X X X X X XGS

PHD, DHD

National Annual Workplan 2008-2009

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Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants X

14 providers followed-upX X X X X X

GSDHD

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings X 320 HCPs trained X X X X X X X X X JSI PHD, DHD Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X JSI PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X JSI DHD Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X JSI DHDActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH/ FP)

Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 200 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment X Report available X X X CAI, DHDActivity 12: Training of the drivers and Para-medics in Basic Life Support Task 1: Roll out trainings X 100 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communication

Task 1: Conduct trainings programs in Strategic Communication 25 persons trained X X X JHU JSI DHD

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X 85 Journalists trained X X X X X X JHU DHD

Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning (for new districts)

X X 120 staff trained X X X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff (for new districts)

X X 120 staff trained X X X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) 

X X 120 staff trained X X X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software (for new districts)

X Software installed in districts X X X X X X CONTECH DHD

Task 5: Follow‐up / mentoring visits (for all districts) X 23 follow up visits conducted  X X X X X X X X X X X X CONTECH DHDTask 6.  Training on small scale Household surveys (LQAS) for additional  districts

XDHMs Trained on LQAS Technique

X X X X X X X X X X X X PC, JSI CONTECH DHD

Activity 15: Training on Client Centered Approach for delivering RH Services”.

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 2: Conduct TOT in CCA for district trainers X X 24 district trainers trained in CCA X X X PC JSI DHD

Task 3 Conduct rollout trainings for doctors and paramedics X 400 HCPs trained X X X X X X X X JSI PC DHD

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Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports available X X X X X X X X PC JSI DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI PC DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 70 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 70 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 70 HCPs trained X X X X X X X JSI PC DHDActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X 60-80 district managers

identified X X X JSI PC Sub-grantee NGOs

Task 2: Training of the health managers in leadership X 60-80 district managers trained X X X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X JSI PC Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs (for new districts) X 12 meetings held X X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs (for new districts) X 12 DHMTs established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings (for all districts) X 80 quarterly meetings held X X X X X X X X X X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs (for all districts & provinces)

X X46 district level and 4 5 provincial level meetings held

X X X X X X X X X X X X CONTECH JSI PHD, DHD

Task 5: Conduct District Health Management Strengthening workshops for continuous performance improvement of DHMTs (for all districts)

X 02 workshops held X X CONTECH JSI PHD, DHD

Task 6: Implementation of a more sustainable (legislative) model of DHMTs (for  selected districts)

XModel implemented in  5 districts

X X X X X X X X X X X X CONTECH JSI PHD, DHD

Task 7: Support districts in organizing monthly meeting with MOICs (for all districts)

X Support provided to 23 districts X X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings  (for all districts)

XMonitoring and support provided

X X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt (for new districts & Swat)

X 07 visits conducted X X X X X X X CONTECH JSI DHD

Task 10: Performance assessment of DHMTs (for all districts) X 02 Assessment reports available X X CONTECH JSI/PC PHD, DHD

Activity 2: District Health Performance Target Setting PHD, DHD

Task 1: Conduct training/briefing to district managers/planners on health performance target setting (for all districts) X 04 workshop organized X X X CONTECH JSI

Task 2: Hands on support in target setting (for all districts) X Support provided to districts X X CONTECH JSI PHD, DHD

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Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI DHD

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSI DHDTask 3: Report Writing (for all districts) X X 02 report available X X CONTECH HSPH/JSI DHDTask 4: Report Dissemination Workshop X Report Disseminated X CONTECH HSPH/JSI PHD, DHDActivity 4: DHMT Management TrainingsTask 1: Training on District Annual Operational Planning (for new districts)

X X See SO4 Activity 14 X X X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff (for new districts) X X See SO4 Activity 14 X X X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) 

X X See SO4 Activity 14 X X X CONTECH DHD

Task 4: Installation of FinSoft and Health Plan software (for new districts)

X See SO4 Activity 14 X X X X X X CONTECH DHD

Task 5: Follow-up / mentoring visits (for all districts) X See SO4 Activity 14 X X X X X X X X X X X X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 1: Sensitization workshop on strategic and district annual operational planning (for all districts) X 02 workshop organized X CONTECH JSI PHD, DHD

Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 (for all districts) X 23 DAOP developed X X X CONTECH JSI DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum (for all districts)

X DAOP progress discussed in DHMT meetings X X X X X X X X X X X X CONTECH JSI DHD

Activity 6: Facilitate in Implementation of District Health Information SystemTask 1: Conduct coordination meetings with national and provincial stakeholders, AJK and donors on possible areas of collaboration

X 02 meetings held X X X X CONTECH JSI PHD, DHD

Task 2: Support for development of PC‐1 (AJK) X PC‐1 developed X   CONTECH JSI PHD

Task 3: Conduct DHIS implementation planning workshop with stakeholders to seek agreement plan for implementation

X X 05 workshops organized X X CONTECH JSI PHD, DHD

Task 4: Training of Master Trainers (TOT) (for all districts) X 69 master trainers trained X X CONTECH JSI PHD, DHD

Task 5: Refresher training of health care providers  (for all districts) X4095 health care providers trained

X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software (for all districts &province)

X X 80 staff trained X X X CONTECH JSI PHD, DHD

Task 7: Installation of DHIS software X XSoftware installed at provincial & district level

X X X X CONTECH JSI PHD, DHD

Task 8: Backup support for DHIS software X X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS in all districts X Assistance provided X X X X X X X X X X CONTECH JSI DHDTask 10: Printing of DHIS tools for the districts, as required X Printed DHIS tools provided X X X X JSI CONTECH DHDTask 11: Provision of Computers to the districts for DHIS software application, as required

XSee SO 3 (Procurement of equipment)

JSI CONTECH

Activity 7: Use of information for district health management

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Task 1: Organize workshops on use of DHIS information  (for all districts and provinces)

X 240 managers trained X X X X CONTECH JSI DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) (for all districts) X 276 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) (for all districts) X District level assessment reports X X X CONTECH JSI/PC DHD

Activity 8: Public Private PartnershipTask 1: Development of innovative PPP models X Models developed X X X CONTECHTask 2: Implementation of PPP models X Models implemented X X X X X X X X X CONTECHTask 3:Follow-up on area of collaboration between public and private sector (blood Bank Mian Chuno)

X X Follow-up reports availableX X X X X X X X X

GS CONTECH, JSI

Activity 9: Prepare District Profiles

Task 1: Preparation of District Profile (4 Pager) (for new districts) X 13 health profiles prepared X X X CONTECH

Monitoring, Evaluation and ResearchActivity 1: Baseline Survey for additional 12 districtsTask 1: Survey Planning X Work plan available X PC JSITask 2: Hiring of field teams X Field staff hired X X PC JSITask 3: Training of interviewers X Interviewers trained X X PC JSITask 4: Field Data Collection X Data collected X X PC JSITask 5: Data Analysis and Report writing X Report written X X X PC JSITask 6: Report Dissemination Workshop X Report Disseminated X PC JSITask 7: Mapping of Health Facilities through GIS

Sub-task 7.1: Hiring of field staff X Data collection staff hired X PC JSI, Contech All partners, DHD

Sub-task 7.2: Training of data collection Teams X Data collecting teams trained X PC JSI

Sub-task 7.3: Field data collection X Data collected X X X PC JSI, Contech DHD, All partners

Sub-task 7.4: Data Entry, Digitalization X Data entered X X X PCSub-task 7.5: Analysis and report writing X Report written X X PCSub-task 7. 6: Dissemination of results X Results disseminated X X PCActivity 2: End line survey for existing districtsTask 1: Survey Planning X Work plan available X X PC JSITask 2: Hiring of field teams X Field staff hired X X PC JSITask 3: Training of interviewers X Interviewers trained X PC JSITask 4: Field Data Collection X Data collected X X PC JSITask 5: Data Analysis and Report writing X Report written X X PC JSI 1Task 6: Report Dissemination Workshop X Report Disseminated X PC JSIActivity 3: OPERATIONS RESEARCHTask 1: Midwifery Supervisory Models X X X X PC JSI1.1: Hiring of project staff & research staff X Staff hired X PC JSI 601.2: Training of research staff for data collection X Training completed X PC JSI1.3: FGDs of community women & interviews with CMWs X Data collected X PC JSI

1.4: Placement of midwives in their respective communities X CMWs placed in their communities X JSI PC, GS

1.5: Data analysis and report writing of data collected X Report written X X X PC JSI1.6: Participants observation X Reports available X X X X X X PC JSI1.7: Verbal Autopsy X Reports available X X X X X X X X X X X X PC JSI

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1.8: Monitoring of field activities X Monitoring reports available X X X X X X X X PC JSI1.9: Interviews with CMWs and their supervisors X Data collected X PC JSI DHD

1.10: Endline survey (intervention and control clusters) X Data collected X X PC JSI DHD

1.11: Data analysis and report writing of endline survey X Report available X PC JSI DHD

Task 2: PAIMAN Voucher Scheme PC GS/JSI2.1: Developing study proposal X Study proposal available X X PC GS/JSI2.2: Approval by M&E&OR SC for study X Proposal approved X PC GS/JSI2.3: Implementation of study X Data collected X X PC GS/JSI2.4: Data analysis & Report writing X Study report available X X X PC GS/JSI2.5: Dissemination of study results X Results disseminated X PC GS/JSITask 3: Effect of anti-shock garments and Misoprostol on bleeding during delivery PC JSI

3.1: Developing study proposal X Study proposal available X PC JSI3.2: Approval by M&E&OR SC for study X Proposal approved X PC JSI3.3: Implementation of study X Data collected X X PC JSI3.4: Data analysis & Report writing X Study report available X X X PC JSI3.5: Dissemination of study results X Results disseminated X PC JSITask 4: Application of 4% Chlorhexidine for Neonatal Cord Care AKU

4.1: Field Activity (Patients recruitment and Follow-ups as per study protocol) X Patient recruitment process

continues X X X X AKU

4.2: Field Activity (Endline) X Endline data and analysis X X X X AKU4.3: Data Analysis and Report Writing X Final Report X X X X

Task 5: Newborn Vitamin A Supplementation Project; a randomized Control Trial in District Sukkur and Jhelum * AKU PC, JSI

5.1: Field Activity (Subjects recruitment and Follow-ups as per study protocol) X Recruitment of subjects X X X X X X X X X AKU

5.2: Data Analysis and Report Writing X Final Report X X X AKUTask 6: Postpartum Maternal and Neonatal Intervention Package; A Cluster Randomized Control Trial in District Sukkur

AKU PC, JSI

6.1: Field Activity (Training of TBAs, Midwives, LHVs and other community care providers is in process) X Community care providers

trained X AKU

6.2: Field Activity (First Surveillance Round) X Data of Surveillance Round X X X X6.3: Data Analysis and Report Writing X Final Report X X AKUTask 7: Improved Recognition of and Response to Prolonged Labor and Birth Asphyxia; An observational study in District Matiari & Sukkur

AKU

7.1 Instrument translation, pre-testing, finalization and printing X X X Instrument developed and data collected X X X X AKU

7.2 Identification and Verification of Participants X List of identified participants X AKU7.3 Field Activity (Semi-structured Interviews) X Data collected X X AKU7.4 Data Analysis and Instrument Development and Planning for the next phase X Instrument and Data analyzed X AKU

7.5 Field Activity (Structured Interviews) X Data collected X X X AKU7.6 Data Computerization and Instrument Development and Planning for the next phase X Instrument and Data analyzed X AKU

7.7 Field Activity (Group Discussions) X Data collected X X X AKUNational Annual Workplan 2008-2009

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7.8 Data Analysis and Report Writing X Final Report X AKUTask 8: Proposal for Developing and Evaluating Diarrheal disease packs for childhood for use by Public and Private Settings

AKU

8.1 Proposal Finalization and approval X Final Proposal and approval AKU8.2 Work Plan Development X Approved Work Plan AKU8.3 Implementation X AKU

Task 9: Evaluation of an improved pneumonia recognition and management for community health workers AKU

9.1 Proposal Finalization and approval X Final Proposal and approval AKU9.2 Work Plan Development X Approved Work Plan AKU9.3 Implementation X AKUTask 10: Prevention and management of sever acute malnutrition in a community setting in rural Pakistan AKU

10.1 Proposal Finalization and approval X Final Proposal and approval AKU10.2 Work Plan Development X Approved Work Plan AKU10.3 Implementation X AKUTask 11: Delayed Cord Clamping to reduce the incidence of Anaemia in infancy AKU

11.1 Proposal Finalization and approval X Final Proposal and approval AKU11.2 Work Plan Development X Approved Work Plan AKU11.3 Implementation X AKUTask 12: Impact of Nasal CPAP in district level hospitals for better respiratory management of newborns, specially for premature babies

AKU

12.1 Proposal Finalization and approval X Final Proposal and approval AKU12.2 Work Plan Development X Approved Work Plan AKU12.3 Implementation X AKUActivity 4: KNOWLEDGE MANAGEMENT

Task 1:Collect information for the quarterly newsletter X Information collected from KMSPs X X X X X X X X X X X X PC All Partners total 200

trainees Task 2: Circulate PAIMAN Quarterly Newsletter X 4 Newsletter circulated X X X X PC All Partners

Task 3: Collect success stories from partners X Success stories collected & disseminated X X X X X X X X X X X X PC All Partners PHD, DHD

Task 4: First international consultative meeting X Meeting conducted X PC All Partners PHD, DHDTask 5: Update website regularly X Website regularly updated X X X X X X X X X X X X PCTask 6: Collect and share MNCH/ FP information from PAIMAN, other projects and GOP both nationally and internationally

X MNCH/ FP information collected X X X X X X X X X X X X PC

Activity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Research (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 6: SPECIAL STUDIESTask 1: Develop framework for SPECIAL Studies: study 1 X Study framework available X PC JSITask 2: Approval by M&E SC for study X Minutes of the meeting X PC JSITask 3: Implementation of study (Timing depends upon plan and needs) X Study report available X X PC JSI DHD

Task 4: Develop framework for SPECIAL study 2 X Study framework available X PC JSI DHDNational Annual Workplan 2008-2009

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Task 5: Approval by M&E SC for study X Minutes of the meeting X PC JSI DHDTask 6: Implementation of study (Timing depends upon plan and needs) X Study report available X X PC JSI DHD

Task 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC, CONTECH DHDTask 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC, CONTECH DHDTask 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH DHDActivity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 1: Develop/finalize framework for process evaluation of private activities X Framework developed X PC JSI, CM

PartnersDHD

Task 2: Approval by M&E SC for process evaluation of private sector activities X Framework approved X PC JSI, CM

partnersTask 3: Conduct data collection for process evaluation of privatesector activities X Data collected X X PC JSI, CM

partnersSub-grantee NGOs

Task 4: Data analysis and report writing process evaluation of private sector activities X Report written X X PC JSI, CM

partnersSub-grantee NGOs

Task 5: Dissemination of findings evaluation of private sector activities at the grass root level X Findings disseminated X PC JSI, CM

PartnersActivity 8: Component Evaluation of District Health System Strengthening (existing districts)Task 1: Develop/finalize tools for evaluation of DHSS [supportive supervision & LQAS trainings] X Questionnaire developed X PC Contech

Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOsTask 3: Data analysis and report writing for evaluation of District Health System strengthen component X Report written X X PC Contech Sub-grantee

NGOsTask 4: Disseminate findings for evaluation of District Health System strengthen component X Findings disseminated X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X X X X X X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) XDistrict HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Task 3: Quarterly reports reporting X 4 Quarterly reports submitted X X X JSI Consortium partners

Sub-grantee NGOs

Task 4: Prepare Annual Reports X 1 Annual report submitted X X X X JSI Consortium partners

Sub-grantee NGOs, DHD

Task 5: Conduct national coordination meetings with consortium partners X 4 coordination meetings held X X X X JSI Consortium

partnersSub-grantee NGOs, DHD

Task 6: Conduct provincial coordination meetings with partners X 20 coordination meetings held X X X X JSI Consortium partners

Sub-grantee NGOs, DHD

Task 7: Thematic group meeting on need basis X No. of meetings held X X X X X X X X X X X X Consortium partners

Sub-grantee NGOs

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Task 8: Collection of Routine Monitoring Output Indicators fromPvt. HCPs

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550 basic and 50 advance EmONC trained providers in Pvt sector, data collected quarterly X X X X X X X X X X X X

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Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 1: Agreement on indicators X Indicators agreed X CONTECH JSI PHD, DHDTask 2: Development of survey tools X Tools developed X X CONTECH JSI PHD, DHDTask 3: Survey Planning X Work plan available X X CONTECH JSI PHD, DHDTask 4: Training of data collectors X Interviewers trained X X CONTECH JSI PHD, DHDTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDTask 6: Data Analysis and Report writing X Report available X X X CONTECH JSITask 7: Report Dissemination Workshop X Report Disseminated X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Sub-grantee NGOs, DHD

Task:1 Advertise RFA in national and local press X RFA advertised X JSI DHD, PHD

Task:2 shortlisting of NGOs according to the pre-defined criteria X List available X JSI DHD, PHD

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X Applications shared and

approved by District PRC X X JSI DHD, PHD

Task4: Review of short listed applications by National Committee at JSI office Islamabad and approval of COP X Application reviewed and

finalized X JSI DHD, PHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI DHD, PHD

Task 6: Proposal writing workshop of the successful NGOs X No. of workshops held X X JSI DHD, PHD

Task 7: Review and finalization of proposals by PAIMAN X Proposals reviewed and finalized X X JSI DHD, PHD

Task 8: Review and approval by USAID X Proposals reviewed and approved X X JSI DHD, PHD

Task 9: Sub-grant award to the NGOs X Sub-grants awarded X X JSI DHD, PHDActivity 2: Extension of the projects of already selected NGOsTask 1: Review of the performance X Reports available X X JSI DHD, PHDTask 2: Revision of the proposals X Proposals developed X X JSI DHD, PHDTask 3: Review and approval of revised proposal X revised proposals approved X X JSI DHD, PHDTask 4: Signing of revised agreement X Agreement signed X X JSI DHD, PHDActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH/ FP and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

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Task 3: Advocacy sessions on MNCH/ FP issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH/ FP servicesTask 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHDTask 2: Organization of transport for MNCH/ FP emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X PC JSI DHDTask 4: Identification of TBAs X 350 TBAs identifies X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X 350 TBAs oriented X X X X X X X X X X X X JSI PC DHDTask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings organized X X X X X X X X X X X X JSI PC DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHDTask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHDActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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PAIMAN Annual Work Plan

PUNJAB

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RawalpindiStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS/ CM

Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X X CM Partners JHU

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis

Task 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHUTask 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSITask 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X XTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSITask 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 15: Support/ organize theatre groups / performances (existing districts) X

2 theater performances conducted. Reports available X X SCUS/ CM

Partners

Activity 7: Conduct advocacy campaign based on CAM packages

Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X

One district Assembly Seminar conducted/NFR available

XSCUS

Task 16: Organize local events for MNCH &FP (existing districts) X

One local event conducted/ Report available X

SCUS

Task 17: Organize mega events/MNCH/ FP Health days X Two mega events conducted/NFRs available X X SCUS

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Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUSMNCH/ FP program & NP & Development

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH/ FP activities

Task 1: Coordination meeting with district Health department X

3 coordination meetings conducted/ minutes available

X X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X 96 LHW meetings monitored/ NFR available X X X X X X X X X X X X SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X 96 LHW meetings

monitored/ NFR available X X X X X X X X X X X X SCUS

Task 6: District Coordination meetings X Four meetings conducted/ minutes available X X X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings conducted/

minutes available X X X X X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 36 meetings conducted/

NFR available X X X X X X X X X X X X SCUS DHD

Activity 12: Conduct community group activities

Task 1: Support National Program in conducting female support groups X

28377 meetings conducted/ Reports available X X X X X X X X X X X X

SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring visits

conducted/NFRs available X X X X X X X X X X X X MC, SCUS, PAVHNA JSI, JHU

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Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plansTask 1: Market CDKs

X XSample= 10,000 Units (to JSI) Institutional = 11,600

X X X X X X X X X X X XGS

Task 2 Airing of GL Advertisement on Cable X 1,666 Spots X X X X X X X X GS MoH, PHD, DHD

Task 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 20 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 20 Launches X X X X X X X X GS MoH, PHD, DHD

Task 5: Print media insertions X 20 Insertions X X X X X X X X GS

Activity 14: IPC activity for demand generation of products and services for Private Sector Providers

Task 1: Conducting IPC activities with community and influencers

X

3,180 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 6,360

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

60 Clinic Sahoolat activities conducted. Activity Reports. X X X X X X X X X

GS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH/ FP Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI),training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

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Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH/ FP equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH / FP equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI SCUS

Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the DHQ/ THQ hospitals where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 X X X X X X X JSI PC FALAH

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X X X X X X X X X X X JSI PC FALAH

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI FALAH

Activity 4: Implementation of TBAs orientation strategy

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI NP for MNCH

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X 160 means of transport

identified X X X X X X X X X X X X SCUS NP for MNCH

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Task 4: Operation of the community managed emergency transport system X See Grants Management

activity 6 task 3

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 NP for MNCH

Activity 6: Refresher Midwifery Training

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 12 LHVs/ midwives trained X X X X X JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculumTask 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 50 CMWs identified X X X JSI SCUS NP for MNCH

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH

Task 6: Enroll of CMWs in the identified midwifery schools X 50 CMWs enrolled X X X JSI NP for MNCH

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH

Task 8: Advocate MoH MNCH / FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH

Activity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 9: Placement of newly graduated CMWs in the fieldTask 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC NP for MNCH

Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X X X X JSI PC NP for MNCH

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCHTask 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH

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Task 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI NP for MNCHTask 9: Disseminate OR results X X X OR results disseminated X X X JSI PC NP for MNCHActivity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program

& NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI MNCH program & NP

Activity 13: Improving referral and access to IMNCI JSITask 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established

at DHQ/THQ X X X X X X X X X JSI `

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKU MNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSIMNCH program & NP

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUSTask 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUSActivity 15: Innovation to improve access to MNCH /FP services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

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Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFswhere there is no specialist available

X No. of visits X X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meeting held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 1 Activity 4 X X X X X X X X X X X X GS SCUSTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1 X X X X X X X X X

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientationof staff at designated health facilities X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & MaintenanceSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI ContechSub task 2.12: Handing over to health facility Incharge X Handing over report

available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI

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Activity 2:Improve quality of community based MNCH /FP servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 4: Hospital waste management at selected HFs

Task 5: Supervision & monitoring by district managers X Reports available X X X X X X X X X JSITask 6: Assessment of the pilot testing X Assessment reports X X X JSIActivity 5: Functional integration of services at district levelTask 3: Technical Support district districts for functional integration X Areas integrated X X X X X X X X X JSI

Task 4: Assessment of Functional Integration X assessment report available X X X JSI

Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of theintervention X Reports available X X X X X X X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings for Five HFs

conducted /NFRs available X X X X X SCUS

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Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X Quality exploring process

completed for 5 HFs X X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X 5 bridging the gap

workshops conducted X X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X QI teams formed /NFRs available X X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 42 meetings conducted/minutes of meeting available

X X X X X X X X X X X X SCUS

Activity 8:Improve the image of MNCH/ FP service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”

DHD

Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 4: EMNC Refresher trainings conducted X 30 HCPs trained X X X SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 3: Conduct LHWs rollout trainings X 378 LHWs trained X X X X SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted/NFR available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X

Two workshops conducted 40 trainers trained X X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

400 LHWs trained X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

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Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 80 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X follow-up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings X See SO2 Act 7 X X X X X X X X X JSI MoH, PHD,

PNCActivity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports available

X X X X X X X X X X X XGS

PHD, DHD

Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants X

providers followed-upX X X X X X

GSDHD

Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits X 01 follow up visit

conducted X CONTECH DHD

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 40 HCPs trained X X X X X X X X JSI All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 8 HCPs trained X X X X X X X JSI PCTask 2: Training of HCPs on Minilap X 8 HCPs trained X X X X X X X JSI PCTask 3: Training of HCPs on Vasectomy X 8 HCPs trained X X X X X X X JSI PC

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Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers identified X X X PC JSI Sub-grantee

NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 6: Implementation of a more sustainable (legislative) model of DHMTs X Model implemented in

district X X X X X X X X X X X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed in

DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 423 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X X 03 staff trained X CONTECH JSI DHD

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Task 7: Installation of DHIS software X X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring, Evaluation and ResearchActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) foradditional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 7:Component Evaluation of Private Sector activities (existing districts) DHD

Task 3: Conduct data collection for process evaluation of private sector activities X Data collected X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee

NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

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GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSITask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSITask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSITask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSITask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSIActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PCTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC

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JhelumStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS/ CM

Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X X CM Partners SCUS

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUS

Activity 6: Implement communication interventions through mass/ traditional media campaigns

Task 2: Televise the drama serial X X X Drama televised JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced; airing

schedule available X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHUTask 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X

Task 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSITask 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 15: Support/ organize theatre groups / performances (existing districts) X

2 theater performances conducted. Reports available X X SCUS/ CM

Partners

Activity 7: Conduct advocacy campaign based on CAM packages

Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X

1 district assembly seminar conducted. Reports available X

SCUS

Task 16: Organize local events for MNCH &FP (existing districts) X One local event conducted.

Reports available X SCUS

Task 17: Organize mega events/MNCH Health days X 2 mega events conducted. Reports available X X SCUS

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Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

3 coordination meetings conducted/ minutes available X X X

SCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X 96 LHW meetings monitored/

NFR available X X X X X X X X X X X X SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X 96 LHW meetings monitored/

NFR available X X X X X X X X X X X X SCUS

Task 6: District Coordination meetings X Four meetings conducted/ minutes available X X X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings conducted/

minutes available X X X X X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X

36 meetings conducted/ NFR available X X X X X X X X X X X X

SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 16,020 meetings

conducted/Reports available X X X X X X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring visits

conducted/NFR available X X X X X X X X X X X X MC, SCUS, PAVHNA JSI, JHU

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Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS MoH, PHD,

DHDTask 2 Airing of GL Advertisement on Cable X 1,666 Spots X X X X X X X X GS MoH, PHD,

DHDTask 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 20 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 15 Launches X X X X X X X X GS

Task 5: Print media insertions X 15 Insertions X X X X X X X X GS

Activity 14: IPC activity for demand generation of products and services for Private Sector Providers

Task 1: Conducting IPC activities with community and influencers

X

1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

24 Clinic Sahoolat activities conducted. Activity Reports. X X X X X X X X X

GS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Trainingof LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

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Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI SCUS

Activity 3: Integration of FP services at the district level FALAH

Task 1: Technical support for the district to establish functional integration of services between DOH and PWD

X See SO3 Activity 5, Task 3 JSI Sub-grantee NGOs

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP

X MoM available X X X X X X X X X X X X JSI Sub-grantee NGOs

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI

Activity 4: Implementation of TBAs orientation strategy NP for MNCH

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Task 6: Greenstar HSO Follow-up Plan in 9 districts X

HSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS CM Partners

Task 7: One day TBA Orientation Workshop by Greenstar HSO X 12 workshops done by HSO (1

workshop / month) X X X X X X X X X X X X GS CM Partners

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech NP for MNCH

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Task 3: Identify/utilize indigenous means of transport through VHCs X 89 means of transport

identified X X X X X X X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X See Grants Management

activity 6 task 3 NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6

Activity 6: Refresher Midwifery Training NP for MNCHTask 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCHTask 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 10 LHVs/ midwives trained X X X X X JSI

Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees

X 20 CMWs identified X X X JSI SCUS NP for MNCH

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH

Task 4: Training of midwifery tutors X X tutors trained JSI NP for MNCHTask 6: Enroll of CMWs in the identified midwifery schools X 20 CMWs enrolled X X X JSI NP for MNCH

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH

Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS

Activity 8: Monitoring quality of CMW trainings NP for MNCHTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI

Activity 9: Placement of newly graduated CMWs in the field NP for MNCH

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC NP for MNCH

Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs

X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X X X X JSI PC NP for MNCH

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Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCH

Task 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH

Task 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI NP for MNCH

Task 9: Disseminate OR results X X X OR results disseminated X X X JSI PCActivity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

MNCH program & NP

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program

& NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI `

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established at

DHQ/THQ X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at

BHUs/ MCH centers X X X X X X X X X JSI MNCH program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSIMNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health interventions

implemented X X X X X X X X X X AKUMNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X X See Grants Management activity 6 task 2 JSI

Activity 14: Improving community based IMNCI

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Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications system

established X X X X X X X X X X JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meetings held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 2 Activity 4 X X X X X X X X X X X X GS CM PartnersTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1

X X X X X X X X X

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & Maintenance

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Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities with

MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility

X Guidelines displayed X X X X X X X X X X JSI

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHD

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 4: Hospital waste management at selected HFsTask 1: Consultative meeting to prepare implementation plan X Implementation plan ready X X X X X X JSI

Task 2: Training of the staff on hospital waste management X No. of staff trained X X X X JSI

Task 3: Provision of logistic support, utensils and at selected HFs X 2 HF provided utensils X X X JSI

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Task 4: Construction of conventional incinerator at selected HFs X Incinerator constructed at 2

HFs X X X X X X JSI

Task 5: Supervision & monitoring by district managers X Reports available X X X X X X X X X JSI

Task 6: Assessment of the pilot testing X Assessment reports X X X JSIActivity 5: Functional integration of services at district level

Task 1: Consultative meeting of stakeholders at provincial & district level to share the pilot study report along with recommendation and areas of integration

X X X Minutes of the meeting X X X X X X JSI

Task 2: Training workshop to finalize the implementation strategy and plan of action of functional integration

X X Minutes/report available X X X X X JSI

Task 3: Technical Support district districts for functional integration X Areas integrated X X X X X X X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD

Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X

JSIDHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X X X X X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of 3

facilities. Minutes available X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Exploring quality process completed in area of 3 facilities. Reports available

X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X 3 workshops conducted. Reports available X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 60 meetings held. NFRs

available X X X X X X X X X X X X SCUS

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Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”

DHD

Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One planning meeting conducted/NFR available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X

Two workshops conducted 40 trainers trained X X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

400 LHWs trained on IMNCIX X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 60 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X follow-up reports available X X X X X X X JSIActivity 6: Implementation of CMWs training

Task 2: CMWs enrolled for regular trainings X See SO2 Act 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers

X

60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers X X X X X X X X X

GS

PHD

Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports available

X X X X X X X X X X X XGS

PHD, DHD

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Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by

X 6 providers followed-up X X X X X X GS DHD

Activity 14: DHMT Management TrainingsTask 5: Follow-up / mentoring visits 01 follow up visit conducted X CONTECH DHDActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers identified X X X PC JSI Sub-grantee

NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting PHD, DHD

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHDActivity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECHActivity 5: Hands on support of DHMT during district planning cycle

Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed in

DHMT meetings X X X X CONTECH DHD

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Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 189 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X X Software installed in district X CONTECH JSI DHDTask 8: Backup support for DHIS software X X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring, Evaluation and ResearchActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 3: Conduct data collection for process evaluation of private sector activities X X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X X X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) XDistrict HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

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GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk)

X No of advocacy session organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSI

Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSITask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI

Activity 6:InnovationsTask 1: Establishment of birthing stations at far flung areas X No. of birthing centers

established X X X X X X X JSI

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI

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Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC

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Sep'09

Lead Partners)

Supporting Partner

KhanewalStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X X X JHU SCUS

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X XTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSITask 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 15: Support/ organize theatre groups / performances (existing districts) X

2 theater performances conducted. Reports available

X XSCUS

Activity 7: Conduct advocacy campaign based on CAM packages

Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X

1 district assembly seminar available. Reports available

XSCUS

Task 16: Organize local events for MNCH &FP (existing districts) X 1 local event organized.

Reports available X SCUS

Task 17: Organize mega events/MNCH Health days X 2 events organized. Reports available X X SCUS

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators

(input/process/ output)

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Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

3 coordination meetings conducted/ minutes available

X X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support GroupsX

96 LHW meetings monitored/ NFR available X X X X X X X X X X X X

SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

96 LHW meetings monitored/ NFR available X X X X X X X X X X X X

SCUS

Task 6: District Coordination meetings XFour meetings conducted/ minutes available X X X X

SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings conducted/

minutes available X X X X X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 36 meetings conducted/

NFR available X X X X X X X X X X X X SCUS DHD

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Q1 Q2Indicators (input/process/ output)

Activity 12: Conduct community group activities

Task 1: Support National Program in conducting female support groups X

30,635 meetings conducted/Reports available

X X X X X X X X X X X XSCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring visits

conducted/NFR available X X X X X X X X X X X X MC, SCUS, PAVHNA JSI, JHU

Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS MoH, PHD,

DHDTask 2 Airing of GL Advertisement on Cable X 1,666 Spots X X X X X X X X GS MoH, PHD,

DHDTask 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 20 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 15 Launches X X X X X X X X GS Task 5: Print media insertions X 15 Insertions X X X X X X X X GSActivity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

24 Clinic Sahoolat activities conducted. Activity Reports.

X X X X X X X X XGS

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Q1 Q2Indicators (input/process/ output)

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed . . X X X X X X X X X X JSI SCUS

Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits . . X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits . . X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 JSI PC FALAH

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X JSI PC FALAH

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI FALAH

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Activity 4: Implementation of TBAs orientation strategy

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI NP for MNCH

Task 6: Greenstar HSO Follow-up Plan in 9 districts X

HSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS SCUS

Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month)

X X X X X X X X X X X X GS SCUS

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X 177 means of transport

available/reports available X X X X X X X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3 NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 NP for MNCH

Activity 6: Refresher Midwifery Training NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X X X X X X X JSI NP for MNCH

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 10 LHVs/ midwives

trained X X X X X X X X X X X X JSI

Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH

Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS

Activity 8: Monitoring quality of CMW trainings NP for MNCH

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Q1 Q2Indicators (input/process/ output)

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCHTask 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI

Activity 9: Placement of newly graduated CMWs in the field NP for MNCH

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC NP for MNCH

Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X X X X JSI PC NP for MNCH

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCHTask 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH

Task 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI NP for MNCHTask 9: Disseminate OR results X X X OR results disseminated X X X JSI PCActivity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

MNCH program & NP

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program & NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI `

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ JSIMNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X JSI

MNCH program & NP

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Task 5: Provide support to the HF staff for implementation of thecore child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 X X X X X X X X X X JSI

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUSTask 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meetings held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 2 Activity 4 X X X X X X X X X X X X GS CM PartnersTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1 X X X X X X X X X

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Q1 Q2Indicators (input/process/ output)

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report

available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI

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Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X X X X X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 2: Consultative meetings for planning and designing of PDQ process X

Meetings for 3 HFs conducted / reports available

X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X Quality exploring process

completed for 3 HFs X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X 3 bridging the gap workshops conducted X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X QI teams formed /NFRs available X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 60 meetings conducted/minutes of meeting available

X X X X X X X X X X X X SCUS

Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”

DHD

Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GS

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Supporting Partner C

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Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 4: EMNC Refresher trainings conducted X 20 HCPs trained. Monitors reports available X X

SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 3: Conduct LHWs rollout trainings X 284 LHWs trained. Monitors reports available X X X

SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting held. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X

2 ToTs conducted. 40 trainers trained. Monitors reports available X X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

400 LHWs trained. Monitors reports available X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 60 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X follow-up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 2: CMWs enrolled for regular trainings X X X X X X X X X X JSI MoH, PHD, PNC

Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers

X

60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers

X X X X X X X X X

GS

PHD

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nersQ3 Q4 Consortium PartnersOct. 08 to September 09

Q1 Q2Indicators (input/process/ output)

Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X X X X X X X X X X X X XGS

PHD, DHD

Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants X

5 providers followed-upX X X X X X

GSDHD

Activity 14: DHMT Management TrainingsTask 5: Follow-up / mentoring visits 01 follow up visit

conducted X CONTECH DHD

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 30 HCPs trained X X X X X X X X JSI All Partners DHDTask 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings

supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 6 HCPs trained X X X X JSI PCTask 2: Training of HCPs on Minilap X 6 HCPs trained X X X X JSI PCTask 3: Training of HCPs on Vasectomy X 6 HCPs trained X X X X JSI PCActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting PHD, DHD

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Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X X X CONTECH JSI

Task 2: Data Analysis (for all districts) X X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 304 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District

reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

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Monitoring, Evaluation and ResearchActivity 2: End line survey for existing districtsTask 4: Field Data Collection X X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 3: Conduct data collection for process evaluation of privatesector activities X Data collected X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSI

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Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSITask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSITask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSITask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSIActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PCTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC

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DG KhanStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X X X JHU SCUS

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X XTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSITask 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 15: Support/ organize theatre groups / performances (existing districts) X

2 theater performances conducted. Reports available

X XSCUS

Activity 7: Conduct advocacy campaign based on CAM packagesTask 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X 2 seminar conducted.

Report available X X SCUS

Task 16: Organize local events for MNCH &FP (existing districts) X 1 local event organized.

Report available X SCUS

Task 17: Organize mega events/MNCH Health days X 2 events organized. Reports available X X SCUS

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

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Task 18: Seminar on MNCH & FP for school teachers X Seminar conducted. Report available X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

3 coordination meetings conducted/ minutes available

X X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support GroupsX

96 LHW meetings monitored/ NFR available X X X X X X X X X X X X

SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

96 LHW meetings monitored/ NFR available X X X X X X X X X X X X

SCUS

Task 6: District Coordination meetings XFour meetings conducted/ minutes available X X X X

SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings conducted/

minutes available X X X X X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 36 meetings conducted/

NFR available X X X X X X X X X X X X SCUS DHD

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Activity 12: Conduct community group activities

Task 1: Support National Program in conducting female support groups X

22,050 meetings conducted/Reports available

X X X X X X X X X X X XSCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring visits

conducted/NFR available X X X X X X X X X X X X MC, SCUS, PAVHNA JSI, JHU

Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS MoH, PHD,

DHDTask 2 Airing of GL Advertisement on Cable X 1,666 Spots X X X X X X X X GS MoH, PHD,

DHDTask 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 20 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 15 Launches X X X X X X X X GS Task 5: Print media insertions X 15 Insertions X X X X X X X X GSActivity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544

X X X X X X X X X

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Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

24 Clinic Sahoolat activities conducted. Activity Reports.

X X X X X X X X XGS

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Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed JSI SCUS

Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available X X X X X X X X X X X X JSI Sub-grantee

NGOs

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI FALAH

Activity 4: Implementation of TBAs orientation strategyTask 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI NP for MNCH

Task 6: Greenstar HSO Follow-up Plan in 9 districts X

HSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS SCUS

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Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month)

X X X X X X X X X X X X GS SCUS

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X 127 means of transport

available/reports available X X X X X X X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3 NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 NP for MNCH

Activity 6: Refresher Midwifery Training NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH

Task 5: Design refresher training based on the results of post training assessment if required X X Training design available X X X X JSI NP for MNCH

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 10 LHVs/ midwives

trained JSI

Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH

Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS

Activity 8: Monitoring quality of CMW trainings NP for MNCHTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCHTask 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI

Activity 9: Placement of newly graduated CMWs in the field NP for MNCH

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC NP for MNCH

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Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X X X X JSI PC NP for MNCH

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCHTask 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH

Task 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI NP for MNCHTask 9: Disseminate OR results X X X OR results disseminated X X X JSI PCActivity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

MNCH program & NP

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program & NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI `

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSIMNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH

program & NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of thecore child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH program & NP

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Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSI

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUSTask 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meetings held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 2 Activity 4 X X X X X X X X X X X X GS CM PartnersTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1 X X X X X X X X X

Task 5: Follow-up on Voucher scheme (For ANC/facility based delivery/TT injections & PNC) Compensation to Providers & Beneficiaries in D G Khan

X Upto 2,000 Providers & Beneficiaries compensated X X X X X X X X X X X X

GS

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report

available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

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Task 2: Civil works/ Repair & MaintenanceSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X X X X X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

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Task 2: Consultative meetings for planning and designing of PDQ process X Meetings for Five HFs

conducted /NFRs available X X X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X Quality exploring process

completed for 5 HFs X X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X 5 bridging the gap workshops conducted X X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X QI teams formed /NFRs available X X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 42 meetings conducted/minutes of meeting available

X X X X X X X X X X X X SCUS

Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”

DHD

Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GSStrategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 4: EMNC Refresher trainings conducted X 1 workshop conducted. 21 HCPs trained. Monitors report available

X X

SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 3: Conduct LHWs rollout trainings X 238 LHWs trained. Monitors report available X X X

SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

1 meeting held. Minutes available X X

SCUS National MNCH Program, NP

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Task 3: District TOT for community IMNCI

X

2 workshops conducted. 40 trainers trained. Monitors reports available X X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

400 LHWs trained. Monitors reports available X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 50 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X follow-up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 2: CMWs enrolled for regular trainings X See SO2 Act 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers

X

60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers

X X X X X X X X X

GS

PHD

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Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X X X X X X X X X X X X XGS

PHD, DHD

Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants X

10 providers followed-upX X X X X X

GSDHD

Activity 14: DHMT Management Trainings

Task 5: Follow-up / mentoring visits 01 follow up visit conducted X CONTECH DHD

Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting PHD, DHD

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X X X CONTECH JSI

Task 2: Data Analysis X X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECHActivity 5: Hands on support of DHMT during district planning cycle

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Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 114 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring, Evaluation and ResearchActivity 2: End line survey for existing districtsTask 4: Field Data Collection X X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 3: Conduct data collection for process evaluation of privatesector activities X Data collected X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

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Activity 9: MONITORINGField monitoring conducted and reports available

Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X coordination meetings held X X X X X X X X X X X X JSI CONTECH Sub-grantee

NGOsGRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSITask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSITask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSITask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSITask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI

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Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PCTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC

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VehariStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X X JHU SCUS

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X XTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 11: Conduct revised Putlee Tamashas in selected districts X 50 Putlee Tamashas performed X X X JHU JSI, SCUS

Task 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 16: Produce and air District Television Talkshows X X X X X X JHUActivity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 journalists trained X X X X X X JHU

Task 9: Develop and support networks of Journalists and Ulama X X XNetworks of Journalists/Ulama established

X X X X X X JHU SCUS

Task 10: Plan and conduct a seminar for policy makers to advocate on the issue of MNCH X X X Seminar Report available X X JHU JSI, SCUS

Task 14: Refine and scale up work with school teachers in other districts X X X Report available X X X JHU JSI, CM

partners

Task 17: Organize mega events/MNCH Health days X 2 events organized. Reports available X X SCUS

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Task 21 Organize district launches X district launch organized X X X JSI All Partners DHD, PHD

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted. minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X 64 LHW meetings monitored/ NFR available X X X X X X X X SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X 64 meetings monitored/ NFR available X X X X X X X X SCUS

Task 6: District Coordination meetings X Two meetings conducted/ minutes available X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 8 meetings conducted/

minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings conducted/

NFR available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activities

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Task 1: Support National Program in conducting female support groups X

1417 meetings conducted/Reports available X X X X X X X X

SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring visits

conducted/NFR available X X X X X X X X X X MC, SCUS, PAVHNA JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI FALAH

Task 2:Up-gradation of the selected HFs X See SO3 JSI FALAHTask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI SCUS FALAH

Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI FALAH

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level Task 1: Technical support for the district to establish functional integration of services between DOH and PWD X See SO3 Activity 5, Task 3 JSI Sub-grantee

NGOsTask 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 X X X X X X X X X JSI Sub-grantee

NGOsTask 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 60 HCPs trained X X X X X X X X X X X X JSI FALAH

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Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI FALAH

Task7: Coordination meeting with FALAH and TACHMIL for integration of FP services X MOM/NFR available X X X X X X X X X X X X JSI FALAH

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI NP for MNCH

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X 20 means of transport

available/reports available X X X X X X X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X See Grants Management

activity 6 task 3 NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 NP for MNCH

Activity 6: Refresher Midwifery Training NP for MNCHTask 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCHTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 20 existing LHVs/ MW

trained X X X X X X JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculumTask 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 35 CMWs identified X X X JSI SCUS NP for MNCH

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH

Task 6: Enroll of CMWs in the identified midwifery schools X 35 CMWs enrolled X X X JSI NP for MNCHTask 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC

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Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH

Activity 8: Monitoring quality of CMW trainings NP for MNCHTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCHTask 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSITask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI

Activity 13: Improving referral and access to IMNCI JSI MNCH program & NP

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established

at DHQ/THQ X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of thecore child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSI

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSI

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants Management JSI

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Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management X X JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X X X JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report available JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed JSI MOH. MOPW,

PHD

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Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 4: Hospital waste management at selected HFs

Task 1: Consultative meeting to prepare implementation plan X Implementation plan ready X X X X X X JSI

Task 2: Training of the staff on hospital waste management X No. of staff trained X X X X JSI

Task 4: Construction of conventional incinerator at selected HFs X Incinerator constructed at 2 HFs X X X JSI

Task 5: Supervision & monitoring by district managers X Reports available X X X X X X X X X JSITask 6: Assessment of the pilot testing X Assessment reports X X X JSI

Activity 5: Functional integration of services at district level

Task 1: Consultative meeting of stakeholders at provincial & district level to share the pilot study report along with recommendation and areas of integration

X X X Minutes of the meeting X X X X X X JSI

Task 2: Training workshop to finalize the implementation strategy and plan of action of functional integration X X Minutes/report available X X X X X JSI

Task 3: Technical Support district districts for functional integration X Areas integrated X X X X X X X X X JSI

Task 4: Assessment of Functional Integration X assessment report available X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report available X X X JSI DHD

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Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X X X X X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X

Mapping in area of three facilities completed. Reports available

X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings for three facilities

conducted /NFRs available X X X X X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X Quality exploring process

completed for 3 HFs X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X 3 bridging the gap workshops conducted X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X QI teams formed /NFRs available X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings conducted/minutes of meeting available

X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X 3 workshops conducted. 45 HCPs trained. Monitors report available

X X X X X XSCUS

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X 4 ToTs conducted. 80 trainers trained. Monitors reports available

X X X X X XSCUS DoH, NP,

PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 315 LHWs trained. Monitors reports available X X X X X X X SCUS DoH, NP,

PHDC, DHDC

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Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting held. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X

2 workshops conducted. 40 trainers trained. Monitors reports available

X X X XSCUS National MNCH

Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 315 LHWs trained.

Monitors reports available X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 60 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X follow-up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Act 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Act 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 35 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH)

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Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 20 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment X Report available CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 10 Participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communication

Task 1: Conduct trainings programs in Strategic Communication X X persons trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X journalist trained X X X X X X JHU

Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHDTask 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X Trainings conducted by district trainers X X X X X X X X JSI All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 6 HCPs trained X X X X JSI PCTask 2: Training of HCPs on Minilap X 6 HCPs trained X X X X JSI PC

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Task 3: Training of HCPs on Vasectomy X 6 HCPs trained X X X X JSI PCActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X Managers trained X X X PC JSI Sub-grantee

NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 6: Implementation of a more sustainable (legislative) model of DHMTs X Model implemented in

district X X X X X X X X X X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

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Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X X X CONTECH JSI

Task 2: Data Analysis X X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHDTask 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHDTask 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHDTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 307 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

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Activity 8: Public Private PartnershipTask 2: Implementation of PPP models X Model implemented X X X X X X X X X CONTECH PHD, DHDActivity 9: District Health ProfileTask 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHDMonitoring, Evaluation and ResearchActivity 1: Baseline Survey for additional 12 districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) XDistrict HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOsTask 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC X X

JSI Sub-grantee NGOs, DHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOsActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSITask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI

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Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSITask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSITask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSITask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSITask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSIActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PCTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC

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PAIMAN Annual Work Plan

SINDH

October 1, 2008 to September 30, 2009

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DaduStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X PAVHNA JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports X X X X X X X JHU CM PartnersActivity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI PAVHNAActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced; airing schedule available X X X X X X JHU JSI, CM

partnersTask 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X XTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 12: Dubb and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 15: Support/ organize theatre groups / performances (existing districts) X 3 events conducted.

Reports available X X X PAVHNA

Task 17: Conduct pilot-testing of drama raod-shows X 15 dama Road-shows conducted X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 15: Organize Seminar on MNCH & FP for District AssemblyMembers (existing districts) X One seminar conducted.

Report available X X PAVHNA

Task 16: Organize local events for MNCH &FP (existing districts) X 25 events organized. Reports available X X X X X X X X X X PAVHNA

Task 17: Organize mega events/MNCH Health days X One events organized. Reports available X X X X PAVHNA

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators

(input/process/ output)

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Task 19: Organize Health Camps/Melas XOne health camp organized. Reports available

X XPAVHNA

Task 22 : Celebration of child Health weeks/days in collaboration with UNICEF (all districts) X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings X X X X X X X X X X X X JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings X X X X X X X X X X X X JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

4 coordination meetings conducted/ minutes available

X X X XPAVHNA

Task 2: Coordination meetings with Tehsil/UC Nazims X Four meetings held. Reports available X X X X PAVHNA

Task 4 : Monitoring/spot checking of LHW's Support Groups X 64 meetings monitored. NFRs available X X X X X X X X X X X X PAVHNA

Task 5: Monitoring/spot checking of LHW's Health Committees X 32 meetings monitored. NFRs available X X X X X X X X X X X X PAVHNA

Task 6: District Coordination meetings X 6 meetings held. Minutes available X X X X X X PAVHNA JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings held. Minutes

available X X X X X X X X X X X X PAVHNA DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Support Group and Health Committee Activitites X 24 meetings held. Reports

available X X X X X X X X X X X X PAVHNA DHD

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Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 18976 meetings held X X X X X X X X X X X X PAVHNA

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X NFR available X X X X X X X X X X X X PAVHNA JSI, JHU

Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS MoH, PHD,

DHDTask 2 Airing of GL Advertisement on Cable X 1,666 Spots X X X X X X X X GS MoH, PHD,

DHDTask 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 20 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 15 Launches X X X X X X X X GS Task 5: Print media insertions X 15 Insertions X X X X X X X X GSActivity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

1,272 IPC Activities (Household Visits, Neighbourhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers)X

24 Clinic Sahoolat activities conducted. Activity Reports.

X X X X X X X X XGS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWson individiual/group counselling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

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Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strenthenning of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 fuctioning HFs X Reports/ NFR available JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed JSI SCUS

Activity 3: Integration of FP services at the district level FALAHTask 3: Joint coordination meeting of FALAH and PAIMAN with the district authories for advocacy on FP X MoM avaialble X X X X X X X X X X X X JSI Sub-grantee

NGOs

Task 5: FP councelling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI

Activity 4: Implementation of TBAs orientation strategy NP for MNCHTask 4: Follow up meeting/ refresher training of already orientedTBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referals X See Grants Management Activity 5 JSI

Task 6: Greenstar HSO Follow-up Plan in 9 districts X

HSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS CM Partners

Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month) X X X X X X X X X X X X GS CM Partners

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X JSI Contech NP for MNCH

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Task 3: Identify/utilize indigenous means of transport through VHCs X

98 means of transport available. Reports available

X X X X X X X X X X X X PAVHNA

Task 4: Operation of the community managed emergency transpoty system X

See Grants Management activity 6 task 3 NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6

Activity 6: Refresher Midwifery Training NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports avaialable X X X X X X X X X X X X JSI NP for MNCH

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 100 LHVs/midwives

trained X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 1: Identify CMWs for enrollment according to PNC selectioncriteria through district selection committees X 25 CMWs identified X X X JSI SCUS NP for MNCH/

FPTask 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified JSI SCUS NP for MNCH

Task 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X X X X X JSI PC NP for MNCH

Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS

Activity 8: Monitoring quality of CMW trainings NP for MNCHTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCHTask 2: Improving coordination betweem midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI

Activity 9: Placement of newly graduated CMWs in the field NP for MNCH

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organised at the district level X X X X X X X X X JSI PC NP for MNCH

Task 3: Establishment of the referal linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs X Linkages developed X X X X X X X X X JSI SCUS NP for MNCH

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Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X JSI PC NP for MNCH

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X X X X JSI PC NP for MNCHTask 6: Provide support for establishment of the midwife homes inthe rural areas. X Report/NFR available X X X X X X X X X JSI NP for MNCH

Task 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X JSI NP for MNCH

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X PC JSI NP for MNCHTask 9: Disseminate OR results X X X OR results disseminated X X X JSI PCActivity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

MNCH program & NP

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKH JSI MNCH program & NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referal and access to IMNCI JSI `Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

establshed at DHQ/THQ X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI sewrvices at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X AKUMNCH program & NP

Task 6: Clebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X JSI MNCH program & NP

Task 8: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases X X X See Grants Management

activity 6 task 2 X X X X X X X X X JSI

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUSTask 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out lhw trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

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Activity 15: Innovation to improve access to MNCH services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meetings held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 2 Activity 4 X X X X X X X X X X X X GS CM PartnersTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1 X X X X X X X X X

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centres X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Instalation report available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

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Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) X Incentive system in place X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQprocess X Meetings held in area of 8

facilities. Minutes X X X X X X X X X X X PAVHNA

Task 2.1: Building Support for PDQ process X Support for PDQ process X X X X X X X X X X X PAVHNA DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of seven facilities, reports available

X X X X X X X X X X X X PAVHNA

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Task 4: Organize and participate in bridging the gap workshops X Eight workshops organized. NFRs available X X X X X X X X X X X X PAVHNA

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams forme. NFRs available

X X X X X X X X X X X X PAVHNA

Task 6: Follow up meetings with quality improvement teams X 16 meetings held. NFRs available X X X X X X X X X X X X PAVHNA

Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”

DHD

Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GSStrategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings X 120 LHWs trained.

Monitors reports availableX X X SCUS DoH, NP,

PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X One meeting conducted. Minutes available

X X SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X Two ToTs conducted.40 trainers trained. Monitors reports available

X X X X SCUS National MNCH Program, NP

Task 4: Roll-out lhw trainings on community IMNCI X 400 LHWs trained. Monitors reports available

X X X X X SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSINational MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 60 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

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Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

National MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSINational MNCH/ FP Program

Activity 6: Implementation of CMWs training

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers X

60 deliveries performed by 20 LHVs under supervison of GoodLife Surgical Providers

X X X X X X X X X

GS

PHD

Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports Available

X X X X X X X X X X X XGS

PHD, DHD

Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants X

1 providers followed-upX X X X X X

GSDHD

Activity 14: DHMT Management Training

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X 6 district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

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Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to districts X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X Data collected and

compiled X X CONTECH JSI

Task 2: Data Analysis X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 207 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring and EvaluationActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDING

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Task 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 6: SPECIAL STUDIES

Task 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC, CONTECH DHD

Task 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC, CONTECH DHD

Task 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH DHD

Activity 8: Component Evaluation of District Health System Strengthening(existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of traners if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identified X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

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Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHDTask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHDActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport systemfro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans avaiable X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports avaiable X X X X X X X X X X X X JSI PC DHD

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DaduStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X PAVHNA JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports X X X X X X X JHU CM PartnersActivity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI PAVHNAActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHUTask 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSITask 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X XTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X XTask 15: Support/ organize theatre groups / performances (existing districts) X 3 events conducted. Reports

available X X X PAVHNA

Task 17: Conduct pilot-testing of drama road-shows X 15 drama Road-shows conducted X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X One seminar conducted.

Report available X X PAVHNA

Task 16: Organize local events for MNCH &FP (existing districts) X 25 events organized. Reports

available X X X X X X X X X X PAVHNA

Task 17: Organize mega events/MNCH Health days X One events organized. Reports available X X X X PAVHNA

Indicators (input/process/ output)

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2

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Task 19: Organize Health Camps/Melas XOne health camp organized. Reports available X X

PAVHNA

Task 22 : Celebration of child Health weeks/days in collaboration with UNICEF (all districts) X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings X X X X X X X X X X X X JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings X X X X X X X X X X X X JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

4 coordination meetings conducted/ minutes available

X X X XPAVHNA

Task 2: Coordination meetings with Tehsil/UC Nazims X Four meetings held. Reports available X X X X PAVHNA

Task 4 : Monitoring/spot checking of LHW's Support Groups X 64 meetings monitored. NFRs available X X X X X X X X X X X X PAVHNA

Task 5: Monitoring/spot checking of LHW's Health Committees X 32 meetings monitored. NFRs available X X X X X X X X X X X X PAVHNA

Task 6: District Coordination meetings X 6 meetings held. Minutes available X X X X X X PAVHNA JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings held. Minutes

available X X X X X X X X X X X X PAVHNA DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings held. Reports

available X X X X X X X X X X X X PAVHNA DHD

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Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 17428 meetings held X X X X X X X X X X X X PAVHNA

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X X X X X X X X X X X X X PAVHNA JSI, JHU

Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS MoH, PHD,

DHDTask 2 Airing of GL Advertisement on Cable X 1,666 Spots X X X X X X X X GS MoH, PHD,

DHDTask 3: Airing of GL Advertisement on National & Satellite Channel TV X X X 20 Spots

(4 month pulses) X X X X GS MoH, PHD, DHD

Task 4: Billboard Display (10 locations on 4 monthly pulse) X 15 Launches X X X X X X X X GS Task 5: Print media insertions X 15 Insertions X X X X X X X X GSActivity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

24 Clinic Sahoolat activities conducted. Activity Reports. X X X X X X X X X

GS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

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Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Activity 3: Integration of FP services at the district level FALAHTask 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI

Activity 4: Implementation of TBAs orientation strategy NP for MNCHTask 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Task 6: Greenstar HSO Follow-up Plan in 9 districts X

HSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS CM Partners

Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month) X X X X X X X X X X X X GS CM Partners

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X 97 means of transport

available. Reports available X X X X X X X X X X X X CM partners NP for MNCH/ FP

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Task 4: Operation of the community managed emergency transport system X See Grants Management

activity 6 task 3 NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6

Activity 6: Refresher Midwifery Training NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH/ FP

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH/

FPTask 6: Conduct newly designed refresher training of selected LHVs/midwives X X X X X X JSI NP for MNCH/

FPActivity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 25 CMWs identified X X X JSI SCUS NP for MNCH/

FPTask 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FP

Task 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings NP for MNCH

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/ FP

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/

FP

Activity 9: Placement of newly graduated CMWs in the field NP for MNCH

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC MOH and PHD

Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FP

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X X X X JSI PC NP for MNCH/ FP

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCH/ FP

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Task 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH/

FPTask 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH/ FP

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI

Task 9: Disseminate OR results X X X OR results disseminated X X X JSI PC NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

MNCH program & NP

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program & NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI `Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established

at DHQ/THQ X X X X X X X X X JSI Contech MNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech MNCH/ FP

program & NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of thecore child health interventions X Core child health

interventions implemented X X X X X X X X X X AKU MNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH/ FP program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUSTask 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS

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Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Activity 16: Establish emergency preparedness and surgical clinicsTask 1: Meetings with stakeholders X 1 meetings held X GSTask 2: Providers meetings X 2 meetings held X X GSTask 3: TBA meetings X See SO 2 Activity 4 X X X X X X X X X X X X GS CM PartnersTask 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women)

XSee SO 1 Activity 12 Task 1

X X X X X X X X X

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & MaintenanceSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

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Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHDActivity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs DHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of 6

facilities. Minutes X X X X X X X X X X X PAVHNA

Task 2.1: Building Support for PDQ process X Support for PDQ process X X X X X X X X X X X PAVHNA DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of seven facilities, reports available

X X X X X X X X X X X X PAVHNA

Task 4: Organize and participate in bridging the gap workshops X Six workshops organized. NFRs available X X X X X X X X X X X X PAVHNA

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Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available X X X X X X X X X X X X PAVHNA

Task 6: Follow up meetings with quality improvement teams X 16 meetings held. NFRs available X X X X X X X X X X X X PAVHNA

Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the “New look”

DHD

Task 1: Airing of GL Advertisement on Cable X See SO 1 Activity 11 GS DHDTask 2: Airing of GL Advertisement on National TV X X X See SO 1 Activity 11 GS DHDTask 3: Print media insertion (Local / National Newspaper) X See SO 1 Activity 11 GSStrategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings X One workshops conducted.

12 HCPs trained. Monitors report available

X X X SCUS

Task 4: Conduct EMNC Refresher trainings X Two refreshers conducted. 32 HCPs trained

X X X SCUS

Activity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings X 150 LHWs trained. Monitors

reports availableX X X SCUS DoH, NP,

PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X One meeting conducted. Minutes available

X X SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X Two ToTs conducted.40 trainers trained. Monitors reports available

X X X X SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 400 LHWs trained. Monitors reports available

X X X X X SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSINational MNCH/ FP Program

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Task 6: Rollout facility based IMNCI trainings X 60 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSINational MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSINational MNCH/ FP Program

Activity 6: Implementation of CMWs training

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers X

60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers

X X X X X X X X X

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PHD

Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports Available

X X X X X X X X X X X XGS

PHD, DHD

Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants X

1 providers followed-upX X X X X X

GSDHD

Activity 14: DHMT Management Trainings

Task 5: Follow-up / mentoring visits 01 follow up visit conducted X CONTECH DHD

Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X 6 district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 6: Implementation of a more sustainable (legislative) model of DHMTs X Model implemented in

district X X X X X X X X X X X CONTECH JSI DHD, PHD

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Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting PHD, DHD

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X X X CONTECH JSI

Task 2: Data Analysis X X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed in

DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 107 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring and Evaluation

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Activity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 6: SPECIAL STUDIES

Task 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC, CONTECH DHD

Task 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC, CONTECH DHD

Task 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH DHD

Activity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 3: Conduct data collection for process evaluation of privatesector activities X Data collected X X PC JSI, CM

partnersSub-grantee NGOs

Activity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

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GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHDTask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHDTask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHDActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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KhairpurStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS JHU

Task 3.3: Monitor implementation of District Action Plans X Monitoring reports X X X X X X X JHU CM PartnersActivity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHUTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 11: Conduct revised Putlee Tamashas in selected districts X 50 Putlee Tamashas performed X X X JHU JSI, CM

partners

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X

Task 16: Produce and air District Television Talkshows X X X Television talkshow aired X X X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X JHU

Task 16: Produce and air District Television Talkshow X X X District Television Talkshow aired X X X JHU

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X X SCUS

PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators (input/process/

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Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Task 21 : Organize district launches (except swat) X District launches organized X X X JSI All Partners DHD, PHD

Task 22 : Celebration of child Health weeks/days in collaboration with UNICEF (all districts)

Child Health weeks/days celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings X X X X X X X X X X X X JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings X X X X X X X X X X X X JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support GroupsX

64 LHW meetings monitored/ NFR available X X X X X X X X

SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

64 LHW meetings monitored/ NFR available X X X X X X X X

SCUS

Task 6: District Coordination meetings XTwo meetings conducted/ minutes available X X

SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 8 meetings conducted/

minutes available X X X X X X X X SCUS DHD

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Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings conducted/

NFR available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 1579 meetings held.

Reports available X X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 X X X X X X X X X JSI FALAH

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Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

17 means of transport available. Reports available

X X X X X X X X X X X X CM partners NP for MNCH/ FP

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3 NP for MNCH

Activity 6: Refresher Midwifery Training

Task 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCH/ FP

Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 20 existing

LHVs/midwives trained X X X X X X JSI NP for MNCH/ FP

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculumTask 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 35 CMWs identified X X X JSI SCUS NP for MNCH/

FPTask 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FP

Task 4: Training of midwifery tutors X X Tutors trained X X X X X X JSI NP for MNCH/ FP

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Task 6: Enroll of CMWs in the identified midwifery schools X 35 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/ FP

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/

FPActivity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSITask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCITask 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI Contech MNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech MNCH/ FP

program & NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of thecore child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH/ FP program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSI CM partnersSub-grantee NGOs

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Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

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Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHDActivity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 4: Hospital waste management at selected HFs

Task 1: Consultative meeting to prepare implementation plan X Implementation plan ready X X X X X X JSI DHD

Task 2: Training of the staff on hospital waste management X No. of staff trained X X X X JSI DHD

Task 4: Construction of conventional incinerator at selected HFs X Incinerator constructed at 6 HFs X X X X X X JSI DHD

Task 5: Supervision & monitoring by district managers X Reports available X X X X X X X X X JSI DHDTask 6: Assessment of the pilot testing X Assessment reports X X X JSI DHDActivity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X Contech JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

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Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports three

selected facilities in X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS

Task 2.1: Building Support for PDQ process X Support for PDQ process X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X Three workshops organized. NFRs available X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs available X X X X X X X X X SCUS

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Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings X Three workshops

conducted. 45 HCPs trained. Monitors report available

X X X X X X SCUS

Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC X Four ToT conducted. 80

trainers trained. Monitors reports available

X XX X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 352 LHWs trained. Monitors reports available

X X X X X X X SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X One meeting conducted. Minutes available

X X SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X Two ToTs conducted. 40 trainers trained. Monitors reports available

X X XX

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 352 LHWs trained. Monitors reports available

X X X X X SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSINational MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 60 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

National MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSINational MNCH/ FP Program

Activity 6: Implementation of CMWs training

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Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH)

Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 20 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment Report available CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 10 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communication

Task 1: Conduct trainings programs in Strategic Communication X Managers trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X X X X JHU

Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHDTask 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

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Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 30 HCPs trained X X X X X X X X JSI All Partners DHDTask 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 6 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 6 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 6 HCPs trained X X X X X X X JSI PC DHDActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X 8 district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTsTask 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

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Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X workshop organized X X CONTECH JSI

Task 2: Data Analysis X Support provided to districts X CONTECH HSPH/JSI

Activity 4: DHMT Management TrainingsTask 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHDTask 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHDTask 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHDTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum ( X DAOP progress discussed

in DHMT meetings X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 348 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District reports X X X X X X X X X CONTECH DHD

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Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 8: Public Private PartnershipTask 2: Implementation of PPP models X Models implemented X X X X X X X X X CONTECH PHD, DHDActivity 9: District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHD

Monitoring and EvaluationActivity 1: Baseline Survey for additional 12 districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conductedand reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHD

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Task 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHDTask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHDTask 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHDActivity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

Page 14

PAIMAN Annual Work Plan

Balochistan

October 1, 2008 to September 30, 2009

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X District Action plan finalized X X CM Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM PartnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, MC

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aired X X X X X JHU JSITask 9: Conduct already developed Putlee Tamashas for two districts of Baluchistan X 100 putlee tamashas held X X X JHU

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional

X X X X X JHU MC

Task 14: Telecast the magazine show Magazine Show telecast X X X JHUTask 15: Support/ organize theatre groups / performances (existing districts) X 4 events conducted.

Reports available X X X X X X X X X X X MC

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Activity 7: Conduct advocacy campaign based on CAM packagesTask 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X One seminar conducted.

Report available X MC

Task 16: Organize local events for MNCH &FP (existing districts) X Two events organized.

Reports available X X MC

Task 17: Organize mega events/MNCH Health days X One event organized. Report available X MC

Task 18: Seminar on MNCH &FP for school teachers X Two seminars organized. Reports available X X

MC

Task 19: Organize Health Camps/Melas X 4 health camps organized. Reports available X X X X

MC

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X 4 meetings held. Minutes

available X X X X MC

Task 2: Coordination meetings with Tehsil/UC Nazims X 2 meetings held. Reports available X X MC

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Task 3: Seminar with NGOs/CBOs/Line dept./DCO/Nazims in Baluchistan, in which performance of all the partners and main achievements will be presented and discussed.

X 1seminar organized. Report available X

MC

Task 4 : Monitoring/spot checking of LHW's Support Groups X 96 meetings monitored.

NFR available X X X X X X X X X X X X MC

Task 5: Monitoring/spot checking of LHW's Health Committees X 36 meetings monitored.

NFR available X X X X X X X X X X X X MC

Task 6: District Coordination meetings X 6 meetings held. Minutes available X X X X X X MC JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings held. Minutes

available X X X X X X X X X X X X MC DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 16 meetings held. NFRs

available X X X X X X X X X X X XMC DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 3258 meetings held.

Reports available X X X X X X X X X X X X MC

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X NFR available X X X X X X X X X X X X MC JSI, JHU

Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS

Activity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

636 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1,272

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

12 Clinic Sahoolat activities conducted. Activity Reports.

X X X X X X X X XGS

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Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Activity 3: Integration of FP services at the district level

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available JSI Sub-grantee NGOs

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI FALAH

Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI

Activity 4: Implementation of TBAs orientation strategy NP for MNCH

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants

Management Activity 5 JSI NP for MNCH

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Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Task 6: Greenstar HSO Follow-up Plan in 9 districts X

HSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS CM Partners

Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month)

X X X X X X X X X X X X GS CM Partners

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in selected districts X X X X X X X X X X X X GS/JSI

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

25 means of transport available. Reports available

X X X X MC

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6

Activity 6: Refresher Midwifery Training

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH/ FP

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH/ FP

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 9 LHVs/midwives trained X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 15 CMWs identified X X X JSI SCUS NP for MNCH/ FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/ FP

Task 6: Enroll of CMWs in the identified midwifery schools X 15 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/ FP

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Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X

Activity 8: Monitoring quality of CMW trainingsTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/ FP

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 9: Placement of newly graduated CMWs in the fieldTask 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC MOH and PHD

Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs

X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH/ FP

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level X X X Monitoring & supervisory

reports available X X X X X X X X X X X X JSI PC NP for MNCH/ FP

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCH/ FPTask 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH/ FP

Task 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH/ FP

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI

Task 9: Disseminate OR results X X X OR results disseminated X X X JSI PC NP for FP & PHC

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women foreducational support in Baluchistan and NWFP X Young women identified X X X JSI CM partners NP for MNCH/ FP

Task 4: enrollment of the under matric young women for educational support with AIOU X Young women enrolled X X X JSI NP for MNCH/ FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH/ FP

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Activity 11.Educational support to the under 8th. Grade young women to qualify as LHWTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP X Young women identified X X X JSI NP for FP & PHC

Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU X Young women enrolled X X X JSI NP for FP & PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program &

NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI

Activity 13: Improving referral and access to IMNCI

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7, task

22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH/ FP program & NP

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Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUSTask 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUSActivity 15: Innovation to improve access to MNCH servicesTask 2: Establishment of community managed transport forthe emergency obstetrics X See Grants

Management JSI Sub-grantee NGOs

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & MaintenanceSub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

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Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs

DHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held. Reports

available X X X X X X X X X X MC

Task 2.1: Building support for PDQ Process X support for PDQ process built X X X X X X X X X X CM Partners DHD

Task 3: Exploring quality in view of health care providers and community groups X

Meetings for exploring quality held. Reports available

X X X X X X X X X X MC

Task 4: Organize and participate in bridging the gap workshops X 4 workshops organized.

NFRs available X X X X X X X X X X MC

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Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed X X X X X X X X X X MC

Task 6: Follow up meetings with quality improvement teams X 8 meetings held. NFRs

available X X X X X X X X X X X X MC

Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC trainings

Task 4: Conduct EMNC refresher trainings X

one EMNC refresher conducted, 16 HCPs trained, monitors reports available X X X SCUS DOH, PHDC, PHSA,

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X One meeting conducted. Minutes available X X SCUS National MNCH

Program, NP

Task 3: District TOT for community IMNCI X

0ne workshops conducted. 20 trainers trained. Monitors reports

X XSCUS National MNCH

Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 150 LHWs trained.

Monitors reports available X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI National MNCH/ FP

Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI National MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI National MNCH/ FP

Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI National MNCH/ FP

ProgramActivity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNCActivity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports Available X X X X X X X X X X X XGS

PHD, DHD

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Activity 14: DHMT Management Trainings

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X workshop organized X X CONTECH JSI

Task 2: Data Analysis X Support provided to districts X CONTECH HSPH/JSI

Activity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECHActivity 5: Hands on support of DHMT during district planning cycle

Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

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Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 176 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District

reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring and EvaluationActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 6: SPECIAL STUDIES

Task 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC, CONTECH DHD

Task 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC, CONTECH DHD

Task 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH DHD

Activity 7:Component Evaluation of Private Sector activities (existing districts)Task 3: Conduct data collection for process evaluation of private sector activities X Data collected X X PC JSI, SCUS Sub-grantee NGOs

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Activity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee NGOs

Activity 9: MONITORING

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available

X X X X JSI Consortium partners Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional

transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHD

Task 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

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Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

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Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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JaffarabadStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X District Action plan finalized X X CM Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports

available X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM PartnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, MC

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aired X X X X X JHU JSI

Task 9: Conduct already developed Putlee Tamashas for two districts of Baluchistan X 100 putlee tamashas

held X X X JHU

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X JHU MC

Task 14: Telecast the magazine show Magazine Show telecast X X X JHU

Task 15: Support/ organize theatre groups / performances (existing districts) X 4 events conducted.

Reports available X X X X X X X X X X X MC

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Activity 7: Conduct advocacy campaign based on CAM packages

Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X

One seminar conducted. Report available X

MC

Task 16: Organize local events for MNCH &FP (existing districts) X Two events organized.

Reports available X X MC

Task 17: Organize mega events/MNCH Health days X One event organized.

Report available X MC

Task 18: Seminar on MNCH &FP for school teachers X

Two seminars organized. Reports available

X XMC

Task 19: Organize Health Camps/Melas X4 health camps organized. Reports available

X X X XMC

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiativesTask 3: Conduct field surveys and document results X Completion reports

available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL

X Minute of the meetings JSI

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Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X 4 meetings held.

Minutes available X X X X MC

Task 2: Coordination meetings with Tehsil/UC Nazims X 2 meetings held. Reports

available X X MC

Task 3: Seminar with NGOs/CBOs/Line dept./DCO/Nazims in Baluchistan, in which performance of all the partners and main achievements will be presented and discussed.

X

1seminar organized. Report available

X

MC

Task 4 : Monitoring/spot checking of LHW's Support Groups X

96 meetings monitored. NFR available X X X X X X X X X X X X

MC

Task 5: Monitoring/spot checking of LHW's Health Committees X

36 meetings monitored. NFR available X X X X X X X X X X X X

MC

Task 6: District Coordination meetings X 6 meetings held. Minutes available X X X X X X MC JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X

12 meetings held. Minutes available X X X X X X X X X X X X

MC DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities

X16 meetings held. NFRs available X X X X X X X X X X X X

MC DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 2502 meetings held.

Reports available X X X X X X X X X X X X MC

Task 2: Conduct monitoring of SG/HC/community social mobilization activities

X NFR available X X X X X X X X X X X XMC

JSI, JHU

Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans

Task 1: Market CDKs X X Sample= 1,500 Units Commercial = 5,760 X X X X X X X X X X X X GS

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Activity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

636 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1,272

X X X X X X X X X

GS

Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

12 Clinic Sahoolat activities conducted. Activity Reports.

X X X X X X X X XGS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSI

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Task 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP

X MoM available X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI FALAH

Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI

Activity 4: Implementation of TBAs orientation strategy

Task 4: Follow up meeting/ refresher training of already oriented TBAs X

See Grants Management Activity 5

JSI NP for MNCH

Task5: Follow up with the TBAs for referrals XSee Grants Management Activity 5

JSI

Task 6: Greenstar HSO Follow-up Plan in 9 districts

X

HSO monthly visit plan & Follow up available and implemented X X X X X X X X X X X X GS CM Partners

Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month)

X X X X X X X X X X X X GS CM Partners

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 1: Follow-up on availability of EDHI ambulances X X Ambulances available in

selected districts X X X X X X X X X X X X GS/JSI

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

28 means of transport available. Reports available

X X X X MC

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Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

NP for MNCH

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task

6Activity 6: Refresher Midwifery TrainingTask 3: Follow up with the trained LHVs/midwives X Follow up reports

available X X X X X X X X X X X X JSI NP for MNCH/ FP

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives

X Report available X X X JSI NP for MNCH/ FP

Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 9 LHVs/midwives

trained X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculumTask 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees

X 15 CMWs identified X X X JSI SCUS NP for MNCH/ FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 6: Enroll of CMWs in the identified midwifery schools X 15 CMWs enrolled X X X JSI NP for MNCH/

FPTask 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainingsTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/

FPTask 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/

FPActivity 9: Placement of newly graduated CMWs in the field

Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives

X Seminars organized at the district level X X X X X X JSI PC MOH and PHD

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Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs

X Linkages developed X X X X X X X X X X X X JSI SCUS NP for MNCH/ FP

Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level

X X XMonitoring & supervisory reports available

X X X X X X X X X X X X JSI PC NP for MNCH/ FP

Task 5: Introduce monthly reporting tools for CMWs X Tools developed X X X X X X JSI PC NP for MNCH/

FPTask 6: Provide support for establishment of the midwife homes in the rural areas. X Report/NFR available X X X X X X X X X X JSI NP for MNCH/

FPTask 7: Establish communication between Midwife Homes and health facilities. X X Communication system

developed X X X X X X X X X X JSI NP for MNCH/ FP

Task 8: OR on CMW placement and supervisory model X See SO 5 X X X X X X X X X X X X PC JSI

Task 9: Disseminate OR results X X X OR results disseminated X X X JSI PC NP for FP & PHC

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollmentTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP

X Young women identified X X X JSI CM partners NP for MNCH/ FP

Task 4: enrollment of the under matric young women for educational support with AIOU X Young women enrolled X X X JSI NP for MNCH/

FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH/ FP

Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP

X Young women identified X X X JSI NP for FP & PHC

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Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU

X Young women enrolled X X X JSI NP for FP & PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI MNCH program

& NP

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program & NP

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI MNCH program

& NPTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI `

Task 2: Establishment of the well baby clinics at the up-graded HFs X

Well baby clinic established at DHQ/THQ

X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established

at BHUs/ MCH centers X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions

XCore child health interventions implemented

X X X X X X X X X X AKUMNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7,

task 22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH/ FP program & NP

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Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partnersSub-grantee NGOs

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Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI Sub-grantee NGOs

Task 3: Establishment of the communication system between CMW and HFs through cell phones

X No. of communications system established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & Maintenance

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

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Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHDSub task 2.12: Handing over to health facility Incharge X Handing over report

available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities.

X Selected health facilities with MNCH protocols X X X X X X X X X X JSI MOH. MOPW,

PHD

Task 5: Ensure availability and display of Tiahrtand MCP (Family Planning) guidelines at each selected health facility

X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH services

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives

X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs

X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSI

Activity 3: Incentivize performance

Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention

X Reports available X X X X X X X X XJSI

DHD

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Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held. Reports

available X X X X X X X X X X MC

Task 2.1: Building support for PDQ Process X support for PDQ process built X X X X X X X X X X CM

Partners DHD

Task 3: Exploring quality in view of health careproviders and community groups X

Meetings for exploring quality held. Reports available

X X X X X X X X X X MC

Task 4: Organize and participate in bridging the gap workshops X 4 workshops organized.

NFRs available X X X X X X X X X X MC

Task 5: Working in partnership/ formation of QI teams X Quality improvement

teams formed X X X X X X X X X X MC

Task 6: Follow up meetings with quality improvement teams X 8 meetings held. NFRs

available X X X X X X X X X X X X MC

Strategic Objective 4: Increase capacity of MNCH managers and health care providers

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district

X One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X

one workshop conducted. 20 trainers trained. Monitors reports available

X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI

X 167 LHWs trained. Monitors reports available

X X X X XSCUS National MNCH

Program, NP

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Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

National MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports

available X X X X X X X X JSINational MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

National MNCH/ FP Program

Activity 6: Implementation of CMWs training

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X

Reports Available

X X X X X X X X X X X X

GS

PHD, DHD

Activity 14: DHMT Management Trainings

Task 5: Follow-up / mentoring visits 01 follow up visit conducted X CONTECH DHD

Activity 17: Leadership TrainingsTask 1: Identification of the health managers forleadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports

available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHD

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Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs

X X 02 district level meetings held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X workshop organized X X CONTECH JSI

Task 2: Data Analysis X Support provided to districts X CONTECH HSPH/JSI

Activity 4: DHMT Management Trainings

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECHActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010

X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information SystemTask 5: Refresher Training of health care providers X 140 health care

providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

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Task 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District

reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring and EvaluationActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 6: SPECIAL STUDIESTask 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC,

CONTECH DHD

Task 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC,

CONTECH DHD

Task 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH DHD

Activity 7:Component Evaluation of Private Sector activities (existing districts) DHD

Task 3: Conduct data collection for process evaluation of private sector activities X Data collected X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)

Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

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Activity 9: MONITORING

Task 1: Monitoring Field Activities and reporting X

Field monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk)

X No of advocacy session organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH servicesTask 1: Organize health camps at far flung areas X No. of health camps

organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community

X No. of functional transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

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Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:InnovationsTask 1: Establishment of birthing stations at far flung areas X No. of birthing centers

established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies

X No. of transport system established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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GwadarStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plansTask 2: Finalize and share District Action Plans X District Action plan

finalized X X CM Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM Partners

Activity 6: Implement communication interventions through mass/ traditional media campaigns

Task 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X

Music video produced; airing schedule available

X X X X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aired X X X X X JHU JSI/CM Partners

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM Partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshows X X X 1 District Television Talkshow aired X X X JHU

Q3

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 journalist trained X X X X X X JHU

Task 17: Organize mega events/MNCH Health days XTwo events organized. Reports available X X X X

SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Task 21 : Organize district launches (except swat) X district launches organized X X X JSI All Partners DHD, PHD

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health

weeks/days celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SCUS

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 LHW meetings monitored/ NFR available

X X X X X X X XSCUS

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Task 5: Monitoring/spot checking of LHW's Health Committees X

64 LHW meetings monitored/ NFR available

X X X X X X X XSCUS

Task 6: District Coordination meetings XTwo meetings conducted/ minutes available

X XSCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X

8 meetings conducted/ minutes available X X X X X X X X

SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X

24 meetings conducted/ NFR available

X X X X X X X XSCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 297 meetings held.

Reports available X X X X X X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFsTask 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR

available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSI

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Task 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 X X X X X X X X X JSI FALAH

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 4 HCPs trained X X X X X X X X X X X X JSI Sub-grantee

NGOs

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI

Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI PC

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X XSee Grants Management Activity 5

JSI

Task 2: Identification of TBAs XSee Grants Management Activity 5

JSI

Task 3: Orientation of TBAs on clean delivery practices XSee Grants Management Activity 5

JSI NP for MNCH

Task5: Follow up with the TBAs for referrals XSee Grants Management Activity 5

JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

4 means of transport available. Reports available

X X X X X X X X X X X X CM partners NP for MNCH/ FP

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

NP for MNCH

Activity 6: Refresher Midwifery Training NP for MNCH

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Task 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCH/ FP

Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 LHVs/midwives

trained X X X X X X JSI NP for MNCH/ FP

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH/

FPActivity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 25 CMWs identified X X X JSI SCUS NP for MNCH/

FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X JSI NP for MNCH/

FPTask 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainingsTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/

FPTask 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/

FP

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP X 10 Young women

identified X X X JSI CM partners NP for MNCH/ FP

Task 4: enrollment of the under matric young women for educational support with AIOU X 10 Young women

enrolled X X X JSI NP for MNCH/ FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH/ FP

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Activity 11.Educational support to the under 8th. Grade young women to qualify as LHWTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP X 25 Young women

identified X X X JSI NP for FP & PHC

Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU X 25 Young women

enrolled X X X JSI NP for FP & PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSITask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI

Activity 13: Improving referral and access to IMNCI

Task 2: Establishment of the well baby clinics at the up-graded HFs X

Well baby clinic established at DHQ/THQ

X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs XORT corners established at BHUs/ MCH centers

X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X

Core child health interventions implemented

X X X X X X X X X X AKUMNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7,

task 22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

XSelected HF declared as Baby Friendly Hospitals

X X X X X X X X X X JSIMNCH/ FP program & NP

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Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants

Management JSI Sub-grantee NGOs

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI Sub-grantee NGOs

Task 3: Establishment of the communication system between CMW and HFs through cell phones X

No. of communications system established

X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment

report available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over

certificate available X JSI Contech DHD

Task 2: Civil works/ Repair & Maintenance

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Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X

Selected health facilities with MNCH protocols

X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility

X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

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Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X Contech JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X

Mapping reports of three selected facilities in

X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X

Meetings held in area of three facilities. Minutes

X X X SCUS

Task 2.1: Building support for PDQ Process X support for PDQ process built X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X

Three workshops organized. NFRs available

X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held.

NFRs available X X X X X X X X X SCUS

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Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

Two workshops conducted. 30 HCPs trained. Monitors report available

X X X X X X

SCUS

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X

One ToT conducted. 20 trainers trained. Monitors reports available

X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 66 LHWs trained. Monitors reports available

X X X X X X XSCUS DoH, NP,

PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available

X XSCUS National MNCH

Program, NP

Task 3: District TOT for community IMNCI

X

One ToT conducted. 20 trainers trained. Monitors reports available

X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

66 LHWs trained. Monitors reports available

X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

National MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

National MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

National MNCH/ FP Program

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Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X XJSI National

MNCH/ FP Program

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X XJSI National

MNCH/ FP Program

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X JSI PHD, DHD Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X JSI PHD, DHDActivity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X JSI DHD Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X JSI DHDActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment X Report available CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support

Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD

Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication persons trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalists trained X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers andaccounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHD

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Task 4: Installation of FinSoft® and Health Plan® software X Software installed in

district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTsTask 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level

meetings held X X CONTECH JSI DHD, PHD

Task 6: Implementation of a more sustainable (legislative)model of DHMTs X Model implemented in

district X X X X X X X X X X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and

support provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting PHD, DHD

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis X Data analyzed X CONTECH HSPH/JSI

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Activity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers andaccounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHDTask 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycle

Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 122 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 11: Provision of Computers to the districts for DHIS software application, as required X

See SO 3 (Procurement of equipment)

JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports(LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level

assessment report X CONTECH JSI/PC DHD

Activity 9: District Health Profile

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Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHD

Monitoring and Evaluation

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHD

GRANTS MANAGEMENT Sub-grantee NGOs, DHD

Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC

X XJSI

Task 5: Pre-award assessment of shortlisted NGOs Xpre-award assessment report available X X

JSI

Activity 3: Start up activities for the revised project

Task 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

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Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk)

X No of advocacy session organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHD

Task 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional

transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHD

Task 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccinationcampaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:InnovationsTask 1: Establishment of birthing stations at far flung areas X No. of birthing centers

established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport

system established X X X X X X X JSI DHD

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Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X District Action plan finalized X X CM Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM PartnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aired X X X X X JHU JSI/CM Partners

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM Partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshows X X X 1 District Television Talkshow aired X X X JHU

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2

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Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 journalist trained X X X X X X JHU

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Task 21 : Organize district launches (except swat) X district launches organized X X X JSI All Partners DHD, PHD

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SCUS

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 LHW meetings monitored/ NFR available X X X X X X X X

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Task 5: Monitoring/spot checking of LHW's Health Committees X

64 LHW meetings monitored/ NFR available X X X X X X X X

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Task 6: District Coordination meetings XTwo meetings conducted/ minutes available X X

SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 8 meetings conducted/

minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X

24 meetings conducted/ NFR available X X X X X X X X

SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 567 meetings held.

Reports available X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training ofLHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFsTask 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

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Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 X X X X X X X X X JSI FALAH

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 4 HCPs trained X X X X X X X X X X X X JSI Sub-grantee NGOs

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI

Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI PC

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Activity 5: Transport and Communication for community obstetric/NB emergenciesTask 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

8 means of transport available. Reports available

SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

NP for MNCH

Activity 6: Refresher Midwifery TrainingTask 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCH/ FPTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 LHVs/midwives

trained X X X X X X JSI NP for MNCH/ FP

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Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 25 CMWs identified X X X JSI SCUS NP for MNCH/ FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/ FP

Task 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/ FP

Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/ FP

Activity 8: Monitoring quality of CMW trainingsTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/ FP

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP X 10 Young women

identified X X X JSI CM partners NP for MNCH/ FP

Task 4: enrollment of the under matric young women for educational support with AIOU X 10 Young women

enrolled X X X JSI NP for MNCH/ FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH/ FP

Activity 11.Educational support to the under 8th. Grade young women to qualify as LHWTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young womenfor educational support Baluchistan and NWFP X 25 Young women

identified X X X JSI NP for FP & PHC

Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU X 25 Young women

enrolled X X X JSI NP for FP & PHC

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Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSITask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI

Activity 13: Improving referral and access to IMNCI

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X

Core child health interventions implemented

X X X X X X X X X X AKUMNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7, task

22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH/ FP program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

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Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants

Management JSI Sub-grantee NGOs

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI Sub-grantee NGOs

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech MOH. MOPW, PHD

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Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X Contech JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

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Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of three

selected facilities in X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS

Task 2.1: Building support for PDQ Process X support for PDQ process built X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X

Three workshops organized. NFRs available

X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

Two workshops conducted. 30 HCPs trained. Monitors report available

X X X X X X

SCUS

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X Two ToT conducted. 40 trainers trained. Monitors reports available

X X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 126 LHWs trained. Monitors reports available

X X X X X X XSCUS DoH, NP, PHDC,

DHDC

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Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X 1 ToT conducted. 20 trainers trained. Monitors reports available

X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

126 LHWs trained. Monitors reports available

X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI National MNCH/ FP

Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI National MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI National MNCH/ FP

Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI National MNCH/ FP

ProgramActivity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI National MNCH/ FP Program

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI National MNCH/ FP Program

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X JSI PHD, DHD Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X JSI PHD, DHDActivity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X JSI DHD Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X JSI DHDActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

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Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment X Report available CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication persons trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalists trained X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high and district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

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Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycle

Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 89 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

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Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHD

Monitoring and Evaluation

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHD

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GRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC X X

JSI

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI

Activity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FPTask 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional

transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHD

Task 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

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Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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QuettaStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X District Action plan finalized X X CM Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports

available X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM PartnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aired X X X X X JHU JSI/CM Partners

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM Partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHUTask 16: Produce and air District Television Talkshows X X X 1 District Television

Talkshow aired X X X JHU

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 journalist trained X X X JHU

Task 17: Organize mega events/MNCH Health days X Two events organized.

Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Task 21 : Organize district launches (except swat) X district launches organized X X X JSI All Partners DHD, PHD

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiativesTask 3: Conduct field surveys and document results X Completion reports

available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SCUS

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

.

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL

X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 LHW meetings monitored/ NFR available X X X X X X X X

SCUS

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Task 5: Monitoring/spot checking of LHW's Health Committees X

64 LHW meetings monitored/ NFR available X X X X X X X X

SCUS

Task 6: District Coordination meetings XTwo meetings conducted/ minutes available X X

SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 8 meetings conducted/

minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities

X24 meetings conducted/ NFR available X X X X X X X X X X X X

SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 958 meetings held.

Reports available X X X X X X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X X X X X X X X X X X X X

SCUSJSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counselingand community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs .

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Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level .

Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 JSI Sub-grantee NGOs

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 4 HCPs trained X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI

Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants

Management Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies .

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

14 means of transport available. Reports available

X X X X X X X X X X X X CM partners NP for MNCH/ FP

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Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

NP for MNCH

Activity 6: Refresher Midwifery Training .Task 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCH/ FP

Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 LHVs/midwives

trained X X X X X X JSI NP for MNCH/ FP

Task 3: Follow up with the trained LHVs/midwives X Follow up reports

available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculum .

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees

X 30 CMWs identified X X X JSI SCUS NP for MNCH/ FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/ FP

Task 6: Enroll of CMWs in the identified midwifery schools X 30 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/ FP

Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/ FP

Activity 8: Monitoring quality of CMW trainings .

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/ FP

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment

.

Task 1: Consultative meetings with the stakeholderat all levels X X X Consultative meetings

organized X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP

X 10 Young women identified X X X JSI CM partners NP for MNCH/ FP

Task 4: enrollment of the under matric young women for educational support with AIOU X 10 Young women

enrolled X X X JSI NP for MNCH/ FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH/ FP

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Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW

Task 1: Consultative meetings with the stakeholderat all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP

X 25 Young women identified X X X JSI NP for FP & PHC

Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU X 25 Young women

enrolled X X X JSI NP for FP & PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI .

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established

at BHUs/ MCH centers X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions

X Core child health interventions implemented X X X X X X X X X X AKU

MNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7, task

22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

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Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH/ FP program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants

Management JSI Sub-grantee NGOs

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI Sub-grantee NGOs

Task 3: Establishment of the communication system between CMW and HFs through cell phones

X No. of communications system established X X X X X X X X X X JSI DHD, PHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

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Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & Maintenance

Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites

X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHDSub task 2.12: Handing over to health facility Incharge X Handing over report

available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X

Selected health facilities with MNCH/ FP protocols

X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility

X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH services .

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Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs

X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs .

Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X Contech JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X

JSIDHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs

X X Reports available X X X X X X X X XJSI

DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention

X Reports available X X X X X X X X XJSI

DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

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Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of three

selected facilities in X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS

Task 2.1: Building support for PDQ Process X support for PDQ process built X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X Three workshops

organized. NFRs available X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X

Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providers

Activity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

three workshops conducted. 45 HCPs trained. Monitors report available

X X X X X X

SCUS

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X Two ToT conducted.40 trainers trained. Monitors reports available

X X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 213 LHWs trained. Monitors reports available X X X X X X X SCUS DoH, NP, PHDC,

DHDC

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Activity 4: Implementation of Community IMNCI trainingTask 1: Planning meetings for IMNCI in each district X One meeting conducted.

Minutes available X X SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X One ToTs conducted. 20 trainers trained. Monitors reports available

X X X X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI

X 213 LHWs trained. Monitors reports available X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI National MNCH/ FP

Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI National MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports

available X X X X X X X X JSI National MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI National MNCH/ FP

Program

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI National MNCH/ FP Program

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI National MNCH/ FP Program

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X JSI PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X JSI PHD, DHD

Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X JSI DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X JSI DHD

Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH)

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Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD

Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD

Task 4: Impact assessment X Report available CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD

Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHD

Activity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication persons trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalists trained X X X X X X JHU

Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in

district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 20 Trainings conducted

by district trainers X X X X X X X X JSI All Partners DHD

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Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings

supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X HCPs trained X X X X JSI PC

Task 2: Training of HCPs on Minilap X HCPs trained X X X X JSI PCTask 3: Training of HCPs on Vasectomy X HCPs trained X X X X JSI PCActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports

available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs .

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

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Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010

X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information SystemTask 5: Refresher Training of health care providers X 131 health care providers

trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

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Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHD

Monitoring and EvaluationActivity 1: Baseline Survey for additional 12 districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING .

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES

Task 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs .

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC X X

JSI

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI

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Activity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHD

Task 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk)

X No of advocacy session organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community

X No. of functional transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

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Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:InnovationsTask 1: Establishment of birthing stations at far flung areas X No. of birthing centers

established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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SibiStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X District Action plan finalized X X CM Partners JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports

available X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM PartnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, SCUS

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aired X X X X X JHU JSI/CM

Partners

Task 12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM Partners JHU/CCP

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshows X X X 1 District Television

Talkshow aired X X X JHU

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 journalist trained X X X X X X JHU

Task 17: Organize mega events/MNCH Health days X Two events organized.

Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Task 21 : Organize district launches (except swat) X district launches

organized X X X JSI All Partners DHD, PHD

Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Activity 9: Monitor CAM activities and improve / refine campaigns/initiativesTask 3: Conduct field surveys and document results X Completion reports

available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SCUS

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

.

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL

X Minute of the meetings JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 LHW meetings monitored/ NFR available X X X X X X X X

SCUS

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Task 5: Monitoring/spot checking of LHW's Health Committees X

64 LHW meetings monitored/ NFR available X X X X X X X X

SCUS

Task 6: District Coordination meetings XTwo meetings conducted/ minutes available X X

SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X

8 meetings conducted/ minutes available X X X X X X X X

SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities

X24 meetings conducted/ NFR available X X X X X X X

SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 297 meetings held.

Reports available X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X X X X X X X X

SCUSJSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

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Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs .

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI CM Partners

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level .

Task 2: Training of the HCPs on FP through Client Centered Approach X See SO 5 X X X X X X X X X JSI FALAH

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 4 HCPs trained X X X X X X X X X X X X JSI Sub-grantee

NGOs

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI

Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI PC

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants

Management Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

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Activity 5: Transport and Communication for community obstetric/NB emergencies .

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X

4 means of transport available. Reports available

SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

NP for MNCH

Activity 6: Refresher Midwifery Training .

Task 1: Training of trainers if required X X Trainers trained X X X X JSI NP for MNCH/ FP

Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector

X 16 LHVs/midwives trained X X X X X X JSI NP for MNCH/

FP

Task 3: Follow up with the trained LHVs/midwives X Follow up reports

available X X X X X X X X X X X X JSI NP for MNCH/ FP

Activity 7: Enrollment of CMWs (18 months) on new curriculum .

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees

X 30 CMWs identified X X X JSI SCUS NP for MNCH/ FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 6: Enroll of CMWs in the identified midwifery schools X 30 CMWs enrolled X X X JSI NP for MNCH/

FPTask 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings .

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH/

FPTask 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH/

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Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment

.

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH/ FP

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP

X 10 Young women identified X X X JSI CM partners NP for MNCH/

FP

Task 4: enrollment of the under matric young women for educational support with AIOU X 10 Young women

enrolled X X X JSI NP for MNCH/ FP

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH/ FP

Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP

X 25 Young women identified X X X JSI NP for FP &

PHC

Task 4: enrollment of the under 8th. Grade youngwomen for educational support with AIOU X 25 Young women

enrolled X X X JSI NP for FP & PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI

Task 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI

Task 8: Follow up with the trained HCPs X See SO4 Activity 5 JSIActivity 13: Improving referral and access to IMNCI JSI .

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI ContechMNCH/ FP program & NP

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Task 3: Establishment of the ORT corners at selected HFs X ORT corners established

at BHUs/ MCH centers X X X X X X X X X JSI ContechMNCH/ FP program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech

MNCH/ FP program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions

XCore child health interventions implemented

X X X X X X X X X X AKUMNCH/ FP program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X See SO1 Activity 7, task

22 X X X X X X X X X X JSI/SCUS

MNCH/ FP program & NP & Development partners

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH/ FP program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partnersSub-grantee NGOs

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers throughsub-grantee NGOs at far flung areas. X See Grants

Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI

Task 3: Establishment of the communication system between CMW and HFs through cell phones

X No. of communications system established X X X X X X X X X X JSI DHD, PHD

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Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & Maintenance

Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites

X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI ContechSub task 2.12: Handing over to health facility Incharge X Handing over report

available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

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Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility

X Guidelines displayed JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH services .

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives

X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs

X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs .

Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X Contech JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X

JSIDHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs

X X Reports available X X X X X X X X XJSI

DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention

X Reports available X X X X X X X X XJSI

DHD

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Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of three

selected facilities in X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS

Task 2.1: Building support for PDQ Process X support for PDQ process built X X X X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X

Three workshops organized. NFRs available

X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X

Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providers

Activity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

Two workshops conducted. 30 HCPs trained. Monitors report available

X X X X X X

SCUS

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Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X One ToT conducted. 20 trainers trained. Monitors reports available

X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 67 LHWs trained. Monitors reports available

X X X X X X XSCUS DoH, NP,

PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district

X One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X One ToT conducted. 20 trainers trained. Monitors reports available

X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI

X 67 LHWs trained. Monitors reports available

X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

National MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports

available X X X X X X X X JSINational MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

National MNCH/ FP Program

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

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Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD,

DHDActivity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSI

Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH)

Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD

Task 4: Impact assessment X Report available CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHD

Activity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication persons trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalists trained X X X X X X JHU

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Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in

district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All

partnersTask 3 Conduct rollout trainings for doctors and paramedics X 20 Trainings conducted

by district trainers X X X X X X X X JSI All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings

supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X HCPs trained X X X X JSI PC

Task 2: Training of HCPs on Minilap X HCPs trained X X X X JSI PCTask 3: Training of HCPs on Vasectomy X HCPs trained X X X X JSI PCActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports

available X X X X X X X X X X PC JSI Sub-grantee NGOs

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SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs .

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting .

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHD

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Activity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010

X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information SystemTask 5: Refresher Training of health care providers X 84 health care providers

trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use ofDHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHD

Monitoring and EvaluationActivity 1: Baseline Survey for additional 12 districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING .

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Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT

Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs .

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC X X

JSI

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment

report available X X JSI

Activity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk)

X No of advocacy session organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

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Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community

X No. of functional transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X TBAs identifies X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X TBAs oriented X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHDTask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planningservices X X X X X X X X X X X X X JSI DHD

Activity 6:InnovationsTask 1: Establishment of birthing stations at far flung areas X No. of birthing centers

established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies

X No. of transport system established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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PAIMAN Annual Work Plan

NWFP

October 1, 2008 to September 30, 2009

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis

Task 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask3: Produce and air a music video on newborn and child care X X X Music video produced; airing

schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHUTask 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSITask 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHUTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X X JHUActivity 7: Conduct advocacy campaign based on CAM packagesJHU

Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X

One seminar on MNCH organized. Report available X X

SCUS

Task 16: Organize local events for MNCH &FP (existing districts) X

One local event on MNCH & FP organized. Report available

X XSCUS

Task 17: Organize mega events/MNCH Health days X 2 events organized. Reports available X X X X X X SCUS

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators (input/process/

output)

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Task 19: Organize health camps/melas X1 health camp/mela organized (In Dir carried forward)

X XSCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Three meetings held. Minutes available X X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support GroupsX

96 LHWs support group meetings monitored. NFR available

X X X X X X X X X X X XSCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

96 LHWs support group meetings monitored. NFR available

X X X X X X X X X X X XSCUS

Task 6: District Coordination meetings XFour district coordination meetings held. Minutes available

X X X XSCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings held. Minutes X X X X X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 36 meetings held. NFRs

available X X X X X X X X X X X X SCUS DHD

Activity 12: Conduct community group activities

Task 1: Support National Program in conducting female support groups X

3780 support group meetings held. Reports available X X X X X X X X X X X X

SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted. NFRs

available X X X X X X X X X X X X SCUS JSI, JHU

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Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plansTask 1: Market CDKs X X Sample= 500 Units

Commercial = 1,920 X X X X X X X X X X X X GS

Activity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

636 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1,272

X X X X X X X X X

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Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

12 Clinic Sahoolat activities conducted. Activity Reports. X X X X X X X X X

GS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

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Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI SCUS

Task 2:Up-gradation of the selected HFs X See SO3 JSI SCUSTask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI SCUS

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available X X X X X X X X X X X X JSI FALAH Sub-grantee

NGOsTask 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH Sub-grantee NGOs

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI FALAH Sub-grantee

NGOs

Activity 4: Implementation of TBAs orientation strategy

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI Sub-grantee NGOs

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI Sub-grantee

NGOsTask 6: Greenstar HSO Follow-up Plan in 9 districts

XHSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS

Task 7: One day TBA Orientation Workshop by Greenstar HSO X 12 workshops done by HSO

(1 workshop / month) X X X X X X X X X X X X GS

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district healthdepartments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

21indigenous means of transport available. Reports available

X X X X X X X X X X X X SCUS NP for MNCH

Task 4: Operation of the community managed emergency transport system X See Grants Management

activity 6 task 3 JSI Sub-grantee NGOs

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 JSI Sub-grantee

NGOsActivity 6: Refresher Midwifery TrainingTask 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

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Task 6: Conduct newly designed refresher training of selected LHVs/midwives X 10 LHVs/midwives trained X X X X X JSI NP for MNCH

Activity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollmentTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP X Young women identified X X X JSI SCUS NP for MNCH

Task 4: enrollment of the under matric young women for educational support with AIOU X Young women enrolled X X X JSI NP for MNCH

Task 5: Monitoring and supervision of the educational support X Monitoring reports available X X X X X X X X X X JSI NP for MNCH

Activity 11.Educational support to the under 8th. Grade young women to qualify as LHWTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP X Young women identified X X X JSI SCUS NP for FP &

PHCTask 4: enrollment of the under 8th. Grade young women for educational support with AIOU X Young women enrolled X X X JSI NP for FP &

PHC

Task 5: Monitoring and supervision of the educational support X Monitoring reports available X X X X X X X X X X JSI NP for FP & PHC

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI DHD

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI DHDTask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI DHDTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI DHDActivity 13: Improving referral and access to IMNCITask 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established

at DHQ/THQ X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NP

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Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKU MNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X X X See Grants Management

activity 6 task 2 JSI EPI

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS NP for FP & PHC

Activity 15: Innovation to improve access to MNCH servicesTask 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI DHD

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI DHD

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI DHD

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report available X JSI Contech

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Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities with

MNCH / FP protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

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Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing and building support for PDQ process X Meetings held in area of

three facilities X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers andcommunity groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X Three workshops organized.

NFRs available X X X SCUS

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 60 meetings held. NFRs available X X X X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X

One workshop conducted. 20 HCPs trained X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X

123 LHWs trained. Monitors report available X X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

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Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through ClinicSahoolat activities

X X Reports Available

X X X X X X X X X X X XGS

PHD, DHD

Activity 14: DHMT Management Training

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECHActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed in

DHMT meetings X X X X CONTECH DHD

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Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 136 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring and EvaluationActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 6: SPECIAL STUDIES

Task 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC, CONTECH

DHD

Task 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC, CONTECH

DHD

Task 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH

DHD

Activity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 3: Conduct data collection for process evaluation of private sector activities X Data collected X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

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Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHDTask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

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Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plans finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis

Task 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHUTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X XActivity 7: Conduct advocacy campaign based on CAM packages

Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) X

One seminar on MNCH organized. Report available X X

SCUS

Task 16: Organize local events for MNCH &FP (existing districts) X

Two local event on MNCH & FP organized. Report available

X X X XSCUS

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Task 17: Organize mega events/MNCH Health days X 1 health days organized. Reports available X X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Three meetings held.

Minutes available X X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

96 LHWs support group meetings monitored. NFR available

X X X X X X X X X X X XSCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

96 LHWs support group meetings monitored. NFR available

X X X X X X X X X X X XSCUS

Task 6: District Coordination meetings XFour district coordination meetings held. Minutes available

X X X XSCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 12 meetings held. Minutes

available X X X X X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 36 meetings held. NFRs

available X X X X X X X X X X X X SCUS DHD

Activity 12: Conduct community group activities

Task 1: Support National Program in conducting female support groups X

3330 support group meetings held. Reports available

X X X X X X X X X X X XSCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted.

NFRs available X X X X X X X X X X X X SCUS JSI, JHU

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Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plansTask 1: Market CDKs X X Sample= 500 Units

Commercial = 1,920 X X X X X X X X X X X X GS

Activity 14: IPC activity for demand generation of products and services for Private Sector ProvidersTask 1: Conducting IPC activities with community and influencers

X

636 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1,272

X X X X X X X X X

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Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) X

12 Clinic Sahoolat activities conducted. Activity Reports.

X X X X X X X X XGS

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Trainingof staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

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Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI SCUS

Task 2:Up-gradation of the selected HFs X See SO3 JSI SCUSTask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI SCUS

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available X X X X X X X X X X X X JSI FALAH Sub-grantee

NGOs

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI FALAH Sub-grantee NGOs

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI FALAH Sub-grantee

NGOs

Activity 4: Implementation of TBAs orientation strategy

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI Sub-grantee NGOs

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI Sub-grantee

NGOsTask 6: Greenstar HSO Follow-up Plan in 9 districts

XHSO monthly visit plan & Follow up available and implemented

X X X X X X X X X X X X GS

Task 7: One day TBA Orientation Workshop by Greenstar HSO X

12 workshops done by HSO (1 workshop / month) X X X X X X X X X X X X GS

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech PHD, DHD

Task 3: Identify/utilize indigenous means of transport through VHCs X

18 indigenous means of transport available. Reports available

X X X X X X X X X X X X SCUS NP for MNCH

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Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3 JSI Sub-grantee

NGOs

Task 5: Establish communication between Midwife Homes and health facilities. X See SO2 activity 9 task 6 JSI Sub-grantee

NGOsActivity 6: Refresher Midwifery Training

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives X Report available X X X JSI NP for MNCH/

FPTask 6: Conduct newly designed refresher training of selected LHVs/midwives X 10 LHVs/midwives trained X X X X X JSI NP for MNCH

Activity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Task 3: Post training assessment of the knowledge and skill of the trained midwifery tutors X Report available X X X X X X JSI NP for MNCH/

FP

Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment

Task 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for MNCH

Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP X Young women identified X X X JSI SCUS NP for MNCH

Task 4: enrollment of the under matric young women for educational support with AIOU X Young women enrolled X X X JSI NP for MNCH

Task 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for MNCH

Activity 11.Educational support to the under 8th. Grade young women to qualify as LHWTask 1: Consultative meetings with the stakeholder at all levels X X X Consultative meetings

organized X X X JSI NP for FP & PHC

Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP X Young women identified X X X JSI SCUS NP for FP &

PHCTask 4: enrollment of the under 8th. Grade young women for educational support with AIOU X Young women enrolled X X X JSI NP for FP &

PHCTask 5: Monitoring and supervision of the educational support X Monitoring reports

available X X X X X X X X X X JSI NP for FP & PHC

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Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI DHD

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI DHDTask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI DHDTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI DHD

Activity 13: Improving referral and access to IMNCI

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

MNCH program & NP

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X X See Grants Management activity 6 task 2 JSI EPI

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS NP for FP & PHC

Activity 15: Innovation to improve access to MNCH servicesTask 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI DHD

Task 3: Establishment of the communication system between CMW and HFs through cell phones X No. of communications

system established X X X X X X X X X X JSI DHD

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Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI DHD

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI

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Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C X X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing and building support for PDQ process X Meetings held in area of

three facilities X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X SCUS

Task 4: Organize and participate in bridging the gap workshops X Three workshops

organized. NFRs available X X X SCUS

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 60 meetings held. NFRs

available X X X X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X One Training conducted, 15 HCPs trained . Monitor report available

X XSCUS

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

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Task 3: District TOT for community IMNCI

X

One workshops conducted. 20 HCPs trained. Monitored report available X X X

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Task 4: Roll-out LHW trainings on community IMNCI X

115 LHWs trained. Monitors reports available X X X X X

SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities

X X Reports Available

X X X X X X X X X X X XGS

PHD, DHD

Activity 14: DHMT Management Training

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS)for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 3: Support to quarterly DHMT meetings X 4 quarterly meetings held X X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Activity 2: District Health Performance Target Setting PHD, DHD

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI PHD, DHD

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Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 85 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Monitoring and EvaluationActivity 2: End line survey for existing districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS)for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

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Activity 6: SPECIAL STUDIES

Task 7: LQAS Study on AMTSL and Partograph X Study report available X X JSI PC, CONTECH

DHD

Task 8: LQAS Assessment of PDQ Implementation X Study report available X X JSI PC, CONTECH

DHD

Task 9: LQAS Study on TBA delivery practices X Study report available X X JSI PC, CONTECH

DHD

Activity 7:Component Evaluation of Private Sector activities (existing districts)

DHD

Task 3: Conduct data collection for process evaluation of private sector activities X Data collected X X PC JSI, SCUS Sub-grantee

NGOsActivity 8: Component Evaluation of District Health System Strengthening existing districts)Task 2: Conduct field work for evaluation of District Health System strengthen component X Data collected X X PC Contech Sub-grantee

NGOs

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conductedand reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

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Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHD

Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports available X X X X X X X X X X JHU SCUS

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis

Task 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHUTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X X JHUActivity 7: Conduct advocacy campaign based on CAM packagesTask 5: Map key Ulama and community influentials in new areas in additional districts X Mapping report X X X X JHU

Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material X 50 ulama contacted X X X X X X X JHU JSI

Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy X 1 Ulama conventions held X X X X X X X JHU JSI

Task8: Organize special trainings for journalists from additional PAIMAN districts X X 25 journalists trained X X X JHU

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Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Two meetings held. Minutes

available X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support GroupsX 50 SG meetings monitored,

NFRS available X X X X X X X XSCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X 50 HCs meetings monitored,

NFRS available X X X X X X X XSCUS

Task 6: District Coordination meetings X Two meetings held. Minutes available X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X Eight meetings held.

Minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings held. NFRs

available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activities

Task 1: Support National Program in conducting female support groups X

1350 support group meetings held (100 LHWs will start from 3rd quarter and 100 will start in 4th). Reports available.

X X X X X X

SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted.

NFRs available X X X X X X X X X X X X SCUS JSI, JHU

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Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI SCUS

Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

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Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech

Task 3: Identify/utilize indigenous means of transport through VHCs X

13 indigenous means of transport available. Reports available

X X X X X X X X X X X X SCUS

Activity 6: Refresher Midwifery TrainingTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 30 existing midwives/LHVs

trained X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 50 CMWs identified X X X JSI SCUS NP for MNCH/

FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required

X X 2 midwifery schools strengthened and up-graded X X X X X X JSI NP for MNCH/

FP

Task 6: Enroll of CMWs in the identified midwifery schools X 50 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Task 3: Post training assessment of the knowledge and skill of the trained midwifery tutors X Report available X X X X X X JSI NP for MNCH

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Activity 13: Improving referral and access to IMNCI JSITask 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established

at DHQ/THQ X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKUMNCH program & NP

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI MNCH program & NP

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF X Selected HF declared as

Baby Friendly Hospitals X X X X X X X X X X JSIMNCH program & NP

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS MNCH program & NP

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUS MNCH program & NP

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X X SCUS MNCH program & NP

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFs (5 HFs)Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI DHD

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities X Installation report available X JSI Contech DHD

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech DHD

Task 2: Civil works/ Repair & Maintenance (5 HFs)Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

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Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs andTBAs

X See SO 4 JSI

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI CM Partners

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI CM Partners

Activity 4: Hospital waste management at selected HFs

Task 1: Consultative meeting to prepare implementation plan X Implementation plan ready X X X X X X JSI DHD

Task 2: Training of the staff on hospital waste management X No. of staff trained X X X X JSI DHD

Task 4: Construction of conventional incinerator at selected HFs X Incinerator constructed at 3

HFs X X X X X X JSI DHD

Task 5: Supervision & monitoring by district managers X Reports available X X X X X X X X X JSI DHDTask 6: Assessment of the pilot testing X Assessment reports X X X JSI DHDActivity 6: Infection prevention at both public and private HFs Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

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Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings XFour workshops conducted. 60 HCPs trained. Monitors report available

X X X X X X

SCUS

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC XOne ToT conducted. 20 HCPs trained. Monitors report available

X XSCUS DoH, NP,

PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 200 LHWs trained. Monitors report available X X X X X X X X SCUS DoH, NP,

PHDC, DHDCActivity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each districtX

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCIX

One ToT conducted. 20 HCPs trained. Monitors report available

X X XSCUS National MNCH

Program, NP

Task 4: Roll-out LHW trainings on community IMNCIX 200 LHWs trained.

Monitors report available X X X X X XSCUS National MNCH

Program, NP

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Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities

Task 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

National MNCH/ FP Program

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSINational MNCH/ FP Program

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSINational MNCH/ FP Program

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSINational MNCH/ FP Program

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 50 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication managers trained X X X JHU JSI DHD

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalists trained X X X X X X JHU DHD

Activity 14: DHMT Management Training

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

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Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI All Partners DHD

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 3 quarterly meetings held X X X CONTECH JSI DHDTask 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visits conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line study

Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) X Data collected and compiled X X CONTECH JSI DHD

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSI DHDActivity 4: DHMT Management TrainingsTask 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHD

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Activity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X X X X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 175 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health managementTask 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHDTask 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 12 monthly District reports X X X X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health ProfileTask 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH DHDMonitoring and EvaluationActivity 1: Baseline Survey for additional 12 districtsTask 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

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Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) XDistrict HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

GRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOsTask 3: Shortlisted NGOs shared with District PRC Committees for approval X Applications shared and

approved by District PRC X X JSI Sub-grantee NGOs, DHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOsActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHD

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Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring report X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis

Task 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshow X X X District Television Talkshow aired X X X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 5: Map key Ulama and community influentials in new areas in additional districts X Mapping report X X X X JHU

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material X 50 ulama contacted X X X X X X X JHU JSI

Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy X 1 Ulama conventions

held X X X X X X X JHU JSI

Task8: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X JHU

Task 14: Refine and scale up work with school teachers in other districts X No of school teachers

sensitized X X X JHU

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Two meetings held.

Minutes available X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 support group meetings monitored. NFRs available

X X X X X X X XSCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

64 HC's meetings monitored. NFRs available

X X X X X X X XSCUS

Task 6: District Coordination meetings X Two meetings held. Minutes available X X SCUS JSI/Contech

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Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X Eight meetings held.

Minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings held. NFRs

available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 1128 meetings held.

Reports available X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted.

NFRs available X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 1: Technical support for the district to establish functional integration of services between DOH and PWD X See SO3 Activity 5,

Task 3 JSI Sub-grantee NGOs

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Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available X X X X X X X X X X X X JSI Sub-grantee

NGOs

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

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Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants

Management Activity 5 JSI Sub-grantee NGOs

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech

Task 3: Identify/utilize indigenous means of transport through VHCs X

16 indigenous means of transport available. Reports available

X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

Activity 6: Refresher Midwifery Training

Task 2: Conduct roll out trainings to train existing midwives/LHVs both in public & private sector X 16 existing

LHVs/midwives trained X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available X X X X X X X X X X X X JSI NP for MNCH

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Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 25 CMWs identified X X X JSI SCUS NP for MNCH/

FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FP

Task 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI NP for MNCHActivity 13: Improving referral and access to IMNCI JSI

Task 2: Establishment of the well baby clinics at the up-graded HFs X

Well baby clinic established at DHQ/THQ

X X X X X X X X X JSI Contech NP for MNCH

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech NP for MNCH

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech NP for MNCH

Task 5: Provide support to the HF staff for implementation of the core child health interventions X

Core child health interventions implemented

X X X X X X X X X X AKU NP for MNCH

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS NP for MNCH

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Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI NP for MNCH

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partners NP for MNCH

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X XSCUS NP for MNCH

& NP for FP & PHC

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants

Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech

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Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X X X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI MOH. MOPW,

PHDTask 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI DHD

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI DHD

Activity 6: Infection prevention at both public and private HFs

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Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of

three selected facilities in X X X X X X X SCUS DHD

Task 2: Consultative meetings for planning and designing ofPDQ process X Meetings held in area of

three facilities X X X SCUS DHD

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS DHD

Task 4: Organize and participate in bridging the gap workshops X

Three workshops organized. NFRs available

X X X X X X X X X SCUS DHD

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS DHD

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS DHD

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Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

Three trainings conducted. 45 HCPs trained. Monitors report available

X X X X X X

SCUS

Task 4: EMNC Refresher trainings conducted X

Nine training sessions conducted and 127 HCP s trained ( carry forwarded task)

X X X

SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X Two ToTs conducted. 40 trainers trained. Monitors report available

X X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 251 LHWs trained. Monitors report available X X X X X X X

SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X 1 ToTs conducted.20 trainers trained. Monitors report available

X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 251 LHWs trained.

Monitors report available X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

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Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication X X See SO1 X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X See SO1 X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X 10 staff trained X CONTECH DHD

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Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X DHMs Trained on

LQAS Technique X X X X X X X X X X X X PC, JSI

Activity 17: Leadership Trainings Sub-grantee NGOs

Task 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting withMOIC X Support provided to

district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSI

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Activity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 164 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

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Activity 9: District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH DHD

Monitoring and Evaluation

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC

X XJSI Sub-grantee

NGOs, DHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOsActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

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Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional

transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHDTask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

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Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring report X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis

Task 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHUTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshow X X X District Television Talkshow aired X X X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 5: Map key Ulama and community influentials in new areas in additional districts X Mapping report X X X X JHU

Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material X 50 ulama contacted X X X X X X X JHU JSI

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy X 1 Ulama conventions held X X X X X X X JHU JSI

Task8: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X X X X JHU

Task 14: Refine and scale up work with school teachers in other districts X X X No of school teachers

sensitized X X X JHU JSI, SCUS

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Two meetings held.

Minutes available X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 support group meetings monitored. NFRs available X X X X X X X X

SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

64 HC's meetings monitored. NFRs available X X X X X X X X

SCUS

Task 6: District Coordination meetings X Two meetings held. Minutes available X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X Eight meetings held.

Minutes available X X X X X X X X SCUS DHD

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Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings held. NFRs

available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 1407 meetings held.

Reports available X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted.

NFRs available X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level

Task 1: Technical support for the district to establish functional integration of services between DOH and PWD X See SO3 Activity 5, Task

3 JSI Sub-grantee NGOs

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Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available JSI Sub-grantee

NGOs

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 70 HCPs trained X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI Sub-grantee NGOs

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI Sub-grantee

NGOsTask 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI Sub-grantee NGOs

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI Sub-grantee

NGOsActivity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech

Task 3: Identify/utilize indigenous means of transport through VHCs X

20 indigenous means of transport available. Reports available

X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

Activity 6: Refresher Midwifery TrainingTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 existing

LHVs/midwives trained X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 30 CMWs identified X X X JSI SCUS NP for MNCH/

FP

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Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required

X X2 midwifery schools strengthened and up-graded

X X X X X X JSI NP for MNCH/ FP

Task 6: Enroll of CMWs in the identified midwifery schools X 30 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI NP for MNCH

Activity 13: Improving referral and access to IMNCI JSI

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI Contech NP for MNCH

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech NP for MNCH

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech NP for MNCH

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKU NP for MNCH

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS NP for MNCH

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI NP for MNCH

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Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X X See Grants Management activity 6 task 2 JSI CM partners NP for MNCH

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X XSCUS NP for MNCH

& NP for FP & PHC

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants Management JSI Sub-grantee

NGOsTask 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI Sub-grantee

NGOsTask 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & Maintenance

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Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHDTask 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI MOH. MOPW,

PHDTask 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSI

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Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI DHD

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI DHD

Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X JSI DHD

Task 2: Consultative meeting with the stakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of three

selected facilities in X X X X X X X SCUS DHD

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities X X X SCUS DHD

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS DHD

Task 4: Organize and participate in bridging the gap workshops X Three workshops

organized. NFRs available X X X X X X X X X SCUS DHD

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS DHD

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Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS DHD

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X Two trainings conducted. 30 HCPs trained. Monitors report available

X X X X

SCUS

Task 4: EMNC Refresher trainings conducted X

Nine training sessions conducted and 127 HCP s trained ( carry forwarded task)

X X X

SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X 4 ToTs conducted. 80 trainers trained. Monitors report available

X X X X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 313 LHWs trained. Monitors report available X X X X X X X

SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI

X Two ToTs conducted.40 trainers trained. Monitors report available

X X X X

SCUS National MNCH Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 313 LHWs trained.

Monitors report available X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

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Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

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Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication X X See SO1 X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X See SO1 X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X 10 staff trained X CONTECH DHD

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Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 30 HCPs trained X X X X X X X X JSI All Partners DHD

Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings

supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 6 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 6 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 6 HCPs trained X X X X X X X JSI PC DHDActivity 17 : Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings (for all districts) X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting withMOICs X Support provided to

district X X X X X X X X X X CONTECH JSI DHD

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Task 8: Monitoring and Support for monthly facility staff meetings (for all districts) X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 200 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

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Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH DHD

Monitoring and Evaluation

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHD

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GRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC X X

JSI Sub-grantee NGOs, DHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOsActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHDTask 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHDTask 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

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Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & SupervisionTask 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHDTask 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring reports X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshow X X X District Television Talkshow aired X X X JHU

Activity 7: Conduct advocacy campaign based on CAM packagesTask 5: Map key Ulama and community influentials in new areas in additional districts X Mapping report X X X X JHU

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material X 50 ulama contacted X X X X X X X JHU JSI

Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy X 1 Ulama conventions

held X X X X X X X JHU JSI

Task8: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X JHU

Task 14: Refine and scale up work with school teachers in other districts X X X No of school teachers

sensitized X X X JHU JSI, SCUS

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Two meetings held.

Minutes available X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 support group meetings monitored. NFRs available

X X X X X X X XSCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

64 HC's meetings monitored. NFRs available

X X X X X X X XSCUS

Task 6: District Coordination meetings X Two meetings held. Minutes available X X SCUS JSI/Contech

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Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X Eight meetings held.

Minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings held. NFRs

available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 958 meetings held.

Reports available X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted.

NFRs available X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

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Activity 3: Integration of FP services at the district level

Task 1: Technical support for the district to establish functional integration of services between DOH and PWD X See SO3 Activity 5,

Task 3 JSI Sub-grantee NGOs

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available JSI Sub-grantee

NGOs

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 70 HCPs trained X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

JSI Sub-grantee NGOs

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants

Management Activity 5 JSI Sub-grantee NGOs

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Activity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X X X X X X X JSI Contech

Task 3: Identify/utilize indigenous means of transport through VHCs X

14 indigenous means of transport available. Reports available

X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

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Activity 6: Refresher Midwifery TrainingTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 existing

LHVs/midwives trained X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 30 CMWs identified X X X JSI SCUS NP for MNCH/

FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required

X X2 midwifery schools strengthened and up-graded

X X X X X X JSI NP for MNCH/ FP

Task 6: Enroll of CMWs in the identified midwifery schools X 30 CMWs enrolled X X X JSI NP for MNCH/ FP

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI NP for MNCH

Activity 13: Improving referral and access to IMNCI JSI

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

established at DHQ/THQ X X X X X X X X X JSI Contech NP for MNCH

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI Contech NP for MNCH

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Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI Contech NP for MNCH

Task 5: Provide support to the HF staff for implementation of the core child health interventions X

Core child health interventions implemented

X X X X X X X X X X AKU NP for MNCH

Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI/SCUS NP for MNCH

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI NP for MNCH

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X XSee Grants Management activity 6 task 2

JSI CM partners NP for MNCH

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X XSCUS NP for MNCH

& NP for FP & PHC

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants

Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

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Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

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Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHD

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI MOH. MOPW,

PHD

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI DHD

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI DHD

Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X JSI DHD

Task 2: Consultative meeting with the stakeholders to sharefindings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome ofthe intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of three

selected facilities in X X X X X X X SCUS DHD

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities X X X SCUS DHD

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

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Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS DHD

Task 4: Organize and participate in bridging the gap workshops X

Three workshops organized. NFRs available

X X X X X X X X X SCUS DHD

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams formed. NFRs available

X X X X X X X X X SCUS DHD

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS DHD

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

Two EMNC trainings conducted. 30 HCPs trained. Monitors report available

X X X X

SCUS

Task 4: EMNC Refresher trainings conducted X

Nine training sessions conducted and 127 HCP s trained ( carry forwarded task)

X X X

SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X Two ToTs conducted. 40 trainers trained. Monitors report available

X X X X X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 212 LHWs trained. Monitors report available X X X X X X

SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

One meeting conducted. Minutes available X X

SCUS National MNCH Program, NP

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Task 3: District TOT for community IMNCI

X One ToTs conducted. 20 trainers trained. Monitors report available

X X X X

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Task 4: Roll-out LHW trainings on community IMNCI X 212 LHWs trained.

Monitors report available X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD

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Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication X X See SO1 X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X See SO1 X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS)for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 30 HCPs trained X X X X X X X X JSI All Partners DHD

Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings

supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 10 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 10 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 10 HCPs trained X X X X X X X JSI PC DHD

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Activity17: Leadership Trainings Sub-grantee NGOs

Task 1: Identification of the health managers for leadership training X district managers

identified X X X PC JSI Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings (for all districts) X 03 quarterly meetings

held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings (for all districts) X Monitoring and support

provided X X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X See SO4 Activity 14 X CONTECH DHD

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Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHD

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Activity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 233 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement

of equipment) JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9:District Health Profile

Task 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHD

Monitoring and Evaluation

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS)for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

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Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC

X XJSI Sub-grantee

NGOs, DHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOsActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

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Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional

transport systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHD

Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 1: Conduct Formative Research

Task 1.3: Monitor research X X X Formative Research report X X JHU CM Partners

Task 1.4: Share findings X X X Distribution list X X JHU `Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring report X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Material distributed X X X X X X X JSI SCUSActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHUTask3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHUTask 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSI

Task 6.12: Dub and air PAIMAN drama series in regional languages X X X

Dubbed version of PAIMAN drama series aired on regional languages

X X X X X CM partners JHU/CCP

Task 6.14: Telecast the magazine show X X X Magazine Show telecast X X X JHU

Task 16: Produce and air District Television Talkshow X X X District Television Talkshow aired X X X JHU

PAIMAN AWP National, Provincial and District October 2008-September 2009

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Activity 7: Conduct advocacy campaign based on CAM packagesTask 5: Map key Ulama and community influentials in new areas in additional districts X Mapping report X X X X JHU

Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material X 50 ulama contacted X X X X X X X JHU JSI

Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy X 1 Ulama conventions held X X X X X X X JHU JSI

Task8: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X JHU

Task 14: Refine and scale up work with school teachers in other districts X X X No of school teachers

sensitized X X X JHU JSI, SCUS

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects X M&E reports available X X X X X X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of PartographTask 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings JSI MAP

Task 2: Promote community and facility based practice forroutine use of Partograph and AMTSL X Minute of the meetings JSI MAP

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X Two meetings held.

Minutes available X X SCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 support group meetings monitored. NFRs available X X X X X X X X

SCUS

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Task 5: Monitoring/spot checking of LHW's Health Committees X

64 HC's meetings monitored. NFRs available X X X X X X X X

SCUS

Task 6: District Coordination meetings X Two meetings held. Minutes available X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X Eight meetings held.

Minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities X 24 meetings held. NFRs

available X X X X X X X X SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 715 meetings held. Reports

available X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X Monitoring conducted.

NFRs available X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI

Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs

Task 1: Advocate and provide support for 24/7 functioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI

Task 2:Up-gradation of the selected HFs X See SO3 JSITask 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services X X No. of PGT visits X X X X X X X X X X X X JSI

Task 6: Support visit of specialist doctors to the HFs where specialists are not available X X No. of specialist doctors

visits X X X X X X X X X X X X JSI

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Activity 3: Integration of FP services at the district level

Task 1: Technical support for the district to establish functional integration of services between DOH and PWD X See SO3 Activity 5, Task

3 JSI Sub-grantee NGOs

Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP X MoM available JSI Sub-grantee

NGOs

Task 4: Clinical training of HCPs on contraceptive surgery in non-FALAH districts X 70 HCPs trained X X X X X X X X X X X X JSI FALAH

Task 5: FP counseling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI Sub-grantee NGOs

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of trainers if required X X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI Sub-grantee

NGOs

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI Sub-grantee

NGOsTask 4: Follow up meeting/ refresher training of already oriented TBAs X See Grants Management

Activity 5 JSI Sub-grantee NGOs

Task5: Follow up with the TBAs for referrals X See Grants Management Activity 5 JSI Sub-grantee

NGOsActivity 5: Transport and Communication for community obstetric/NB emergencies

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X X X X X X X JSI Contech

Task 3: Identify/utilize indigenous means of transport through VHCs X

10 indigenous means of transport available. Reports available

X X X X X X SCUS

Task 4: Operation of the community managed emergency transport system X

See Grants Management activity 6 task 3

Activity 6: Refresher Midwifery TrainingTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 existing LHVs/midwives

trained X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports available JSI NP for MNCH

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Activity 7: Enrollment of CMWs (18 months) on new curriculum

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 35 CMWs identified X X X JSI SCUS NP for MNCH/

FP

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH/

FPTask 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required

X X 2 midwifery schools strengthened and up-graded X X X X X X JSI NP for MNCH/

FP

Task 6: Enroll of CMWs in the identified midwifery schools X 35 CMWs enrolled X X X JSI NP for MNCH/

FPTask 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X X JSI PC NP for MNCH/

FPTask 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs X X X CMWs deployed X X X X X X X X X X X X JSI SCUS NP for MNCH/

FPActivity 8: Monitoring quality of CMW trainings

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X X JSI NP for MNCH

Task 2: Improving coordination between midwifery tutors and clinical instructors X X MOM/NFR available X X X X X X X X X X X X JSI NP for MNCH

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSI NP for MNCHTask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI NP for MNCH

Activity 13: Improving referral and access to IMNCI JSI

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic established

at DHQ/THQ X X X X X X X X X JSI NP for MNCH

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X JSI NP for MNCH

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI NP for MNCH

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKU NP for MNCH

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Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI NP for MNCH

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI NP for MNCH

Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X X X See Grants Management activity 6 task 2 JSI NP for MNCH

Activity 14: Improving community based IMNCI

Task 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X XSCUS NP for MNCH

& NP for FP & PHC

Task 6: Roll-out LHW trainings on community IMNCI X See SO 4 Activity 4 X X XSCUS NP for MNCH

& NP for FP & PHC

Activity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centers X Equipment distributed X X X Contech JSI

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Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Installation report available X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Health Department for selection of Sites X MOM available X JSI Contech

Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities

X Reports available X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech DHD

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH servicesTask 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHD

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI MOH. MOPW,

PHD

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X JSI DHD

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Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI DHD

Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report available X X X JSI DHD

Task 2: Consultative meeting with the stakeholders to sharefindings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X JSI DHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of three

selected facilities in X X X X X X X SCUS DHD

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS DHD

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS DHD

Task 4: Organize and participate in bridging the gap workshops X Three workshops

organized. NFRs available X X X X X X X X X SCUS DHD

Task 5: Working in partnership/ formation of QI teams X Quality improvement teamsformed. NFRs available X X X X X X X X X SCUS DHD

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS DHD

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

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Task 3: Conduct EMNC trainings X

Two EMNC trainings conducted. 30 HCPs trained. Monitors report available

X X X X

SCUS

Task 4: EMNC Refresher trainings conducted X

Nine training sessions conducted and 127 HCP s trained ( carry forwarded task)

X X X

SCUS, DOH, PHDC, PHSA, NP

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X One ToTs conducted. 20 trainers trained. Monitors report available

X X XSCUS DoH, NP,

PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 160 LHWs trained. Monitors report available X X X X X X X SCUS DoH, NP,

PHDC, DHDCActivity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X

Meeting held. minutes available X X

SCUS National MNCH Program, NP

Task 3: District TOT for community IMNCI X

One ToTs conducted.20 trainers trained. Monitors report available

X XSCUS National MNCH

Program, NP

Task 4: Roll-out LHW trainings on community IMNCI X 160 LHWs trained.

Monitors report available X X X X XSCUS National MNCH

Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X See SO2 Activity 6 X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X See SO2 Activity 7 X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

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Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X See SO3 Activity 6 X X X X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X See SO3 Activity 6 X X X X X X X X X X X X JSIActivity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication X X See SO1 X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X See SO1 X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X DHMs Trained on LQAS

Technique X X X X X X X X X X X X PC, JSI

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Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 30 HCPs trained X X X X X X X X JSI All Partners DHD

Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 8 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 8 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 8 HCPs trained X X X X X X X JSI PC DHD

Activity 17: Leadership Trainings Sub-grantee NGOs

Task 1: Identification of the health managers for leadership training X district managers identified X X X PC JSI Sub-grantee

NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTsTask 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings (for all districts) X 03 quarterly meetings held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings (for all districts) X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

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Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts)

X Data collected and compiled X X CONTECH JSI

Task 2: Data Analysis (for all districts) X Data analyzed X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed

in DHMT meetings X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 176 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X See SO 3 (Procurement of

equipment) JSI CONTECH

Activity 7: Use of information for district health management

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Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health ProfileTask 1: Preparation of District Profile (4 Pager) X 01 health profile prepared X CONTECH PHD, DHDMonitoring and Evaluation

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSIActivity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHDGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOsTask 3: Shortlisted NGOs shared with District PRC Committees for approval X Applications shared and

approved by District PRC X X JSI Sub-grantee NGOs, DHD

Task 5: Pre-award assessment of shortlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOsActivity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSI DHDTask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI DHD

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI DHD

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Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI DHD

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI DHD

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSI DHDTask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI DHD

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI DHD

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI DHD

Task 3: Training of trainers if required X Trainers trained X X X X X X X X X X X X JSI DHDTask 4: Identification of TBAs X X X X X X X X X X X X X JSI DHD

Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI DHD

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI DHD

Task7: Follow up with the TBAs for referrals X Reports available X X X X X X X X X X X X JSI DHD

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI DHD

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI DHD

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI DHD

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI DHD

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Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI DHD

Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI DHD

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI DHD

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans available X X X X X X X X X X X X JSI PC DHD

Task 2: Monitoring & supervision X Reports available X X X X X X X X X X X X JSI PC DHD

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PAIMAN Annual Work Plan

AJK

October 1, 2008 to September 30, 2009

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Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors

Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring report X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM partnersActivity 6: Implement communication interventions through mass/ traditional media campaignsTask 2: Televise the drama serial X X X Drama televised X X X JHU

Task 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHU

Task 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Talkshow aird X X X X X JHU JSITask 11: Conduct revised Putlee Tamashas in selected districts X 50 Putlee Tamashas

performed X X X JHU JSI, CM partners

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHU JSI

Task 16: Produce and air District Television Talkshow (new districts only including Swat) X X X One District Television

Talkshow aired X X X JHU CM partners

Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 journalits trained X X X JHU

Task 14: Refine and scale up work with school teachers in other districts X X X Report available X X X JHU JSI, CM

partners

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Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized.

Report available X X SCUS

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulema journalists and Teachers projects X M&E reports available X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports

available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings X X X X X X X X X X X X JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings X X X X X X X X X X X X JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X

64 LHW meetings monitored/ NFR available

X X X X X X X XSCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X

64 LHW meetings monitored/ NFR available

X X X X X X X XSCUS

Task 6: District Coordination meetings XTwo meetings conducted/ minutes available

X XSCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 8 meetings conducted/

minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Support Group and Health Committee Activitites X

24 meetings conducted/ NFR available X X X X X X X X X X X X

SCUS DHD

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Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 851 meetings held.

Reports available X X X X X X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring reports

avaiable X X X X X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individiual/group counselling and community IMNCI), training of CMWs and orientation of TBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strenthenning of Facility Based Obstetric Care services at the selected HFs FALAH

Task 1: Advocate and provide support for 24/7 fuctioning HFs X Reports/ NFR available X X X X X X X X X X X X JSI FALAH

Task 2:Up-gradation of the selected HFs X See SO3 JSI FALAHTask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed X X X X X X X X X X X X JSI PAVHNA FALAH

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract X X X X X X X X X X X X JSI

Activity 3: Integration of FP services at the district level Sub-grantee NGOs

Task 2: Training of the HCPs on FP through Client Centered Approch X 20 HCPs trained X X X X X X X X X JSI Sub-grantee

NGOsTask 4: Clinicla training of HCPs on contraceptive surgey in non-FALAH districts X 4 HCPs trained X X X X X X X X X JSI Sub-grantee

NGOs

Task 5: FP councelling and service delivery during free medical camps X

See Grants Management Activity 5 Task 1

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Task 6: Refresher training of TBAs on FP XSee Grants Management Activity 5 Task 5

JSI

Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of traners if required X XSee Grants Management Activity 5

JSI

Task 2: Identification of TBAs XSee Grants Management Activity 5

JSI

Task 3: Orientation of TBAs on clean delivery practices XSee Grants Management Activity 5

JSI NP for MNCH

Task5: Follow up with the TBAs for referals XSee Grants Management Activity 5

JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances

procured and placed X X X JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X

12 means of transport available. Reports available

X X X X X X X X X X SCUS

Task 4: Operation of the community managed emergency transpoty system X

See Grants Management activity 6 task 3

NP for MNCH

Activity 6: Refresher Midwifery Training NP for MNCHTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 LHVs trained X X X X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports avaialable X X X X X X X X X JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 25 CMW Identified X X X JSI SCUS NP for MNCH

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH

Task 4: Training of midwifery tutors X X X X X JSI NP for MNCH

Task 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X X JSI NP for MNCH

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Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X JSI PC

Activity 8: Monitoring quality of CMW trainings NP for MNCH

Task 1: Develop guidelines for practical training attachment X X Guidelines developed X X JSI NP for MNCH

Task 2: Improving coordination betweem midwifery tutors and clinical instructors X X MOM/NFR available X X X JSI NP for MNCH

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKH JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSITask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI

Activity 13: Improving referal and access to IMNCI JSI MNCH program & NP

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic

establshed at DHQ/THQ X X X X X X X X X X JSIMNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X X JSI

MNCH program & NP

Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI sewrvices at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X

Core child health interventions implemented

X X X X X X X X X X AKUMNCH program & NP

Task 6: Clebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

Task 8: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases X X X

See Grants Management activity 6 task 2

X X X X X X X X X X JSI

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out lhw trainings on community IMNCI X See SO 4 Activity 4 X X X SCUSActivity 15: Innovation to improve access to MNCH services JSI

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Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants

Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants

Management JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X X JSI

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complicationsActivity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X X X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centres X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Instalation report available X X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X X X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Healht Department for selection of Sites X MOM available X X JSI Contech

Sub task 2.2: Needs Assessment, Initial Enviornment Examination and Enviornment Impact assessment survey of selected health facilites

X Reports available X X X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

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Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW,

PHD

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHD

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report

available X X X JSI DHD

Task 2: Consulattive meeting with the atakeholders to sharefindings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome ofthe intervention X Reports available X X X X X X X X X JSI DHD, PHD

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Activity 7: Implementation of the partnership Defined Quality (PDQ)

Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of thee

selected facilities in X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in brigding the gap workshops X

Three workshops organized. NFRs available

X X X X X X X X X SCUS

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams forme. NFRs available

X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training

Task 3: Conduct EMNC trainings X

Two workshops conducted. 30 HCPs trained. Monitors report available

X X X X X X SCUS

Activity 3:Implementation of LHWs trainings

Task 2: District ToT of NP for FP & PHC X

Two ToT conducted. 40 trainers trained. Monitors reports available

X X X X SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 189 LHWs trained. Monitors reports available

X X X X X X X SCUS DoH, NP, PHDC, DHDC

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Activity 4: Implementation of Community IMNCI training

Task 1: Planning meetings for IMNCI in each district X One meeting conducted. Minutes available X X SCUS

National MNCH Program, NP

Task 3: District TOT for community IMNCI X

One ToT conducted. 20 trainers trained. Monitors reports available

X X SCUS National MNCH Program, NP

Task 4: Roll-out lhw trainings on community IMNCI X 189 LHWs trained. Monitors reports available

X X X X X X SCUS National

MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKH JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X 16 LHVs trained X X X X X X X X X JSI MoH, PHD, PNC

Task 2: CMWs enrolled for regular trainings X 25 CMWs enrolled X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X 16 HCPs trained X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports avaialable X X X X X X X X X JSI

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Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment X Report available X X X CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication X X Managers trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalist trained X X X X X X JHU

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers and accounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system (for new districts) X X 10 staff trained X CONTECH DHD

Task 4: Installation of FinSoft and Health Plan software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS)for additional districts X HCPs trained X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 20 HCPs trained X X X X X X X X JSI All Partners DHD

Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

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Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings

supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 4 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 4 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 4 HCPs trained X X X X X X X JSI PC DHDActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers

identified X X X JSI PC Sub-grantee NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee

NGOsSO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTs DHD

Task 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings (for all districts) X 03 quarterly meetings

held X X X CONTECH JSI DHD

Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs X X 02 district level

meetings held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to

district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing X X X CONTECH JSITask 2: Data Analysis X X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

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Task 2: Financial Management Training for managers and accounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHD

Task 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycleTask 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X

DAOP progress discussed in DHMT meetings

X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 117 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHD

Task 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHDTask 11: Provision of Computers to the districts for DHIS software application, as required X JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) X 09 monthly District

reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health Profile

Task 1: Preparation of Distrcit Profile (4 Pager) X 01 health profile prepared X X X CONTECH

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Lead Partners)

Supporting Partner

Q3 Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators

(input/process/ output)

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MONITORING and EVALUATION

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSI

Sub-task 7.3: Field data collection X Data collected X X X PC JSI, Contech DHD, All partners

Activity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS)for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting XField monitoring conducted and reports available

X X X X JSI Consortium partners

Sub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) X

District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSI PHD, DHD

GRANTS MANAGEMENT Sub-grantee NGOs, DHD

Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs

Sub-grantee NGOs

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X

Applications shared and approved by District PRC

X XJSI

Task 5: Pre-award assessment of shorlisted NGOs X pre-award assessment report available X X JSI

Activity 3: Start up activities for the revised projectTask 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSITask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP

Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc. X No of awareness session

organized X X X X X X X X X X X X JSI

District Annual Workplsn 2008-2009

Bhimber

National

Provincial

District

Oct'08

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Q3 Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators

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Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) X No of advocacy session

organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional

transport systems X X X X X X X X X X X X JSI

Task 3: Training of traners if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSI

Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referals X Reports available X X X X X X X X X X X X JSI

Task 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI

Task 9: Mosque/ public announcement for TT vaccination campaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI

Activity 6:Innovations

Task 1: Establishment of birthing stations at far flung areas X No. of birthing centers established X X X X X X X JSI

Task 2: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases X Reports/NFR available X X X X X X X JSI

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans avaiable X X X X X X X X X X X X JSI PC

Task 2: Monitoring & supervision X Reports avaiable X X X X X X X X X X X X JSI PC

District Annual Workplsn 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Lead Partners)

Supporting Partner

SudhanotiStrategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviorsActivity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans

Task 2: Finalize and share District Action Plans X Action plan finalized and shared X X SCUS JHU

Task 3: Monitor implementation of District Action Plans X Monitoring report X X X X X X X JHU CM Partners

Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basisTask 3: Distribute IEC materials X X X Distribution list X X X X X X X X X JSI CM partners

Activity 6: Implement communication interventions through mass/ traditional media campaigns

Task 2: Televise the drama serial X X X Drama televised X X X JHUTask 3: Produce and air a music video on newborn and child care X X X Music video produced;

airing schedule available X X X X X X JHU JSI, CM partners

Task 4: Air already produced TVCs X X X TVCs aired X X X JHUTask 6: Air additional TVCs on child health X X X TVCs on child health aired X X X JHU JSI

Task 7: Air audio versions of PAIMAN TVCs on radio X X X Radio commercials aired X X X X X X JHU

Task 8: Produce and air PAIMAN radio talkshow X X X Radio talkshow aired X X X X X JHU JSITask 11: Conduct revised Putlee Tamashas in selected districts X 50 Putlee Tamashas

performed X X X JHU JSI, CM partners

Task 14: Telecast the magazine show X X X Magazine Show telecast X X X JHUTask 16: Produce and air District Television Talkshow (new districts only including Swat) X X X One District Television

Talkshow aired X X X JHU CM partners

Activity 7: Conduct advocacy campaign based on CAM packagesTask 8: Organize special trainings for journalists from additional PAIMAN districts X X 5 Journalists trained X X X JHU

Task 14: Refine and scale up work with school teachers in other districts X X X Report available X X X JHU JSI, CM

partners

Task 17: Organize mega events/MNCH Health days X Two events organized. Reports available X X X X X SCUS

Task 20: Organize sensitization events for MNCH and Family Planning in new districts X One event organized. Report

available X X SCUS

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PAIMAN AWP National, Provincial and District October 2008-September 2009

Q4 Consortium PartnersOct. 08 to September 09Q1 Q2Indicators (input/process/

output)

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Sep'09

Lead Partners)

Supporting Partner C

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Q1 Q2Indicators (input/process/ output)

Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives

Task 3: Conduct field surveys and document results X Completion reports available X X X X X X JHU PC

Task 5: Conduct monitoring and evaluation of Ulema journalists and Teachers projects X M&E reports available X X X X X X X JHU

Task 8: Conduct monitoring of community social mobilization activities X Monitoring reports available X X X X X X JHU SC/US

Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph

MAP

Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery

X X X Minute of the meetings X X X X X X X X X X X X JSI MAP

Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL X Minute of the meetings X X X X X X X X X X X X JSI

Activity 11: Sensitize and gain support of stakeholders for MNCH activities

Task 1: Coordination meeting with district Health department X

2 coordination meetings conducted/ minutes available

X XSCUS

Task 4 : Monitoring/spot checking of LHW's Support Groups X 64 LHW meetings

monitored/ NFR available X X X X X X X X SCUS

Task 5: Monitoring/spot checking of LHW's Health Committees X 64 LHW meetings

monitored/ NFR available X X X X X X X X SCUS

Task 6: District Coordination meetings X Two meetings conducted/ minutes available X X SCUS JSI/Contech

Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities X 8 meetings conducted/

minutes available X X X X X X X X SCUS DHD

Task 9: Facility Based meetings with LHWs and LHSs to support Support Group and Health Committee Activitites

X24 meetings conducted/ NFR available X X X X X X X X

SCUS DHD

Activity 12: Conduct community group activitiesTask 1: Support National Program in conducting female support groups X 607 meetings held. Reports

available X X X X X X X X SCUS

Task 2: Conduct monitoring of SG/HC/community social mobilization activities X monitoring reports avaiable X X X X X X X X SCUS JSI, JHU

Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services.

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

ar'09A

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Aug'09

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Lead Partners)

Supporting Partner C

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Q1 Q2Indicators (input/process/ output)

Activity 1: Implement MNCH Packages at community, FLCF and referral level

Task 1: Implement community based packages (Training of LHWs on individiual/group counselling and community IMNCI), training of CMWs and orientation ofTBAs)

X See SO4 SCUS JSI

Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment)

X See SO4 SCUS JSI FALAH

Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment)

X See SO 4 SCUS JSI FALAH

Activity 2: Strenthenning of Facility Based Obstetric Care services at the selected HFs FALAH

Task 1: Advocate and provide support for 24/7 fuctioning HFs X Reports/ NFR available JSI FALAH

Task 2:Up-gradation of the selected HFs X See SO3 JSI FALAHTask 3: Advocate for deployment/ placement of the existing staff at selected HFs X X Staff placed JSI PAVHNA FALAH

Task 5: Support districts for placement of the HCPs at selected HFs on contract basis X X No. of HCPs placed on

contract JSI

Activity 3: Integration of FP services at the district level

Sub-grantee NGOs

Task 2: Training of the HCPs on FP through Client Centered Approch X 20 HCPs trained X X X X X X X X X JSI Sub-grantee

NGOsTask 4: Clinicla training of HCPs on contraceptive surgey in non-FALAH districts X 4 HCPs trained X X X X X X X X X JSI Sub-grantee

NGOsTask 5: FP councelling and service delivery during free medical camps X See Grants Management

Activity 5 Task 1 JSI

Task 6: Refresher training of TBAs on FP X See Grants Management Activity 5 Task 5 JSI

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Activity 4: Implementation of TBAs orientation strategy

Task 1: Training of traners if required X X See Grants Management Activity 5 JSI

Task 2: Identification of TBAs X See Grants Management Activity 5 JSI

Task 3: Orientation of TBAs on clean delivery practices X See Grants Management Activity 5 JSI NP for MNCH

Task5: Follow up with the TBAs for referals X See Grants Management Activity 5 JSI

Activity 5: Transport and Communication for community obstetric/NB emergencies NP for MNCH

Task 2: Hand over ambulances to provincial and district health departments X X New Ambulances procured

and placed X X X JSI Contech NP for MNCH

Task 3: Identify/utilize indigenous means of transport through VHCs X 7 means of transport

available. Reports available X X X X X X X X X X SCUS

Task 4: Operation of the community managed emergency transpoty system X See Grants Management

activity 6 task 3 NP for MNCH

Activity 6: Refresher Midwifery Training NP for MNCHTask 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector X 16 LHVs trained X X X X X X X X X JSI NP for MNCH

Task 3: Follow up with the trained LHVs/midwives X Follow up reports avaialable X X X X X X X X X JSI NP for MNCH

Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH

Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees X 25 CMW Identified X X X JSI SCUS NP for MNCH

Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings X X Schools identified X X X JSI SCUS NP for MNCH

Task 4: Training of midwifery tutors X X X X X JSI NP for MNCHTask 6: Enroll of CMWs in the identified midwifery schools X 25 CMWs enrolled X X X X JSI NP for MNCH

Task 7: Monitor and provide supportive supervision of CMW trainings X Reports available X X X X X X X JSI PC

Activity 8: Monitoring quality of CMW trainings NP for MNCHTask 1: Develop guidelines for practical training attachment X X Guidelines developed X X JSI NP for MNCH

Task 2: Improving coordination betweem midwifery tutors and clinical instructors X X MOM/NFR available X X X JSI NP for MNCH

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

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Q1 Q2Indicators (input/process/ output)

Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X See SO4 Activity 5 AKU JSI

Task 6: Rollout facility based IMNCI trainings X See SO4 Activity 5 JSITask 7: Monitoring of facility based IMNCI trainings X See SO4 Activity 5 JSITask 8: Follow up with the trained HCPs X See SO4 Activity 5 JSI

Activity 13: Improving referal and access to IMNCI JSI MNCH program & NP

Task 2: Establishment of the well baby clinics at the up-graded HFs X Well baby clinic establshed

at DHQ/THQ X X X X X X X X X X JSI MNCH program & NP

Task 3: Establishment of the ORT corners at selected HFs X ORT corners established at BHUs/ MCH centers X X X X X X X X X X JSI MNCH program

& NPTask 4: Provide support for the placement of equipment/supplies for minimum IMNCI sewrvices at up-graded HFs including well baby clinics

X X X Equipment/ supplies available X X X X X X X X X X JSI

MNCH program & NP

Task 5: Provide support to the HF staff for implementation of the core child health interventions X Core child health

interventions implemented X X X X X X X X X X AKU MNCH program & NP

Task 6: Clebration of Child Health weeks/days in collaboration with UNICEF X X X Child Health weeks/days

celebrated X X X X X X X X X X JSI

Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF

X Selected HF declared as Baby Friendly Hospitals X X X X X X X X X X JSI

Task 8: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases

X X X See Grants Management activity 6 task 2 X X X X X X X X X X JSI

Activity 14: Improving community based IMNCITask 3: Planning meetings for IMNCI in each district X See SO 4 Activity 4 X X X X SCUS Task 5: District TOT for community IMNCI X See SO 4 Activity 4 X X X X SCUSTask 6: Roll-out lhw trainings on community IMNCI X See SO 4 Activity 4 X X X SCUSActivity 15: Innovation to improve access to MNCH services JSI

Task 1: Establishment of birthing centers through sub-grantee NGOs at far flung areas. X See Grants Management JSI

Task 2: Establishment of community managed transport for the emergency obstetrics X See Grants Management JSI

Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist available

X No. of visits X X X X X JSI

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

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Q1 Q2Indicators (input/process/ output)

Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications

Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards.

Task 1: Procurement and provision of MNCH equipment at selected HFsSub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities X Need assessment report

available X X X Contech JSI

Sub task1.14: Distribution of Equipment to selected health facilities and training centres X Equipment distributed X X X Contech JSI

Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities

X Instalation report available X X JSI Contech

Sub task1.16: Commissioning and Handing Over to the health facilities Incharge X handing over certificate

available X X X JSI Contech

Task 2: Civil works/ Repair & MaintenanceSub task 2.1: Consultative Meeting with the District Healht Department for selection of Sites X MOM available X X JSI Contech

Sub task 2.2: Needs Assessment, Initial Enviornment Examination and Enviornment Impact assessment survey of selected health facilites

X Reports available X X X Contech JSI

Sub task 2.10: Monitoring and supervision of the execution of civil works X Reports available X X X X Contech JSI DHD

Sub task 2.11: Work Completion Report X Report available X X JSI Contech

Sub task 2.12: Handing over to health facility Incharge X Handing over report available X JSI Contech

Task 3: Capacity building of staff X See So-4 SCUS/JSI/PC/Contech

MOH. MOPW, PHD

Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. X Selected health facilities

with MNCH protocols X X X X X X X X X X JSI MOH. MOPW, PHD

Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility

X Guidelines displayed X X X X X X X X X X JSI MOH. MOPW, PHD

Activity 2:Improve quality of community based MNCH services

MOH. MOPW, PHD

Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs

X See SO 4 JSI MOH. MOPW, PHD

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Aug'09

Sep'09

Lead Partners)

Supporting Partner C

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Q1 Q2Indicators (input/process/ output)

Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives X X X Supplies adequate X X X X X X X X X X X JSI MOH. MOPW,

PHD

Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs X X X See SO 2 JSI

Task 4: Support monitoring and supervision of the community based HCPs X See SO 2 JSI

Task 5: improve referral from the community X Reports available X X X X X X X X X X X JSIActivity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria X Staff Identified X X X X X X X X X JSI

Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc)

X Incentive system in place X X X X X X X X X X X X JSI

Activity 6: Infection prevention at both public and private HFs DHD

Task 1: Assessment of the situation of infection prevention at the selected HFs X Assessment report available X X X JSI DHD

Task 2: Consulattive meeting with the atakeholders to share findings of the assessment X X X Report available X X X JSI DHD

Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs X X Reports available X X X X X X X X X JSI DHD, PHD

Task 6: Monitor and supervise IP & C X Reports available X X X X X X X X X JSI DHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention X Reports available X X X X X X X X X JSI DHD

Task 8: Conduct study for the assessment of the outcome of the intervention X Reports available X X X X X X X X X JSI DHD, PHD

Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts X Mapping reports of selected

facilities in X X X X X X X SCUS

Task 2: Consultative meetings for planning and designing of PDQ process X Meetings held in area of

three facilities. Minutes X X X SCUS

Task 2.1: Building support for PDQ process X Support for PDQ process built X X X X X X X SCUS DHD

Task 3: Exploring quality in view of health care providers and community groups X

Quality exploring process completed in encatchment of three facilities, reports available

X X X X X X X X X SCUS

Task 4: Organize and participate in brigding the gap workshops X Three workshops organized.

NFRs available X X X X X X X X X SCUS

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Aug'09

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Lead Partners)

Supporting Partner C

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Q1 Q2Indicators (input/process/ output)

Task 5: Working in partnership/ formation of QI teams X Quality improvement teams forme. NFRs available X X X X X X X X X SCUS

Task 6: Follow up meetings with quality improvement teams X 15 meetings held. NFRs

available X X X X X X X X X SCUS

Strategic Objective 4: Increase capacity of MNCH managers and health care providersActivity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings X Two workshops conducted.

30 HCPs trained. Monitors report available

X X X X X X SCUS

Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC X Two ToT conducted. 40

trainers trained. Monitors reports available

X XX X

SCUS DoH, NP, PHDC, DHDC

Task 3: Conduct LHWs rollout trainings X 136 LHWs trained. Monitors reports available

X X X X X X X SCUS DoH, NP, PHDC, DHDC

Activity 4: Implementation of Community IMNCI trainingTask 1: Planning meetings for IMNCI in each district X One meeting conducted.

Minutes availableX X SCUS National MNCH

Program, NP

Task 3: District TOT for community IMNCI X One ToTs conducted. 20 trainers trained. Monitors reports available

X X X SCUS National MNCH Program, NP

Task 4: Roll-out lhw trainings on community IMNCI X 136 LHWs trained. Monitors reports available

X X X X X SCUS National MNCH Program, NP

Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilitiesTask 1: Training Need Assessment of the HCPs working at HFs X TNA report available X X X AKU JSI

Task 6: Rollout facility based IMNCI trainings X 40 HCPs trained X X X X X X X X X JSI

Task 7: Monitoring of facility based IMNCI trainings X Monitoring reports available X X X X X X X X X JSI

Task 8: Follow up with the trained HCPs X Follow up reports available X X X X X X X X X JSI

Activity 6: Implementation of CMWs training

Task 1: Conduct refresher trainings X 16 LHVs trained X X X X X X X X X JSI MoH, PHD, PNC

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Aug'09

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Lead Partners)

Supporting Partner C

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Q1 Q2Indicators (input/process/ output)

Task 2: CMWs enrolled for regular trainings X 25 CMWs enrolled X X X X X X X X X JSI MoH, PHD, PNC

Activity 9: Training on Active management of Third Stage of Labour and use of Partograph

Task 1: Roll out trainings X 25 HCPs trained X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports X X X X X X X X X JSI MAP, PHD, DHD

Activity 10: Training of the HCP on Infection prevention

Task 1: Roll out trainings X 16 HCPs trained X X X X X X X X X JSI MAP, PHD, DHD

Task 2: Follow-up and support to the trained HCP X Follow up reports avaialable X X X X X X X X X JSI

Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility

X Analyses report available X X X X X X X X X X

JSI CAI, DHD

Task 2: Roll out trainings X 16 HCPs trained X X X X X X X X X X JSI CAI, DHD Task 3: Follow-up and support to the trained HCP X NFR available X X X X X X X X JSI CAI, DHD Task 4: Impact assessment X Report available X X X CAI, DHDActivity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings X 8 participants trained X X X X X X X JSI CAI, DHD Task 2: Follow-up and support to the trained HCP X NFR available X X X X X X JSI CAI, DHDActivity 13: Capacity building of partners/ managers (public and private) in communicationTask 1: Conduct trainings programs in Strategic Communication X X Managers trained X X X JHU JSI

Task 2: Organize special trainings for journalists from additional PAIMAN districts X X Journalist trained X X X X X X JHU

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Aug'09

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Lead Partners)

Supporting Partner C

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Q1 Q2Indicators (input/process/ output)

Activity 14: DHMT Management Training

Task 1: Training on District Annual Operational Planning X X 10 staff trained X CONTECH DHD

Task 2: Financial Management Training for managers andaccounts staff X X 10 staff trained X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X 10 staff trained X CONTECH DHDTask 4: Installation of FinSoft® and Health Plan® software X Software installed in district X X CONTECH DHD

Task 5: Follow-up / mentoring visits X 01 follow up visit conducted X CONTECH DHD

Task 6. Training on small scale Household surveys (LQAS) for additional districts X HCPs trained X X X X X X X X X X X X PC, JSI

Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics

Task 1: Identification and selection of district trainers X District trainers selected X X X JSI PC DHD, All partners

Task 3 Conduct rollout trainings for doctors and paramedics X 20 HCPs trained X X X X X X X X JSI All Partners DHD

Task 4: Supervision of first batch of rollout training carried out by each district team X Supervisory reports

available X X X X X X X X PC All Partners DHD

Task 5: Supervision of subsequent batch of rollout training carried out by each district team X rollout trainings supervised X X X X X X X X JSI All Partners DHD

Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-FALAH districts

Task 1: Training of HCPs on insertion of IUCDs X 4 HCPs trained X X X X X X X JSI PC DHDTask 2: Training of HCPs on Minilap X 4 HCPs trained X X X X X X X JSI PC DHDTask 3: Training of HCPs on Vasectomy X 4 HCPs trained X X X X X X X JSI PC DHDActivity 17: Leadership TrainingsTask 1: Identification of the health managers for leadership training X district managers identified X X X JSI PC Sub-grantee

NGOs

Task 3: Follow up with the trained health managers X Follow up reports available X X X X X X X X X X PC JSI Sub-grantee NGOs

SO-5; Improve management and integration of services at all levelsActivity 1: Support in establishing and effective functioning of DHMTsTask 1: Conduct Orientation meetings of DHMTs X 01 meeting held X CONTECH JSI DHD

Task 2: Support in establishment of DHMTs X 01 DHMT established/Notified X CONTECH JSI DHD

Task 3: Support to quarterly DHMT meetings X 03 quarterly meetings held X X X CONTECH JSI DHD

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

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Lead Partners)

Supporting Partner C

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nersQ3 Q4 Consortium PartnersOct. 08 to September 09

Q1 Q2Indicators (input/process/ output)

Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs X X 02 district level meetings

held X X CONTECH JSI DHD, PHD

Task 7: Support districts in organizing monthly meeting with MOICs X Support provided to district X X X X X X X X X X CONTECH JSI DHD

Task 8: Monitoring and Support for monthly facility staff meetings (for all districts) X Monitoring and support

provided X X X X X X X X X X CONTECH JSI DHD

Task 9: Exchange visits of DHMTs for information sharing and lessons learnt X 01 visit conducted X CONTECH JSI DHD, PHD

Activity 2: District Health Performance Target Setting

Task 2: Hands on support in target setting X Support provided to district X X CONTECH JSI DHD

Activity 3 : Decision Space Analysis (DSA) Baseline/End line studyTask 1: Data Collection and Processing X X X CONTECH JSITask 2: Data Analysis X X CONTECH HSPH/JSIActivity 4: DHMT Management Trainings

Task 1: Training on District Annual Operational Planning X X See SO4 Activity 14 X CONTECH DHD

Task 2: Financial Management Training for managers andaccounts staff X X See SO4 Activity 14 X CONTECH DHD

Task 3: Trainings on supportive supervisory system X X See SO4 Activity 14 X CONTECH DHDTask 4: Installation of FinSoft® and Health Plan® software X See SO4 Activity 14 X X CONTECH DHD

Task 5: Follow-up / mentoring visits X See SO4 Activity 14 X CONTECH DHDActivity 5: Hands on support of DHMT during district planning cycle

Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year 2009-2010 X 01 DAOP developed X X X CONTECH DHD

Task 3: Monitoring of implementation of DAOP through DHMT forum X DAOP progress discussed in

DHMT meetings X CONTECH DHD

Activity 6: Facilitate in Implementation of District Health Information System

Task 5: Refresher Training of health care providers X 117 health care providers trained X X X X CONTECH JSI DHD

Task 6: Training of computer personnel on use of DHIS software X 03 staff trained X CONTECH JSI DHD

Task 7: Installation of DHIS software X Software installed in district X CONTECH JSI DHD

Task 8: Backup support for DHIS software X Backup support provided X X X X X X X X X CONTECH JSI PHD, DHDTask 9: Assist in implementation of DHIS X Assistance provided X X X X X X X X X CONTECH JSI PHD, DHD

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Aug'09

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Supporting Partner C

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nersQ3 Q4 Consortium PartnersOct. 08 to September 09

Q1 Q2Indicators (input/process/ output)

Task 11: Provision of Computers to the districts for DHIS software application, as required X JSI CONTECH

Activity 7: Use of information for district health management

Task 1: Organize workshops on use of DHIS information X 10 managers trained X CONTECH JSI PHD, DHD

Task 2: Assisting districts to prepare monthly MIS reports(LHW, EPI, DHIS) X 09 monthly District reports X X X X X X X X X CONTECH DHD

Task 3: Performance of Routine Information System Management (PRISM) X District level assessment

report X CONTECH JSI/PC DHD

Activity 9: District Health ProfileTask 1: Preparation of Distrcit Profile (4 Pager) X 01 health profile prepared X X X CONTECHMONITORING and EVALUATION

Activity 1: Baseline Survey for additional 12 districts

Task 4: Field Data Collection X Data collected X X PC JSI

Sub-task 7.3: Field data collection X Data collected X X X PC JSI, Contech DHD, All partners

Activity 5: M&E CAPACITY BUILDINGTask 1. Training on small scale Household surveys (LQAS) for additional districts X See SO4 Activity 14 X X X X X X X X X X X X PC, JSI

Activity 9: MONITORING Sub-grantee NGOs

Task 1: Monitoring Field Activities and reporting X Field monitoring conducted and reports available X X X X JSI Consortium

partnersSub-grantee NGOs

Task 2: HMIS/DHIS Reports (including RMOI) XDistrict HMIS/DHIS reports reviewed and progress on MNCH indicators tracked

X X X X X X X X X X X X JSI CONTECH Sub-grantee NGOs

Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIESTask 5: Field Data Collection X Data collected X X X CONTECH JSIGRANTS MANAGEMENT Activity 1: Selection of local NGOs and award of sub-grant to the successful NGOs PHD, DHD

Task 3: Shortlisted NGOs shared with District PRC Committees for approval X Applications shared and

approved by District PRC X X JSI Sub-grantee NGOs, DHD

Task 5: Pre-award assessment of shorlisted NGOs X pre-award assessment report available X X JSI Sub-grantee

NGOs

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

ar'09A

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ay'09June'09Jul'09

Aug'09

Sep'09

Lead Partners)

Supporting Partner C

olla

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nersQ3 Q4 Consortium PartnersOct. 08 to September 09

Q1 Q2Indicators (input/process/ output)

Activity 3: Start up activities for the revised project

Task 1: Hiring of staff by NGOs X No. of staff hired X X X X X X X X JSITask 2: Orientation of the staff on revised project X No. of staff oriented X X X X X X X X JSI

Task 3: Mapping of the area X Mapping completed and recorded ,294 Ucs X X X X X X X X JSI

Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, NGOs and village elders etc.

X No of awareness session organized X X X X X X X X X X X X JSI

Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk)

X No of advocacy session organized X X X X X X X X X X X X JSI

Task 5: Celebration of important days X No of days celebrated X X X X X X X X X X X X JSITask 6: Organization of the events (street theaters/ Putlee Tamasha) X No of events organized X X X X X X X X X X X X JSI

Activity 5: Improving access to MNCH services

Task 1: Organize health camps at far flung areas X No. of health camps organized X X X X X X X X X X X X JSI

Task 2: Organization of transport for MNCH emergencies through the involvement of community X No. of functional transport

systems X X X X X X X X X X X X JSI

Task 3: Training of traners if required X Trainers trained X X X X X X X X X X X X JSITask 4: Identification of TBAs X X X X X X X X X X X X X JSI

Task 5: Orientation of TBAs on clean delivery practices X X X X X X X X X X X X X JSI

Task 6: Follow up meeting/ refresher training of already oriented TBAs X Follow up meetings

organized X X X X X X X X X X X X JSI

Task7: Follow up with the TBAs for referals X Reports available X X X X X X X X X X X X JSITask 8: Orientation of the technical staff on TT vaccination X No. of staff oriented X X X X X X X X X X X X JSI

Task 9: Mosque/ public announcement for TT vaccinationcampaigns X Reports available X X X X X X X X X X X X JSI

Task 10: TT vaccination of the pregnant ladies X No. of pregnant ladies vaccinated X X X X X X X X X X X X JSI

Task 11: Improving access to the family planning services X X X X X X X X X X X X X JSI

Activity 6:InnovationsTask 1: Establishment of birthing stations at far flung areas X No. of birthing centers

established X X X X X X X JSI

District Annual Workplan 2008-2009

Sudhanoti

National

Provincial

District

Oct'08

Nov'08

Dec'08

Jan'09Feb'09M

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Aug'09

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Supporting Partner C

olla

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nersQ3 Q4 Consortium PartnersOct. 08 to September 09

Q1 Q2Indicators (input/process/ output)

Task 2: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases

X Reports/NFR available X X X X X X X JSI

Task 3: Establishment of the community operated transport system fro obstetric emergencies X No. of transport system

established X X X X X X X JSI

Activity 7: Monitoring & Supervision

Task 1: Preparation and Implementation of PM&E Plan X Plans avaiable X X X X X X X X X X X X JSI PC

Task 2: Monitoring & supervision X Reports avaiable X X X X X X X X X X X X JSI PC

District Annual Workplan 2008-2009

CA # 391-A-00-05-01037-00 project is funded by the United States Agency for

International Development and implemented by JSI Research & Training Institute, inc. in conjunction with Aga Khan University, Contech International, Greenstar Social Marketing, JHU/CCP, PAVHNA, Population Council, Save the Children USA