Post on 25-Jan-2017
Where have you been,Where are you,Where are you going?
Melinda Potgieter – PreussSAMEA Conference15 October 2015
“A little knowledge that acts is worth infinitely more than much knowledge that is idle.”
Kahlil Gibran
Where were we ?International ContextTargets for the millennium development goals (MDG) relevant to the Reproductive Maternal and Child Health (RMCH) programme in South Africa:
• MDG 4: Reduce under 5 mortality rate by two-thirds• MDG 5: Reduce maternal mortality ratio by three-quarters
Where have we been?South African context
Where we are
Where we are going
Where have we been?South African context
Where we are
Where we are going
‘SEED’ Model
Meeting clients needs
DemandSupply
Staff supported in delivering
quality services(accessible, acceptable,
and accountable)
Knowledgeable Individuals, families, and communitiesseeking care
Policy, program, and community environment, coupled with social and gender norms, support functioning health systems and facilitate healthy behaviours
Enabling Environment
Where, What, When, Who, WhyFEUTURES/COMPONENT
Gaps and bottlenecks
To identify gaps and identify key bottlenecks
Bottleneck Analysis
Key componentIndicatorBaselineKey challenge
Root causeType of support requiredAction PlanOutcome
Responsible PersonTimelinePriority
Enabling environmentLeadership and Governance
Policies, resources and budgets
Evidence-based decision-making
Commodities
Advocacy and Communication
Transport
Integration and referrals
Implementation
To track or monitor implementation of the identified intervention stages over time in an endless improvement cycle
Dashboard
Green: the indicator has reached its target value.
Yellow: the indicator has improved compared to the previous financial year, but has not yet reached its target value.
Red: the indicator’s Performance 2012/13 (FY 1) has worsened compared to the previous financial quarter, and has not reached its target value.
Implementation stages
Pre-implementation
4. Implementation
6. Institutionalisation
1. Creating awareness
2. Commitment to implement
3. Getting ready to implementImplementation
5. Integration into routine practise
Institutionalisation
Technical Implementation Status
Stre
ngth
enin
g Di
stric
t Tas
k Te
ams
Implementation stages
Level of effort