HS dept overview
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Why does SQH network develop? balanced coverage of health services ate providers as the people’s preference ful quality of care at health care setting
Transcript of HS dept overview
Why does SQH network develop?
Unbalanced coverage of health services
Private providers as the people’s preference
Doubtful quality of care at health care setting
Where does Sun network work?
CHWs+
Quacks*Grocery shops*
Who provide the servicesWho provide the services
HA and MWs ¶
Quacks*Grocery shops*
Who provide health services
Township health staff ¶
GPs+
Drug shops*GPs
CHWs
¶ - public health care providers+ - trained private providers* - informal providers
?coverage
Health services with..Payment by clientStandard services
PSI/M’s Social franchise
Franchisee Consumer
Product supplyTechnical support
Improved healthPromoted Behavior
Franchiser
Diagnosis & TreatmentSTIs, TB, Malaria, Pneu, HIV
Family planning servicesShort-term, Long-term
Diagnosis & TreatmentMalaria, and Pneumonia
Referral servicesContraception, and TB
What services Sun network provide?
Products distributed through SUN channels
Brand
Product
OK pillsOK 3 monthOK ECOK condomOK FCOK IUDPregnancy test
Cure U (urethritis)Cure U (ulcer)Cure U (Vaginitis)d4T+3TC+NVPDetermine HIV testUniGold HIV test
Supa TabRDTCoartem ICoartem IICoartem IIICoartem IV
Cat ICat IICat III
Pneumox 125Pneumox 250
# of Product
7 6 6 3 2
A total of 25 products
Orasal
1
SQH and SPH coverage in a township
++ hospital
RHC
v
v
SPH
>1900 in 90 townships
>1400 in 210 townships
Branded clinic
Quality services
3 features of the network
Keeping records
How to manage the network?
HS
Tech unit Opt unit
Health Services department
Department
Unit
Tech unit
training Managers by health area
Technical Unit
M & E of Health programs
Trainings to providers
Technical support
Technical Unit
Dy Director
Training managers
Training team
HS managerRH
HS managerTB
HS managerHIV
HS managerMalaria/Penu
Technical Unit – Training package
RH
• Short-term contraceptives
• Long-term contraceptives
• Cervical Ca prevention
• Clinic assistant• IPC
TB
• Case management
• Clinic assistant• TB for SPH
HIV
• STIs management
• HIV C & T• ART services• TB-HIV case
management• VCT for
counselors
Malaria
• Case management for SQH & SPH
• Product promoters (IPC)
• Sales forces
Under -5
• Pneu case management for SQH & SPH
• DTK product
Opt unit
Managers by regions
Operation nit
Field monitoring
Expansion of new providers
Oversee business development
Dy Director
HS manager (Region I)
Sr HSO
HSO
Jr HSO HSS
HS manager (Region II)
Sr HSO
HS manager (Region III)
Sr HSO
HS manager (Region IV)
Sr HSO
HS manager (Region V)
Sr HSO
HS manager (Region VI)
Sr HSO
Team work approach to manageeach territory:>120 SQH clinics>150 SPH providersto serve 2-5 million population
(1)
(2) (4-5)
Advocacy to local authorities
Business plan (MBOs, expansion, events)
Oversee overall territory business management
Medical detailing for product and quality
Sales and distribution
Record keeping
Financial transaction
Health promotion
Sr HSO
HSO
Jr HSO
HSS
Operation unit - Job Description
HSO monitoring trip to SQH clinics
SrHSO/HSO monitoring SPH activities
HS supervisor’s monitoring SPH services site
Awareness
Advocating
Training
Supervision
Supervision
Interest
TrialAdoption
Advocacy
Productsknowledge
Service fees
Quality Assurance checkReview meetingRefresher trainingClinic renovation
Annual appraisal
Program SQH/SPH Provider(Supply)
Reproductive health Reimbursement for IUD services (SQH)Payment based on clinic assistant’s performance (SQH)Clinic renovation (SQH)Service fees for selling/referring contraceptives (SPH)
STIs/HIV Reimbursement of STIs vouchers Service fees for PICT (HIV) -SQH
TB -Service fee for each registered TB case-Transport fees for Sputum collection (SPH)-Referral fees (SPH)-Service fees for observing DOTS (SPH)
Malaria Service fees for diagnosis and treatment of malaria (SPH)
Pneumonia and diarrhea Service fees for diagnosis and treatment of malaria (SPH)
Awareness
Health talk
Enquiry
Visit to Sun
compliance
Interest
TrialAdoption
Advocacy
AllowanceQuiz prize
IECsTransport feesAffordable prices
Non-monetarysupports
??
Program Client(Demand)
Reproductive health Transportation fees for Contraceptives
TB -Transportation fee for TB pt to get VCT-Monetary support for the poor TB client-Nutrition support to TB clients-Contact tracing referral fees
Behavior change
continuumSQH Provider
(Supply)Client
(Demand)Mobilizer(Demand)
Awareness to interest
Services fee for PITC of TB case
Interest to trial Reimbursement for IUD service
-Transportation fee for TB pt to get VCT-Transportation fee for BS (IUD)client
-RH promoter incentive for BS referral-Clinic assistant incentive (IUD)
Trial to adoption - Service fee for each registered TB case-Reimbursement for IUD service-Clinic assistant incentives (IUD)-Reimbursement for STIs voucher
-monetary support for poor TB patients
Adoption to advocacy
Clinic renovation for IUD - TB contact tracing referral fee
7 incentives for RH, TB, HIV-TB, & STIs
4 incentives for RH, TB, & HIV-TB
2 incentives for RH
Behavior change
continuumSPH Provider
(Supply)Client
(Demand)
Awareness to interest
Interest to trial -Transportation charges for bringing sputum cups to lab
-Transportation fee for TB initial investigation-Transportation fee for BS (IUD)client
Trial to adoption -Referral fee for registered TB case
-Service fee for TB DOTS observer
-services allowance fees for RH, TB, Malaria, Pneumonia, DTK
-monetary support for poor TB patients
Adoption to advocacy
- TB contact tracing referral fee
4 incentives 4 incentives
