Sessions 2.1 and 2.2 2.1: Introduction to …Sessions 2.1 and 2.2 2.1: Introduction to Coordination...
Transcript of Sessions 2.1 and 2.2 2.1: Introduction to …Sessions 2.1 and 2.2 2.1: Introduction to Coordination...
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 1
District Level Management NTD Training Course
Module 2: District Coordination and Programme Management of the NTD Programme
Sessions 2.1 and 2.2
2.1: Introduction to Coordination and Management
2.2: Programme Coordination and Management
Revised :15.7.2015(Global)
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 2
District Level Management NTD Training Course
Module 2: Purpose
• This module provides the general overview of coordination and management of an NTD Programme.
• It defines the scope of a district health system and relevant management / coordination structures.
• It defines the relevant NTD stakeholders, their responsibilities and how they can be coordinated.
• It also highlights the responsibilities of NTD coordinator
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 3
District Level Management NTD Training Course
Learning objectives
At the end of the session, the participants will explain:
• general overview of management and coordination of a district NTD programme;
• coordination structures of an NTD programme at district level;
• scope of district health system; ensuring that the NTD programme remains integrated within the existing health system;
• ensure that all stakeholders are identified and roles of each are clearly defined;
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 4
District Level Management NTD Training Course
Concept 1: Leadership
• An effective health programme manager (NTD programme manager) at the district level should demonstrate leadership qualities and also able to blend the national development agenda/goals, national health policies and strategies within the district health system.
Dr. Jon Warner in Topic Cartoons
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 5
District Level Management NTD Training Course
Concept 2: Coordination
• Coordination is the act of organizing, making different people or organizations to work together in order to achieve a goal.
• Effective coordination requires active involvement of key stakeholders (role players) in a programme/ activity.
• Communication is the key to successful coordination of activities
• Ownership and commitment are built by open and transparent dialogue between all the players.
Dr. Jon Warner in Topic Cartoons
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 6
District Level Management NTD Training Course
Concept 3: Management
• Management is an overall function of District NTD manager to use Leadership and Coordination capacity to achieve the set objectives of the NTD programmes.
• Encompasses planning, budgeting, organizing, staffing, coordination, monitoring and evaluating the outcomes of your programme interventions.
• In the management of health programmes at the district level, several internal and external activities related to health and non-health sectors need to be effectively coordinated to achieve set goals harmoniously.
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 7
District Level Management NTD Training Course
Why do we need a strong NTD district coordination and management capacity?
A strong district coordination framework is vital for effective implementation of the NTD interventions
While previous NTD control efforts were vertical for each specific disease, the current approach integrates implementation of all NTDs in order to: avoid wastage of human, material and financial resources ensure avoidance of duplication of activities amongst
stakeholders avoid unnecessary competition between different partners
The district authorities should be in charge of the NTD Programme to promote ownership and sustainability (A manager should be able to answer key questions; Where are we? and where are we going?).
Its advisable to integrate with other existing health & non health programmes.
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 8
District Level Management NTD Training Course
District NTD Coordinator / Focal Person: Roles
The district Medical Officer appoints District NTD Coordinator with the following responsibilities :
coordination of all NTD stakeholders “holds the responsibility of communication between all departments, NGOs and other stakeholders” setting and achieving programme goals through planning, budgeting,
organizing, coordination, Implementing, monitoring and evaluating the outcomes of a NTD programme;.
reporting to the DMO for decision making providing technical and programme guidance to various levels in the district Community mobilization and their participation for MDA activities Manages all programme implementation activities involving all the team
members develop and promote programme ownership in the district estimating, procuring and supplying medicines and diagnostics (supply chain
system); and equipments, vehicles etc
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 9
District Level Management NTD Training Course
NTD activities to be coordinated at district level
Planning, budgeting, resource mobilization, training, management and coordination
Actively participating in NTD endemicity mapping
Stakeholder mapping to identify, engage and involve all stakeholders
Advocacy and Social mobilization
Registration of target population
Medicine delivery (Mass drug administration)
Monitoring and Evaluation(M&E) and Supervision
Data management and reporting
Feedback to all stakeholders and guidance
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 10
District Level Management NTD Training Course
District NTD coordination structure
Health
Education
Environment
Water and sanitation
Agriculture
NGOs, FBOs, Private sector
Community
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 11
District Level Management NTD Training Course
District NTD organization structure
PHC
• DC, DED, District chairperson, Heads of departments
• NGOs
CHMT
• Core members
• Co opted members
NTD Secretariat
• Members from various departments
HF
• Zonal coordinators
• Frontline health workers(FLHW)
Schools & Community
• Community members, leaders, teachers, CDDs
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 12
District Level Management NTD Training Course
District NTD Secretariat
DMO - Chairperson
District NTD coordinator - secretary
District HMIS/DHIS personnel
District School Health Coordinator (Health Department)
District School Health Coordinator (School Department)
District Environmental Officer
District Health Officer/Health Promotion Officer
NGO/Representatives of NTD Partners
Zonal co-ordinators
District Health secretary
District pharmacist
District social worker
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 13
District Level Management NTD Training Course
Roles of the District NTD Secretariat(1)
Conduct quarterly meetings to review relevant NTD elimination components
Provide technical support to the District NTD Programme
Trainings at lower level
Community mobilization
Share updates, reports and resources for a common goal
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 14
District Level Management NTD Training Course
Roles of the District NTD Secretariat (2)
Planning of programme implementation actvities
Supervise monitor and evaluate programme implementation in collaboration with the CHMT, regional and national teams
Review MDA and other NTD related reports , drug inventory and forecasts and propose recommendations to improve performance
Discuss concerns and recommendations obtained from FLHFs and CDDs
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 15
District Level Management NTD Training Course
District NTD programme stake holders
NTD elimination is achieved if the district level coordination is strong and encompasses all the following relevant stakeholders:
1. Health sector stakeholders
2. Schools and Community
3. Other stakeholders
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 16
District Level Management NTD Training Course
The composition and roles of Health sector stakeholders
1. Composition
• Council health management team (CHMT)
• Health workers and facilities (public and private facilities) including hospitals as referrals, includes support services, such as laboratory, promotive, preventive, curative, and rehabilitative services.
• Social welfare,
2. Responsibilities
• Planning and implementation of NTD activities
• Supervision, monitoring and evaluation
• morbidity management
• Responsibilities of FLHW (refer to module 7)
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 17
District Level Management NTD Training Course
Roles of Schools and Communities
1. Composition
• Community leaders and other members
• Community drug distributors
• Religious leaders
• Teachers
2. Responsibilities • Selection of CDDs
• Community sensitization and mobilization
• Provision of food if PZQ is given
• CDDs – Sensitization and mobilization, Census, drug distribution
• Teachers – Sensitization and mobilization, drug distribution
• Religious and community leaders - Sensitization and mobilization
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 18
District Level Management NTD Training Course
The composition and roles of other stakeholders
their actions and inactions have direct bearing on health of an individual, groups and communities.
1. Composition
• Local government –District/Sub-district/village
• Agriculture
• Environment
• Education (formal and non-formal),
• Water and Sanitation
• Transportation and communication
• NGO/CBO
2. Responsibilities
Advocacy, Technical support, Community sensitization and mobilization, Fund mobilization, Financial support
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 19
District Level Management NTD Training Course
Leadership, managing and coordination
Dr. Jon Warner in Topic Cartoons
Coordination
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 20
District Level Management NTD Training Course
Module 2: Key messages
• Leadership and coordination qualities are essential for the success of district NTD elimination programme
• District health system is an effective platform for NTD elimination services
• Planning programme coordination with the district health activities involving all stake holders at district level is important
• District NTD programme managers(Focal point) is a “Team Leader” of the district NTD programme who will be coordinating with all role players
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 21
District Level Management NTD Training Course
Activity Two – Group of Five (10mins) S/N Area What could
be done When Who is
Responsible
1. Leadership and Governance
Enhance Coordination
Enhance Partnerships
2. HMIS NTD Data integration into district Information systems
3. Finance Effective Integration of NTD Plans into CCHP
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 22
District Level Management NTD Training Course
Activity Two – Group of Five (10mins) S/N Area What could
be done When Who is
Responsible
4. Drugs and Technology
Enhance NTD SCM within the District health System
Enhance NTD Inventory within the District health System
5. Workforce (Community drug Distribution)
Sustainability
Integration within the district systems
District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 23
District Level Management NTD Training Course
Activity: In groups of five (15mins)
Situation analysis: 1. List key NTD components required to reach NTD control and
elimination goals in Tanzania. 2. Identify strengths in coordination that enable effective
implementation of NTD Elimination components in your districts
3. Identify challenges in coordination that are affecting effective implementation of NTD Elimination components in your districts
Proposed Strategies: 1. Referring to the listed challenges in No. 3 above, propose
three key strategies/options for each to strengthen NTD coordination at district level