STAYING ALIVE! MAKING MATERNAL HEALTH WORK KENYA

MONITORING AND EVALUATION TRAININGTools and AkvoFlow

BY

ALEXIA WADIME

30TH OCTOBER 2013

PRESENTATION OUTLINE

Project background

Project intervention areas and expected outcomes

Project strategies

Achievements

Challenges

BACKGROUND Project Sites: West Pokot

Budget: Euros 1,530,000

Funding agency: Dutch Government

Project duration: Three (3) years – Jan 2013 to Dec 2015

GOAL To contribute to the achievement of the MDG 5a, to reduce by 75%

the maternal mortality, and significantly reduce the maternal morbidity of 116,000 WRA in West Pokot County

EXPECTED OUTCOMES (1)

# Project intervention Area

Expected outcomes

1 Family Planning At least 20% of the women accept a family planning method post-deliveryAt least 60% of the women aged 15-20 yrs of age have access to FP methods of their choice

2 Safe delivery At least 50% of the deliveries are attended to by skilled attendantsAt least 70% of the pregnant women have essential care & drugs timely administered to prevent haemorrhage, eclampsia & infections during their delivery

3 Abortion & PAC care

At least 20% of the women who had a reported abortion receive adequate post-abortion care

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OUTCOMES (2)

# Project intervention Area

Expected outcomes

4 Antenatal care 100% coverage of 1 ANC visitAt least 60% coverage of 4 ANC visitsAt least 50% of the pregnant women with obstetric complications are referred to health facilities for care

5 Fistula prevention & treatment

At least 50% reduction in fistula incidenceAt least 80% of identified women with fistula are treated & rehabilitated

6 PMTCT At least 80% of the HIV-positive pregnant women receive treatment to prevent mother-to-child transmission

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PROJCT STRATEGIES (1)

1. INCREASING KNOWLEDGE & CREATING DEMAND FOR MATERNAL HEALTH SERVICES

- Training CHWs on maternal health CHS technical module

- Introducing performance-based incentives for CHWs

- Working with the community leaders including religious & council of elders

2. ENHANCING THE CAPACITIES OF HEALTH FACILITIES

- Train health workers on maternal health – FANC, PAC, BEmOC

- Minor renovations for health facilities in project sites- Supply of basic equipments for maternal health services- Supply of basic drugs & other supplies- Conducting fistula repairs using AMREF surgeons, and onsite

training of County based doctors & nurses- Setting up youth friendly centres

PROJECT STRATEGIES (2)3. QUALITY ASSURANCE

- Conducting supportive supervision – CHMT and Sub –CHMTs- Initiating partnership defined quality (PDQ) at health facilities in

project sites- Enhancing mentorship

4. DOCUMENTATION AND DISSEMINATIONS OF BEST PRACTICES FOR REPLICATION

- Conducting Operations Researches (OR)

- Publications in peer review journals

- Presentations in local and international conferences

- Case-studies & CBHMIS

5. ADVOCACY

- Influencing policies

- Increased budget for maternal health services in the County

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ACHIEVEMENTS

Start-up team Project work plan revised & approved by donor Recruitment of staff - 4 staff on board, recruitment for an M&E officer

in progress Regional planning meeting – Baseline survey, OR Office space identified – Teachers’ Plaza, 2nd floor County health team sensitized on the project Project sites identified – Pokot North, Pokot South and Pokot West,

but fistulae management to the entire county Baseline survey undertaken Year 2 work plan developed and submitted to donor

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CHALLENGES

Delayed signing of the agreements thus leading to delays on the commencement of the activities

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ACKOWLEDGEMENTS

Dutch Government for funding

AMREF Netherlands

West Pokot Health Management Team

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END

THANKS & BE BLESSED