STAYING ALIVE MAKING MATERNAL HEALTH WORK KENYA MONITORING

STAYING ALIVE! MAKING MATERNAL HEALTH WORK KENYA MONITORING AND EVALUATION TRAINING Tools and Akvo. Flow BY ALEXIA WADIME 30 TH 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 5 a, to reduce by 75% the maternal mortality, and significantly reduce the maternal morbidity of 116, 000 WRA in West Pokot County

EXPECTED OUTCOMES (1) 10/2/2020 # Project Expected outcomes intervention Area 1 Family Planning §At least 20% of the women accept a family planning method post-delivery §At 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 attendants §At 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 5

OUTCOMES (2) 10/2/2020 # Project Expected outcomes intervention Area 4 Antenatal care § 100% coverage of 1 ANC visit §At least 60% coverage of 4 ANC visits §At 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 incidence §At 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 6

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, BEm. OC - 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 10/2/2020 8

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, 2 nd 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 10/2/2020 9

CHALLENGES § Delayed signing of the agreements thus leading to delays on the commencement of the activities 10/2/2020 10

ACKOWLEDGEMENTS § Dutch Government for funding § AMREF Netherlands § West Pokot Health Management Team 10/2/2020 11

END THANKS & BE BLESSED