Community  RBF-­‐  What  do  We  Know-­‐  and  What  Can  We  Expect?  

RBF  communautaire  que  savons-­‐nous  et  que  pouvons-­‐nous    a4endre?  

Atelier  IE  –  March  28,  2014  day  4  15:00hrs  

Joseph  Shu  Atanga  M.D.  MPH  

PBF  Program  •  Started  in  2011  in  one  Region  (4  Health  

Districts  

•  Three  more  Regions  added  in  2012  (22  Health  Districts)  -­‐  Onset  of  IE  –  Baseline  survey  and  randomizaPon  

•  MTE  June  2013  

•  PBF  QualitaPve  study  2014  •  Imminent  extension  to  2  other  regions  (North  

and  extreme  north)  

Household  Visit  Indicators/Determinants  

•  Based  on  major  Community  Health  issues  –  Household  Waste  treatment  

–  Family  planning  

–  VaccinaPon  –  Exclusive  breas[eeding  –  Presence  and  state  of  Latrines  –  UPlizaPon  of  LLITNS  –  Source  and  preservaPon  of  water  –  Hand  washing  

ImplementaPon/DeclaraPon  of  Household  Visits  

•  Who  Conducts  Home  visits?  – Health  Facility  staff  –  Community  relay  Agents  (members  of  health  commi4ee)  

•  Frequency:  – Once  in  3  months  for  each  household    

•  Conduct:  – Household  register  for  each  community  – Monthly  declaraPon  to  Performance  Purchasing  Agency  

– Unit  cost  for  each  home  visit:  $2  (XAF1000)    

VerificaPon/ValidaPon  and  Payment  

•  Carried  out  by  PPA  staff  

•  DeclaraPon  concordance  with  Register  

•  Sample  drawn  in  register  for  community  verificaPon  (veracity)  –  5  households  per  community  per  month  – Acceptable  non-­‐concordance  rate  10%  

•  Payment  of  producPon  into  the  health  facility  account  

Home  visite  Register  format  

VISIT  I:  Date   State  of  individual  indicator  as  applicable  

Names  of  family  members  starLng  with  family  head  

Sex   Age   Waste  treatment  

Family  planning  

VaccinaLon  

Exclusive  breasQeeding  

Presence  and  state  of  Latrines  

ULlizaLon  of  LLITNS  

Source  and  preservaLon  of  water  

Hand  washing  

General  advise  /  AcLons  proposed  

Sign  Family  Head  

Sign  Quarter  head  

Sign  HAHC  Member    

VISIT  II:  Date  

VISIT  III:  Date  

key  lessons  on  home  visits  

•  Updated  and  authenPc  community  demographic  informaPon  

•  Improved  maternal  and  childhood  health  issues  

•  Increase  use  of  health  faciliPes  –  Increased  financing  for  the  health  facility