Briefing for HHS Officers

GAVI HSS Focal Point

HSS Officerss/n Name Appointed townships Station Township

1 Dr. Kyawt Khin Khin Yedarshay, Thayarwaddy Yedarshay

2 Dr. Nyi Nyi Lwin Bamaw, Shweku Bamaw

3 Dr. Kyawt Thar Sein Lewe, Pyinmana Pyinmana

4 Dr. Aye Thawdar Mon Demawso, Nyaung Shwe Demawsoe

5 Dr. Thida Win Kawthmu, Ngaputaw Kawthmu

6 Dr. Khin San Aye Thaton, Mudon Mudon

7 Dr. Kay Khine Aye Kyaing Tong Kyaing Tong

8 Dr. Aye Pyae Sone Ye U Ye U

9 Dr. Naing Lin Maungtaw Maungtaw

10 Dr. Khine Thinzar Lin Myeik Myeik

11 Dr. Tin Tin Ohn Hakkah Hakkah

12 Dr. Khin Moe Hlaing Htilin Htilin

13 Dr. Wai Thet Tun Hsipaw Hsipaw

14 Dr. Saw Lin Naung Soe Hlaing Bwe Hlaing Bwe

WHAT are YOU going to do as HSSO starting from next few days?

1. Relinquish your duty form Government side after getting appointment from WHO

2. Planning division DOH will send letter to S/R HD and cc to TMO informing about you coming to monitor HSS activities in (X) township for one year

3. Accommodation –at station township/ SR office4. Adaptation with TMO and BHS5. Adoption of your TOR as HSSO6. Buffer between DOH and townships for HSS

implementation 7. Reporting to Planning Division, DOH8. Reporting to State/Regional HD/Deputy HD9. Reporting to WHO

Terms of Reference in GAVI HSS Proposals for HSSOs In collaboration with the Division of Planning, States/

Region Directors and Township Medical Officers,

1. Conduct baseline health system assessments of selected Township clusters

2. Facilitate the development of Coordinated Township Health Plans.

3. Support States and Regions to conduct programs of supportive supervision according to guidelines developed.

4. Participate in research and development of Health Financing schemes in Township clusters.

Terms of Reference

5. Assist in the development and oversight of new costing guidelines of coordinated Township Health Plans.

6. Assist in the development and oversight of strategies to revitalize health committees and CHW participation in preventive health programs

7. Facilitate communications between NGOs and the DOH for Agreements of Work in hard to reach or never reached areas.

8. Assist in the development and oversight of human resource development activities, including integrated training programs, and the design and evaluation of retention schemes for rural midwives and PHS 2.

9. Support the enhancement of M & E activities (including programs of annual review) within the current system of HMIS).

Terms of Reference

10. Periodically report to the HSS working group on the research, development and implementation of health systems innovations (health planning, health financing, social mobilization).

11. Assist the DOH and HSS Working Group to facilitate uptake of findings into policy and practice by disseminating findings of research in public health forums, HSS Working Group Meetings, Annual Program Reviews and through publications.

Expected Outcomes (as in the proposal)1. Enhanced institutional capacity in the MOH, States and

Regions and Townships for health systems research, development and practice.

2. Enhanced capacity at State /Region and Township level for human resource management, health financing and financial management (including management of health financing schemes).

3. System research, design and evaluation in the areas of health planning, finance, human resource management and social mobilization.

4. (a) Research studies, (b) evaluation reports, (c) Township planning, supervision and health financing guidelines

Expectations from GAVI Focal Point• Look into the present status of township after HSS assessment (baseline)• Look beyond year one and two and till the end of year four (even if you're not there anymore, even if TMO has turned over by then) …. •How would you like to see this township in next 4 years after getting inputs from GAVI HSS rolling in for 4 years?• What changes you expected to see in those townships that you have initiated HSS implementations and monitor for one year?

Let's hear Your Expectations as HSSOs

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…•PLANNING & MANAGEMENT1.HSS Assessments (with guidelines) 2.Mapping HTR (detail mapping identifying P, E, S barriers) 3.Coordinated Township Health Plan (including RHC/SH plans) (with guidelines)4.Costed Planning with Financial Analysis and Gap identification5.Monitoring and supervision according to CTHP

Expectations from GAVI Focal Point•PLANNING & MANAGEMENTRole of HSSO: •Participation in HSS assessment •For those who will get to townships ahead of assessment, start with preliminary collection of data and filling in tables for planning and management, helping midwives to fill in mapping data for 2012, HR tables, Infrastructure tables etc (after negotiating with TMO); •For those townships with assessment done in 2011 (2010 data), also try with collection of 2011 data as above•Mapping HTR (detail mapping identifying P, E, S barriers) –try to make sure midwives understand P,E,S barriers in identifying HTR

Expectations from GAVI Focal Point•PLANNING & MANAGEMENTRole of HSSO: •In your lap top, try to put in HSS assessment results, (preliminary data collected as for Planning and management, HR, infrastructure) in the formats of 10 tsp assessment/Lewe assessment (in English)•Try to prepare CTHP formats taking examples from Lewe/ Mudon as examples and start preparing folders with RHCs/SH plan from your township and start entering data available. (in English)•Try and put in M&E baseline for 2010, 2011 &2012

Expectations from GAVI Focal Point•PLANNING & MANAGEMENTRole of HSSO: •HSSOs will be finalizing your HSS assessment and CTHP with central HSSOs in 1st week of February, 2013.•Those who are still computer illiterate, start now in practicing using computer; typing/ data entry/using excel etc

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…•Service Delivery1.Delivering package of service (MCH +EPI + Nutrition + EH) by group of BHS2.Develop micro plan for this service in group at each RHC emphasizing to reach mothers and children from HTR3.Delivering quality of service4.Supporting DA/TA for those activities

Expectations from GAVI Focal Point•Service DeliveryRole of HSSO: •Monitor and supervise the package of services •Check whether they follow their tour program•Check whether they've filled up the data in fields•Sometimes ask the community with your own interest whether there is improvement in quality of service (random)•U1 forms preparation for them to get per-diems and U2 for support for travel

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…•FINANCING1.Hospital Equity Funds for the poor to access2.MVS in Yedashe and later CBHI3.Health Financing Management Skill4.Development of Sub Committee for Funds Management5.Financial Management Guidelines6.Identification of poor (work together with TMO)

Expectations from GAVI Focal Point•FINANCINGRole of HSSO: •Discussing with TMO/staff to get ideas on how to initiate Hospital Equity Funds (write down the discussion points)•Try to ask about THC's activities•Ask permission to attend future THC meeting as observer and to include HSS in agenda and assist TMO in developing meeting minutes; •Ask when will the sub committee for fund management under THC/THSC will be formed and note down the process•Assist TMO with ideas for identification of poor according to guidelines• HSSO Bago Region has to participate in MVS implementation

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…• HUMAN RESOURCE FOR HEALTH1.Financial incentives to BHS for improving service delivery /supervision, monitoring2.Recruitment/Training of AMWs & refresher training3.Recruitment/Training of CHWs & refresher training

Expectations from GAVI Focal Point•Human Resource for HealthRole of HSSO: •Discussing with TMO/staff in identifying AMW/CHW from HTR areas, villages where midwives cannot reach and there is need (15 each for recruitment and training)•If TMO permits, involve in training of CHW/AMW for some parts

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…• Capacity Building for Management & Leadership1.TOT given to HSSOs on M&L & then to BHS2.Improve facilitating skills of BHS3.Improve team building amongst BHS4.Improve knowledge management5.Improve Continuous Personal Professional Development

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…• Capacity Building for Health Systems Research1.TOT given to HSSOs on HSR & then to BHS2.S/R personnel conducting operational research on HSS implementation at respective townships3.Ignite and assist TMO/senior HAs to write proposal for operational research and conduct research (evaluative)

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…• Capacity Building for Evaluation Tools/Others1.TOT given to HSSOs on Evaluation tools & then to BHS2.TOT on coordinated action of 4 programs to HSSOs & then to BHS

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…• Infrastructure1.Constructing new Sub Centers2.Renovating RHCs3.Installing solars4.Identification and prioritization of most needy with TMO/BHS

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…•Supplies & Equipment1.Stock out of ED2.Equipment maintenance3.Need for the coming yearRole: checking for incoming S&E from GAVI HSS

Monitoring use and stock out at all levels

Expectations from GAVI Focal Point• To strengthen the Township Health Systems we have invested in…•DATA QUALITY and SERVICE QUALITY1.HSS assessment- includes for 2 HTR and 1 easy to reachRole of HSSO:

Data quality check whenever you visit RHC/sub RHC and note down

Teach midwives on data quality

Expectations from GAVI Focal PointHSSOs equipped with• Lap Top for M&E and many other inputs/process • If possible open g-mail account in areas where internet is accessible to get contact• Always note down whatever you observe/any progress in your lap top•Monthly report to Division of Planning for progress of work in writing upon the Inputs and process whether following CTHP as planned or not •Be innovative and be accountable and transparent upon your job• Be happy and enjoy your work!!!

Did Your Expectations Changed??• A good Team working well in township• Planning and management capacity improved• M&E indicators improved• BHS work with interest of their own• More participation from THC• Poor people can access to township hospital

for treatment of illnesses• Nice working environment• HSR correcting inputs/process of work• Quarterly meeting and Evaluation-becomes

productive

Plan for HSS Assessments and CTHP in 40 townships

Thank You

Thank You