ccih 2015 devina shah breakout 2a
TRANSCRIPT
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Devina Shah, MPH Jun 27th 2015
Strengthening Health Systems in Kenya: The Garba Tulla HTSP Program
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“John Nash's whole approach involved painting a picture of an idea--not simply stating a few results”. -- Maurice Ewing (risk and strategy consultant, student of John Nash)
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Overview
• Background/Context • Program Interventions • Early results/Lessons
Learned
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Background/Context: Some numbers
Indicator National Isiolo
Total Fertility Rate 3.9 4.9
Contraceptive Prevalence
58%
26.3% (GT: 10.7%)
Unmet Need for Contraception
18%
29.9%
Source: Kenya DHS, 2014
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Background/Context: What does Garba Tulla look like?
Programmatic Activities Focused on all Persons of Reproductive Age
Type Age Range Number of Beneficiaries
WRA 15-49 11,641
Married WRA 15-49 10,791
Men 15-49 21,990
Total Number of Beneficiaries 43,118
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Background/Context: Starting Strong Project
Starting Strong (2012-2017) is a five-year, $2 million Maternal and Child Health and Nutrition (MCHN) initiative privately funded by WV Canada.
• Improved uptake of MCHN services by mothers and their children
• Improved nutrition and WASH practices at community level
• Improved Environment for MCHN services.
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Points of integration to increase utilization for HTSP/FP
• Antenatal care: 73% of women get tetanus toxoid coverage during the fourth antenatal care visit
• Immunization: High immunization coverage (72.6 percent) for fully immunized children under 2
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Early Results
0
50
100
150
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300
2014 Annual Targets Results (March 2014 - May 2015) Jul Aug
Number of community health workers (CHWs) and/or other health providers trained or supported, disaggregated by sex
Capacity Building, Male-FP counseling/services for CHWs Cacacity Building, Female-FP counseling/services for CHWs
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Early Results
0
100
200
300
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800
Jul Aug Sept Oct Nov Dec Jan Feb March April May
Number of community members reached with family planning messages, disaggregated by type of provider
By CHEW (Other service providers in health facilities) By CHVs (Community health workers (CHWs)
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Early Results
0 200 400 600 800 1000 1200 1400 1600 1800
Male condom, MaleMale Sterilization, Male
SDM, MaleEmergency Contraception, Female
Female condom, FemaleFemale Sterilization
Implants, FemaleInjectables, Female
IUD, FemaleFemale Lactational Amenorrhea
Male condom, FemaleOral Contraceptive Pills, Female
Standard Days Method (SDM), Female
# of current users, disaggregated by sex and method
Results (March 2014 - May 2015)
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Early Results
0
200
400
600
800
1000
1200
1400
10-14 15-19 20-24 25+Annual results: March 2014 - May 2015
Number of clients of reproductive age receiving family planning counseling, disaggregated by sex, age
Male Female
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Early Results
0
20
40
60
80
100
120
140
160
Jul Aug Sept Oct Nov Dec Jan Feb March April May
# of clients receiving family planning services integrated into MNCH services at the same location and time, disaggregated by sex
Male Female
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Early Results
0
50
100
150
200
250
300
350
400
Jul Aug Sept Oct Nov Dec Jan Feb March April May
# of clients receiving family planning information integrated into MNCH services at the same location and time, disaggregated by sex
Male Female
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Way Forward for this & next year
• Religious leaders training • Training school teachers and
creating school health clubs to reach adolescents/youth
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Lessons Learned
• The pivotal importance of men in FP
• Increasing Contraceptive Use in conservative rural societies takes time
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Acknowledgements Project Staff: • Cynthia Nyakwama – WV Kenya • Shano Guyo – WV Kenya • Adrienne Allison – WVUS Donors: • USAID • Advancing Partners & Communities