evidence based imnci,vhnd & ri service delivery through health system strengthening in odisha...
DESCRIPTION
About our ongoing project in five high priority districts of Odisha on Health Systems Strengthening through supportive supervisionTRANSCRIPT
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EVID
ENCE-
BASED IM
NCI, VHND A
ND RI S
ERVIC
E
DELIV
ERY T
HROUGH HEA
LTH S
YSTEM
STREN
GTHEN
ING IN
ODIS
HA – AN E
XTERNAL
MONIT
ORING D
EMONSTR
ATION P
ROJECT
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IMNCI
• Integrated Management of Neonatal and Childhood Illnesses
• Management = Assessment, Classification, Treatment, Referral and Appropriate Counseling
• Platform: Home Visits on 1st, 3rd, 7th, 14th, 21st and 28th days after birth
• By Community Health Worker
• Beneficiaries: Children from birth up till 5 years of age
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VHND
• Village Health and Nutrition Day
• Beneficiaries: Pregnant women, lactating mothers, 0 to 3 years children, 3 to 6 years under weight children/sick children, other members of the community with any health complains
• Services Provided: Antenatal check-ups, post-natal check-ups, family planning counseling, health and nutrition education, child health service delivery
• By Community Health Workers
• Fixed Day Programme – Biweekly in each village
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RI
• Routine Immunization
• Beneficiaries: All children within 1 year of age, Pregnant Mothers, Children due for booster doses
• Vaccination provided against six killer diseases
• By Community Health Workers
• Fixed Day Programme – Weekly Once in each Village
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STAKEHOLDERS
1. COMMUNITY-AWARENESS & HEALTH SEEKING
2. HEALTH & FW
3. WCD/ICDS
DUTY & SOCIAL RESPONSIBILITY DUTY & SOCIAL RESPONSIBILITY
D
B
S
F
D
B
S
F
District Level
Managers
ASHA, ANM, HWM
Sector Supervisors
Block Level Managers
DSWO
AWW
Lady Supervisors
CDPO
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STUDY SETTING ODISHA
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STUDY SAMPLE (BASED ON WHO 30 CLUSTER SAMPLING)
Sl. No.
DISTRICT BLOCK SECTOR
1 BOLANGIR 8 8
2 NUAPADA 3 3
3 KORAPUT 8 8
4 NABRANGPUR 7 7
5 MALKANGIRI 4 4
TOTAL 30 30
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STUDY DESIGN
• Baseline (2 months)
• Intervention Phase (1 year)
• Quarterly Analysis (Every Quarter)
• End line (2 months)
• Dissemination of Findings (1 month)
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BASELINE
• Assessment of existing practices and knowledge & opinion of supervisors
• 108 RI Sessions, 118 VHND Sessions, 238 IMNCI Sessions and 84 Supervisors
• Major findings:• Availability of drugs and logistics about 60%• Quality indicators of the three programmes ranged from 20% to
80%• Knowledge of supervisors on components of supervision was
found to be dissatisfactory
• Report Generation and Dissemination
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OUR INTERVENTION
• Supportive Supervision through external monitoring
• Capacity Building of supervisors and data handlers
• Streamlining availability of essential logistics
• Strengthening review at all levels
• Facilitating convergence among stakeholders
• Scaling up best practices
• Innovations
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ACHIEVEMENTS SO FAR
The overall availability of drugs and logistics increased from 60% to 75% -• 2% in availability of hub cutters,
• 5% in examination beds,
• 10% in screens,
• 10% in VHND drugs,
• 28% in six IMNCI drugs
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ACHIEVEMENTS SO FAR
The overall quality indicators improved by 20% • correct needle cutting by 10%,
• proper disposal of immunization waste by 2%,
• abdominal palpation by 5%,
• privacy during examination by 6%,
• communication of danger signs of newborns to parents by 26% and weight recording by 22%
• IMNCI assessment skills improved by 27%; home visits increased by 44% and timely submission of monthly reports improved by 34%.
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WAY FORWARD
• End line survey and report generation
• Documentation of best practices and case studies
• Scientific Writing and Dissemination
• Scale up to other districts
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PROJECT TEAM
Dr. Bhuputra Panda
Principal Investigator
Dr. Gyanaranjan Pradhan PT Mr. Subhrabhanu Panda
State Program Coordinator Regional Coordiantor
Ms. Shatabdi Das Ms. Anindita Pattnaik
Project Officer Project Officer
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THANK YOU