maweni cdf dispensary
DESCRIPTION
MAWENI CDF DISPENSARY. LDP RESULTS WORKSHOP 19TH JUNE, 2012 STRATHMORE UNIVERSITY-NAIROBI. MAWENI CDF DISPENSARY. Click to edit Master text styles Second level Third level Fourth level Fifth level. BACKGROUND INFORMATION. Level 2 facility under Ministry of Public Health and Sanitation - PowerPoint PPT PresentationTRANSCRIPT
LDP RESULTS WORKSHOP
19TH JUNE, 2012STRATHMORE UNIVERSITY-NAIROBI
MAWENI CDF DISPENSARY
Click to edit Master text styles◦ Second level◦ Third level
Fourth level Fifth level
MAWENI CDF DISPENSARY
Level 2 facility under Ministry of Public Health and Sanitation
Located in Mombasa County, Coast Province.
catchment population -10,000 Number of staff- 10
BACKGROUND INFORMATION
Left to right: Fatuma Dume, Elizabeth Nkaduda, Guantai Kariuki, Grace Mwinga, Evans Kitsao
To provide effective leadership and participate in the provision of public health and sanitation services that are equitable, responsive, accessible and accountable to Kenyans.
MOPHS MISSION
A Nation free from preventable diseases and ill health
Facility VisionA community free from deliveries by unskilled birth attendants
MOPHS VISION
Number of deliveries by skilled birth attendants increased from a total of 3 between June and October 2011 to 30 from November to March 2012.
DESIRABLE MEASURABLE RESULT
AOP targets for reproductive health performance were not met
◦Population of women of reproductive age in catchment area 1500 deliveries in facility for 7 months prior to LDP—only 3
◦Low utilization of delivery services
Justification and pre-LDP situation
Obstacles Root Causes• Lack of staff awareness on measurable result • Inaccessibility of facility at night to both staff and clients
• Not all staffs trained on LDP
• Insecurity Due to land disputes
• Delivery by TBAs • Cultural practices• Inadequate equipment and lack of running water
• Lack of funds
Obstacles and Root Causes
How will we increase the number of deliveries by skilled birth attendants from 3 to 30 in six months in light of insecurity, cultural practices and management gaps
Challenge Statement
Community Facility staffs & DMOH CDF Kisauni Provincial Administration National Bank Maweni Secondary School APHIAplus TUPANGE KENYA
STAKEHOLDER S
◦ Sensitize facility staff on measurable result
Priority Actions
Insecurity◦ Approach provincial administration◦ Hold security meeting◦ Increase the number of security patrols
Priority Actions (cont’d)
District Commissioner and Chief at security meeting
Cultural practices◦ Sensitization meetings with TBAs◦ Meeting with CHWs◦ Chiefs baraza
Priority Actions (cont.)
CHWs meeting
Lack of funds◦ Approached National Bank of Kenya for purchase
of delivery couch and additional furniture
Lack of running water◦ Wrote a proposal to the Ministry of Water and
Irrigation for water storage tank◦ Wrote a letter to neighboring school to access
water from their bore hole◦ Wrote a proposal to CDF for connection of water
from school to dispensary
Lack of funds(cont.)
Water Challenge Click to edit Master text
styles◦ Second level◦ Third level
Fourth level Fifth level
BEFORE
AFTER
Increased deliveries by skilled birth attendants
RESULTS/ACHIEVEMENTS
Period Number of deliveries
Apr-Oct 2011 3
Apr 2011-Mar 2012 26
Skilled Delivery Click to edit Master text styles
◦ Second level◦ Third level
Fourth level Fifth level
Supply of delivery equipment
Six Nurses updated on Management of 3rd Stage of Labour
Supply of KEMSA kit
Additional Results
NOV DEC JAN FEB MARCH0
10
20
30
40
50
60
2127
37
57
33
04 6 5
8
DELIVERIESSeries2
WAY FORWARD.COMPARISON BETWEEN DELIVERIES AND BCG.
Increased number of deliveries by skilled birth attendants from a total of 26 by March 2012 to 60 by October 2012
NEXT MEASURABLE RESULT
Commitment and teamwork is crucial to succeed.
Clear statement of measurable result to stakeholders.
KEY LESSONS LEARNT.
USAID/MSH/LMSMOPHSNational Bank of KenyaThe LDP FacilitatorsKisauni CDF OfficeAPHIAplusProvincial AdministrationThe entire Maweni communityMaweni dispensary staff
ACKNOWLEGDEMENT
THANK YOU !
THE END.