Overview_for_Provincial_Medical_Officers_-_14_Jan_2016.pptx

Overview for Provincial Medical Officers 14 January 2016 Dr. Elijah Sinyinza

SYSTEMS FOR BETTER

HEALTH

Introduction Project duration: Oct 2015 - September 2020 Budget: $ 53,8925,452 Abt Associates is the lead implementer and works with:

Akros (HMIS, DHIS2, M&E and Research) American College of Nurse Midwives (pre- and in-service training) BroadReach Institute for Training and Education (Zambia Management and Leadership Academy) Imperial Health Sciences (supply chain strengthening) Initiatives (systems for community health) Save the Children (nutrition and newborn health) This project is the successor to ZISSP but has many new areas of emphasis

Project Overview Health Systems Strengthening focus:

Human Resources for Health Health Care Financing Management, leadership, and governance Community mobilization and participation Health Program Focus:

MNCH and Nutrition

FP

Adolescent Health

HIV/AIDS

Where will the project work 4 PEPFAR priority provinces and one USAID Feed the Future province Central Copperbelt Eastern Lusaka Southern Districts (to be selected in collaboration with PMOs) 4 districts in each province for a total of 20 districts Work in 2 districts at a time in each province for about 2 years In each district, work intensively in about 15 health facilities and their communities

What will the project do?

Project goal:

Improve health outcomes for Zambians by strengthening systems that underpin the delivery of high quality health services, and Increase the utilization of high-impact health interventions at district and community level

The project will assist provinces and districts to improve health outcome indictors in target districts for:

ART – retention in care (target is 85%) Family planning – contraceptive use (target is10% increase) Child health – full immunization (target is at least 80%) Maternal health – deliveries by medically trained provider (target is 20% increase) Nutrition – reduction in stunting – (target is 15% reduction in five Feed the Future Eastern Province districts with other projects)

How will the project assist the central MOH?

Assist the MOH to shape the strategies for Human Resources for Health (HRH) and health care financing (HCF) for the next 5 years

Embedded program personnel for HRH, HCF, and health program areas will assist the Directorates to strengthen the TWGs Serve as a better forum for coordination between the MOH and its cooperating and implementing partners Increase the focus on implementation of the strategies and Action Plans

Strengthen stewardship of the central ministry in relationship to the provinces through periodic performance review meetings with improved data and visualizations from HMIS and PA or the ScoreCard

How will the project work with provinces and districts?

Begin with a participatory capacity needs assessment to define the specific needs in each location - collaboratively Strengthen the use of performance monitoring and management tools Planning, Performance Reviews, HMIS, Quality Improvement, Performance Assessment, Annual Performance Appraisal Support clinical training or mentoring to strengthen technical skills This training will focus particularly on maternal, newborn, child and adolescent health, family planning, HIV, nutrition – as well as respectful and unbiased care

How will the project work with facilities and communities?

Expand community participation in health planning and quality improvement to foster greater mutual accountability Assist facilities to engage traditional leaders Work with NGOs and CBOs to support behavior change communication and program implementation in communities

Who will support the collaboration with the central MOH?

Propose to embed project personnel in the Central Ministry HRH specialist (HRIS, PMP and APAS, HRHSP, NTOP) Health Finance and Planning Specialist (Health Care Finance Strategy, Social Health Insurance, Resource Mobilization Strategy, Public Financial Management) HMIS Specialist (data dashboards for all programs and all system levels) Quality Improvement Specialist Maternal Newborn Child and Adolescent Health Specialist

The project proposes to embed the following in the PMO’s office Clinical Care Specialist RMNCH Specialist SMGL Provincial Coordinators for Eastern, Southern, and Luapula 1 driver and vehicle

SYSTEMS FOR BETTER

Who will support the collaboration in the province?

Who will support the collaboration in the district?

One Health Systems Specialist per target district Support for planning, performance review meetings, HMIS and data quality, human resources systems, QI, supply chain performance Support for community activities (planning, BCC, traditional leaders, NGO and CBO engagement) SMGL District Coordinator Kabwe, Livingstone, Luangwa, Nyimba, Lundazi 1 Driver and vehicle per district

Grants Grant recipients may include a wide range of entities such as PMOs DMOs NGOs CBOs Informal groups (potentially HCACs and NHCs) Grants will support achievement of project - MOH goals USAID will be providing the project with further guidance on the design and implementation of the grant program

Request for an Appointment A small SBH team proposes to visit the target provinces in the next 2 weeks to discuss selection of the target districts We will provide a simple data analysis based on the district action plans We will ask the PMO team to analyze other factors such as the leadership potential at district level We will reach out on Monday to request an appointment image2.png image1.png