ANALYSIS OF PERFORMANCE AND UTILIZATION OF KANGAROO MOTHER CARE FOR PRE-TERM AND LOW BIRTH WEIGHT BABIES

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "ANALYSIS OF PERFORMANCE AND UTILIZATION OF KANGAROO MOTHER CARE FOR PRE-TERM AND LOW BIRTH WEIGHT BABIES"

Transcription

1 ANALYSIS OF PERFORMANCE AND UTILIZATION OF KANGAROO MOTHER CARE FOR PRE-TERM AND LOW BIRTH WEIGHT BABIES DECEMBER 2013 PREPARED FOR MAISHA PROGRAMME BY: NYINISAELI K. PALLANGYO FINAL REPORT

2 ACRONYMS AND ABBREVIATIONS ANC DRCHCO HMT HR LBW MAISHA MNCH MOHSW MOI/C N/A RCHCO RMO RRCHCO SC SC UK SOW TBC 1 ToR TOT URT USAID Antenatal Care District Reproductive and Child Health Coordinator Hospital Management Team Human Resource Kangaroo Mother Care Low Birth Weight Mothers and Infants Safe Healthy Alive District Reproductive and Child Health Coordinator Ministry of Health and Social Welfare Medical Officer In charge Not Applicable Reproductive and Child Health Coordinator Regional Medical Officer Regional Reproductive and Child Health Coordinator Save the Children Save the children-united kingdom Scope of Work Tanzania Broadcasting Corporation One Terms of Reference Training of Trainers United Republic of Tanzania United States Agency for International Development Page i

3 TABLE OF CONTENTS TABLE OF CONTENTS...ii LIST OF TABLES... vi LIST OF FIGURES... viii LIST OF ANNEXES... viii 1. INTRODUCTION BACKGROUND OF THE MAISHA PROGRAM PROGRAM GOAL AND OBJECTIVES PROGRAM AREAS OBJECTIVE OF THE CONSULTANCY ASSIGNMENT SCOPE AND TASKS OF THE CONSULTANCY ASSIGNMENT OVERVIEW OF PERFOMANCE ASSEMENT PROCEDURE SUPERVISION OF THE SUPERVISION TEAM PREPARATION FOR SUPERVISION OF Checklist Re-orientation to the Supervision Checklist Assessment and Grading of a Performance Area General Health Facility Performance Provision of Feedback on Initial Assessment Reporting of Assessment Results PERFORMANCE ASSESSMENT FOR MTWARA REGION BASIC INFORMATION ON MTWARA ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 06th August Second Supervision Visit on 26th June Average Performance from the two Supervision Visits Feedback from the Hospital Management ANALYSIS OF PRE-TERM AND LBW BABIES AT THE MTWARA FACILITY PERFORMANCE ASSESSMENT FOR RUVUMA REGION BASIC INFORMATION ON RUVUMA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 16th March Second Supervision Visit on 15th August Third Supervision Visit on 14th Feb Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE RUVUMA FACILITY PERFORMANCE ASSESSMENT FOR IRINGA REGION BASIC INFORMATION ON IRINGA ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 17th March Second Supervision Visit on 4th June Third Supervision Visit on 11th Feb Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE IRINGA FACILITY Page ii

4 6. PERFORMANCE ASSESSMENT FOR TABORA REGION BASIC INFORMATION ON TABORA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 17th March Second Supervision Visit on 19th June Third Supervision Visit on 14th January Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE TABORA FACILITY PERFORMANCE ASSESSMENT FOR MANYARA REGION BASIC INFORMATION ON MANYARA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 11th May Second Supervision Visit on 24th April Third Supervision Visit on 24th April Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE MANYARA FACILITY PERFORMANCE ASSESSMENT FOR ARUSHA REGION BASIC INFORMATION ON ARUSHA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 11th May Second Supervision Visit on 12th July Third Supervision Visit on 02 nd April Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE ARUSHA FACILITY PERFORMANCE ASSESSMENT FOR KIGOMA REGION BASIC INFORMATION ON KIGOMA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 17th May Second Supervision Visit on 21 st May Third Supervision Visit on 16 th January Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE KIGOMA FACILITY PERFORMANCE ASSESSMENT FOR ZANZIBAR BASIC INFORMATION ON ZANZIBAR UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 23 rd March Second Supervision Visit on 06 th November Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE ZANZIBAR FACILITY PERFORMANCE ASSESSMENT FOR KAGERA BASIC INFORMATION ON KAGERA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 14 th May Second Supervision Visit on 15th November Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE KAGERA FACILITY Page iii

5 12. PERFORMANCE ASSESSMENT FOR MWANZA REGION BASIC INFORMATION ON MWANZA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 02 nd May Second Supervision Visit on 09 th November Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE MWANZA FACILITY PERFORMANCE ASSESSMENT FOR MARA REGION BASIC INFORMATION ON MARA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 07 th May Second Supervision Visit on 12 th November Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE MARA FACILITY PERFORMANCE ASSESSMENT FOR SHINYANGA REGION BASIC INFORMATION ON SHINYANGA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 21 st June Second Supervision Visit on 09 th January Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE SHINYANGA FACILITY PERFORMANCE ASSESSMENT FOR SINGIDA REGION BASIC INFORMATION ON SINGIDA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 14 th June Second Supervision Visit on 13 th December Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE SINGIDA FACILITY PERFORMANCE ASSESSMENT FOR DODOMA REGION BASIC INFORMATION ON DODOMA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 11 th June Second Supervision Visit on 11 th December Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE DODOMA FACILITY PERFORMANCE ASSESSMENT FOR TANGA REGION BASIC INFORMATION ON TANGA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 30th March Second Supervision Visit on 29th January Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE TANGA FACILITY PERFORMANCE ASSESSMENT FOR MBEYA REGION BASIC INFORMATION ON MBEYA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 09th September Page iv

6 Second Supervision Visit on 21 st August Third Supervision Visit on 18 th February Average Performance from the three Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE MBEYA FACILITY PERFORMANCE ASSESSMENT FOR RUKWA REGION BASIC INFORMATION ON RUKWA UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 23rd August Second Supervision Visit on 20 th February Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE RUKWA FACILITY PERFORMANCE ASSESSMENT FOR KILIMANJARO REGION BASIC INFORMATION ON KILIMANJARO UNIT ASSESSMENT FROM SUPERVISION VISITS First Supervision Visit on 26th July Second Supervision Visit on 21 st May Average Performance from the two Supervision Visits ANALYSIS OF PRE-TERM AND LBW BABIES AT THE KILIMANJARO FACILITY PERFORMANCE ASSESSMENT FOR DAR ES SALAAM REGION BASIC INFORMATION ON DAR ES SALAAM UNIT ASSESSMENT FROM SUPERVISION VISITS ANALYSIS OF PRE-TERM AND LBW BABIES AT THE DAR ES SALAAM FACILITY GENERAL PERFORMANCE OF THE 19 HEALTH FACILITIES PROVIDING RANKING OF REGIONAL PERFORMANCES PERFORMANCE PER GRADING CRITERIA PERFORMANCE PER ASSESSMENT AREAS SITE PHYSICAL SETTING SERVICES ARE INSTITUTIONALIZED IN THE FACILITY THE PROVIDER PREPARES THE MOTHER AND BABY FOR THE PROVIDER ENSURES THAT THE BABY IS FED CORRECTLY THE PROVIDER MONITORS THE BABY RECEIVING CORRECTLY INFECTION PREVENTION AND CONTROL PRACTICES ARE ADHERED THE MOTHER & HER FAMILY ARE SUPPORTED THE BABY IS DISCHARGED ACCORDING TO GUIDELINES THE BABY RECEIVES REGULAR FOLLOW UPS RE-ADMISSION CRITERIA FOLLOWED DISCONTINUATION OF BABIES FROM SERVICES ARE KNOWN TO THE COMMUNITY MONITORING AND EVALUATION OF SERVICES ANALYSIS OF DOCUMENTED DATA BEST PERFORMERS IN DATA DOCUMENTATION ADMISSION OF LBW BABIES AT SITES BABIES DISCHARGED FROM WARD DEATH OF BABIES AT SITES Page v

7 24.5. MOTHERS ABSCONDED WITH THEIR PRE-TERM AND LBW BABIES FROM WARD BABIES LOST TO FOLLOW UP PERIOD OF STAY OF BABIES AT SITES CONCLUSION AND RECOMMENDATIONS CONCLUSION RECOMMENDATIONS... Error! Bookmark not defined. LIST OF TABLES Table 1-1: Grading System for Assessment of Performance Area... 5 Table 3-1: Basic Information on Mtwara Unit... 6 Table 3-2: Mtwara Challenges and Agreed Action... 6 Table 3-3: Average Performance for Mtwara Unit... 7 Table 3-4: Information on Newborns including Pre-term and LBW Babies in Mtwara Facility 8 Table 4-1: Basic Information on Ruvuma Unit... 9 Table 4-2: Ruvuma Challenges and Agreed Action Table 4-3: Average Performance for Ruvuma Unit Table 4-4: Information on Newborns including Pre-term and LBW Babies in Ruvuma Facility Table 5-1: Basic Information on Iringa Unit Table 5-2: Iringa Challenges and Agreed Action Table 5-3: Average Performance for Iringa Unit Table 5-4: Information on Pre-term and LBW Babies in Iringa Facility Table 6-1: Basic Information on Tabora Unit Table 6-2: Tabora Challenges and Agreed Action Table 6-3: Average Performance for Tabora Unit Table 6-4: Information on Newborns including Pre-term and LBW Babies in Tabora Facility Table 7-1: Basic Information on Manyara Unit Table 7-2: Manyara Challenges and Agreed Action Table 7-3: Average Performance for Manyara Unit Table 7-4: Information on Newborns including Pre-term and LBW Babies in Manyara Facility Table 8-1: Basic Information on Arusha Unit Table 8-2: Arusha Challenges and Agreed Action Table 8-3: Average Performance for Arusha Unit Table 8-4: Information on Newborns including Pre-term and LBW Babies in Arusha Facility Table 9-1: Basic Information on Kigoma Unit Table 9-2: Kigoma Challenges and Agreed Action Table 9-3: Average Performance for Kigoma Unit Table 9-4: Information on Pre-term and LBW Babies in Kigoma Facility Table 10-1: Basic Information on Zanzibar Unit Table 10-2: Average Performance for Zanzibar Unit Table 10-3: Information on Pre-term and LBW Babies in Zanzibar Facility Page vi

8 Table 11-1: Basic Information on Kagera Unit Table 11-2: Kagera Challenges and Agreed Action Table 11-3: Average Performance for Kagera Unit Table 11-4: Information on Pre-term and LBW Babies in Kagera Facility Table 12-1: Basic Information on Mwanza Unit Table 12-2: Mwanza Challenges and Agreed Action Table 12-3: Average Performance for Mwanza Unit Table 12-4: Information on Newborns including Pre-term and LBW Babies in Mwanza Facility Table 13-1: Basic Information on Mara Unit Table 13-2: Mara Challenges and Agreed Action Table 13-3: Average Performance for Mara Unit Table 13-4: Information on Pre-term and LBW Babies in Mara Facility Table 14-1: Basic Information on Shinyanga Unit Table 14-2: Shinyanga Challenges and Agreed Action Table 14-3: Shinyanga HMT reaction to Outstanding Challenges Table 14-4: Average Performance for Shinyanga Unit Table 14-5: Information on Newborns and LBW Babies in Shinyanga Facility Table 15-1: Basic Information on Singida Unit Table 15-2: Singida Challenges and Agreed Action Table 15-3: Average Performance for Singida Unit Table 15-4: Information on Newborns and Pre-term and LBW Babies in Singida Facility Table 16-1: Basic Information on Dodoma Unit Table 16-2: Dodoma Challenges and Agreed Action Table 16-3: Average Performance for Dodoma Unit Table 16-4: Information on Newborns including Pre-term and LBW Babies in Dodoma Facility Table 17-1: Basic Information on Tanga Unit Table 17-2: Average Performance for Tanga Unit Table 17-3: Information on Newborns including Pre-term and LBW Babies in Tanga Facility Table 18-1: Basic Information on Mbeya Unit Table 18-2: Average Performance for Mbeya Unit Table 18-3: Information on Newborns including Pre-term and LBW Babies in Mbeya Facility Table 19-2: Sumbawanga Challenges and Agreed Action Table 19-2: Average Performance for Rukwa Unit Table 19-3: Information on Newborns including Pre-term and LBW Babies in Rukwa Facility Table 20-2: Average Performance for Kilimanjaro Unit Table 20-3: Information on Newborns including Pre-term and LBW Babies in Kilimanjaro Facility Table 21-1: Basic Information on Dar es Salaam Unit Table 21-2: Performance Assessment for Dar es Salaam Unit Table 21-3: Information on LBW Babies in Dar es Salaam Facility Table 22-1: Overall ranking of health facility performances in the 19 selected regions Page vii

9 Table 22-2: Performance per Grading Criteria Table 23-1: Assessment of Sites Physical Setting Table 23-2: Assessment of Institutionalizing Services in Facility Table 23-3: Assessment in Preparing the Mother and Baby for Table 23-4: Assessment in Ensuring that the Baby is Fed Correctly Table 23-5: Assessment in Provider Monitoring the Baby receive Correctly Table 23-6: Assessment in Adherence to Infection Prevention and Control Practices Table 23-7: Assessment on the Mother and her Family being supported Table 23-8: Assessment in discharging the Baby from the Facility Table 23-9: Assessment on Regular Follow Up to Babies Table 23-10: Assessment on Re-admission Criteria Table 23-11: Assessment on Discontinuation of Babies Table 23-11: Assessment on Awareness of Services Table 23-11: Assessment on Monitoring and Evaluation Table 24-1: Admission of LBW Babies at Sites Table 24-2: Discharge of Babies from Sites Table 24-3: Death of Babies at Sites Table 24-4: Abscondees at Sites Table 24-5: Babies Lost to Follow up Table 24-2: Period of Stay of Babies at Sites LIST OF FIGURES Figure 1-1: Map of the URT Showing Program Areas... 2 LIST OF ANNEXES ANNEX 1: Sample Checklist Page viii

10 1. INTRODUCTION 1.1. BACKGROUND OF THE MAISHA PROGRAM The Mothers and Infants Safe Healthy Alive (MAISHA) Programme is a USAID funded programme with Jhpiego as the lead, working with the Ministry of Health and Social Welfare (MOHSW), Save the Children (SC) and several other partners. Through MAISHA support, SC has taken a lead role in establishing Kangaroo Mother Care () in 19 regional sites in Tanzania. This includes providing technical and materials support, and monitoring the delivery of services and the standard and quality of care for pre-term/low birth weight babies. The implementation of in Tanzania started in July 2009 and was anticipated to end in June 2013 but has been extended to December 2013, to mark the fifth year of funding PROGRAM GOAL AND OBJECTIVES The overall goal of implementation is to contribute towards reduction in newborn deaths due to pre-term complications. The main objective is to support the MOHSW to roll out services in selected regions in Tanzania mainland and Zanzibar through: Awareness raising of hospital management teams to establish their support and ownership of these services Capacity development of health workers for provision of quality services, health system strengthening, including provision of basic supplies, tracking the utilization of services and continuous mentoring of trained staff PROGRAM AREAS In close collaboration with the MoHSW, SC has supported the establishment of sites in 16 selected regional hospitals in Tanzania mainland namely: Mtwara, Arusha, Kilimanjaro, Tanga, Manyara, Iringa, Ruvuma, Rukwa, Mara, Mwanza, Shinyanga, Tabora, Kigoma, Kagera, Singida, Dodoma, two sites at health centre level in Mbeya and Dar-es-Salaam and one in the maternity hospital in Zanzibar. In total, there are 19 sites as shown on the figure below: Page 1

11 Figure 1-1: Map of the URT Showing Program Areas 1.4. OBJECTIVE OF THE CONSULTANCY ASSIGNMENT The specific objectives of this consultancy are to: a) By using statistical tools for analysis and presentation, analyze, interpret and present programme data on utilization of services b) Conduct qualitative / quantitative analysis of the data on performance monitoring for quality improvement and document findings 1.5. SCOPE AND TASKS OF THE CONSULTANCY ASSIGNMENT The Consultant is expected to undertake the following tasks: a) Hold discussions with the MAISHA Programme Manager regarding details of data analysis work before starting the job. b) Meet with the MAISHA Programme Manager to discuss the Consultant ToR and SOW and signing of the contract agreement with the HR team prior to engagement. c) Create a narrative report of the data and formulate conclusion Page 2

12 d) Prepare and submit a draft report of the data on the 10th of December 2013 to the Manager MNCH SCI Tanzania for discussion, comments and further inputs towards final version. e) The data analysis work submitted to Save the Children under this ToR is the property of Save the Children and cannot be submitted, distributed to or used by any other party, unless arranged otherwise; f) The consultant is obligated to work within the required deadlines and be available to Save the Children for comments and corrections. g) The final report should be submitted on the 15th of December 2013 Page 3

13 2. OVERVIEW OF PERFOMANCE ASSEMENT PROCEDURE 2.1. SUPERVISION OF Supervision for for pre-term and low birth weight babies was divided into two parts. First part was the internal supervision done by the leaders of the health facilities and the second part was the external supervision done by supervisors from outside the health facility. Internal supervision was conducted monthly whereas the external supervision was done four times a year (once every quarter). Supervision was done at health facilities providing services and health care providers trained on provision THE SUPERVISION TEAM Internal supervision The internal supervision team comprised of: Medical Officer Incharge Matron Nurse and Doctor in charge of Post natal ward/neonatal ward Nurse Incharge of Labour ward External supervision The external supervision team comprised of supervisors from the following sections: Representative from the Ministry of Health and social welfare Representative from the Region Representative from respective Council Representative from Non-Governmental Organization ( partner) 2.3. PREPARATION FOR SUPERVISION OF Before conducting the supervision, the supervision team prepared the following: schedule/supervision plan set clearly defined objectives communicated to the supervisee and administrative authority of the health facility to be supervised. supervisory tools; checklist, equipment and supplies reviewed previous supervision reports. logistics and other resources Checklist The checklist was the most important tool in the supervision exercise. The checklist was used to assess 13 performance areas. A sample checklist is attached to this report as Annex 1-1 Page 4

14 Re-orientation to the Supervision Checklist The supervision team went through the criterion for verification of the performance areas one by one. If the criterion had been followed, the supervisor would put a tick ( ) on the Yes column a tick ( ) on a No column if the criterion had not been followed Assessment and Grading of a Performance Area A grading system was used to estimate the percentage for Yes for each of the performance areas assessed as shown in the table below: Table 1-1: Grading System for Assessment of Performance Area Assessment Percentage Score Very good Good Weak Less than General Health Facility Performance There were 13 performance areas developed for assessment in each health facility. To get the general performance of each health facility, the following procedure was followed: all scores awarded for each performance area were summed up, the total score was divided by 39, (13 performance areas x 3. Three (3) was the highest score that could be awarded for any given performance area), the result was multiplied by 100 to get a percentage and the overall grading was then concluded as very good, good or weak as per the grading system above Provision of Feedback on Initial Assessment The supervisors provided feedback as soon as they completed the assessment to the health providers who were assessed and to the in-charges of various sections (labour, postnatal and paediatric wards, RCH, store, pharmacy, laboratory, matron/patron and medical officer in-charge). Feedback was provided immediately on performance areas that had been done well by congratulating and encouraging them to keep up. Feedback on poorly done areas was given next with suggestions for improvement provided Reporting of Assessment Results An immediate report summarizing the strengths, major problems or weaknesses, the actions agreed (between the supervisor and health workers supervised) to solve weaknesses, time frame, responsible person to ensure that the problems are solved was prepared and submitted to the management of the hospital, SC and to the MoHSW. Page 5

15 3. PERFORMANCE ASSESSMENT FOR MTWARA REGION 3.1. BASIC INFORMATION ON MTWARA The services in Mtwara region are provided at the Ligula Regional Hospital. The basic information about the facility is as shown in the table below as per records of the last supervision visit. Table 3-1: Basic Information on Mtwara Unit Item Description Name of health facility Ligula Regional Hospital Type of health facility Hospital Location Mtwara Region, Mtwara Urban Ownership Government Number of health providers trained on in the health facility 25: 20 trained by MAISHA, 4 by the Municipal Council and 1 by Ifakara Health Institute Health providers working in unit/ward Health providers followed up after training 2 registered nurses and 1 trained medical attendant 4 registered nurses 3.2. ASSESSMENT FROM SUPERVISION VISITS During the project period, two (2) external supportive supervision visits were done on 06 th August 2012 (during year 4) and on 26 th June 2013 (during year 5). No supervision visits were made in Mtwara during year 1, 2 and First Supervision Visit on 06th August 2012 During the first supervision visit, the following observations were made after assessment of all performance areas of the : Generally the performance of the services was very good, with an overall assessed performance of 87%. There were a few challenges affecting performance of the facility. These challenges and the action agreed to address them are shown in the table below: Table 3-2: Mtwara Challenges and Agreed Action Challenge Action Space limitation resulting to increased rate of mothers seeking early discharge Staffing level; acute shortage of skilled staff affecting most of the hospital departments / sections including the unit Reporting; late submission due to workload of staff (one skilled staff can be allocated to manage maternity ward - postnatal and antenatal including neonatal and unit) Increasing referrals from neighbouring areas that do not practice e.g Likombe The Medical Officer In charge (MOI/C) to create more space for by breaking an existing wall The MOI/C to liaise with the Municipality for a possible solution The MOI/C to solve this and ensure the computer is working properly The MOI/C to liaise with the Municipality for a possible solution Page 6

16 The population surrounding the regional hospital has not been sensitized on services Second Supervision Visit on 26th June 2012 During the second supervision visit, the following observations were made: Generally the performance of the services was still very good, with an overall assessed performance of 100%. Some challenges identified during the first supervision visit were being addressed while others still remained un-addressed: o Space limitation was still a problem although the HMT had increased the occupancy from 4 to 6 beds. o Staffing level was still not good o Reporting was slowly improving o Increasing referrals from neighbouring areas was still a challenge Average Performance from the two Supervision Visits The Mtwara unit scored an average performance of 94% as shown in the table below: Table 3-3: Average Performance for Mtwara Unit No. Performance Area 1st Visit 2nd Visit Average 1 physical setting services are institutionalized in the facility The provider prepares the mother and the baby for The provider ensures that the baby is fed correctly The provider monitors the baby receiving correctly Infection prevention and control practices are adhered The mother of the baby receiving and her family are supported The baby is discharged from the facility according to guidelines The baby receives regular follow ups readmission criteria Discontinuation of babies from services are known to the community Monitoring and evaluation of services Total Score Percentage 87% 100% 94% Feedback from the Hospital Management Internal supervisors appreciated the supervision visits done by SC jointly with the MoH, which they said were very supportive and educative. The hospital team confirmed to the team of external supervisors that they are able to continue and sustain the initiative by themselves. The team is also committed to addressing performance areas found with weaknesses. The hospital team suggested a refresher training / orientation on for the QI team before they perform quality assessment exercise of the hospital services. Page 7

17 3.3. ANALYSIS OF PRE-TERM AND LBW BABIES AT THE MTWARA FACILITY During the project period, 1,515 newborn babies were admitted at the neonatal and/or the postnatal wards. Out of this, 841(56%) were admitted in the ward. Out of those admitted in the ward, 79% were discharged successfully, 5% died, 4% absconded while 2% were lost to follow up as shown in the table below. Table 3-4: Information on Newborns including Pre-term and LBW Babies in Mtwara Facility Description Consolidated Percentage Remarks figures from Aug 2009 to Nov 2013 Newborn Admitted in 1,515 N/A Neonatal/postnatal ward LBW admitted in neonatal/postnatal ward 539 N/A emphasis is on admission to unit LBW babies admitted in ward % of total new born babies admitted at the facility Total LBW babies 1,380 91% of total new born babies admitted at the facility LBW babies discharged from ward % of LBW babies admitted in LBW babies died in 39 5% of LBW babies admitted in LBW babies absconded from ward 34 4% of LBW babies admitted in LBW babies who are lost to follow 14 2% of LBW babies admitted in Average days of stay in ward 5 N/A From the above analysis of information collected from the Mtwara site, 92 (10%) of babies admitted in the ward are not accounted for. This shows that the site does not keep proper records of services. It is also evident that there is need for services in the region as 1,380 babies (91%) out of the 1515 new born babies were pre-term and LBW babies. Page 8

18 4. PERFORMANCE ASSESSMENT FOR RUVUMA REGION 4.1. BASIC INFORMATION ON RUVUMA UNIT The services in Ruvuma region are provided at the Songea Regional Hospital. The basic information about the facility is as shown in the table below as per records of the last supervision visit. Table 4-1: Basic Information on Ruvuma Unit Item Description Name of health facility Songea Regional Hospital Type of health facility Hospital Location Songea Region, Songea Urban Ownership Government Number of health providers trained 23: 21 health workers and 2 master trainers) on in the health facility Health providers working in unit/ward Health providers followed up after training 4.2. ASSESSMENT FROM SUPERVISION VISITS 4 2 During the project period, three (3) external supervision exercises were done on 16 th March 2011(during year 3), 15 th August 2012 (during year 4) and on 14 th Feb 2013 (during year 5). No supervision visits were done in Ruvuma during year 1 and First Supervision Visit on 16th March 2011 The objective of the first supervision visit in Ruvuma was to: 1. Assess if quality services were being implemented 2. Assess if equipments supplied by SC are well utilized 3. Identify challenges faced and solutions for improvements 4. Provide support and mentoring to the gaps identified. Location and setting of the unit The unit was within post natal ward, with 6 beds capacity and enough space for nurse s duty station within the centre. Warm, well ventilated but needs renovation. No toilets were in the room or running water to wash hands for infection control. The room did not meet standards, however it was reported that the site was established as a temporary measure, awaiting relocation to a new maternity ward under construction Implementation Found 3 mothers in the ward, one of them practicing but 2 of them not. One among the 2 had twins both lying on bed and came for follow up. Register well utilized. Contact mobile phone numbers of mothers discharged from the site were recorded. Observations on feeding and counselling techniques done, some improvement on guiding mothers needed. Page 9

19 Utilization of Equipments Wall thermometer and digital scale in place and in good working condition. A manual operated weighing scale to supplement the digital one when need arises was in place. Low reading thermometers are still out of stock at the medical stores department Gaps and Challenges Lack of supervisory skills training will be conducted this year, will be considered during training of health workers from the new regions No schedule for on duty personnel or maternity organization chart (In charge of Maternity, person) - Advised to have a schedule in the ward Shortage of skilled personnel Mothers don t turn up for follow up due to long distance from their homes to the hospital Some mothers abscond due to lack of food or money to buy food as they come from far. The hospital doesn t provide food Remarks from the team at Ruvuma Requested for training to district health providers at all levels to enable follow up of those who default on follow-up visits Requested for more health workers to be trained on to increase knowledge and skills hence improve quality of services provided. Suggestions from the Visiting Team: The visiting team however advised them to: Do on the job training those trained on to train others Encourage mothers on continuous skin to skin Conduct community awareness on method to gain support. The visiting team suggested that they will also increase the frequency of supportive supervision and mentoring Second Supervision Visit on 15th August 2012 During the second supervision visit, the following observations were made after assessment of all performance areas of the : Generally the performance of the services was very good, with an overall assessed performance of 97%.The hospital management has given great support to services and the team working in unit was very committed, ensuring that the services delivered were at the required standard. There were a few challenges affecting performance of the facility. These challenges and the action agreed to address them are shown in the table below: Page 10

20 Table 4-2: Ruvuma Challenges and Agreed Action Challenge Action Due to the increasing demand for services, the present space was not adequate Mothers seek for early discharge due to social problem Lack of awareness resulting to poor or no support to mothers from family members Mothers lost for follow up due to distance or social problems The hospital management would make efforts to secure funds from different sources, part of it would be used to expand the room for services The team needs to conduct continuous awareness creation and counseling to both parents The hospital management and the team needs to conduct continuous awareness creation and counseling to both parents The hospital management to provide air time to the MOI/C and the matron for communication to trace and/or remind mothers lost for follow up Third Supervision Visit on 14th Feb 2013 During the third supervision visit, the following observations were made: Generally the performance of the services was still very good, with an overall assessed performance of 100%. The performance was impressing and they had done very well in most of the key performance areas. Most of the performance areas found with gaps during the second supervision visits had been dealt with: o In two occasions the team had done awareness creation, advocacy on services through media. On 13 th Feb 2013 they were visited by the media (TBC 1 and Mwananchi newspaper) accompanied by a visitor from SC UK. The visitor wanted to learn more about and provided gifts to the mothers for their babies. o The team had put in place a workable mechanism of tracking mothers lost to follow up by involving other health facilities within and outside Songea Municipality. o Space limitation was still a challenge. Efforts by the hospital management to secure funds from external sources did not work as expected. However, there were little funds that have secured for renovation of the toilets. o Mothers seeking early discharge due to social problem were still a challenge and awareness creation was required. Mothers at the unit had good access to current news from a radio donated by one nurse working at the unit (Marcelina Wella). The hospital management was providing continuous support for provision of quality e.g. giving extra duty allowance for nurses working extra hours; this had really motivated the staff. Page 11

21 Checklist for assessment had not been prepared Analysis of Performance and Utilization of Kangaroo Mother Care for Pre-term and Low Birth Weight Babies Average Performance from the three Supervision Visits During the first visit, the checklist for assessment of performance areas from the MOHSW was not ready. It was ready during the second and third visits. Based on the last two visits, the Ruvuma unit scored an average performance of 99% as shown in the table below: Table 4-3: Average Performance for Ruvuma Unit No. Performance Area 1st Visit 1 physical setting 2nd 3rd Average Visit Visit services are institutionalized in the facility The provider prepares the mother and the baby for The provider ensures that the baby is fed correctly The provider monitors the baby receiving correctly 6 Infection prevention and control practices are adhered 7 The mother of the baby receiving and her family are supported 8 The baby is discharged from the facility according to guidelines 9 The baby receives regular follow ups readmission criteria Discontinuation of babies from services are known to the community Monitoring and evaluation of services Total Score Percentage 0% 97% 100% 99% 4.3. ANALYSIS OF PRE-TERM AND LBW BABIES AT THE RUVUMA FACILITY During the project period, 1,978 newborn babies were admitted at the neonatal and/or the postnatal wards. Out of this, 768(39%) were admitted in the ward. Out of those admitted in the ward, 69% were discharged successfully, 8% died, 3% were absconded while 10% were lost to follow as shown in the table below. Table 4-4: Information on Newborns including Pre-term and LBW Babies in Ruvuma Facility Description Consolidated figures from Aug 2009 to Nov 2013 Percentage Remarks Newborn Admitted in 1,978 N/A Neonatal/postnatal ward LBW admitted in neonatal/postnatal ward 602 N/A emphasis is on admission to unit LBW babies admitted in ward % of total new born babies admitted at the facility Total LBW babies 1,370 69% of total new born babies admitted at the facility LBW babies discharged from ward % of LBW babies admitted in LBW babies died in 61 8% of LBW babies admitted in Page 12

22 LBW babies absconded from ward LBW babies who are lost to follow Average days of stay in ward 22 3% of LBW babies admitted in 75 10% of LBW babies admitted in 7 N/A Just like for Mtwara region, 80 (10%) of babies admitted in the Ruvuma unit are not accounted for. This shows that the site does not keep proper records of services. It is also evident that there is need for services in the region as 1,370 babies (69%) out of the 1978 new born babies were pre-term and LBW babies. Page 13

23 5. PERFORMANCE ASSESSMENT FOR IRINGA REGION 5.1. BASIC INFORMATION ON IRINGA The services in Iringa region are provided at the Iringa Regional Hospital. The basic information about the facility is as shown in the table below as per records of the last supervision visit: Table 5-1: Basic Information on Iringa Unit Item Description Name of health facility Iringa Regional Hospital Type of health facility Hospital Location Iringa Region, Iringa Urban Ownership Government Number of health providers trained on in the health facility 21: 20 health workers have formal training, and 1 master trainer Health providers working in unit/ward Health providers followed up after training 5.2. ASSESSMENT FROM SUPERVISION VISITS 1 4 During the project period, three (3) external supervision exercises were done on 17 th March 2011(during year 3), 04 th June 2012 (during year 4) and on 11 th Feb 2013 (during year 5). No supervision visits were done in Iringa during year 1 and First Supervision Visit on 17th March 2011 The objective of the first supervision visit in Iringa was to: 1. Assess if quality services were being implemented 2. Assess if equipments supplied by SC are well utilized 3. Identify challenges faced and solutions for improvements 4. Provide support and mentoring to the gaps identified. Location and setting of the unit There were 2 small rooms located in Maternity ward. The rooms had 2 beds each, minimal warmth and too small for a heater provided by SC. The rooms had containers for water to wash hands to prevent infection but had no water neither soap The rooms did not meet standards Construction of a maternity ward was in plan, when ready the site would be shifted Implementation During the visit, mothers were in the ward, some with babies in position, but some not. Observations on feeding and counselling techniques for quality service implementation was not done, the focal person was assisting the doctor on a major round Page 14

24 Poor recording of data Poor filing system Utilization of Equipments Wall thermometer to monitor room temperature was not utilized. Challenges Lack of supervisory skills; training would be conducted in the same year during training of health workers from the new regions Shortage of skilled staff Mothers do not turn up for follow up due to long distance from their homes to the hospital Remarks from the visiting team The team gave a feedback to the hospital matron. The matron promised to deal with the problems identified The team advised on the job training those trained on to train others The team encourage mothers on continuous positioning babies skin to skin The team advised the health workers to continue with Community awareness on method to gain support. The visiting team committed themselves to increase the frequency of supportive visits if budget allowed Second Supervision Visit on 4th June 2012 During the second supervision visit, the following observations were made after assessment of all performance areas of the : General performance of the unit was improving compared to the situation observed during the first visit on 17 th March The overall assessed performance was rated at 79% although cleanliness of rooms was not being observed. There were a few challenges affecting performance of the facility. These challenges and the action agreed to address them are shown in the table below: Table 5-2: Iringa Challenges and Agreed Action Challenge Action Space limitation In charge of Paediatric ward, Sr. Joyce Mbamba to make a close follow up Lack of feeding tubes and graduated cups Focal person to continue improvising cups for feeding Lack of support from HMT- trained staff on Matron to ensure that at least two trained staff are not allocated to unit allocated to work at site during reshuffle Communication gap between staff and HMT. staff were not aware of the visit The community not well informed on concept as a result of this men are reluctant to provide support to their wives enrolled at units HMT to address and look for appropriate solution on the existing communication gap HMT to ensure that concept reaches the community through local media Page 15

25 Checklist for assessment had not been prepared Analysis of Performance and Utilization of Kangaroo Mother Care for Pre-term and Low Birth Weight Babies Hospital not providing food to all patients as a result of this, patients with no support from relatives are not willing to continue with Mothers lost for follow up due to distance and lack of bus fare Shortage of staff and lack of commitment to implement quality focal persons to be proactive in providing names of mother who require food assistance through the existing system HMT to set a mechanism for tracing mothers who are lost to follow up (example providing airtime to focal persons) to be integrated into other hospital services, and be recognized Third Supervision Visit on 11th Feb 2013 During the third supervision visit, it was observed that communication gap still continued to exist with internal supervisors not being informed about the supervision visits on time by the hospital management. General cleanliness of the rooms, adherence to infection prevention and control guidelines were also not being observed. Lack of public awareness on concept, staffing issues and poor follow up on mothers still persist. There is need for commitment by the hospital management to support services in order for quality services in the region to be realized. The overall assessment had however improved to 92% compared to the previous assessment of 79%. The visiting team, however, are of the opinion that the rated performance of 92% did not represent the actual situation on the ground Average Performance from the three Supervision Visits During the first visit, the checklist for assessment of performance areas from the MOHSW was not ready. It was ready during the second and third visits. Based on the last two visits, the Iringa unit scored an average performance of 85% as shown in the table below: Table 5-3: Average Performance for Iringa Unit No. Performance Area 1st Visit 1 physical setting 2 services are institutionalized in the facility 3 The provider prepares the mother and the baby for 4 The provider ensures that the baby is fed correctly 5 The provider monitors the baby receiving correctly 6 Infection prevention and control practices are adhered 7 The mother of the baby receiving and her family are supported 8 The baby is discharged from the facility according to guidelines 9 The baby receives regular follow ups 10 readmission criteria 11 Discontinuation of babies from 12 services are known to the community 13 Monitoring and evaluation of services 2nd 3rd Visit Visit Average Total Score Percentage 77% 92% 85% Page 16

26 5.3. ANALYSIS OF PRE-TERM AND LBW BABIES AT THE IRINGA FACILITY During the project period, 2,808 newborn babies were admitted at the neonatal and/or the postnatal wards. Out of this, 856 (30%) were admitted in the ward. Out of those admitted in the ward, 68% were discharged successfully, 3% died, 0% absconded while 3% were lost to follow up as shown in the table below. Table 5-4: Information on Pre-term and LBW Babies in Iringa Facility Description Consolidated Percentage Remarks figures from Aug 2009 to Nov 2013 Newborn Admitted in 2,808 N/A Neonatal/postnatal ward LBW admitted in neonatal/postnatal ward 657 N/A emphasis is on admission to unit LBW babies admitted in ward % of total new born babies admitted at the facility Total LBW babies 1,513 54% of total new born babies admitted at the facility LBW babies discharged from ward % of LBW babies admitted in LBW babies died in 28 3% of LBW babies admitted in 4 0% of LBW babies admitted in LBW babies absconded from ward LBW babies who are lost to follow 25 3% of LBW babies admitted in Average days of stay in ward 7 N/A From the results above, 218 (26%) of babies admitted in the Iringa unit are not accounted for. This shows that the site does not keep proper records of services. There is demand for services in the region as almost half (54%) of newborn babies were Pre-term and LBW. Page 17

27 6. PERFORMANCE ASSESSMENT FOR TABORA REGION 6.1. BASIC INFORMATION ON TABORA UNIT The services in Tabora region are provided at the Kitete Regional Hospital. The basic information about the facility is as shown in the table below as per records of the last supervision visit: Table 6-1: Basic Information on Tabora Unit Item Description Name of health facility Kitete Regional Hospital Type of health facility Hospital Location Tabora Region, Tabora Urban Ownership Government Number of health providers trained 22: 20 health workers, 2 master trainers on in the health facility Health providers working in unit/ward Health providers followed up after training 6.2. ASSESSMENT FROM SUPERVISION VISITS 2 0 During the project period, three (3) external supervision exercises were done on 20 th May 2011(during year 3), 19 th June 2012 (during year 4) and on 14 th January 2013 (during year 5). No supervision visits were done in Tabora during year 1 and First Supervision Visit on 17th March 2011 During the first supervision visit in Tabora, it was observed that the unit was not performing well and there was no commitment and support from the hospital management. It was also observed that there was a serious gap between the hospital management and staff. Record keeping was also observed to be poor. After assessment of all performance areas, the unit scored 51% overall performance Second Supervision Visit on 19th June 2012 During the second visit, it was observed that there was a great improvement in providing services compared to the previous assessment done on 20th May The room was found clean and neat. Although the staff at the site had not received any formal training, with the little knowledge they had got through peers had helped them to make notable changes in the unit. After assessment of all performance areas, the unit scored 85% overall performance compared to 51% in the first visit. There were a few challenges affecting performance of the facility. These challenges and the action suggested to address them are shown in the table below: Page 18

28 Table 6-2: Tabora Challenges and Agreed Action Challenge Action The food provided by the hospital was not sufficient and was also not of good quality Most of the staff were not oriented on basic concepts Space limitation for services Staff rotation affect quality of service and the overall implementation The hospital management to be consulted on the provision of quality and sufficient food for patients including mothers in unit who have no relatives or come from far. Implementation of services needs to be institutionalized (orient more staff during continuing education sessions) and use of media for mass communication to be integrated into other hospital services, and be recognized Matron to ensure that staff trained on are retained in the unit Third Supervision Visit on 14th January 2013 During the third visit, performance dropped suddenly from 85% to 43%. The team seemed to have no training on services. From their assessment, the external supervisors concluded that the staff received little support from the hospital management. A discussion to analyze the situation and identify factors that contributed to declining performance was held with the MOI/C. The HMT agreed with the assessment results of the external supervisors and committed themselves to: Allocate 2 trained personnel to manage the unit and work in collaboration with the trainers (Dr. Ikandilo and the RCHCO Ms. Mbago) Ensure that documentation of pre-term data and reporting is done appropriately and timely Conduct internal supervision of the unit as per the MoHSW guidelines Average Performance from the three Supervision Visits Based on the three visits, the Tabora unit scored an average performance of 60% as shown in the table below: Table 6-3: Average Performance for Tabora Unit No. Performance Area 1st Visit 2nd Visit 3rd Visit Average 1 physical setting services are institutionalized in the facility The provider prepares the mother and the baby for The provider ensures that the baby is fed correctly The provider monitors the baby receiving correctly Infection prevention and control practices are adhered The mother of the baby receiving and her family are supported The baby is discharged from the facility according to guidelines The baby receives regular follow ups readmission criteria Page 19

SIGNALLING POINT CODES

SIGNALLING POINT CODES TANZANIA COMMUNICATIONS REGULATORY AUTHORITY SIGNALLING POINT CODES PLANS AND ASSIGNMENTS JUNE, 2007 1 1.0 SIGNALING POINT CODES 1.1 Introduction The Signaling Point Codes (SPC) are used in the CCITT No.7

More information

Financial Access Points:

Financial Access Points: GIS Census of Financial Access Points Highlights 2014 Census of Financial Access Points Financial Access Point Census Tanzania The Financial Sector Deepening Trust (FSDT) has completed the second round

More information

MALARIA STATUS IN TANZANIA MAINLAND: AN OVERVIEW NATIONAL MALARIA FORUM- 25 TH APRIL 2014.

MALARIA STATUS IN TANZANIA MAINLAND: AN OVERVIEW NATIONAL MALARIA FORUM- 25 TH APRIL 2014. MALARIA STATUS IN TANZANIA MAINLAND: AN OVERVIEW NATIONAL MALARIA FORUM- 25 TH APRIL 2014. 1 Presentation Outline: Overview Intervention scale up/achievements Current malaria epidemiologic profile and

More information

Establishment of REA/REF and Available Financing Opportunities for Rural Energy Projects Paper Presented on:

Establishment of REA/REF and Available Financing Opportunities for Rural Energy Projects Paper Presented on: RURAL ENERGY AGENCY (REA) Establishment of REA/REF and Available Financing Opportunities for Rural Energy Projects Paper Presented on: Workshop on Sustainable Access to Sustainable Energy Uhuru Hostel,

More information

An Approach to ICT based school education in Tanzania JP Senzige and K. Sarukesi, The Institute of Finance Management, Tanzania

An Approach to ICT based school education in Tanzania JP Senzige and K. Sarukesi, The Institute of Finance Management, Tanzania 1 An Approach to ICT based school education in Tanzania JP Senzige and K. Sarukesi, The Institute of Finance Management, Tanzania Abstract Introduction of Information and Communication Technology (ICT)

More information

LEGAL SERVICES FACILITY EVERY DAY JUSTICE FOR EVERY DAY PROBEMS IMPROVED QUALITY, CAPACITY AND SUSTAINABILITY OF DISTRICTS PARALEGAL SERVICES

LEGAL SERVICES FACILITY EVERY DAY JUSTICE FOR EVERY DAY PROBEMS IMPROVED QUALITY, CAPACITY AND SUSTAINABILITY OF DISTRICTS PARALEGAL SERVICES LEGAL SERVICES FACILITY EVERY DAY JUSTICE FOR EVERY DAY PROBEMS IMPROVED QUALITY, CAPACITY AND SUSTAINABILITY OF DISTRICTS PARALEGAL SERVICES The Secretariat of the Legal Services Facility (LSF) is inviting

More information

ADAPTING SOCIAL WORK TRAINING PROGRAMS TO ESTABLISH NEW CADRES OF SOCIAL WORKERS, PARA SOCIAL WORKERS AND SOCIAL WORK ASSISTANTS

ADAPTING SOCIAL WORK TRAINING PROGRAMS TO ESTABLISH NEW CADRES OF SOCIAL WORKERS, PARA SOCIAL WORKERS AND SOCIAL WORK ASSISTANTS ADAPTING SOCIAL WORK TRAINING PROGRAMS TO ESTABLISH NEW CADRES OF SOCIAL WORKERS, PARA SOCIAL WORKERS AND SOCIAL WORK ASSISTANTS SOCIAL WELFARE WORKFORCE STRENGTHENING CONFERENCE 15-18 NOVEMBER 2010 Ms.

More information

CHAPTER 5. Tanzania Education Sector Analysis 203

CHAPTER 5. Tanzania Education Sector Analysis 203 CHAPTER 5 EQUITY IN SCHOOLING In order to achieve long-term sustainability, the development of education systems must integrate the important equity dimension. Indeed, equity becomes a pillar of the analysis

More information

NATIONAL HEALTH INSURANCE FUND

NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH INSURANCE FUND MEDICAL EQUIPMENT AND FACILITY IMPROVEMENT LOANS PROGRAM 1.0 INTRODUCTION The Medical Equipment and Facility Improvement Loans program is the deliberate efforts by the to

More information

THE UNITED REPUBLIC OF TANZANIA Ministry of Industry and Trade. Investment Guide to the Textile and Garment Sub-sector

THE UNITED REPUBLIC OF TANZANIA Ministry of Industry and Trade. Investment Guide to the Textile and Garment Sub-sector THE UNITED REPUBLIC OF TANZANIA Ministry of Industry and Trade E VELOPME DE N T IT UN TEX TI L Investment Guide to the Textile and Garment Sub-sector TANZANIA MINISTERIAL FOREWORD Dr. Abdallah Omari Kigoda,

More information

Specialised care for your baby

Specialised care for your baby Specialised care for your baby Summary Neonatal Intensive Care Units (NICUs) provide care for babies who need special treatment for critical illnesses in the first few weeks and months of life. Special

More information

NICU. St Peter s Hospital Guildford Road Chertsey Surrey

NICU. St Peter s Hospital Guildford Road Chertsey Surrey NICU Trust Address St Peter s Hospital Guildford Road Chertsey Surrey Postcode KT16 0PZ Telephone Number 01932722667 Type of Placement Neonatal Profile of Area A level 3 Neonatal Intensive Care Unit comprising

More information

Ministry of Health and Social Welfare. Assessment of the Pharmaceutical Human Resources in Tanzania and

Ministry of Health and Social Welfare. Assessment of the Pharmaceutical Human Resources in Tanzania and Ministry of Health and Social Welfare Assessment of the Pharmaceutical Human Resources in Tanzania and The Strategic Framework 2 Assessment of pharmaceutical human resource in Tanzania Ministry of Health

More information

THE TANZANIAN NATIONAL SEA LEVEL REPORT

THE TANZANIAN NATIONAL SEA LEVEL REPORT 2 May 2006 THE TANZANIAN NATIONAL SEA LEVEL REPORT Shigalla Mahongo 1 & Omar Issa Khamis 2 1 Tanzania Fisheries Research Institute P.O. Box 9750, Dar es Salaam, Tanzania Tel: +255 22 2650045; Fax: +255

More information

GUIDELINES FOR HOSPITALS WITH NEONATAL INTENSIVE CARE SERVICE : REGULATION 4 OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1. These Guidelines serve as a guide

More information

Scottish Maternity Care Survey 2015 Results for St Johns Hospital

Scottish Maternity Care Survey 2015 Results for St Johns Hospital Results for December, Official Statistics Contents Page Introduction 3 Explanation of Results 5 Summary of Results 7 Chapter 1: Rated Results 1.1 Rated Results - Antenatal Care 8 1.2 Rated Results - Labour

More information

NATIONAL NUMBERING PLAN

NATIONAL NUMBERING PLAN UNITED REPUBLIC OF TANZANIA TANZANIA COMMUNICATIONS REGULATORY AUTHORITY NATIONAL NUMBERING PLAN And List of Numbering Resource Assignments (United Republic of Tanzania) Issued by: Director General, Tanzania

More information

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services.

Job Description MEDICAL SERVICES. 2. To provide appropriate and timely advice and assistance to the Acute Care Services. Job Description POSITION: PHYSICIAN RESPONSIBLE TO: CLINICAL DIRECTOR, MEDICAL SERVICES PRINCIPAL OBJECTIVES: 1. To provide medical services to the community served by the South Canterbury District Health

More information

FACT SHEET MATERNAL AND CHILD HEALTH

FACT SHEET MATERNAL AND CHILD HEALTH FACT SHEET MATERNAL AND CHILD HEALTH Tanzania s Progress in Maternal and Child Health Tanzania has made considerable progress in the reduction of child mortality. Under-five mortality rates continue to

More information

The practice of medicine comprises prevention, diagnosis and treatment of disease.

The practice of medicine comprises prevention, diagnosis and treatment of disease. English for Medical Students aktualizované texty o systému zdravotnictví ve Velké Británii MUDr Sylva Dolenská Lesson 16 Hospital Care The practice of medicine comprises prevention, diagnosis and treatment

More information

Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT. Performance Review Unit

Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT. Performance Review Unit Anaesthetics, Pain Relief & Critical Care Services Follow-Up Study REGIONAL REPORT Performance Review Unit CONTENTS page I INTRODUCTION... 2 II PRE-OPERATIVEASSESSMENT... 4 III ANAESTHETIC STAFFING AND

More information

PLYMOUTH HOSPITALS NHS TRUST

PLYMOUTH HOSPITALS NHS TRUST PLYMOUTH HOSPITALS NHS TRUST Job Group: Ward Clerks Job Title: Ward Clerk Grade: Band 2 Directorate/Division: Medical Specialities Unit: Derriford Hospital e.g., Department, Area, District Location: Level

More information

Continuing Medical Education in Eritrea : Need for a System

Continuing Medical Education in Eritrea : Need for a System Original Articles Continuing Medical Education in Eritrea : Need for a System Abdullahi M. Ahmed 1, Besrat Hagos 2 1. International Centre for Health Management, Istituto Superiore di Sanita, ` Rome, Italy

More information

Results Based Financing Initiative for Maternal and Neonatal Health Malawi

Results Based Financing Initiative for Maternal and Neonatal Health Malawi Results Based Financing Initiative for Maternal and Neonatal Health Malawi Interagency Working Group on Results-Based Financing Meeting in Frankfurt/ Germany 7 th May 2013 Dr Brigitte Jordan-Harder MD

More information

Evaluation of the introduction and usage of chlorhexidine in selected facilities in Liberia

Evaluation of the introduction and usage of chlorhexidine in selected facilities in Liberia Evaluation of the introduction and usage of chlorhexidine in selected facilities in Liberia February 2014 Report compiled by Anne-Marie Bergh 1 in collaboration with Josephine Wachekkwa 2 and Dr. Olusola

More information

Implementing Community Based Maternal Death Reviews in Sierra Leone

Implementing Community Based Maternal Death Reviews in Sierra Leone Project Summary Implementing Community Based Maternal Death Reviews in Sierra Leone Background Sierra Leone is among the poorest nations in the world, with 70% of the population living below the established

More information

FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION

FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION POSITION TITLE: ACUTE CARE NURSE MANAGER REPORTS TO: DIRECTOR OF PATIENT CARE SERVICES DATE: AUGUST 2010 I. POSITION SUMMARY: The Nurse Manager is responsible

More information

Executive Summary MNCH in Rwanda Western University

Executive Summary MNCH in Rwanda Western University Executive Summary MNCH in Rwanda Western University 2012-2015 For approximately 15 years, Western University has been working in the health sector in Rwanda in partnership with the Kigali Health Institute,

More information

World Breastfeeding Week (WBW) 1-%7 August 2016

World Breastfeeding Week (WBW) 1-%7 August 2016 World Breastfeeding Week (WBW) 1-%7 August 2016 Breastfeeding: A Key to Sustainable Development WBW Annual Survey Summary Survey Content Baby Friendly Hospital Initiative Hong Kong Association (BFHIHKA)

More information

NEONATAL INTENSIVE CARE UNIT. Author: Divisional Manager and Divisional Nurse, Children & Women

NEONATAL INTENSIVE CARE UNIT. Author: Divisional Manager and Divisional Nurse, Children & Women AGENDA ITEM 4.4 NEONATAL INTENSIVE CARE UNIT Executive Lead: Deputy Chief Executive/Director of Planning Author: Divisional Manager and Divisional Nurse, Children & Women Contact Details for further information:

More information

Assessment findings of the functionality of Community Health Funds in Misenyi, Musoma Rural, and Sengerema districts

Assessment findings of the functionality of Community Health Funds in Misenyi, Musoma Rural, and Sengerema districts DISSEMINATION WORKSHOP REPORT Assessment findings of the functionality of Community Health Funds in Misenyi, Musoma Rural, and Sengerema districts SEPTEMBER 2014 This technical report was prepared by University

More information

Emergency Department Short Stay Units

Emergency Department Short Stay Units Policy Directive Emergency Department Short Stay Units Document Number PD2014_040 Publication date 13-Nov-2014 Functional Sub group Clinical/ Patient Services - Critical care Ministry of Health, NSW 73

More information

Monthly report of Nurse and Midwifery Staffing Levels May 2014. Kathryn Halford, Director of Nursing

Monthly report of Nurse and Midwifery Staffing Levels May 2014. Kathryn Halford, Director of Nursing ENC 7 Meeting Trust Board Date 2 nd July 2014 Title of Paper Lead Director Author Monthly report of Nurse and Midwifery Staffing Levels May 2014 Kathryn Halford, Director of Nursing Kathryn Halford, Director

More information

Infant feeding policy (health visiting)

Infant feeding policy (health visiting) Infant feeding policy (health visiting) Policy Reference 030114 Date of issue: March 2014 Prepared by: Karen Mackay, Date of Review: Infant Feeding Advisor March 2015 Lead Reviewer: Karen Mackay Version:

More information

What to expect when you re expecting

What to expect when you re expecting What to expect when you re expecting Frequently asked questions about maternity and obstetrics cover at TUH Congratulations Adding a new member to your family is exciting, but can raise many questions

More information

THE INDIA NEWBORN ACTION PLAN

THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN Current Situation Vision & Goals Guiding principles Strategic Intervention Packages Milestones Way Forward CAUSES OF NEONATAL DEATHS : INDIA

More information

CURRENT STATUS OF ENERGY SECTOR IN TANZANIA

CURRENT STATUS OF ENERGY SECTOR IN TANZANIA CURRENT STATUS OF ENERGY SECTOR IN TANZANIA EXECUTIVE EXCHANGE ON DEVELOPING AN ANCILLARY SERVICE MARKET USEA WASHINGTON DC 25 TH FEBRUARY 2 ND MARCH 2013 PRESENTED BY: ENG. CHRISTIAN MATYELELE MSYANI

More information

Improving Clinical Management of Newborns at Hospitals to Reduce Neonatal Deaths

Improving Clinical Management of Newborns at Hospitals to Reduce Neonatal Deaths Improving Clinical Management of Newborns at Hospitals to Reduce Neonatal Deaths Bridging the Research-Policy Divide Australian National University (ANU) Canberra BUN Sreng Department of Communicable Disease

More information

Improvement Action Plan. NHS Grampian. Aberdeen Maternity Hospital. Healthcare Associated Infection inspection

Improvement Action Plan. NHS Grampian. Aberdeen Maternity Hospital. Healthcare Associated Infection inspection Inspection Date: 21 August, 5 September and 17 September Improvement Action Plan Declaration It is essential that the NHS board s improvement action plan submission is signed off by the NHS board Chair

More information

Ministry of Health and Social Welfare Health Quality Assurance Division. Implementation Guidelines for 5S-KAIZEN-TQM Approaches in Tanzania

Ministry of Health and Social Welfare Health Quality Assurance Division. Implementation Guidelines for 5S-KAIZEN-TQM Approaches in Tanzania The United Republic of Tanzania Ministry of Health and Social Welfare Health Quality Assurance Division Implementation Guidelines for 5S-KAIZEN-TQM Approaches in Tanzania Foundation of all Quality Improvement

More information

NATIONAL AUDIT OFFICE

NATIONAL AUDIT OFFICE THE UNITED REPUBLIC OF TANZANIA NATIONAL AUDIT OFFICE A PERFORMANCE AUDIT ON THE MONITORING, EVALUATIONS AND BUDGET ALLOCATION FOR MATERNAL HEALTH CARE ACTIVITIES IN TANZANIA MINISTRY OF HEALTH AND SOCIAL

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME standard topic: Specialist neonatal care Output: standard advice to the Secretary of State

More information

Strengthening data management and use in decision making to improve health care services: Lessons learnt

Strengthening data management and use in decision making to improve health care services: Lessons learnt DISSEMINATION WORKSHOP REPORT Strengthening data management and use in decision making to improve health care services: Lessons learnt SEPTEMBER 2014 This technical report was prepared by University Research

More information

Standard Operating Procedures for Contact Tracing-Kambia District

Standard Operating Procedures for Contact Tracing-Kambia District Standard Operating Procedures for Contact Tracing-Kambia District Draft Version HP [Pick the date] 1. Introduction: Proper contact tracing requires concerted efforts from various people to ensure that

More information

CHAPTER 7. Tanzania Education Sector Analysis 269

CHAPTER 7. Tanzania Education Sector Analysis 269 CHAPTER 7 PRIMARY AND SECONDARY EDUCATION MANAGEMENT ISSUES Whereas policy defines the structural allocation of resources to each education level, management determines how these decisions are actually

More information

INSTITUTE OF ADULT EDUCATION

INSTITUTE OF ADULT EDUCATION INSTITUTE OF ADULT EDUCATION DISTANCE EDUCATION DEPARTMENT INTRODUCTION The Department of Distance Education is one of the four academic departments at the Institute of Adult Education (IAE). Other departments

More information

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop

More information

BEST PRACTICES IN HIV TREATMENT CASCADE Sandile Buthelezi 14 April 2016 ICAP at Columbia University

BEST PRACTICES IN HIV TREATMENT CASCADE Sandile Buthelezi 14 April 2016 ICAP at Columbia University BEST PRACTICES IN HIV TREATMENT CASCADE Sandile Buthelezi 14 April 2016 ICAP at Columbia University Presentation Outline Global Scale-up of HIV Treatment Effect of ART on Life expectancy HIV Cascade and

More information

Development Research Report

Development Research Report Development Research Report AudienceScapes www.audiencescapes.org Tel. 202.652.2269 Fax. 202.652.9560 Tanzanian Media Environment Current Access, Potential for Growth and Strategies for Information Dissemination

More information

JOB DESCRIPTION. Specialist Hospitals, Women & Child Health Directorate. Royal Belfast Hospital for Sick Children

JOB DESCRIPTION. Specialist Hospitals, Women & Child Health Directorate. Royal Belfast Hospital for Sick Children JOB DESCRIPTION Title of Post: Patient Flow Coordinator Grade/ Band: Band 7 Directorate: Reports to: Accountable to: Location: Hours: Specialist Hospitals, Women & Child Health Directorate Assistant Service

More information

Morogoro Women s Training Centre

Morogoro Women s Training Centre Morogoro Women s Training Centre Maternal Health Training Programs Participants and hosts at training 2015 Every one of us has had a direct experience with a child. We all know of pregnancies with happy

More information

Strengthening and promoting the KMC strategies in selected MCH Centers of Excellence. Implementing the HBB approach in all MCH Centers of Excellence

Strengthening and promoting the KMC strategies in selected MCH Centers of Excellence. Implementing the HBB approach in all MCH Centers of Excellence Redacted INTRODUCTION The Dominican Republic (DR) has made significant progress in improving maternal, newborn, and child health over the past decade, but there is still room for improvement. Although

More information

Guidance note on Triage approach: Integration of TSFP into i-bsfp

Guidance note on Triage approach: Integration of TSFP into i-bsfp Guidance note on Triage approach: Integration of TSFP into i-bsfp To sustainably manage moderate acute malnutrition (MAM) in Sudan, it is vital wherever possible to implement both targeted supplementary

More information

NURSING SCHOOLS NURSING SCHOOL ADVANCED PUBLIC HEALTH NURSING SCHOOL P.O. BOX 1060, MOROGORO.

NURSING SCHOOLS NURSING SCHOOL ADVANCED PUBLIC HEALTH NURSING SCHOOL P.O. BOX 1060, MOROGORO. NURSING SCHOOLS NURSING SCHOOL ADVANCED PUBLIC HEALTH NURSING SCHOOL P.O. BOX 1060, MOROGORO. AMO-ANAESTHETIC SCHOOL, P.O. BOX 6441, MOSHI. ASSISTANT MEDICAL OFFICERS TRAINING SCHOOL, P.O. BOX 1142 MBEYA.

More information

Introduction. Definition

Introduction. Definition DIRECTIVES FOR PRIVATE AMBULATORY SURGICAL CENTRES PROVIDING AMBULATORY SURGERY: REGULATION 4(1) OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1 These directives

More information

Infant feeding. Supporting parent choice

Infant feeding. Supporting parent choice Supporting parent choice The message we are getting from our members is clear. We must do something to address the state of postnatal care. That s what our campaign Pressure Points is all about. Presenting

More information

117 4,904,773 -67-4.7 -5.5 -3.9. making progress

117 4,904,773 -67-4.7 -5.5 -3.9. making progress Per 1 LB Eastern Mediterranean Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators

More information

Maternity Department

Maternity Department Maternity Department Trust Address Postcode St Peter s Hospital Guildford Road Chertsey Surrey KT16 0PZ Telephone Number Labour Ward: 01932722663 Joan booker Ward: 01932722378 Type of Placement Maternity

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE I TO BE HELD ON MONDAY 26 NOVEMBER 2012 Subject: Supporting Director: Author: Status

More information

Islamic Republic of Afghanistan Ministry of Public Health. National Child and Adolescent Health Policy

Islamic Republic of Afghanistan Ministry of Public Health. National Child and Adolescent Health Policy Islamic Republic of Afghanistan Ministry of Public Health National Child and Adolescent Health Policy 2009-2013 July 2009 In line with the Convention on the Rights of the Child, the MOPH Child and Adolescent

More information

Determining the Consistency in Implementing Rural Road Transport Development using PEST Analysis: The Case of Kilimanjaro Region, Tanzania

Determining the Consistency in Implementing Rural Road Transport Development using PEST Analysis: The Case of Kilimanjaro Region, Tanzania Determining the Consistency in Implementing Rural Road Transport Development using PEST Analysis: The Case of Kilimanjaro Region, Tanzania Ally A. Saburi Abstract It cannot go unnoticed that the majority

More information

Module 7 Expanded Programme of Immunization (EPI)

Module 7 Expanded Programme of Immunization (EPI) Module 7 Expanded Programme of Immunization (EPI) (including Vitamin A, Tetanus Toxoid and Growth Monitoring) CONTENTS 7.1 What are the tools used for data collection?....................................2

More information

Caring for Vulnerable Babies: The reorganisation of neonatal services in England

Caring for Vulnerable Babies: The reorganisation of neonatal services in England Caring for Vulnerable Babies: The reorganisation of neonatal services in England LONDON: The Stationery Office 13.90 Ordered by the House of Commons to be printed on 17 December 2007 REPORT BY THE COMPTROLLER

More information

Midwifery. Papua New Guinea Specialist Nursing Competency Standards. Introduction. 1st Edition, September 2003. Papua New Guinea Nursing Council

Midwifery. Papua New Guinea Specialist Nursing Competency Standards. Introduction. 1st Edition, September 2003. Papua New Guinea Nursing Council Papua New Guinea Specialist Nursing Competency Standards Midwifery 1st Edition, September 2003 Papua New Guinea Nursing Council PO BOX 841, Port Moresby NCD Table of Contents Introduction 1 Professional

More information

NATIONAL COUNCIL FOR TECHNICAL EDUCATION (NACTE) IN COLLABORATION WITH. MINISTRY OF HEALTH AND SOCIAL WELFARE (MoHSW)

NATIONAL COUNCIL FOR TECHNICAL EDUCATION (NACTE) IN COLLABORATION WITH. MINISTRY OF HEALTH AND SOCIAL WELFARE (MoHSW) NATIONAL COUNCIL FOR TECHNICAL EDUCATION (NACTE) IN COLLABORATION WITH MINISTRY OF HEALTH AND SOCIAL WELFARE (MoHSW) Admission Guidebook for Health Training Institutions Page of 64 206/207 The National

More information

VACANCY ANNOUNCEMENTS

VACANCY ANNOUNCEMENTS VACANCY ANNOUNCEMENTS The Maternal and Child Survival Program (MCSP) is a USAID funded project assisting the Ministry of Health and Social welfare (MOH) to improve the effectiveness of the Ministry and

More information

VICTIMIZATION SURVEY IN TANZANIA

VICTIMIZATION SURVEY IN TANZANIA Vienna International Centre, PO Box 500, 1400 Vienna, Austria Tel.: (+43-1) 26060-0, Fax: (+43-1) 26060-5866, www.unodc.org VICTIMIZATION SURVEY IN TANZANIA Executive summary United Nations publication

More information

BOARD OF DIRECTORS PAPER COVER SHEET. Meeting date: 29 November 2006 Agenda item: 7.4

BOARD OF DIRECTORS PAPER COVER SHEET. Meeting date: 29 November 2006 Agenda item: 7.4 BOARD OF DIRECTORS PAPER COVER SHEET Meeting date: 9 November 6 Agenda item: 7. Title: COMPLAINTS REPORT QUARTER 6/7 (1 July 6 3 September 6) Purpose: To update the board on the number and type of complaints

More information

Routine care of a newborn baby

Routine care of a newborn baby Routine care of a newborn baby Slide NC-l,2 Introduction All mothers need help, support, and advice in the first few days after delivery to ensure proper care of their newly born babies. The care and help

More information

PHARMACY SERVICES IN TANZANIA 2012. Carl Sherman, Laura Brown, Jill Strykowski

PHARMACY SERVICES IN TANZANIA 2012. Carl Sherman, Laura Brown, Jill Strykowski PHARMACY SERVICES IN TANZANIA 2012 Carl Sherman, Laura Brown, Jill Strykowski Pharmacy in TZ: From Top to Bottom Infrastructure Regulatory Bodies National Formulary Manufacturing Distribution Education

More information

CARE AND TREATMENT FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV

CARE AND TREATMENT FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV MINISTRY OF HEALTH PROCEDURE OF CARE AND TREATMENT FOR PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV HA NOI, 2007 1 TABLE OF CONTENTS Decision on the Issuance of the Procedure of Care and Treatment

More information

Maternal and Neonatal Health in Bangladesh

Maternal and Neonatal Health in Bangladesh Maternal and Neonatal Health in Bangladesh KEY STATISTICS Basic data Maternal mortality ratio (deaths per 100,000 births) 320* Neonatal mortality rate (deaths per 1,000 births) 37 Births for women aged

More information

Document title: Hepatitis B Neonatal and Infant Protocols. Verified by: Matthew Dominey, Screening and Immunisation Manager

Document title: Hepatitis B Neonatal and Infant Protocols. Verified by: Matthew Dominey, Screening and Immunisation Manager South West PHE Screening and Immunisation Team Good Practice Guidance for the management of the NHS Hepatitis B Neonatal and Infant Immunisation Programme Document title: Hepatitis B Neonatal and Infant

More information

Process Monitoring. 6 th. th Asia-Pacific UN PMTCT Task Force Meeting Kuala Lumpur, Malaysia Nepal Country Team

Process Monitoring. 6 th. th Asia-Pacific UN PMTCT Task Force Meeting Kuala Lumpur, Malaysia Nepal Country Team Process Monitoring 6 th th Asia-Pacific UN PMTCT Task Force Meeting Kuala Lumpur, Malaysia Nepal Country Team Goals of Monitoring and Supervising of the PMTCT program Overall goal is to improve the quality

More information

PG Certificate / PG Diploma / MSc in Clinical Pharmacy

PG Certificate / PG Diploma / MSc in Clinical Pharmacy PG Certificate / PG Diploma / MSc in Clinical Pharmacy Programme Information 2010 2011 School of Pharmacy Queen s University Belfast Queen s University Belfast Clinical Pharmacy programme Distance learning

More information

SUPPORTIVE SUPERVISION PROTOCOL AND CHECKLIST FOR MTBT SOCIAL FRANCHISES

SUPPORTIVE SUPERVISION PROTOCOL AND CHECKLIST FOR MTBT SOCIAL FRANCHISES SUPPORTIVE SUPERVISION PROTOCOL AND CHECKLIST FOR MTBT SOCIAL FRANCHISES Supportive supervision Purpose: Supportive supervision is an important aspect of performance management and an essential feature

More information

performance and quality improvement to strengthen skilled attendance

performance and quality improvement to strengthen skilled attendance An affiliate of Johns Hopkins University using performance and quality improvement to strengthen skilled attendance United States Agency for International Development The Maternal and Neonatal Health (MNH)

More information

P.O. Box 4374 DAR ES SALAAM TEL:+255 22 2775915/6 FAX: +255 22 2775915 E-mail:itv@ipp.co.tz www.ippmedia.com

P.O. Box 4374 DAR ES SALAAM TEL:+255 22 2775915/6 FAX: +255 22 2775915 E-mail:itv@ipp.co.tz www.ippmedia.com S/N NAME OF LICENSEE ADDRESS 1. Radio One P.O. Box 4374 TEL:+255 22 2775915/6 FAX: +255 22 2775915 itv@ipp.co.tz www.ippmedia.com AUTHORIZED SERVICE AREA AND LOCATION OF BASE STATION ( Dar es AUTHORIZED

More information

UNIVERSITY SHRA EMPLOYEE ANNUAL PERFORMANCE APPRAISAL PROGRAM SAMPLE BUILDING & ENVIRONMENT SERVICES TECHNICIAN (ADVANCED) ANNUAL APPRAISAL FORM

UNIVERSITY SHRA EMPLOYEE ANNUAL PERFORMANCE APPRAISAL PROGRAM SAMPLE BUILDING & ENVIRONMENT SERVICES TECHNICIAN (ADVANCED) ANNUAL APPRAISAL FORM UNIVERSITY SHRA EMPLOYEE ANNUAL PERFORMANCE APPRAISAL PROGRAM SAMPLE BUILDING & ENVIRONMENT SERVICES TECHNICIAN (ADVANCED) ANNUAL APPRAISAL FORM. SHRA Performance Appraisal Policy Sample Job Description,

More information

Mental Health Facilities and De-Institutionalization

Mental Health Facilities and De-Institutionalization Mental Health Facilities and De-Institutionalization Mental health facilities and de-institutionalization were among the issues raised by many participants during the Conversation on Health. Patient care,

More information

NEONATAL NURSE PRACTITIONER MODEL OF CARE REPORT NOVEMBER 2011

NEONATAL NURSE PRACTITIONER MODEL OF CARE REPORT NOVEMBER 2011 NEONATAL NURSE PRACTITIONER MODEL OF CARE REPORT NOVEMBER 2011 A report prepared by Kelvin Hicks, RN (Project Officer for the Southern Health Nurse Practitioner Program) For the Victorian Department of

More information

Botswana s Integration of Data Quality Assurance Into Standard Operating Procedures

Botswana s Integration of Data Quality Assurance Into Standard Operating Procedures Botswana s Integration of Data Quality Assurance Into Standard Operating Procedures ADAPTATION OF THE ROUTINE DATA QUALITY ASSESSMENT TOOL MEASURE Evaluation SPECIAL REPORT Botswana s Integration of Data

More information

Challenges & opportunities

Challenges & opportunities SCALING UP FAMILY PLANNING SERVICES IN AFRICA THROUGH CHRISTIAN HEALTH SYSTEMS Challenges & opportunities Samuel Mwenda MD Africa Christian Health Associations Platform/CHAK Presentation outline Introduction

More information

Country Strategy Paper 2011-2015 Summary

Country Strategy Paper 2011-2015 Summary Country Strategy Paper 2011-2015 Summary UGANDA RWANDA BURUNDI Kagera Geita Mwanza Mara Simiyu Arusha KENYA Shinyanga CRATIC LIC OF ONGO Kigoma Katavi Rukwa Tabora TANZANIA Mbeya Singida Iringa Dodoma

More information

90 14,248,

90 14,248, Per 1 LB African Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators Maternal

More information

NEONATAL NURSE PRACTITIONER MODEL OF CARE WERRIBEE MERCY HOSPITAL

NEONATAL NURSE PRACTITIONER MODEL OF CARE WERRIBEE MERCY HOSPITAL NEONATAL NURSE PRACTITIONER MODEL OF CARE WERRIBEE MERCY HOSPITAL Background Neonatal Nurse practitioners provide an additional model of care for neonates and their families. They have been educated to

More information

Tanzania Media Fund [Baseline Community and Decision Maker Media Perception Survey]

Tanzania Media Fund [Baseline Community and Decision Maker Media Perception Survey] ² Tanzania Media Fund [Baseline Community and Decision Maker Media Perception Survey] Executive Summary Baseline Community and Decision Maker Media Perception Survey The Tanzania Media Fund (TMF) was launched

More information

Department of Recreation, Park & Tourism Administration Western Illinois University Employee Performance Appraisal

Department of Recreation, Park & Tourism Administration Western Illinois University Employee Performance Appraisal Department of Recreation, Park & Tourism Administration Western Illinois University Effective employee performance appraisal is important for a number of reasons: 1. To provide feedback to employees by

More information

Health Administration

Health Administration A. Occupations Health Care Job Information Sheet #15 Health Administration A. Occupations 1) Health Administrator/Policy Analyst 2) Site Administrative Coordinator 3) Medical Secretary/Health Office Administrator

More information

Type of paper: Board Briefing Title of Paper: Board Briefing of Nursing and Midwifery Staffing Levels

Type of paper: Board Briefing Title of Paper: Board Briefing of Nursing and Midwifery Staffing Levels Type of paper: Board Briefing Title of Paper: Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing December 2015 (November 2015 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen

More information

Definitions, Tips and Relevance

Definitions, Tips and Relevance Exclusive Breastfeeding Measurement: IPHIS, Ohio First Steps, Baby Friendly Hospital Initiative & The Joint Commission PC-05 Definitions, Tips and Relevance Lydia Furman MD Ohio Chronic Disease Collaborative

More information

TANZANIA MORTGAGE MARKET UPDATE 31 MARCH 2016.

TANZANIA MORTGAGE MARKET UPDATE 31 MARCH 2016. TANZANIA MORTGAGE MARKET UPDATE 31 MARCH 2016. 1. Highlights: The mortgage market registered a slightly higher growth rate of 4.2 percent during the first quarter of year 2016 compared to a growth rate

More information

Integrated Care Pathway

Integrated Care Pathway APPENDIX 3 CHILDRENS Failure to Thrive Integrated Care Pathway PATIENT DETAILS NAME Age Hospital number NHS No Address Tel no Patient likes to be known as Next of Kin Relationship to child Tel No Each

More information

The United Republic of Tanzania

The United Republic of Tanzania The United Republic of Tanzania Health Services Inspectorate Unit Ministry of Health and Social Welfare Implementation Guideline for 5S-CQI-TQM Approaches in Tanzania Foundation of all Quality Improvement

More information

International Individual Consultancy to Work with a Team of National Consultants/ Institution

International Individual Consultancy to Work with a Team of National Consultants/ Institution International Individual Consultancy to Work with a Team of National Consultants/ Institution Patronage (home visiting) system assessment with equity analysis TERMS OF REFERENCE Background and Context:

More information

ORIGINAL ARTICLE. Associate Professor, PSG College of Nursing, Coimbatore 2

ORIGINAL ARTICLE. Associate Professor, PSG College of Nursing, Coimbatore 2 Reviews of Progress ISSN:-2321-3485 ORIGINAL ARTICLE Vol - 1, Issue - 8, June 19 2013 A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO TEACHING PROGRAMME ON PHYSICAL CARE OF NEWBORN AMONG PRIMIGRAVIDA MOTHERS

More information

Islamic Transitional Government of Afghanistan Ministry of Health. Policy Statement. Hospital Policy for Afghanistan s Health System

Islamic Transitional Government of Afghanistan Ministry of Health. Policy Statement. Hospital Policy for Afghanistan s Health System Islamic Transitional Government of Afghanistan Ministry of Health Policy Statement Hospital Policy for Afghanistan s Health System February 2004 Ministry of Health Policy Statement HOSPITAL POLICY FOR

More information

Kangaroo Mother Care

Kangaroo Mother Care Kangaroo Mother Care KMC -1, 2 Kangaroo Mother Care (KMC) is a special way of caring of low birth weight babies. It fosters their health and well being by promoting effective thermal control, breastfeeding,

More information

The Data Improvement Guide. A curriculum for improving the quality of data in PMTCT

The Data Improvement Guide. A curriculum for improving the quality of data in PMTCT The Data Improvement Guide A curriculum for improving the quality of data in PMTCT TABLE OF CONTENTS Introduction... 3 Module #1: Introduction, forming a Data Improvement Team, and developing an Aim Statement...

More information

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION. Pharmacy department, Worcestershire Royal Hospital or Alexandra Hospital, Redditch

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION. Pharmacy department, Worcestershire Royal Hospital or Alexandra Hospital, Redditch Title: Term of contract: WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION Pre-Registration Pharmacy Graduate 12 months fixed term Pay Band: Agenda for Change Band 5 Hours: Base: Accountable to:

More information