19. Process was led by a steering committee and supported by 6 subcommittees – HR, M&E, Logistics and Supply, Infrastructure, Finance, Communication - all chaired by MoHS.
20. UNICEF has been actively involved throughout the preparation period as co-chair of the Logistic and Supplies sub-committee and a member of all other committees.UNICEF
21.
22. The health sector has undergone a number of reforms during the last 6 months, e.g. payroll cleaning, revised salaries, recruitment.
24. Strategy to be developed for both short and long term management in order to ensure sustainability.UNICEF
25. Impact – after an unexpected decrease in utilization prior to launch here has been asignificant increase in utilization of health facilities The M&E subcommittee has formed a taskforce to strengthening the existing health management information system. Recently completed a baseline review of FHC with support from WHO and participation from all districts with objective to review health sector performance against key sector indicators and setting baselines and targets for the FHC. A national level review is planned for August. It is working with CSOs to strengthened community ownership and monitoring of health services through the revitalisations of health management committees at community level and is working to improve supervision.
27. Impact – in spite of increase in utilization the lack of drugs and delays in patients presenting themselves means there has been a increase in fatality rates An immediate investigation has been carried out to find the determining causes which include lack of paediatric drugs available and the number of patients which are admitted late and die within a short timeframe of being admitted. Work will be done through health education to ensure population sensitized and aware to come to the health facility as soon as symptoms present themselves
33. 88 % of the received drugs and medical supplies have been distributed to the districts and the PHUs, while a balance of 12% buffer is kept at the Central Medical Stores (CMS) to meet the call forwards needs from the districts and PHUs.
34. Additional 30% of FHC-I drugs in 20 containers and 3 packages have been received and are awaiting clearance at the ports after which they will be distributed.UNICEF
35.
36. UNICEF in addition to clearing the supplies is also providing transport for the distribution of supplies from the CMS to the Districts.
37. UNICEF is providing ongoing support to the CMS on effective warehouse management and LMIS operations.UNICEF
47. In process to support 112 PHUs and 7 district hospitals with pipe borne water and sanitation facilities. In addition, the 65 BEmONCcentres will also get pipe born water facilities by the end of the year.
48. Planning to support rehabilitation of pediatric wards in 7 district hospitals and strengthening of BEmONC services in 65 PHUs. UNICEF
55. Supported development of FHC-I baseline and monitoring indicators in collaboration with WHO, MoHS and District Health Management Teams (DHMTs).
56. Supporting Health for All Coalition in the monitoring of FHC-I at facility level nationwide.UNICEF
57.
58. UNICEF will participate in the quarterly review of progress on FHC monitoring indicators, in collaboration with MOHS, other UN agencies (WHO, UNFPA) and DHMTs.
60. Urgent need for baseline data to prove performance and thereby ensure future fundsUNICEF
61.
62. Supported engagement with health workers and health workforce associations to allay their fears, communicate the policy and clarify doubts and misconceptions.
63. Supported planning and implementation of National and District level launch on April 27, 2010.UNICEF
64.
65. Supporting 5-6 CSOs for community level awareness on FHC-I, to compliment MoHS communication activities at the sub-national level.UNICEF
69. Forecasting of salaryscenarios –detailedbudgeting and forecasting of salaryscenarios to providetechnicalbackup to salaryreform for healthtechnicalworkers. UNICEF