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QRM Presentation template Y2Q3_Dec 2014

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Stephen Ochieng Okong'o BSc,MPH.
Stephen Ochieng Okong'o BSc,MPH.

This document summarizes a quarterly project review by Lwala Community Alliance. It reports on progress towards objectives of training healthcare providers, integrating family planning into health services, and establishing youth centers. 18 providers were trained, 9 rooms were integrated, and 1 youth center was established. It also provides data on indicators like long-term method provision and post-abortion care. Challenges included high youth provider turnover. Priorities going forward include collaborating with other organizations and intensifying efforts to promote long-term family planning methods.

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Quarterly Project Review Closing the Gap Presenter: Stephen Okongo Date: 9th December 2014 Organization: Lwala Community Alliance
Targets and Outcome Objective 1 Target -Activity based Achievement/outcome Train 10 health care providers in LTM/PAC. So far a total of 18 service providers have been trained on LTM/PAC since the project began. Integrate FP and PAC into existing health services by training Comprehensive Care Center (CCC) and Maternal and Child Health Clinic providers on PAC, and FP, focusing on LTM Integration has been on going as a result a total of 9 rooms have been integrated fully to offer family planning education and 3 rooms offering FP procedures. Produce guidelines and job aids on PAC and FP (LTM) service provision for dissemination to health providers in 2 engaged health facilities. Since the beginning of the project a total of 36 job aids have been produced for education purposes t at the community, 8 FP ,6 PAC guidelines and 10 MEC wheels have been donated by the MOH.
Targets and Outcome Objective 2 oneTarget -Activity based Achievement/outcome Establish youth friendly corners in 2 health facilities. One youth friendly corner has been established in Minyenya. Lwala is still waiting for the delivery of the container and fabrication to start. Continuous mentorship support to 10 providers on provision of youth friendly services by 3 TOTs A total of 21 sessions have been so far conducted
Targets and Outcome Objective 3 oneTarget -Activity based Achievement/outcome Provide FP education and counseling services to clients accessing services, including services other than FP and PAC, at 2 facilities FP education has been ongoing to clients accessing other services at the facility .this has been successful due to integration done in 9 rooms at the facility In-service clinical mentorship and facilitative supervision of providers by trained trainers, focusing on provision of LTMs 18 In service FP/PAC mentorship sessions have been conducted so far in collaboration with the MOH staff.
Targets and Outcome Objective 4 one Target -Activity based Achievement/outcome conduct 8 grassroots advocacy campaigns targeting community leaders and other stakeholders to influence social norms that impede access to PAC and FP services, including LTMs A total, of 5 advocacy campaigns have been conducted since the project begun . conduct 100 sessions of demand creation activities to inform and educate community members using different forums by the trained CHWs and YPPs. Total of 48 demand creating activities have been conducted so far since the beginning of the project Community based facilitative supervision by trainers 30 supervisory visits have been conducted so far.
Targets and Outcome Objective 4 oneTarget -Activity based Achievement/outcome Develop and implement service provision reporting systems for health facilities On job training and mentorship on FP/PAC documentation has been on going . Develop and implement monitoring plans for CHWs and YPPs Monitoring of the YPPs and CHWs has been on going through support supervision. A total of 30 sessions have been conducted. Quarterly review meetings with CHWs and YPPs around engaged health facilities Monthly meetings for CHWs and YPPs on program implementation has been on going , a total of 16 sessions have been held so far.
Indicators and Quality Performance Target -Indicator based(from Indicator sheet targets) % Achievement Explanation on achievement 2 health facilities upgraded to provide youth-friendly services and have youth- friendly corners 50% 1 facility upgraded the other one to be done in the coming quarter 1672 STM provided 236% Due to many mobilization forums conducted and integration of services 16800 Number of Condoms Distributed 263% Due to many mobilization forums. 2500 Number of Clients receiving Condoms 131% Due mobilization conducted 1000 IUD Insertions 21% Nature of the procedure 800 Implant Insertions 119% Mobilization by YPPs and CHWs 1800 Total LTM insertions 65% Mobilization by YPPs and CHWs 56% Proportion of LTM that are IUD (%) 12% Nature of the procedure 44% Proportion of LTM that are implants(%) 53% 80 MVA (PAC) 45% Referral of SA to other partner facilities
Target -Indicator based(from Indicator sheet targets) % Achievement Explanation on achievement 80 Total PAC 45% Referral of SA to other partner facilities 56 Post Procedure Contraception 52% Intensified post procedure counseling 70 Proportion of Post Abortion Care Contraception (%) 81% Intensified post procedure counseling 3472 Total contraceptive clients served (new and continuing) 183% Community mobilization 1600 First-time ever contraceptive clients served 216% Integration of services 2000 Youth clients served 170% Youth friendly days 8 Advocacy campaign meetings held 63% 48 Community mobilization and demand creation events conducted 208% Need for demand creation
0 100 200 300 400 500 600 year1 year 2 Implants IUCD IMPLANTS IUCDS YEAR 1 388 22 YEAR 2 561 191 GRAPH SHOWING THE UPTAKE OF IMPLANTS AND IUCD FOR YEAR 1 AND YEAR 2GRAPH SHOWING THE UPTAKE OF IMPLANTS AND IUCD FOR YEAR 1 AND YEAR 2
GRAPH SHOWING IMPLANT AND IUCD REMOVALS 0 1 2 3 4 5 6 7 8 Implants IUCD Quarter 2 Quarter 3 Implants 7 5 IUCDs 3 1
Gaps Analysis Planned Activity not Done Reason/Way Forward 2 advocacy forums We were able to conduct one advocacy forum due to conflicting schedule with the MOH activities( net Distribution activity).
Integration/Partnerships LCHC partnered with MOH during World Contraceptive Day and FP Rapid Result Initiative in Migori County LCHC in collaboration with KEMSA / MOH ensured steady supply of FP Commodities. During the quarter, CTG Program collaborated with MOH, Nyarami and KMET in conducting routine data quality audit and supportive supervision. LCHC in collaboration with NAYA Kenya conducted advocacy forum in North Kamagambo to demystify possible myths and misconception on LTFP methods The period also realized a comprehensive forum for data quality audit for the family planning indicators. This was done for Nyarami VCT and Lwala Community Health Centre in collaboration with county Health Records Officers form Uriri, Rongo, Awendo and Migori
Challenges and Remedial action Challenges Remedial Action 1. High YPP turn over within the reporting period 9 YPPs left 11 YPPs were recruited training conducted and mentorship on the program is ongoing.
Financial Management Experience Timely funds disbursement
Priority activities to achieve the overall targets LCHC is working in collaboration with small facilities working in N. Kamagambo to realize its targets. The involvement of Provincial administration during advocacy meetings has seen greater attendance and involvement of both male and female partners and to demystify myths and misconception in N.Kamagambo Intensify RRI for the long term methods
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QRM Presentation template Y2Q3_Dec 2014
QRM Presentation template Y2Q3_Dec 2014
QRM Presentation template Y2Q3_Dec 2014

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QRM Presentation template Y2Q3_Dec 2014

  • 1. Quarterly Project Review Closing the Gap Presenter: Stephen Okongo Date: 9th December 2014 Organization: Lwala Community Alliance
  • 2. Targets and Outcome Objective 1 Target -Activity based Achievement/outcome Train 10 health care providers in LTM/PAC. So far a total of 18 service providers have been trained on LTM/PAC since the project began. Integrate FP and PAC into existing health services by training Comprehensive Care Center (CCC) and Maternal and Child Health Clinic providers on PAC, and FP, focusing on LTM Integration has been on going as a result a total of 9 rooms have been integrated fully to offer family planning education and 3 rooms offering FP procedures. Produce guidelines and job aids on PAC and FP (LTM) service provision for dissemination to health providers in 2 engaged health facilities. Since the beginning of the project a total of 36 job aids have been produced for education purposes t at the community, 8 FP ,6 PAC guidelines and 10 MEC wheels have been donated by the MOH.
  • 3. Targets and Outcome Objective 2 oneTarget -Activity based Achievement/outcome Establish youth friendly corners in 2 health facilities. One youth friendly corner has been established in Minyenya. Lwala is still waiting for the delivery of the container and fabrication to start. Continuous mentorship support to 10 providers on provision of youth friendly services by 3 TOTs A total of 21 sessions have been so far conducted
  • 4. Targets and Outcome Objective 3 oneTarget -Activity based Achievement/outcome Provide FP education and counseling services to clients accessing services, including services other than FP and PAC, at 2 facilities FP education has been ongoing to clients accessing other services at the facility .this has been successful due to integration done in 9 rooms at the facility In-service clinical mentorship and facilitative supervision of providers by trained trainers, focusing on provision of LTMs 18 In service FP/PAC mentorship sessions have been conducted so far in collaboration with the MOH staff.
  • 5. Targets and Outcome Objective 4 one Target -Activity based Achievement/outcome conduct 8 grassroots advocacy campaigns targeting community leaders and other stakeholders to influence social norms that impede access to PAC and FP services, including LTMs A total, of 5 advocacy campaigns have been conducted since the project begun . conduct 100 sessions of demand creation activities to inform and educate community members using different forums by the trained CHWs and YPPs. Total of 48 demand creating activities have been conducted so far since the beginning of the project Community based facilitative supervision by trainers 30 supervisory visits have been conducted so far.
  • 6. Targets and Outcome Objective 4 oneTarget -Activity based Achievement/outcome Develop and implement service provision reporting systems for health facilities On job training and mentorship on FP/PAC documentation has been on going . Develop and implement monitoring plans for CHWs and YPPs Monitoring of the YPPs and CHWs has been on going through support supervision. A total of 30 sessions have been conducted. Quarterly review meetings with CHWs and YPPs around engaged health facilities Monthly meetings for CHWs and YPPs on program implementation has been on going , a total of 16 sessions have been held so far.
  • 7. Indicators and Quality Performance Target -Indicator based(from Indicator sheet targets) % Achievement Explanation on achievement 2 health facilities upgraded to provide youth-friendly services and have youth- friendly corners 50% 1 facility upgraded the other one to be done in the coming quarter 1672 STM provided 236% Due to many mobilization forums conducted and integration of services 16800 Number of Condoms Distributed 263% Due to many mobilization forums. 2500 Number of Clients receiving Condoms 131% Due mobilization conducted 1000 IUD Insertions 21% Nature of the procedure 800 Implant Insertions 119% Mobilization by YPPs and CHWs 1800 Total LTM insertions 65% Mobilization by YPPs and CHWs 56% Proportion of LTM that are IUD (%) 12% Nature of the procedure 44% Proportion of LTM that are implants(%) 53% 80 MVA (PAC) 45% Referral of SA to other partner facilities
  • 8. Target -Indicator based(from Indicator sheet targets) % Achievement Explanation on achievement 80 Total PAC 45% Referral of SA to other partner facilities 56 Post Procedure Contraception 52% Intensified post procedure counseling 70 Proportion of Post Abortion Care Contraception (%) 81% Intensified post procedure counseling 3472 Total contraceptive clients served (new and continuing) 183% Community mobilization 1600 First-time ever contraceptive clients served 216% Integration of services 2000 Youth clients served 170% Youth friendly days 8 Advocacy campaign meetings held 63% 48 Community mobilization and demand creation events conducted 208% Need for demand creation
  • 9. 0 100 200 300 400 500 600 year1 year 2 Implants IUCD IMPLANTS IUCDS YEAR 1 388 22 YEAR 2 561 191 GRAPH SHOWING THE UPTAKE OF IMPLANTS AND IUCD FOR YEAR 1 AND YEAR 2GRAPH SHOWING THE UPTAKE OF IMPLANTS AND IUCD FOR YEAR 1 AND YEAR 2
  • 10. GRAPH SHOWING IMPLANT AND IUCD REMOVALS 0 1 2 3 4 5 6 7 8 Implants IUCD Quarter 2 Quarter 3 Implants 7 5 IUCDs 3 1
  • 11. Gaps Analysis Planned Activity not Done Reason/Way Forward 2 advocacy forums We were able to conduct one advocacy forum due to conflicting schedule with the MOH activities( net Distribution activity).
  • 12. Integration/Partnerships LCHC partnered with MOH during World Contraceptive Day and FP Rapid Result Initiative in Migori County LCHC in collaboration with KEMSA / MOH ensured steady supply of FP Commodities. During the quarter, CTG Program collaborated with MOH, Nyarami and KMET in conducting routine data quality audit and supportive supervision. LCHC in collaboration with NAYA Kenya conducted advocacy forum in North Kamagambo to demystify possible myths and misconception on LTFP methods The period also realized a comprehensive forum for data quality audit for the family planning indicators. This was done for Nyarami VCT and Lwala Community Health Centre in collaboration with county Health Records Officers form Uriri, Rongo, Awendo and Migori
  • 13. Challenges and Remedial action Challenges Remedial Action 1. High YPP turn over within the reporting period 9 YPPs left 11 YPPs were recruited training conducted and mentorship on the program is ongoing.
  • 15. Priority activities to achieve the overall targets LCHC is working in collaboration with small facilities working in N. Kamagambo to realize its targets. The involvement of Provincial administration during advocacy meetings has seen greater attendance and involvement of both male and female partners and to demystify myths and misconception in N.Kamagambo Intensify RRI for the long term methods