LDP RESULTS WORKSHOP

19TH JUNE, 2012STRATHMORE UNIVERSITY-NAIROBI

MAWENI CDF DISPENSARY

Click to edit Master text styles◦ Second level◦ Third level

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MAWENI CDF DISPENSARY

Level 2 facility under Ministry of Public Health and Sanitation

Located in Mombasa County, Coast Province.

catchment population -10,000 Number of staff- 10

BACKGROUND INFORMATION

Left to right: Fatuma Dume, Elizabeth Nkaduda, Guantai Kariuki, Grace Mwinga, Evans Kitsao

To provide effective leadership and participate in the provision of public health and sanitation services that are equitable, responsive, accessible and accountable to Kenyans.

MOPHS MISSION

A Nation free from preventable diseases and ill health

Facility VisionA community free from deliveries by unskilled birth attendants

MOPHS VISION

Number of deliveries by skilled birth attendants increased from a total of 3 between June and October 2011 to 30 from November to March 2012.

DESIRABLE MEASURABLE RESULT

AOP targets for reproductive health performance were not met

◦Population of women of reproductive age in catchment area 1500 deliveries in facility for 7 months prior to LDP—only 3

◦Low utilization of delivery services

Justification and pre-LDP situation

Obstacles Root Causes• Lack of staff awareness on measurable result • Inaccessibility of facility at night to both staff and clients

• Not all staffs trained on LDP

• Insecurity Due to land disputes

• Delivery by TBAs • Cultural practices• Inadequate equipment and lack of running water

• Lack of funds

Obstacles and Root Causes

How will we increase the number of deliveries by skilled birth attendants from 3 to 30 in six months in light of insecurity, cultural practices and management gaps

Challenge Statement

Community Facility staffs & DMOH CDF Kisauni Provincial Administration National Bank Maweni Secondary School APHIAplus TUPANGE KENYA

STAKEHOLDER S

◦ Sensitize facility staff on measurable result

Priority Actions

Insecurity◦ Approach provincial administration◦ Hold security meeting◦ Increase the number of security patrols

Priority Actions (cont’d)

District Commissioner and Chief at security meeting

Cultural practices◦ Sensitization meetings with TBAs◦ Meeting with CHWs◦ Chiefs baraza

Priority Actions (cont.)

CHWs meeting

Lack of funds◦ Approached National Bank of Kenya for purchase

of delivery couch and additional furniture

Lack of running water◦ Wrote a proposal to the Ministry of Water and

Irrigation for water storage tank◦ Wrote a letter to neighboring school to access

water from their bore hole◦ Wrote a proposal to CDF for connection of water

from school to dispensary

Lack of funds(cont.)

Water Challenge Click to edit Master text

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BEFORE

AFTER

Increased deliveries by skilled birth attendants

RESULTS/ACHIEVEMENTS

Period Number of deliveries

Apr-Oct 2011 3

Apr 2011-Mar 2012 26

Skilled Delivery Click to edit Master text styles

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Supply of delivery equipment

Six Nurses updated on Management of 3rd Stage of Labour

Supply of KEMSA kit

Additional Results

NOV DEC JAN FEB MARCH0

10

20

30

40

50

60

2127

37

57

33

04 6 5

8

DELIVERIESSeries2

WAY FORWARD.COMPARISON BETWEEN DELIVERIES AND BCG.

Increased number of deliveries by skilled birth attendants from a total of 26 by March 2012 to 60 by October 2012

NEXT MEASURABLE RESULT

Commitment and teamwork is crucial to succeed.

Clear statement of measurable result to stakeholders.

KEY LESSONS LEARNT.

USAID/MSH/LMSMOPHSNational Bank of KenyaThe LDP FacilitatorsKisauni CDF OfficeAPHIAplusProvincial AdministrationThe entire Maweni communityMaweni dispensary staff

ACKNOWLEGDEMENT

THANK YOU !

THE END.