Program data and standards of care to support transition

planning in Mozambique

M&E Tecnhical Meeting Johannesburg, South Africa July 29th

Maria Fernanda Alvim

ICAP Supported Provinces in Mozambique

Gaza: 4 districtsInhambane: 9 districtsMaputo City: 2 districtsNampula: 9 districtsZambezia: 5 districts

Mozambique Transition Goals

» Goal 1 – Transition responsibility for selected ICAP-Mozambique activities to Government of Mozambique (GOM) at multiple levels for health system strengthening (HSS) and sustainability

• Planning - Technical Areas (ART, PMTCT, TB, CT, Adherence, Peds, , Lab, Pharmacy)

»Goal 2: Establish a new Mozambican NGO to facilitate transition by strengthening civil society

Planning Process

» Step #1: Site meetings to discuss Health Facility Reports prepare by ICAP team

»Step # 2: ICAP conducts district team meetings

» Step #3: ICAP conducts joint provincial and district meetings

Objective: Elaboration of transition workplans with full agreement by District DoH (DDS) , Provincial DoH (DPS), and ICAP

Support Tool for Work Plan: Health Facility Reports (1)

Slideset used for discussion in technical meetings at site, district and provincial-levels including:

• Results of comprehensive site assessment conducted by ICAP and multidisciplinary site team: space, equipment, infrastructure, patient flow, clinic organization, staffing and human resources

• Routinely collected key program indicator data in graphic and tabular format (developed by M&E):

Indicators: New enrollment on ARV, Exposed Child that initiated CTX, PMTCT cascade, etc

MOC CS Bagamoio.ppt

Support Tool for Work Plan: Standard of Care results (2)

Results from regular semiannual SOC assessments (exercice condutct by clinical team):

Adulto SOC CS Bagamoio JSS May 2010 Para encadernar.xls

Inhambane Transition Planning Meeting,

July 2010

Support Tools for Work Plan:Planning template(3)

Data analysis of potential causes planned activities

Homoine Planificacao 1.xlsHomoine Planificacao 1.xls

»Needs templates Human resources

Equipments and supplies

Renovations

»Budget templateMapa de orcamentacao - Inharime.xlsMapa de orcamentacao - Inharime.xls

Support Tools for Work Plan:Planning template(3)

Data analysis of potential causes planned activities

Homoine Planificacao 1.xlsHomoine Planificacao 1.xls

»Needs templates Human resources

Equipments and supplies

Renovations

»Budget templateMapa de orcamentacao - Inharime.xlsMapa de orcamentacao - Inharime.xls

Lessons learned

Health Facility Reports and Standards of Care are useful tools for transition planning:

• Promoted programmatic data-driven discussion

• Buy-in for transition of CQI activities to MOH

• Identified special needs on planning capacity building at districts and provincial level

Next steps

• Standardize graphics and tables (slide set) to include in all health facilities reports;

• Capacity building in data analysis;

• Develop a M&E framework at site and provincial level to monitor the transition process (outputs and outcomes indicators and targets)