PAIMAN Annual Work Plan

Transcription

1 PAIMAN Annual Work Plan October 1, 2008 to September 30, 2009

2 National PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s June'0 9 s) Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 1: Conduct Formative Research Task 1: Literature Review Report JHU Task 2: Prepare ToRs and award contract Copy of ToRs. Implementing partner hired. JHU Task 3: Monitor research in DI Khan & Sibi Formative Research report in 2 districts JHU CM s Task 4: Share findings Report/ NFR JHU ` Activity 2: Review and revise CAM Strategy Task 1: Prioritize health issues based on Formative Research Key issues/packages identified JHU Task 2: Conduct Thematic Group Meeting to revise and finalize the CAM Strategy Thematic Group Meeting held; minutes of the meeting prepared JHU Task 3: Share the revised Strategy Revised CAM Strategy JHU CM s Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 1: Draft District Action Plans Draft of District Action Plans prepared JHU CM s Task 2: Finalize and share District Action Plans 23 action plans finalized and shared CM partners JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 4: Support MoH to Develop and implement health communication campaigns/activities. Task 1: Conduct need assessment Report on Need Assessment Task 2: Devise a strategy for strengthening health communication at MoH Strategy for MoH JHU Task 3: Support MoH in implementing the activities as outlined, CM Report/ NFR JHU in the abovementioned strategy partners Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 1:Review IEC material requirements by cadre Material reviewed JHU CM partners Task 2: Print new IEC material (if required) Printed IEC material JHU Task 3: Distribute IEC materials Material distributed CM partners Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 1: Produce mini TV drama serial on MNCH/ FP Drama produced JHU Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced; airing, CM JHU care schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 5: Produce additional TVCs on child health TVCs on child health produced JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU National Annual Workplan

3 National Task 12: Dub and air PAIMAN drama series in regional languages (Sindh, Baluchistan and NWFP) Task 13: Develop concept and produce a TV Magazine show on MNCH/ FP (input/process/ June'0 9 Consortium s s) Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow 39 talk shows produced & aired JHU Task 9: Conduct already developed Putlee Tamashas for two districts of Baluchistan (Sibi & Quetta) 100 Putlee Tamashas held JHU Task 10: Review and adopt to incorporate child health and Revised version of Putlee family planning messages in Putlee Tamashas Tamashas prepared. JHU Task 11: Conduct revised Putlee Tamashas in selected districts Putlee Tamashas performed in 4 (Vehari, Khairpur, Bhimber and Sudhnoti) districts (200) JHU Dubbed version of PAIMAN drama series aired on regional JHU languages TV Magazine Show on MNCH/ FP JHU Task 14: Telecast the magazine show Magazine Show telecast JHU Task 15: Support/ organize theatre groups / performances 22 theatre performances reports (existing districts) (8, 6 PAVHNA Task 16: Produce and air District Television Talkshow (new districts only including Swat) and 8 MC) 13 District Television Talkshow aired /PAV HNA/MC, CM partners JHU CM partners Task 17: Conduct pilot-testing of drama road-shows (Sindh) 15 drama Road-shows conducted JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 1: Support the National MNCH/ FP (WRA-P) group Support provided JHU Task 2: Celebrate National Mothers Day National Mothers Day held JHU, CM partners Task 3: Stage play at federal/provincial headquarters (as per National Program's requests) Stage plays organized JHU Task 4: Review Ulama resource material to include new areas Ulama resource material revised JHU Task 5: Map key Ulama and community influentials in new areas in additional districts Mapping report JHU CM s Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material. 350 ulama contacted JHU Task 7 Pilot test innovations involving Ulama as outline in the CAM Strategy (Charsadda, Mardan, DI Khan, Swat and Upper Dir) Pilot test in 5 districts completed JHU Task 8: Organize special trainings for journalists from additional PAIMAN districts See SO4 Activity 13 JHU Task 9: Develop and support networks of Journalists and Ulama Networks of Journalists/Ulama established JHU CM partners Task 10: Plan and conduct a seminar for policy makers to, CM Seminar Report JHU advocate on the issue of MNCH/ FP partners Task 11: Participate/support meetings of provincial MNCH/ FP oversight committees 10 meetings participated/supported s, PHD, development partners National Annual Workplan

4 Task 12: Develop a strategy to involve school teachers in promoting MNCH/ FP in DI Khan National (input/process/ June'0 9 Strategy developed JHU Task 13: pilot test the strategy in DI Khan Test report JHU Task 14: Refine and scale up work with school teachers in other districts Task 15: Organize Seminar on MNCH/ FP & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH/ FP &FP (existing districts) Task 17: Organize mega events/mnch/ FP Health days Task 18: Seminar on MNCH/ FP &FP for school teachers (Lasbella & Jaffarabad) Task 19: Organize Health Camps/Melas (Sindh, Baluchistan) Task 20: Organize sensitization events for MNCH/ FP and Family Planning in new districts Report JHU 11 Seminars on MNCH/ FP organized reports (1/existing district) 61 local events on MNCH/ FP & FP organized, Reports (7, 50 PAVHNA and 4 MC) 39 mega events/mnch/ FP health days organized, Reports (35, 2 PAVHNA and 2 MC) 5 seminars conducted, reports 11 health camps/melas organized. Reports. (2 PAVHNA and 8 MC) 12 sensitization events on MNCH/ FP/FP organized, Reports (1/year/ new district) Consortium s s) /PAV HNA/MC /PAV HNA/MC /PAV HNA/MC /MC CM partners, CM partners, CM partners, CM partners Task 21 Organize district launches 12 district launches organized All s, PHD Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF Child Health weeks/days celebrated / Activity 8: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication See SO4 Activity 13 JHU Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 1: Develop an evaluation model for media products (talk show, Drama Series, Music video and TVCs) Monitoring tools JHU PC Finalization of document Task 2: Document the process of production of media products outlining the process of production JHU PC Task 3: Conduct field surveys and document results Completion reports JHU PC Task 4: Develop tools for monitoring ulama and journalist projects Quarterly monitoring report JHU PC Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects M&E reports JHU FALAH FALAH MNCH/ FP program & NP & Development partners National Annual Workplan

5 Task 6: Review social and community mobilization strategy and approach and suggest improvements Task 7: Review and develop monitoring tools for community social mobilization activities Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph National (input/process/ June'0 9 Consortium s s) Review report JHU SC/US Monitoring tools reviewed & developed JHU SC/US Monitoring reports JHU SC/US Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Minute of the meetings Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH/ FP activities Task 1: Coordination meeting with district Health department Task 2: Coordination meetings with Tehsil/UC Nazims in Sindh & Baluchistan existing districts only Task 3: Seminar with /CBOs/Line dept./dco/nazims in Baluchistan Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings of PAIMAN s Task 7: Review meeting with National Program at Provincial level Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct regular monitoring of SG/HC/community social mobilization activities Minute of the meetings 60 meetings held, NFRs. (44, 8 PAVHNA and 8 MC) 12 meetings held. Reports (8 PAVHNA & 4 MC) 2 seminars organized. Reports LHWs monitored, NFR (1394, 128 PAVHNA & 192 MC ) 1530 HCs monitored, NFR (1394, 64 PAVHNA & 72 MC) 86 meetings held NFRs (50, 24 PAVHNA & 12 MC) 5 meetings NFRs (1/year/ province) 224 meetings held, NFR (137, 12 PAVHNA and 12 MC) 608 facility based meeting with LHWs and LHS held NFR (528, 48 PAVHNA & 32 MC) /PAV HNA/MC PAVHNA/ MC MC /PAV HNA/MC /PAV HNA/MC / CM partners Contech PAVHNA/M C/ /PAV HNA/MC /PAV HNA/MC support group meetings /PAV reported HNA/MC MC,, NFR PAVHNA, JHU National Annual Workplan

6 National Activity 13: Strategize social marketing of health products and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable Task 3: Airing of GL Advertisement on National & Satellite Channel TV Task 4: Billboard Display (10 locations on 4 monthly pulse) (input/process/ Sample= 20,000 Units Commercial & Institutional = 52,200 June'0 9 10,000 Spots 120 Spots (4 month pulses) 100 Launches in 6 districts only Consortium s s) Task 5: Print media insertions 100 Insertions 6 districts only GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) 12,243 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 24, Clinic Sahoolat activities conducted. Activity Reports. GS GS GS GS GS GS MoH, PHD, MoH, PHD, MoH, PHD, Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH/ FP services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH/ FP Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), See SO4 training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard See SO4 protocols and MNCH/ FP equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, See SO 4 standard protocols + MNCH/ FP equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s National Annual Workplan

7 National (input/process/ June'0 9 Consortium s s) Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 5: Support districts for placement of the HCPs at selected HFs on contract basis No. of HCPs placed on contract Task 6: Support visit of specialist doctors to the DHQ/THQ hospitals where specialists are not No. of specialist doctors visits Activity 3: Integration of FP services at the district level Task 1: Technical support for the district to establish functional integration of services between DOH and PWD See SO3 Activity 5, Task 3 Task 2: Training of the HCPs on FP through Client Centered Approach 400 HCPs trained FALAH Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorities for advocacy on FP MoM FALAH Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts 70 HCPs trained FALAH Task 5: FP counseling and service delivery during free medical See Grants Management camps Activity 5 Task 1 Task 6: Refresher training of TBAs on FP See Grants Management PC Activity 5 Task 5 Task7: Coordination meeting with FALAH and TACHMIL for FALAH, MOM/NFR integration of FP services TACHMIL Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required Task 2: Identification of TBAs Task 3: Orientation of TBAs on clean delivery practices Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts Task 7: One day TBA Orientation Workshop by Greenstar HSO Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented 108 workshops done by HSO (1 workshop / month) Ambulances in selected districts New Ambulances procured and placed GS CM s GS CM s GS/ NP for MNCH/ FP NP for MNCH/ FP Contech PHD, National Annual Workplan

8 Task 3: Identify/utilize indigenous means of transport through VHCs National (input/process/ 999 indigenous means of transport (10 % of male health committees of LHWs) See Grants Management activity 6 task 3 June'0 9 Consortium s s) CM partners Task 4: Operation of the community managed emergency transport system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training Task 1: Training of trainers if required Trainers trained Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector NP for MNCH/ FP See SO2 activity 9 task 6 NP for MNCH/ FP 230 existing LHVs/midwives trained Task 3: Follow up with the trained LHVs/midwives Follow up reports Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Report Task 5: Design refresher training based on the results of post training assessment if required Training design Task 6: Conduct newly designed refresher training of selected LHVs/midwives 100 LHVs/midwives trained Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 550 CMWs identified Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified Task 3: Strengthen 2 midwifery schools in Baluchistan for 2 midwifery schools strengthened CMWs training and minor repair maintenance of other schools if and up-graded required Task 4: Training of midwifery tutors 100 tutors trained Task 5: Print and distribute the training manuals, curriculum, books and teaching material for the identified schools training manuals, curriculum, books and teaching material printed and distributed Task 6: Enroll of CMWs in the identified midwifery schools 550 CMWs enrolled Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC Task 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs CMWs deployed Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed Task 2: Improving coordination between midwifery tutors and clinical instructors Task 3: Post training assessment of the knowledge and skill of the trained midwifery tutors MOM/NFR Report NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP National Annual Workplan

9 National (input/process/ June'0 9 Consortium s s) Task 4: Design refresher training based on the results of post Training design training assessment if required Task 5: Refresher training of midwifery tutors based on the 100 midwifery tutors trained assessment report including FP services Task 6: Special study on the nursing training program Study report MAP Task 7: Dissemination/ sharing of the study report with stakeholders Activity 9: Placement of newly graduated CMWs in the field Task 1: Consultative meetings at the national & provincial level to finalize the strategy for the placement Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Report MAP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Consultative meetings organized PC MOH and PHD Seminars organized at the district level PC MOH and PHD Linkages developed Monitoring & supervisory reports PC Task 5: Introduce monthly reporting tools for CMWs Tools developed PC Task 6: Provide support for establishment of the midwife homes Report/NFR in the rural areas. Task 7: Establish communication between Midwife Homes and Communication system health facilities. developed Task 8: OR on CMW placement and supervisory model See SO 5 PC Task 9: Disseminate OR results OR results disseminated PC Task 10: Study tour of the policy makers and health managers to observe the best model of CMW placement in the field Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at the national & provincial level Consultative meetings organized Task 2: Signing of working document with MOH and AIOU Working document signed Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP 80 Young women identified CM partners Task 4: enrollment of the under matric young women for educational support with AIOU 80 Young women enrolled Task 5: Monitoring and supervision of the educational support Monitoring reports Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at the national & provincial level Consultative meetings organized NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for FP & PHC NP for FP & PHC NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for FP & PHC National Annual Workplan

10 National (input/process/ June'0 9 Task 2: Signing of working document with MOH and AIOU Working document signed Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP 200 Young women identified Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU 200 Young women enrolled Task 5: Monitoring and supervision of the educational support Monitoring reports Consortium s s) Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 2: Review/adaptation of the existing curriculum See SO4 Activity 5 AKU Task 3: Printing of the IMNCI curriculum See SO4 Activity 5 Task 4: ToT for IMNCI trainings (Facility based) three trainings (11,5 and 3 day) See SO4 Activity 5 Task 5: DIP for facility based IMNCI See SO4 Activity 5 Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 1: Review/ adaptation and printing of the of the IMNCI guidelines Task 2: Establishment of the well baby clinics at the up-graded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF IMNCI guidelines at HFs Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers AKU Contech Contech Equipment/ supplies Contech Core child health interventions implemented AKU See SO1 Activity 7, task 22 / NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Selected HF declared as Baby Friendly Hospitals MNCH/ FP program & NP National Annual Workplan

11 Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI Task 1: Review and adaptation of the community IMNCI curriculum Task 2: Printing of the revised community IMNCI curriculum National (input/process/ See Grants Management activity 6 task 2 Curriculum reviewed and adapted Curriculum printed Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 4: Provincial TOTs of community IMNCI See SO 4 Activity 4 June'0 9 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Consortium s s) CM partners AKU NP for FP & PHC NP for FP & PHC NP for FP & PHC NMNCH &NP for FP & PHC NMNCH &NP for FP & PHC NMNCH &NP for FP & PHC NMNCH &NP for FP & PHC Task 7: Study tour of the policy makers & health managers to the best international model community IMNCI Study tour conducted Activity 15: Innovation to improve access to MNCH/ FP services Task 1: Establishment of birthing centers through sub-grantee See Grants Management at far flung areas. Task 2: Establishment of community managed transport for the See Grants Management emergency obstetrics Task 3: Establishment of the communication system between No. of communications system CMW and HFs through cell phones established, PHD Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs No. of visits where there is no specialist Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meetings held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 2 Activity 4 GS CM s Task 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women) Task 5: Follow-up on Voucher scheme (For ANC/facility based delivery/tt injections & PNC) Compensation to Providers & Beneficiaries in D G Khan Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH/ FP equipment at selected HFs See SO 1 Activity 12 Task 1 Upto 2,000 Providers & Beneficiaries compensated National Annual Workplan GS

12 National (input/process/ June'0 9 Consortium s s) Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Need assessment report Contech Sub task1.2: Preparation and finalization of the list of Equipment Required List of equipment Contech Sub task1.3: Preparation of Specifications of Required Equipment Specifications Contech Sub task1.4: Preparation of Procurement Plan Plan Contech Sub task1.5: Approval of Procurement Plan and Formal No Objection from USAID Approval letter Contech Sub task1.6: Market Research for the finalized equipment Market research Contech Sub task1.7: Submission and approval of Source and Origin Waiver Requests for Non-US commodities submission letter Contech Sub task1.8: Preparation of Solicitations (RFQs/ IFBs / RFPs) for open competition Solicitations Contech Sub task1.9: Bids / Proposal openings and evaluation MOM Contech Sub task1.10: Award of Purchase Orders / Contracts PO/contracts Contech Sub task1.11: Tax-free Exemption Certificates from EAD, Government of Pakistan and custom clearance Sub task1.12: Delivery of commodities at warehouse and Inspection Sub task1.13: Preparation and Approval of Distribution Plan and facility wise packaging Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites Certificate Contech Delivery report Contech Approved distribution plan Contech Equipment distributed Contech Installation report Contech handing over certificate Contech MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.3: Preparation of Details Estimates facility-wise Estimates Contech Sub task 2.4: Formal No Objection from USAID NOC Contech MOM and list of contractors Sub task 2.5: Identification and pre-bid orientation of the civil works contractors in consultation with District Authorities Contech Sub task 2.6: Issuance of DNITs to short-listed civil works contractors NFR Contech Sub task 2.7: Opening of Bids and bid evaluation MOM Contech Sub task 2.8: Award of Contracts Contracts Contech Sub task 2.9: Hiring of Site Supervisor Hiring letter Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Sub task 2.12: Handing over to health facility Incharge Handing over report Contech National Annual Workplan

13 Task 3: Capacity building of staff See So-4 National (input/process/ June'0 9 Consortium s s) //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities with IMNCI) in the health facilities. MNCH/ FP protocols Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH/ FP services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and See SO 4 TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 1: Identify the best performing district District identified CM s Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, Incentive system in place CM s etc) Activity 4: Hospital waste management at selected HFs (Quetta, Vehari and Khairpur) Task 1: Consultative meeting to prepare implementation plan Implementation plan ready Task 2: Training of the staff on hospital waste management No. of staff trained Task 3: Provision of logistic support, utensils and at selected HFs 6 HF provided utensils Task 4: Construction of conventional incinerator at selected HFs Incinerator constructed at 6 HFs (Quetta, Vehari and Khairpur districts) in three districts Task 5: Supervision & monitoring by district managers Reports Task 6: Assessment of the pilot testing Assessment reports Activity 5: Functional integration of services at district level in Peshawar, Quetta and Vehari Task 1: Consultative meeting of stakeholders at provincial & district level to share the pilot study report along with Minutes of the meeting recommendation and areas of integration Task 2: Training workshop to finalize the implementation strategy and plan of action of functional integration Minutes/report Task 3: Technical Support district districts for functional integration Areas integrated Task 4: Assessment of Functional Integration assessment report Task 5: Presentation of report and experience sharing with policy makers for scaling up Minutes of meeting MOH. MOPW, PHD MOH. MOPW, PHD National Annual Workplan

14 Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Task 3: Training of Health Managers and HCPs on IP & C Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs National (input/process/ Assessment report Report Training of 250 HCP and managers June'0 9 Consortium s s) Contech Reports, PHD Task 5: Provide logistic support for the IP & C Logistic support provided, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of catchment area of the health facilities selected for upgradation in new districts Task 2: Consultative meetings for planning and designing of PDQ process Mapping reports of selected facilities in 12 districts PDQ implemented at 80 facilities (58, 14 PAVHNA & 8 MC) /PAV HNA/MC Task 2.1: Building support for the PDQ process Support provided Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Quality explored in catchment area of 80 facilities, reports Conducted 80 workshops, reports # of QI teams formed, reports 552 meetings of QI teams held, minutes. (504, 32 PAVHNA & 16 MC) /PAV HNA/MC /PAV HNA/MC /PAV HNA/MC /PAV HNA/MC Activity 8:Improve the image of MNCH/ FP service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National Newspaper) See SO 1 Activity 11 GS National Annual Workplan

15 National (input/process/ June'0 9 Consortium s s) Strategic Objective 4: Increase capacity of MNCH/ FP managers and health care providers Activity 1: Implementation of EMNC training Task 1: Conduct Provincial TOTs for EMNC trainings for additional districts 75 HCPs trained Task 2: Orientation workshops for EMNC Monitors Five workshops, one for each province, 75 HCPs trained Task 3: Conduct EMNC trainings 507 HCPs trained (existing 27, Swat 60, new districts 420 Nine training sessions conducted Task 4: EMNC Refresher trainings conducted and 119 HCP s trained ( carry forwarded task) Activity 2: Advanced skill training for specialists Task 1: Conduct Advanced skills training for obstetricians Two Training sessions conducted, 30 HCPs trained, Activity 3:Implementation of LHWs trainings Task 1: Provincial ToT on Support Group Methodology 45 trainers trained Task 2: District ToT of NP for FP & PHC 560 HCPs trained Task 3: Conduct LHWs rollout trainings Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 2: Provincial TOTs of community IMNCI Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities 3770 LHW trained (existing 1170, Swat 200, New district 2400) 23 planning meetings (one in each district) conducted 75 HCPs trained 640 HCPs trained (Existing 320, Swat 20, New districts 300) 5555 (existing 2955, Swat 200 and New district 2400) Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 2: Review/adaptation of the existing curriculum Curriculum adapted AKU, DOH, PHDC, PHSA, NP DOH, PHDC, PHSA, NP DOH, PHDC, PHSA, NP DoH, NP, PHDC, C DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH/ FP Program, NP National MNCH/ FP Program, NP National MNCH/ FP Program, NP National MNCH/ FP Program, NP National MNCH/ FP Program National MNCH/ FP Program National Annual Workplan

16 National (input/process/ June'0 9 Task 3: Printing of the IMNCI curriculum Curriculum printed Task 4: ToT for IMNCI trainings (Facility based) three trainings (11,5 and 3 day) Consortium s s) Trainers trained AKU Task 5: DIP for facility based IMNCI DIP prepared Task 6: Rollout facility based IMNCI trainings 1100 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 100 LHV in GoodLife Network with GoodLife Surgical Providers 300 deliveries performed by 100 LHVs under supervision of GoodLife Surgical Providers GS National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program Activity 8: Performance assessment Task 1: Complete and finalize the Performance assessment of EMNC trainings (Public Sector - Intervention Group) in remaining districts of Pakistan Performance is assessed in terms of knowledge and skill retention of health care providers AKU Task 2: Performance assessment of EmONC trainings of Specialists/Pediatricians (Public Sector) Performance is assessed in terms of knowledge and skill retention of health care providers (Pediatricians/Specialists) AKU Task 3: Data entry and Analysis of Performance assessment Analyzed Data Task 4: Development of training software database for each type EMNC, EMONC and LHW of training database functional Task 5: Conduct quality assessment for Infection Prevention Reports Available GS (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities PHD, National Annual Workplan

17 National Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants (input/process/ 14 providers followed-up June'0 9 Consortium s s) GS Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 320 HCPs trained PHD, Task 2: Follow-up and support to the trained HCP Follow up reports PHD, Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH/ FP) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report CAI, Task 2: Roll out trainings 200 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and Para-medics in Basic Life Support Task 1: Roll out trainings 100 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication 25 persons trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts 85 Journalists trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning (for new districts) 120 staff trained CONTECH Task 2: Financial Management Training for managers and 120 staff trained CONTECH accounts staff (for new districts) Task 3: Trainings on supportive supervisory system (for new districts) 120 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software (for new districts) Software installed in districts CONTECH Task 5: Follow up / mentoring visits (for all districts) 23 follow up visits conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts Activity 15: Training on Client Centered Approach for delivering RH Services. DHMs Trained on LQAS Technique PC, CONTECH Task 1: Identification and selection of district trainers District trainers selected PC 24 district trainers trained in Task 2: Conduct TOT in CCA for district trainers PC CCA Task 3 Conduct rollout trainings for doctors and paramedics 400 HCPs trained PC, All partners National Annual Workplan

18 National (input/process/ June'0 9 Consortium s s) Task 4: Supervision of first batch of rollout training carried out by each district team Supervisory reports PC Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised PC Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 70 HCPs trained PC Task 2: Training of HCPs on Minilap 70 HCPs trained PC Task 3: Training of HCPs on Vasectomy 70 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training district managers identified PC Task 2: Training of the health managers in leadership district managers trained PC Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs (for new districts) 12 meetings held CONTECH Task 2: Support in establishment of DHMTs (for new districts) 12 DHMTs established/notified CONTECH Task 3: Support to quarterly DHMT meetings (for all districts) 80 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high provincial 46 district level and 4 5 and district officials for sensitization of DHMTs (for all districts provincial level meetings held & provinces) CONTECH PHD, Task 5: Conduct District Health Management Strengthening workshops for continuous performance improvement of DHMTs (for all districts) 02 workshops held CONTECH PHD, Task 6: Implementation of a more sustainable (legislative) Model implemented in 5 model of DHMTs (for selected districts) districts CONTECH PHD, Task 7: Support districts in organizing monthly meeting with MOICs (for all districts) Support provided to 23 districts CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings (for all districts) provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt (for new districts & Swat) 07 visits conducted CONTECH Task 10: Performance assessment of DHMTs (for all districts) 02 Assessment reports CONTECH /PC PHD, Activity 2: District Health Performance Target Setting PHD, Task 1: Conduct training/briefing to district managers/planners 04 workshop organized CONTECH on health performance target setting (for all districts) Task 2: Hands on support in target setting (for all districts) Support provided to districts CONTECH PHD, National Annual Workplan

19 Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) National (input/process/ June'0 9 Consortium s s) Data collected and compiled CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Task 3: Report Writing (for all districts) 02 report CONTECH HSPH/ Task 4: Report Dissemination Workshop Report Disseminated CONTECH HSPH/ PHD, Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning (for new districts) See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff (for new districts) See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system (for new districts) See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software (for new districts) See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits (for all districts) See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 1: Sensitization workshop on strategic and district annual operational planning (for all districts) 02 workshop organized CONTECH PHD, Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year (for all districts) 23 DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DAOP progress discussed in DHMT forum (for all districts) DHMT meetings CONTECH Activity 6: Facilitate in Implementation of District Health Information System Task 1: Conduct coordination meetings with national and provincial stakeholders, AJK and donors on possible areas of collaboration 02 meetings held CONTECH PHD, Task 2: Support for development of PC 1 (AJK) PC 1 developed CONTECH PHD Task 3: Conduct DHIS implementation planning workshop with stakeholders to seek agreement plan for implementation 05 workshops organized CONTECH PHD, Task 4: Training of Master Trainers (TOT) (for all districts) 69 master trainers trained CONTECH PHD, Task 5: Refresher training of health care providers (for all districts) 4095 health care providers trained CONTECH Task 6: Training of computer personnel on use of DHIS software (for all districts &province) 80 staff trained CONTECH PHD, Task 7: Installation of DHIS software Software installed at provincial & district level CONTECH PHD, Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS in all districts Assistance provided CONTECH Task 10: Printing of DHIS tools for the districts, as required Printed DHIS tools provided CONTECH Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement of software application, as required equipment) CONTECH Activity 7: Use of information for district health management National Annual Workplan

20 Task 1: Organize workshops on use of DHIS information (for all districts and provinces) Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) (for all districts) Task 3: Performance of Routine Information System Management (PRISM) (for all districts) National (input/process/ June'0 9 Consortium s s) 240 managers trained CONTECH 276 monthly District reports CONTECH District level assessment reports CONTECH /PC Activity 8: Public Private ship Task 1: Development of innovative PPP models Models developed CONTECH Task 2: Implementation of PPP models Models implemented CONTECH Task 3:Follow-up on area of collaboration between public and Follow-up reports GS private sector (blood Bank Mian Chuno) Activity 9: Prepare District Profiles Task 1: Preparation of District Profile (4 Pager) (for new districts) 13 health profiles prepared CONTECH CONTECH, Monitoring, Evaluation and Research Activity 1: Baseline Survey for additional 12 districts Task 1: Survey Planning Work plan PC Task 2: Hiring of field teams Field staff hired PC Task 3: Training of interviewers Interviewers trained PC Task 4: Field Data Collection Data collected PC Task 5: Data Analysis and Report writing Report written PC Task 6: Report Dissemination Workshop Report Disseminated PC Task 7: Mapping of Health Facilities through GIS Sub-task 7.1: Hiring of field staff Data collection staff hired PC, Contech Sub-task 7.2: Training of data collection Teams Data collecting teams trained PC Sub-task 7.3: Field data collection Data collected PC, Contech All partners, Sub-task 7.4: Data Entry, Digitalization Data entered PC Sub-task 7.5: Analysis and report writing Report written PC Sub-task 7. 6: Dissemination of results Results disseminated PC Activity 2: End line survey for existing districts Task 1: Survey Planning Work plan PC Task 2: Hiring of field teams Field staff hired PC Task 3: Training of interviewers Interviewers trained PC Task 4: Field Data Collection Data collected PC Task 5: Data Analysis and Report writing Report written PC 1 Task 6: Report Dissemination Workshop Report Disseminated PC Activity 3: OPERATIONS RESEARCH Task 1: Midwifery Supervisory Models PC 1.1: Hiring of project staff & research staff Staff hired PC : Training of research staff for data collection Training completed PC 1.3: FGDs of community women & interviews with CMWs Data collected PC 1.4: Placement of midwives in their respective communities CMWs placed in their communities PC, GS 1.5: Data analysis and report writing of data collected Report written PC 1.6: Participants observation Reports PC 1.7: Verbal Autopsy Reports PC National Annual Workplan , All partners

21 National (input/process/ June'0 9 Consortium s s) 1.8: Monitoring of field activities Monitoring reports PC 1.9: Interviews with CMWs and their supervisors Data collected PC 1.10: Endline survey (intervention and control clusters) Data collected PC 1.11: Data analysis and report writing of endline survey Report PC Task 2: PAIMAN Voucher Scheme PC GS/ 2.1: Developing study proposal Study proposal PC GS/ 2.2: Approval by M&E&OR SC for study Proposal approved PC GS/ 2.3: Implementation of study Data collected PC GS/ 2.4: Data analysis & Report writing Study report PC GS/ 2.5: Dissemination of study results Results disseminated PC GS/ Task 3: Effect of anti-shock garments and Misoprostol on bleeding during delivery 3.1: Developing study proposal Study proposal PC 3.2: Approval by M&E&OR SC for study Proposal approved PC 3.3: Implementation of study Data collected PC 3.4: Data analysis & Report writing Study report PC 3.5: Dissemination of study results Results disseminated PC Task 4: Application of 4% Chlorhexidine for Neonatal Cord Care 4.1: Field Activity (Patients recruitment and Follow-ups as per Patient recruitment process study protocol) continues AKU 4.2: Field Activity (Endline) Endline data and analysis AKU 4.3: Data Analysis and Report Writing Final Report Task 5: Newborn Vitamin A Supplementation Project; a randomized Control Trial in District Sukkur and Jhelum * AKU 5.1: Field Activity (Subjects recruitment and Follow-ups as per study protocol) Recruitment of subjects AKU 5.2: Data Analysis and Report Writing Final Report AKU Task 6: Postpartum Maternal and Neonatal Intervention Package; A Cluster Randomized Control Trial in District AKU Sukkur 6.1: Field Activity (Training of TBAs, Midwives, LHVs and Community care providers other community care providers is in process) trained AKU 6.2: Field Activity (First Surveillance Round) Data of Surveillance Round 6.3: Data Analysis and Report Writing Final Report AKU Task 7: Improved Recognition of and Response to Prolonged Labor and Birth Asphyxia; An observational study in AKU District Matiari & Sukkur 7.1 Instrument translation, pre-testing, finalization and printing Instrument developed and data collected AKU 7.2 Identification and Verification of Participants List of identified participants AKU 7.3 Field Activity (Semi-structured Interviews) Data collected AKU 7.4 Data Analysis and Instrument Development and Planning for the next phase Instrument and Data analyzed AKU 7.5 Field Activity (Structured Interviews) Data collected AKU 7.6 Data Computerization and Instrument Development and Planning for the next phase Instrument and Data analyzed AKU 7.7 Field Activity (Group Discussions) Data collected AKU National Annual Workplan PC AKU PC, PC,

22 National (input/process/ June' Data Analysis and Report Writing Final Report AKU Task 8: Proposal for Developing and Evaluating Diarrheal disease packs for childhood for use by Public and Private Settings AKU 8.1 Proposal Finalization and approval Final Proposal and approval AKU 8.2 Work Plan Development Approved Work Plan AKU 8.3 Implementation AKU Consortium s s) Task 9: Evaluation of an improved pneumonia recognition and management for community health workers AKU 9.1 Proposal Finalization and approval Final Proposal and approval AKU 9.2 Work Plan Development Approved Work Plan AKU 9.3 Implementation AKU Task 10: Prevention and management of sever acute malnutrition in a community setting in rural Pakistan AKU 10.1 Proposal Finalization and approval Final Proposal and approval AKU 10.2 Work Plan Development Approved Work Plan AKU 10.3 Implementation AKU Task 11: Delayed Cord Clamping to reduce the incidence of Anaemia in infancy AKU 11.1 Proposal Finalization and approval Final Proposal and approval AKU 11.2 Work Plan Development Approved Work Plan AKU 11.3 Implementation AKU Task 12: Impact of Nasal CPAP in district level hospitals for better respiratory management of newborns, specially for premature babies AKU 12.1 Proposal Finalization and approval Final Proposal and approval AKU 12.2 Work Plan Development Approved Work Plan AKU 12.3 Implementation AKU Activity 4: KNOWLEDGE MANAGEMENT Task 1:Collect information for the quarterly newsletter Information collected from total 200 PC All s KMSPs trainees Task 2: Circulate PAIMAN Quarterly Newsletter 4 Newsletter circulated PC All s Task 3: Collect success stories from partners Success stories collected & disseminated PC All s PHD, Task 4: First international consultative meeting Meeting conducted PC All s PHD, Task 5: Update website regularly Website regularly updated PC Task 6: Collect and share MNCH/ FP information from PAIMAN, other projects and GOP both nationally and MNCH/ FP information collected PC internationally Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Research (LQAS) for additional districts See SO4 Activity 14 PC, Activity 6: SPECIAL STUDIES Task 1: Develop framework for SPECIAL Studies: study 1 Study framework PC Task 2: Approval by M&E SC for study Minutes of the meeting PC Task 3: Implementation of study (Timing depends upon plan and Study report PC needs) Task 4: Develop framework for SPECIAL study 2 Study framework PC National Annual Workplan

23 National (input/process/ June'0 9 Consortium s s) Task 5: Approval by M&E SC for study Minutes of the meeting PC Task 6: Implementation of study (Timing depends upon plan and Study report PC needs) Task 7: LQAS Study on AMTSL and Partograph Study report PC, CONTECH Task 8: LQAS Assessment of PDQ Implementation Study report PC, CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 1: Develop/finalize framework for process evaluation of, CM Framework developed PC private activities s Task 2: Approval by M&E SC for process evaluation of private, CM Framework approved PC sector activities partners Task 3: Conduct data collection for process evaluation of private, CM Data collected PC sector activities partners Task 4: Data analysis and report writing process evaluation of, CM Report written PC private sector activities partners Task 5: Dissemination of findings evaluation of private sector, CM Findings disseminated PC activities at the grass root level s Activity 8: Component Evaluation of District Health System Strengthening (existing districts) Task 1: Develop/finalize tools for evaluation of DHSS [supportive supervision & LQAS trainings] Questionnaire developed PC Contech Task 2: Conduct field work for evaluation of District Health System strengthen component Data collected PC Contech Task 3: Data analysis and report writing for evaluation of District Health System strengthen component Report written PC Contech Task 4: Disseminate findings for evaluation of District Health System strengthen component Findings disseminated PC Contech Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Field monitoring conducted and Consortium reports partners District HMIS/DHIS reports Task 2: HMIS/DHIS Reports (including RMOI) reviewed and progress on CONTECH MNCH/ FP indicators tracked Task 3: Quarterly reports reporting 4 Quarterly reports submitted Consortium partners Task 4: Prepare Annual Reports 1 Annual report submitted Consortium partners Task 5: Conduct national coordination meetings with consortium Consortium 4 coordination meetings held partners partners Task 6: Conduct provincial coordination meetings with partners 20 coordination meetings held Consortium partners Task 7: Thematic group meeting on need basis No. of meetings held Consortium partners,,, National Annual Workplan

24 National Task 8: Collection of Routine Monitoring Output from Pvt. HCPs (input/process/ June' basic and 50 advance EmONC trained providers in Pvt sector, data collected quarterly Consortium s s) GS CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 1: Agreement on indicators agreed CONTECH PHD, Task 2: Development of survey tools Tools developed CONTECH PHD, Task 3: Survey Planning Work plan CONTECH PHD, Task 4: Training of data collectors Interviewers trained CONTECH PHD, Task 5: Field Data Collection Data collected CONTECH PHD, Task 6: Data Analysis and Report writing Report CONTECH Task 7: Report Dissemination Workshop Report Disseminated CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of sub-grant to the successful, Task:1 Advertise RFA in national and local press RFA advertised, PHD Task:2 shortlisting of according to the pre-defined criteria List, PHD Task 3: Shortlisted shared with District PRC Committees Applications shared and for approval approved by District PRC, PHD Task4: Review of short listed applications by National Application reviewed and Committee at office Islamabad and approval of COP finalized, PHD Task 5: Pre-award assessment of shortlisted pre-award assessment report, PHD Task 6: Proposal writing workshop of the successful No. of workshops held, PHD Task 7: Review and finalization of proposals by PAIMAN Proposals reviewed and finalized, PHD Task 8: Review and approval by USAID Proposals reviewed and approved, PHD Task 9: Sub-grant award to the Sub-grants awarded, PHD Activity 2: Extension of the projects of already selected Task 1: Review of the performance Reports, PHD Task 2: Revision of the proposals Proposals developed, PHD Task 3: Review and approval of revised proposal revised proposals approved, PHD Task 4: Signing of revised agreement Agreement signed, PHD Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH/ FP and FP Task 1: Awareness session at schools, with religious leaders, No of awareness session politicians, councilors, and village elders etc. organized National Annual Workplan

25 National (input/process/ June'0 9 Consortium s s) Task 3: Advocacy sessions on MNCH/ FP issues (meena No of advocacy session bazaars, sports, fairs, healthy baby shows, awareness walk) organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH/ FP services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH/ FP emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained PC Task 4: Identification of TBAs 350 TBAs identifies Task 5: Orientation of TBAs on clean delivery practices 350 TBAs oriented PC Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings organized PC TBAs Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies No. of birthing centers established Reports/NFR No. of transport system established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC National Annual Workplan

26 PAIMAN Annual Work Plan PUNJAB October 1, 2008 to September 30, 2009

27 Rawalpindi i onal cial ct Rawalpindi Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Action plan finalized and shared s) / CM s Task 3: Monitor implementation of District Action Plans Monitoring reports CM s JHU JHU Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced; care airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 14: Telecast the magazine show Magazine Show telecast Task 15: Support/ organize theatre groups / performances (existing districts) Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) Task 17: Organize mega events/mnch/ FP Health days 2 theater performances conducted. Reports One district Assembly Seminar conducted/nfr One local event conducted/ Report Two mega events conducted/nfrs / CM s Page 1

28 Rawalpindi Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF i onal cial ct (input/process/ Child Health weeks/days celebrated Consortium s s) / Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Completion reports JHU PC Task 8: Conduct monitoring of community social mobilization activities Monitoring reports JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MNCH/ FP program & NP & Development Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Minute of the meetings MAP Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH/ FP activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Minute of the meetings MAP 3 coordination meetings conducted/ minutes 96 LHW meetings monitored/ NFR 96 LHW meetings monitored/ NFR Four meetings conducted/ minutes 12 meetings conducted/ minutes 36 meetings conducted/ NFR meetings conducted/ Reports monitoring visits conducted/nfrs MC,, PAVHNA /Contech, JHU Page 2

29 Rawalpindi Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable Task 3: Airing of GL Advertisement on National & Satellite Channel TV Task 4: Billboard Display (10 locations on 4 monthly pulse) i onal cial ct (input/process/ Sample= 10,000 Units (to ) Institutional = 11,600 1,666 Spots 20 Spots (4 month pulses) 20 Launches Consortium s s) Task 5: Print media insertions 20 Insertions GS GS GS GS GS MoH, PHD, MoH, PHD, MoH, PHD, Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) 3,180 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 6, Clinic Sahoolat activities conducted. Activity Reports. GS GS Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH/ FP Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) See SO4 Page 3

30 Rawalpindi Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH/ FP equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH / FP equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs i onal cial ct (input/process/ Consortium s s) See SO4 See SO 4 Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 6: Support visit of specialist doctors to the DHQ/ THQ No. of specialist doctors hospitals where specialists are not visits Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach See SO 5 PC FALAH Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts PC FALAH Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 See Grants Management Activity 5 Ambulances in selected districts New Ambulances procured and placed 160 means of transport identified FALAH FALAH NP for MNCH NP for MNCH NP for MNCH GS/ NP for MNCH Contech NP for MNCH NP for MNCH Page 4

31 Rawalpindi i onal cial ct (input/process/ Consortium s s) Task 4: Operation of the community managed emergency See Grants Management transport system activity 6 task 3 Task 5: Establish communication between Midwife Homes and See SO2 activity 9 task 6 health facilities. NP for MNCH Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Report NP for MNCH Task 6: Conduct newly designed refresher training of selected LHVs/midwives 12 LHVs/ midwives trained NP for MNCH Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 50 CMWs identified NP for MNCH Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified NP for MNCH Task 6: Enroll of CMWs in the identified midwifery schools 50 CMWs enrolled NP for MNCH Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC NP for MNCH Task 8: Advocate MoH MNCH / FP Program for the deployment of trained CMWs CMWs deployed NP for MNCH Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 9: Placement of newly graduated CMWs in the field Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Seminars organized at the district level PC NP for MNCH Task 3: Establishment of the referral linkages of the CMWs Linkages developed NP for MNCH with the HFs and LHWs through coordination meetings at HFs Task 4: Facilitate and conceptualize the monitoring and Monitoring & supervisory PC NP for MNCH supervisory system for CMWs at district level reports Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH Task 6: Provide support for establishment of the midwife Report/NFR NP for MNCH homes in the rural areas. Page 5

32 Rawalpindi i onal cial ct (input/process/ Consortium s s) Task 7: Establish communication between Midwife Homes and Communication system health facilities. developed NP for MNCH Task 8: OR on CMW placement and supervisory model See SO 5 PC NP for MNCH Task 9: Disseminate OR results OR results disseminated PC NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the up-graded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 AKU Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH /FP services Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP ` MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP Page 6

33 Rawalpindi i onal cial ct (input/process/ Consortium s s) Task 3: Establishment of the communication system between No. of communications CMW and HFs through cell phones system established Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs No. of visits where there is no specialist Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meeting held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 1 Activity 4 GS Task 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women) Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works See SO 1 Activity 12 Task 1 Equipment distributed Contech Installation report Contech handing over certificate Contech Reports Contech Sub task 2.11: Work Completion Report Report Contech Sub task 2.12: Handing over to health facility Incharge Handing over report Contech Task 3: Capacity building of staff //P MOH. MOPW, See So-4 C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities MOH. MOPW, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Page 7

34 Rawalpindi Activity 2:Improve quality of community based MNCH /FP services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs i onal cial ct (input/process/ See SO 4 Supplies adequate See SO 2 See SO 2 Consortium s s) MOH. MOPW, PHD MOH. MOPW, PHD Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, Incentive system in place etc) Activity 4: Hospital waste management at selected HFs Task 5: Supervision & monitoring by district managers Reports Task 6: Assessment of the pilot testing Assessment reports Activity 5: Functional integration of services at district level Task 3: Technical Support district districts for functional integration Areas integrated Task 4: Assessment of Functional Integration assessment report Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process Meetings for Five HFs conducted /NFRs Page 8

35 Rawalpindi i onal cial ct Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams (input/process/ Support for PDQ process built Quality exploring process completed for 5 HFs 5 bridging the gap workshops conducted QI teams formed /NFRs 42 meetings conducted/minutes of meeting Consortium s s) Activity 8:Improve the image of MNCH/ FP service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National Newspaper) See SO 1 Activity 11 GS Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 4: EMNC Refresher trainings conducted 30 HCPs trained Activity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings 378 LHWs trained Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities One meeting conducted/nfr Two workshops conducted 40 trainers trained 400 LHWs trained, DOH, PHDC, PHSA, NP DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Page 9

36 Rawalpindi i onal cial ct (input/process/ Consortium s s) Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 80 HCPs trained Task 7: Monitoring of facility based IMNCI trainings monitoring reports Task 8: Follow up with the trained HCPs follow-up reports Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings See SO2 Act 7 Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants Reports providers followed-up MoH, PHD, PNC GS GS PHD, Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics 01 follow up visit conducted CONTECH Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and paramedics 40 HCPs trained All s Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 8 HCPs trained PC Task 2: Training of HCPs on Minilap 8 HCPs trained PC Task 3: Training of HCPs on Vasectomy 8 HCPs trained PC Page 10

37 Rawalpindi Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training i onal cial ct (input/process/ Consortium s s) district managers identified PC Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 6: Implementation of a more sustainable (legislative) Model implemented in model of DHMTs district CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) Data collected and compiled CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DAOP progress discussed in DHMT forum DHMT meetings CONTECH Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software 423 health care providers trained CONTECH 03 staff trained CONTECH Page 11

38 Rawalpindi i onal cial ct (input/process/ Consortium s s) Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement of software application, as required equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring, Evaluation and Research Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of Data collected PC, private sector activities Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health Data collected PC Contech System strengthen component Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked Consortium partners CONTECH Page 12

39 Rawalpindi GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) i onal cial ct (input/process/ No of awareness session organized No of advocacy session organized Consortium s s) Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 13

40 Jhelum Jhelum Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Action plans finalized and shared s) / CM s Task 3: Monitor implementation of District Action Plans Monitoring reports CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and Music video produced; airing child care schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 14: Telecast the magazine show Magazine Show telecast Task 15: Support/ organize theatre groups / 2 theater performances / CM performances (existing districts) conducted. Reports s Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) Task 17: Organize mega events/mnch Health days PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s 1 district assembly seminar conducted. Reports One local event conducted. Reports 2 mega events conducted. Reports JHU Page 1

41 Jhelum Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF (input/process/ Child Health weeks/days celebrated Consortium s s) / Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Completion reports JHU PC Task 8: Conduct monitoring of community social mobilization activities Monitoring reports JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased MAP Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Minute of the meetings MAP Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Minute of the meetings 3 coordination meetings conducted/ minutes MNCH/ FP program & NP & Development partners Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities 96 LHW meetings monitored/ NFR 96 LHW meetings monitored/ NFR Four meetings conducted/ /Contech minutes 12 meetings conducted/ minutes 36 meetings conducted/ NFR Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities 16,020 meetings conducted/reports monitoring visits conducted/nfr MC,, PAVHNA, JHU Page 2

42 Jhelum Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable (input/process/ Sample= 1,500 Units Commercial = 5,760 1,666 Spots Consortium s s) Task 3: Airing of GL Advertisement on National & 20 Spots GS Satellite Channel TV (4 month pulses) Task 4: Billboard Display (10 locations on 4 monthly 15 Launches GS pulse) Task 5: Print media insertions 15 Insertions GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers 1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544 GS GS GS MoH, PHD, MoH, PHD, MoH, PHD, Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) 24 Clinic Sahoolat activities conducted. Activity Reports. GS Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) See SO4 See SO4 Page 3

43 Jhelum Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs (input/process/ Consortium s s) See SO 4 Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Activity 3: Integration of FP services at the district level Task 1: Technical support for the district to establish functional integration of services between DOH and See SO3 Activity 5, Task 3 PWD Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts Task 7: One day TBA Orientation Workshop by Greenstar HSO Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments MoM See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented 12 workshops done by HSO (1 workshop / month) Ambulances in selected districts New Ambulances procured and placed GS CM s GS CM s FALAH FALAH NP for MNCH NP for MNCH NP for MNCH GS/ NP for MNCH Contech NP for MNCH Page 4

44 Jhelum (input/process/ Consortium s s) Task 3: Identify/utilize indigenous means of transport 89 means of transport through VHCs identified Task 4: Operation of the community managed See Grants Management emergency transport system activity 6 task 3 NP for MNCH Task 5: Establish communication between Midwife See SO2 activity 9 task 6 Homes and health facilities. Activity 6: Refresher Midwifery Training NP for MNCH Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Report NP for MNCH Task 6: Conduct newly designed refresher training of selected LHVs/midwives 10 LHVs/ midwives trained Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 20 CMWs identified NP for MNCH Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified NP for MNCH Task 4: Training of midwifery tutors tutors trained NP for MNCH Task 6: Enroll of CMWs in the identified midwifery schools 20 CMWs enrolled NP for MNCH Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC NP for MNCH Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs CMWs deployed Activity 8: Monitoring quality of CMW trainings NP for MNCH Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR Activity 9: Placement of newly graduated CMWs in the field NP for MNCH Task 2: Organize seminars and meetings in the Seminars organized at the community to sensitize the target audience about the district level importance of community midwives PC NP for MNCH Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Linkages developed NP for MNCH Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Monitoring & supervisory reports PC NP for MNCH Page 5

45 Jhelum (input/process/ Consortium s s) Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH Task 6: Provide support for establishment of the midwife homes in the rural areas. Report/NFR NP for MNCH Task 7: Establish communication between Midwife Communication system Homes and health facilities. developed NP for MNCH Task 8: OR on CMW placement and supervisory model See SO 5 PC NP for MNCH Task 9: Disseminate OR results OR results disseminated PC Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities MNCH program & NP Task 1: Training Need Assessment of the HCPs working MNCH program See SO4 Activity 5 AKU at HFs & NP Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to ` IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 AKU MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP Page 6

46 Jhelum (input/process/ Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management Task 3: Establishment of the communication system No. of communications system between CMW and HFs through cell phones established Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist No. of visits Consortium s s) Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meetings held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 2 Activity 4 GS CM s Task 4: Meeting with community through IPC activities See SO 1 Activity 12 Task 1 (Neighborhood and orientation meetings for both men and women) Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Equipment distributed Contech Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Installation report Contech handing over certificate Contech Page 7

47 Jhelum (input/process/ Consortium s s) Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Sub task 2.12: Handing over to health facility Incharge Handing over report Contech Task 3: Capacity building of staff See So-4 //P MOH. MOPW, C/Contech PHD Task 4: Ensure availability of standard protocols Selected health facilities with MOH. MOPW, (EMNC, ESS, IMNCI) in the health facilities. MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), See SO 4 CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, Incentive system in place shields, etc) Activity 4: Hospital waste management at selected HFs Task 1: Consultative meeting to prepare implementation plan Implementation plan ready Task 2: Training of the staff on hospital waste management No. of staff trained Task 3: Provision of logistic support, utensils and at selected HFs 2 HF provided utensils MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Page 8

48 Jhelum Task 4: Construction of conventional incinerator at selected HFs (input/process/ Incinerator constructed at 2 HFs Task 5: Supervision & monitoring by district managers Reports Task 6: Assessment of the pilot testing Assessment reports Activity 5: Functional integration of services at district level Task 1: Consultative meeting of stakeholders at provincial & district level to share the pilot study report along with recommendation and areas of integration Minutes of the meeting Consortium s s) Task 2: Training workshop to finalize the implementation strategy and plan of action of functional integration Minutes/report Task 3: Technical Support district districts for functional integration Areas integrated Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to Reports the model hospitals for infection prevention Task 8: Conduct study for the assessment of the Reports outcome of the intervention, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and Meetings held in area of 3 designing of PDQ process facilities. Minutes Task 2.1: Building support for PDQ process Support for PDQ process built Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Exploring quality process completed in area of 3 facilities. Reports 3 workshops conducted. Reports 60 meetings held. NFRs Page 9

49 Jhelum Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look (input/process/ Consortium s s) Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National See SO 1 Activity 11 GS Newspaper) Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 4: Implementation of Community IMNCI training One planning meeting conducted/nfr Task 1: Planning meetings for IMNCI in each district Two workshops conducted 40 trainers trained Task 3: District TOT for community IMNCI 400 LHWs trained on IMNCI Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 60 HCPs trained Task 7: Monitoring of facility based IMNCI trainings monitoring reports Task 8: Follow up with the trained HCPs follow-up reports Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings See SO2 Act 7 Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers 60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP MoH, PHD, PNC GS PHD Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Reports GS PHD, Page 10

50 Jhelum (input/process/ Consortium s s) Task 6: Conduct quality assessment of private sector 6 providers followed-up GS providers (advance EmONC) through regular visits by Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training district managers identified PC Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs 02 district level meetings held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility Monitoring and support staff meetings provided CONTECH Activity 2: District Health Performance Target PHD, Setting Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) Data collected and compiled CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum DAOP progress discussed in DHMT meetings CONTECH Page 11

51 Jhelum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software (input/process/ 189 health care providers trained Consortium s s) CONTECH 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for See SO 3 (Procurement of DHIS software application, as required equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring, Evaluation and Research Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts PC, Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private sector activities Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) PC, PC Contech Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked Consortium partners CONTECH Page 12

52 Jhelum GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) (input/process/ No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH No. of functional transport emergencies through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already oriented TBAs Follow up meetings organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung No. of birthing centers areas established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Consortium s s) Page 13

53 Jhelum (input/process/ Consortium s s) Task 3: Establishment of the community operated No. of transport system transport system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 14

54 Khanewal Khanewal Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans s) Action plans finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced; care airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 14: Telecast the magazine show Magazine Show telecast Task 15: Support/ organize theatre groups / performances 2 theater performances (existing districts) conducted. Reports Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) Task 17: Organize mega events/mnch Health days PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s 1 district assembly seminar. Reports 1 local event organized. Reports 2 events organized. Reports Page 1

55 Khanewal Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph (input/process/ Child Health weeks/days celebrated Completion reports Monitoring reports Consortium s s) / JHU PC JHU SC/US MNCH/ FP program & NP & Development partners MAP Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Minute of the meetings MAP Minute of the meetings 3 coordination meetings conducted/ minutes 96 LHW meetings monitored/ NFR Task 5: Monitoring/spot checking of LHW's Health Committees 96 LHW meetings monitored/ NFR Task 6: District Coordination meetings Four meetings conducted/ minutes /Contech Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities 12 meetings conducted/ minutes 36 meetings conducted/ NFR Page 2

56 Khanewal Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable (input/process/ 30,635 meetings conducted/reports monitoring visits conducted/nfr Sample= 1,500 Units Commercial = 5,760 1,666 Spots Consortium s s) MC,, PAVHNA Task 3: Airing of GL Advertisement on National & Satellite 20 Spots GS Channel TV (4 month pulses) Task 4: Billboard Display (10 locations on 4 monthly pulse) 15 Launches GS Task 5: Print media insertions 15 Insertions GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers 1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544 GS GS GS, JHU MoH, PHD, MoH, PHD, MoH, PHD, Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) 24 Clinic Sahoolat activities conducted. Activity Reports. GS Page 3

57 Khanewal (input/process/ Consortium s s) Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), See SO4 training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard See SO4 protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, See SO 4 standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed.. Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits.. Task 6: Support visit of specialist doctors to the HFs where No. of specialist doctors specialists are not visits.. Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach See SO 5 PC FALAH Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts PC FALAH Task 5: FP counseling and service delivery during free medical camps See Grants Management Activity 5 Task 1 FALAH Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 FALAH Page 4

58 Khanewal Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs (input/process/ See Grants Management Activity 5 Consortium s s) NP for MNCH Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts Task 7: One day TBA Orientation Workshop by Greenstar HSO Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Task 6: Conduct newly designed refresher training of selected LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented 12 workshops done by HSO (1 workshop / month) Ambulances in selected districts New Ambulances procured and placed GS GS NP for MNCH NP for MNCH GS/ NP for MNCH Contech NP for MNCH 177 means of transport /reports See Grants Management activity 6 task 3 NP for MNCH See SO2 activity 9 task 6 NP for MNCH Follow up reports NP for MNCH NP for MNCH Report NP for MNCH 10 LHVs/ midwives trained NP for MNCH Reports PC NP for MNCH CMWs deployed NP for MNCH Page 5

59 Khanewal (input/process/ Consortium s s) Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and MOM/NFR clinical instructors Activity 9: Placement of newly graduated CMWs in the field Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Task 2: Establishment of the well baby clinics at the up-graded HFs Seminars organized at the district level NP for MNCH PC NP for MNCH Linkages developed NP for MNCH Monitoring & supervisory reports Well baby clinic established at DHQ/THQ PC NP for MNCH Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH Task 6: Provide support for establishment of the midwife homes in the rural areas. Report/NFR NP for MNCH Task 7: Establish communication between Midwife Homes and Communication system health facilities. developed NP for MNCH Task 8: OR on CMW placement and supervisory model See SO 5 PC NP for MNCH Task 9: Disseminate OR results OR results disseminated PC Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities MNCH program & NP Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU MNCH program & NP Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI ` MNCH program & NP Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics ORT corners established at BHUs/ MCH centers Equipment/ supplies MNCH program & NP MNCH program & NP Page 6

60 Khanewal Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF (input/process/ Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals Consortium s s) AKU MNCH program & NP MNCH program & NP MNCH program & NP Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases See Grants Management activity 6 task 2 Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management Task 3: Establishment of the communication system between No. of communications CMW and HFs through cell phones system established Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs No. of visits where there is no specialist Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meetings held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 2 Activity 4 GS CM s Task 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women) See SO 1 Activity 12 Task 1 Page 7

61 Khanewal (input/process/ Consortium s s) Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works Equipment distributed Contech Installation report handing over certificate Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P MOH. MOPW, C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities MOH. MOPW, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services MOH. MOPW, PHD Task 1: Capacity building of the community based HCPs MOH. MOPW, including LHW (communication skill & IMNCI), CMWs and See SO 4 PHD TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Contech Contech MOH. MOPW, PHD Page 8

62 Khanewal Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs (input/process/ Incentive system in place Consortium s s) Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Meetings for 3 HFs conducted / reports Support for PDQ process built Quality exploring process completed for 3 HFs Task 4: Organize and participate in bridging the gap workshops 3 bridging the gap workshops conducted Task 5: Working in partnership/ formation of QI teams QI teams formed /NFRs 60 meetings Task 6: Follow up meetings with quality improvement teams conducted/minutes of meeting Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National Newspaper) See SO 1 Activity 11 GS Page 9

63 Khanewal Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 4: EMNC Refresher trainings conducted Activity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings Activity 4: Implementation of Community IMNCI training (input/process/ Consortium s s), DOH, PHDC, 20 HCPs trained. Monitors reports PHSA, NP DoH, NP, 284 LHWs trained. Monitors reports PHDC, C One meeting held. Minutes Task 1: Planning meetings for IMNCI in each district 2 ToTs conducted. 40 trainers trained. Monitors reports Task 3: District TOT for community IMNCI 400 LHWs trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 60 HCPs trained Task 7: Monitoring of facility based IMNCI trainings monitoring reports Task 8: Follow up with the trained HCPs follow-up reports Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers 60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP MoH, PHD, PNC GS PHD Page 10

64 Khanewal Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants (input/process/ 5 providers followed-up Consortium s s) GS GS PHD, Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers District trainers selected PC Task 3 Conduct rollout trainings for doctors and paramedics 30 HCPs trained All s Task 5: Supervision of subsequent batch of rollout training rollout trainings carried out by each district team supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 6 HCPs trained PC Task 2: Training of HCPs on Minilap 6 HCPs trained PC Task 3: Training of HCPs on Vasectomy 6 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership district managers PC training identified Task 3: Follow up with the trained health managers Follow up reports PC, All partners SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with Support provided to MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Activity 2: District Health Performance Target Setting PHD, Page 11

65 Khanewal Task 2: Hands on support in target setting Activity 3 : Decision Space Analysis (DSA) Baseline/End line study (input/process/ Support provided to district Consortium s s) CONTECH PHD, Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) CONTECH Task 2: Data Analysis (for all districts) CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers DAOP progress discussed in DHMT meetings 304 health care providers trained CONTECH CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 12 monthly District (LHW, EPI, DHIS) reports CONTECH Task 3: Performance of Routine Information System Management (PRISM) District level assessment report CONTECH /PC Page 12

66 Khanewal (input/process/ Consortium s s) Monitoring, Evaluation and Research Activity 2: End line survey for existing districts Task 4: Field Data Collection PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private sector activities Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) PC, Data collected PC, Data collected PC Contech Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked No of awareness session organized No of advocacy session organized Consortium partners CONTECH Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Page 13

67 Khanewal (input/process/ Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies No. of birthing centers established Reports/NFR No. of transport system established Consortium s s) Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 14

68 DG Khan DG Khan Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans s) Action plans finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced; care airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 14: Telecast the magazine show Magazine Show telecast Task 15: Support/ organize theatre groups / performances 2 theater performances (existing districts) conducted. Reports Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District 2 seminar conducted. Assembly Members (existing districts) Report Task 16: Organize local events for MNCH &FP (existing 1 local event organized. districts) Report Task 17: Organize mega events/mnch Health days 2 events organized. Reports Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ Child Health weeks/days celebrated / MNCH/ FP program & NP & Development partners Page 1

69 DG Khan Task 18: Seminar on MNCH & FP for school teachers Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph (input/process/ Seminar conducted. Report Completion reports Monitoring reports Consortium s s) JHU PC JHU SC/US MAP Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Minute of the meetings MAP Minute of the meetings 3 coordination meetings conducted/ minutes 96 LHW meetings monitored/ NFR Task 5: Monitoring/spot checking of LHW's Health Committees 96 LHW meetings monitored/ NFR Task 6: District Coordination meetings Four meetings conducted/ minutes /Contech Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities 12 meetings conducted/ minutes 36 meetings conducted/ NFR Page 2

70 DG Khan Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable (input/process/ 22,050 meetings conducted/reports monitoring visits conducted/nfr Sample= 1,500 Units Commercial = 5,760 1,666 Spots Consortium s s) MC,, PAVHNA Task 3: Airing of GL Advertisement on National & Satellite 20 Spots GS Channel TV (4 month pulses) Task 4: Billboard Display (10 locations on 4 monthly pulse) 15 Launches GS Task 5: Print media insertions 15 Insertions GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers 1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544 GS GS GS, JHU MoH, PHD, MoH, PHD, MoH, PHD, Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) 24 Clinic Sahoolat activities conducted. Activity Reports. GS Page 3

71 DG Khan (input/process/ Consortium s s) Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), See SO4 training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard See SO4 protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, See SO 4 standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP MoM Task 5: FP counseling and service delivery during free medical camps See Grants Management Activity 5 Task 1 FALAH Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 FALAH Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented GS NP for MNCH NP for MNCH Page 4

72 DG Khan Task 7: One day TBA Orientation Workshop by Greenstar HSO Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Task 5: Design refresher training based on the results of post training assessment if required Task 6: Conduct newly designed refresher training of selected LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings (input/process/ 12 workshops done by HSO (1 workshop / month) Ambulances in selected districts New Ambulances procured and placed Consortium s s) GS NP for MNCH GS/ NP for MNCH Contech NP for MNCH 127 means of transport /reports See Grants Management activity 6 task 3 NP for MNCH See SO2 activity 9 task 6 NP for MNCH Follow up reports NP for MNCH NP for MNCH Report NP for MNCH Training design NP for MNCH 10 LHVs/ midwives trained NP for MNCH Reports PC NP for MNCH CMWs deployed NP for MNCH Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR Activity 9: Placement of newly graduated CMWs in the field Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Seminars organized at the district level NP for MNCH PC NP for MNCH Page 5

73 DG Khan (input/process/ Consortium s s) Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Linkages developed NP for MNCH Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Task 2: Establishment of the well baby clinics at the up-graded HFs Monitoring & supervisory reports Well baby clinic established at DHQ/THQ PC NP for MNCH Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH Task 6: Provide support for establishment of the midwife homes in the rural areas. Report/NFR NP for MNCH Task 7: Establish communication between Midwife Homes and Communication system health facilities. developed NP for MNCH Task 8: OR on CMW placement and supervisory model See SO 5 PC NP for MNCH Task 9: Disseminate OR results OR results disseminated PC Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities MNCH program & NP Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU MNCH program & NP Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI ` MNCH program & NP Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals AKU MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP Page 6

74 DG Khan (input/process/ Consortium s s) Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases See Grants Management activity 6 task 2 Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management Task 3: Establishment of the communication system between No. of communications CMW and HFs through cell phones system established Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs No. of visits where there is no specialist Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meetings held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 2 Activity 4 GS CM s Task 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women) Task 5: Follow-up on Voucher scheme (For ANC/facility based delivery/tt injections & PNC) Compensation to Providers & Beneficiaries in D G Khan Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge See SO 1 Activity 12 Task 1 Upto 2,000 Providers & Beneficiaries compensated Equipment distributed Contech Installation report handing over certificate GS Contech Contech Page 7

75 DG Khan Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works (input/process/ Consortium s s) Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P MOH. MOPW, C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities MOH. MOPW, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services MOH. MOPW, PHD Task 1: Capacity building of the community based HCPs MOH. MOPW, including LHW (communication skill & IMNCI), CMWs and See SO 4 PHD TBAs Task 2: Advocate and provide support to the district for supplies MOH. MOPW, Supplies adequate like CDKs and contraceptives PHD Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Page 8

76 DG Khan (input/process/ Consortium s s) Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Meetings for Five HFs conducted /NFRs Support for PDQ process built Quality exploring process completed for 5 HFs Task 4: Organize and participate in bridging the gap workshops 5 bridging the gap workshops conducted Task 5: Working in partnership/ formation of QI teams QI teams formed /NFRs 42 meetings Task 6: Follow up meetings with quality improvement teams conducted/minutes of meeting Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National Newspaper) See SO 1 Activity 11 GS Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 4: EMNC Refresher trainings conducted Activity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings 1 workshop conducted. 21 HCPs trained. Monitors report 238 LHWs trained. Monitors report, DOH, PHDC, PHSA, NP DoH, NP, PHDC, C Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district 1 meeting held. Minutes National MNCH Program, NP Page 9

77 DG Khan (input/process/ 2 workshops conducted. 40 trainers trained. Monitors reports Consortium s s) Task 3: District TOT for community IMNCI 400 LHWs trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 50 HCPs trained Task 7: Monitoring of facility based IMNCI trainings monitoring reports Task 8: Follow up with the trained HCPs follow-up reports Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings See SO2 Act 7 Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers 60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers National MNCH Program, NP National MNCH Program, NP MoH, PHD, PNC GS PHD Page 10

78 DG Khan Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants (input/process/ 10 providers followed-up Consortium s s) GS GS PHD, Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training Task 3: Follow up with the trained health managers 01 follow up visit conducted district managers identified Follow up reports CONTECH PC PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high provincial 02 district level meetings and district officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with Support provided to MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Activity 2: District Health Performance Target Setting PHD, Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) CONTECH Task 2: Data Analysis CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Page 11

79 DG Khan Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers (input/process/ Consortium s s) 01 DAOP developed CONTECH DAOP progress discussed in DHMT meetings 114 health care providers trained CONTECH CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring, Evaluation and Research Activity 2: End line survey for existing districts Task 4: Field Data Collection PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts PC, Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private sector activities Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Data collected PC, Data collected PC Contech Page 12

80 DG Khan Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) (input/process/ Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked coordination meetings held No of awareness session organized No of advocacy session organized Consortium s s) Consortium partners CONTECH Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Page 13

81 DG Khan Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies (input/process/ No. of birthing centers established Reports/NFR No. of transport system established Consortium s s) Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 14

82 Vehari Vehari Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans s) Action plans finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced; care airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 11: Conduct revised Putlee Tamashas in selected districts 50 Putlee Tamashas performed JHU, Task 14: Telecast the magazine show Magazine Show telecast Task 16: Produce and air District Television Talkshows JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts 5 journalists trained JHU Networks of Task 9: Develop and support networks of Journalists and Ulama Journalists/Ulama established JHU Task 10: Plan and conduct a seminar for policy makers to advocate on the issue of MNCH Seminar Report JHU, Task 14: Refine and scale up work with school teachers in other districts Task 17: Organize mega events/mnch Health days PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Report JHU 2 events organized. Reports, CM partners Page 1

83 Vehari (input/process/ Consortium s s) Task 20: Organize sensitization events for MNCH and Family One event organized. Planning in new districts Report Task 21 Organize district launches district launch organized All s, PHD Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF Child Health weeks/days celebrated / MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Completion reports JHU PC M&E reports JHU Monitoring reports JHU SC/US MAP Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Minute of the meetings MAP Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Minute of the meetings 2 coordination meetings conducted. minutes 64 LHW meetings monitored/ NFR 64 meetings monitored/ NFR Two meetings conducted/ minutes 8 meetings conducted/ minutes 24 meetings conducted/ NFR /Contech Page 2

84 Vehari Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs (input/process/ 1417 meetings conducted/reports monitoring visits conducted/nfr Consortium s s) MC,, PAVHNA See SO4, JHU See SO4 FALAH See SO 4 FALAH Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR FALAH Task 2:Up-gradation of the selected HFs See SO3 FALAH Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed FALAH Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits FALAH Task 5: Support districts for placement of the HCPs at selected No. of HCPs placed on HFs on contract basis contract Task 6: Support visit of specialist doctors to the HFs where No. of specialist doctors specialists are not visits Activity 3: Integration of FP services at the district level Task 1: Technical support for the district to establish functional See SO3 Activity 5, Task 3 integration of services between DOH and PWD Task 2: Training of the HCPs on FP through Client Centered See SO 5 Approach Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts 60 HCPs trained FALAH Page 3

85 Vehari Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Task7: Coordination meeting with FALAH and TACHMIL for integration of FP services Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required (input/process/ See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 Consortium s s) FALAH FALAH MOM/NFR FALAH See Grants Management Activity 5 Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 NP for MNCH Task 4: Follow up meeting/ refresher training of already oriented See Grants Management TBAs Activity 5 NP for MNCH Task5: Follow up with the TBAs for referrals See Grants Management Activity 5 Activity 5: Transport and Communication for community obstetric/nb emergencies NP for MNCH Task 2: Hand over ambulances to provincial and district health New Ambulances procured departments and placed Contech NP for MNCH Task 3: Identify/utilize indigenous means of transport through 20 means of transport VHCs /reports Task 4: Operation of the community managed emergency See Grants Management transport system activity 6 task 3 NP for MNCH Task 5: Establish communication between Midwife Homes and See SO2 activity 9 task 6 health facilities. NP for MNCH Activity 6: Refresher Midwifery Training NP for MNCH Task 1: Training of trainers if required Trainers trained NP for MNCH Task 2: Conduct roll out trainings to train existing midwives/ 20 existing LHVs/ MW LHVs both in public & private sector trained NP for MNCH Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 35 CMWs identified NP for MNCH Task 2: Identify the midwifery/ PH/ nursing schools of CMW Schools identified NP for MNCH trainings Task 6: Enroll of CMWs in the identified midwifery schools 35 CMWs enrolled NP for MNCH Task 7: Monitor and provide supportive supervision of CMW Reports PC trainings Page 4

86 Vehari (input/process/ Consortium s s) Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs CMWs deployed NP for MNCH Activity 8: Monitoring quality of CMW trainings NP for MNCH Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the up-graded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 AKU Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through sub-grantee at far flung areas. See Grants Management MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP Page 5

87 Vehari Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Sub task 2.10: Monitoring and supervision of the execution of civil works (input/process/ See Grants Management No. of communications system established No. of visits Need assessment report Consortium s s) Contech Equipment distributed Contech Installation report Contech handing over certificate Contech MOM Contech Reports Contech Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Contech Sub task 2.12: Handing over to health facility Incharge //P MOH. MOPW, Task 3: Capacity building of staff See So-4 C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities MOH. MOPW, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP MOH. MOPW, Guidelines displayed (Family Planning) guidelines at each selected health facility PHD Page 6

88 Vehari Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs (input/process/ See SO 4 Supplies adequate See SO 2 See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, Incentive system in place etc) Activity 4: Hospital waste management at selected HFs Task 1: Consultative meeting to prepare implementation plan Implementation plan ready Task 2: Training of the staff on hospital waste management No. of staff trained Task 4: Construction of conventional incinerator at selected HFs Incinerator constructed at 2 HFs Task 5: Supervision & monitoring by district managers Reports Task 6: Assessment of the pilot testing Assessment reports Activity 5: Functional integration of services at district level Task 1: Consultative meeting of stakeholders at provincial & district level to share the pilot study report along with Minutes of the meeting recommendation and areas of integration Task 2: Training workshop to finalize the implementation strategy and plan of action of functional integration Minutes/report Task 3: Technical Support district districts for functional integration Areas integrated Task 4: Assessment of Functional Integration assessment report Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at Assessment report the selected HFs Consortium s s) MOH. MOPW, PHD MOH. MOPW, PHD Page 7

89 Vehari (input/process/ Consortium s s) Task 2: Consultative meeting with the stakeholders to share Report findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Reports, PHD Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Mapping in area of three facilities completed. Reports Meetings for three facilities conducted /NFRs Support for PDQ process built Quality exploring process completed for 3 HFs 3 bridging the gap workshops conducted QI teams formed /NFRs 15 meetings conducted/minutes of meeting 3 workshops conducted. 45 HCPs trained. Monitors report 4 ToTs conducted. 80 trainers trained. Monitors reports 315 LHWs trained. Monitors reports DoH, NP, PHDC, C DoH, NP, PHDC, C Page 8

90 Vehari Activity 4: Implementation of Community IMNCI training (input/process/ Consortium s s) One meeting held. Minutes Task 1: Planning meetings for IMNCI in each district 2 workshops conducted. 40 trainers trained. Monitors Task 3: District TOT for community IMNCI reports 315 LHWs trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 60 HCPs trained Task 7: Monitoring of facility based IMNCI trainings monitoring reports National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Task 8: Follow up with the trained HCPs follow-up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Act 6 MoH, PHD, PNC Task 2: CMWs enrolled for regular trainings See SO2 Act 7 MoH, PHD, PNC Activity 9: Training on Active management of Third Stage of Labour and use of Partograph MAP, PHD, Task 1: Roll out trainings 35 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports MAP, PHD, Activity 10: Training of the HCP on Infection prevention MAP, PHD, Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Page 9

91 Vehari Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility (input/process/ Consortium s s) CAI, Task 2: Roll out trainings 20 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 10 Participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication persons trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts journalist trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts PC, Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and paramedics Trainings conducted by district trainers All s Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 6 HCPs trained PC Task 2: Training of HCPs on Minilap 6 HCPs trained PC Page 10

92 Vehari (input/process/ Consortium s s) Task 3: Training of HCPs on Vasectomy 6 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training Managers trained PC Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high provincial 02 district level meetings and district officials for sensitization of DHMTs held CONTECH, PHD Task 6: Implementation of a more sustainable (legislative) model Model implemented in of DHMTs district CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Page 11

93 Vehari (input/process/ Consortium s s) Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) CONTECH Task 2: Data Analysis CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DAOP progress discussed DHMT forum in DHMT meetings CONTECH Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers 307 health care providers trained CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 09 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Page 12

94 Vehari (input/process/ Consortium s s) Activity 8: Public Private ship Task 2: Implementation of PPP models Model implemented CONTECH PHD, Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring, Evaluation and Research Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting See SO4 Activity 14 PC, Field monitoring conducted and reports Consortium partners Task 2: HMIS/DHIS Reports (including RMOI) District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of sub-grant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Applications shared and approved by District PRC Task 5: Pre-award assessment of shortlisted pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. No of awareness session organized, Page 13

95 Vehari (input/process/ Task 3: Advocacy sessions on MNCH issues (meena bazaars, No of advocacy session sports, fairs, healthy baby shows, awareness walk) organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Consortium s s) Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 14

96 PAIMAN Annual Work Plan SINDH October 1, 2008 to September 30, 2009

97 Dadu Dadu Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Nati onal Provin Distr cial ict s) Task 2: Finalize and share District Action Plans Action plans finalized and shared PAVHNA JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed PAVHNA Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care Music video produced;, CM JHU airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Dubbed version of Task 12: Dubb and air PAIMAN drama series in regional PAIMAN drama series languages aired on regional languages CM partners JHU/CCP Task 14: Telecast the magazine show Magazine Show telecast Task 15: Support/ organize theatre groups / performances 3 events conducted. PAVHNA (existing districts) Reports Task 17: Conduct pilot-testing of drama raod-shows 15 dama Road-shows conducted JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly One seminar conducted. PAVHNA Members (existing districts) Report Task 16: Organize local events for MNCH &FP (existing districts) 25 events organized. PAVHNA Reports Task 17: Organize mega events/mnch Health days One events organized. PAVHNA Reports Page 1

98 Dadu Task 19: Organize Health Camps/Melas Task 22 : Celebration of child Health weeks/days in collaboration with UNICEF (all districts) Nati onal Provin Distr cial ict (input/process/ One health camp organized. Reports Child Health weeks/days celebrated Consortium s s) PAVHNA / MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 8: Conduct monitoring of community social mobilization activities Completion reports Monitoring reports JHU PC JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 2: Coordination meetings with Tehsil/UC Nazims Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Support Group and Health Committee Activitites Minute of the meetings MAP Minute of the meetings 4 coordination meetings conducted/ minutes Four meetings held. Reports 64 meetings monitored. NFRs 32 meetings monitored. NFRs 6 meetings held. Minutes 12 meetings held. Minutes 24 meetings held. Reports PAVHNA PAVHNA PAVHNA PAVHNA PAVHNA /Contech PAVHNA PAVHNA Page 2

99 Dadu Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable Nati onal Provin Distr cial ict (input/process/ meetings held Consortium s s) PAVHNA NFR PAVHNA, JHU Sample= 1,500 Units Commercial = 5,760 1,666 Spots Task 3: Airing of GL Advertisement on National & Satellite 20 Spots Channel TV (4 month pulses) Task 4: Billboard Display (10 locations on 4 monthly pulse) 15 Launches GS Task 5: Print media insertions 15 Insertions GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers 1,272 IPC Activities (Household Visits, Neighbourhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2,544 GS MoH, PHD, GS MoH, PHD, GS MoH, PHD, GS Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individiual/group counselling and community IMNCI), training of CMWs and orientation of TBAs) 24 Clinic Sahoolat activities conducted. Activity Reports. See SO4 GS Page 3

100 Dadu Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) Activity 2: Strenthenning of Facility Based Obstetric Care services at the selected HFs Nati onal Provin Distr cial ict (input/process/ Consortium s s) See SO4 See SO 4 Task 1: Advocate and provide support for 24/7 fuctioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authories for advocacy on FP MoM avaialble Task 5: FP councelling and service delivery during free medical camps See Grants Management Activity 5 Task 1 FALAH FALAH Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referals Task 6: Greenstar HSO Follow-up Plan in 9 districts Task 7: One day TBA Orientation Workshop by Greenstar HSO See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and GS CM s implemented 12 workshops done by HSO (1 workshop / month) GS CM s NP for MNCH NP for MNCH Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments NP for MNCH Ambulances in GS/ NP for MNCH selected districts New Ambulances procured Contech NP for MNCH and placed Page 4

101 Dadu Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transpoty system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Task 6: Conduct newly designed refresher training of selected LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Nati onal Provin Distr cial ict (input/process/ 98 means of transport. Reports See Grants Management activity 6 task 3 See SO2 activity 9 task 6 Follow up reports avaialable Consortium s s) PAVHNA NP for MNCH NP for MNCH NP for MNCH Report NP for MNCH 100 LHVs/midwives trained 25 CMWs identified NP for MNCH/ FP NP for MNCH NP for MNCH/ FP Schools identified NP for MNCH Task 6: Enroll of CMWs in the identified midwifery schools 25 CMWs enrolled NP for MNCH/ FP Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC NP for MNCH Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs CMWs deployed Activity 8: Monitoring quality of CMW trainings NP for MNCH Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination betweem midwifery tutors and clinical instructors MOM/NFR Activity 9: Placement of newly graduated CMWs in the field NP for MNCH Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Task 3: Establishment of the referal linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Seminars organised at the district level PC NP for MNCH Linkages developed NP for MNCH Page 5

102 Dadu Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Monitoring & supervisory reports PC NP for MNCH Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH Task 6: Provide support for establishment of the midwife homes in the rural areas. Report/NFR NP for MNCH Task 7: Establish communication between Midwife Homes and Communication system health facilities. developed NP for MNCH Task 8: OR on CMW placement and supervisory model See SO 5 PC NP for MNCH Task 9: Disseminate OR results OR results disseminated PC Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities MNCH program & NP Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKH MNCH program & NP Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referal and access to IMNCI ` Task 2: Establishment of the well baby clinics at the up-graded Well baby clinic MNCH program HFs establshed at DHQ/THQ & NP Task 3: Establishment of the ORT corners at selected HFs ORT corners established at MNCH program BHUs/ MCH centers & NP Task 4: Provide support for the placement of equipment/supplies MNCH program Equipment/ supplies for minimum IMNCI sewrvices at up-graded HFs including well & NP baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Clebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases Core child health interventions implemented AKU Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out lhw trainings on community IMNCI See SO 4 Activity 4 MNCH program & NP MNCH program & NP MNCH program & NP Page 6

103 Dadu Nati onal Provin Distr cial ict (input/process/ Consortium s s) Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management Task 3: Establishment of the communication system between No. of communications CMW and HFs through cell phones system established Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there No. of visits is no specialist Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meetings held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 2 Activity 4 GS CM s Task 4: Meeting with community through IPC activities (Neighborhood and orientation meetings for both men and women) Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centres Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works See SO 1 Activity 12 Task 1 Equipment distributed Contech Instalation report Contech handing over certificate Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Contech Sub task 2.12: Handing over to health facility Incharge //P MOH. MOPW, Task 3: Capacity building of staff See So-4 C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities MOH. MOPW, IMNCI) in the health facilities. with MNCH protocols PHD Contech Page 7

104 Dadu Nati onal Provin Distr cial ict (input/process/ Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and See SO 4 TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Consortium s s) MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of PDQ process Meetings held in area of 8 facilities. Minutes PAVHNA Task 2.1: Building Support for PDQ process Support for PDQ process PAVHNA Task 3: Exploring quality in view of health care providers and community groups Quality exploring process completed in encatchment of seven facilities, reports PAVHNA Page 8

105 Dadu Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Eight workshops organized. NFRs Quality improvement teams forme. NFRs 16 meetings held. NFRs PAVHNA PAVHNA Task 6: Follow up meetings with quality improvement teams PAVHNA Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National Newspaper) See SO 1 Activity 11 GS Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings 120 LHWs trained. Monitors reports DoH, NP, PHDC, C Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district One meeting conducted. Minutes Task 3: District TOT for community IMNCI Two ToTs conducted.40 trainers trained. Monitors reports Task 4: Roll-out lhw trainings on community IMNCI 400 LHWs trained. Monitors reports National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 60 HCPs trained National MNCH/ FP Program National MNCH/ FP Program Page 9

106 Dadu Nati onal Provin Distr cial ict Task 7: Monitoring of facility based IMNCI trainings (input/process/ Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants 60 deliveries performed by 20 LHVs under supervison of GoodLife Surgical Providers Reports Available 1 providers followed-up Consortium s s) National MNCH/ FP Program National MNCH/ FP Program MoH, PHD, PNC GS GS GS PHD PHD, Activity 14: DHMT Management Training Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Activity 17: ership Trainings Task 1: Identification of the health managers for leadership 6 district managers PC training identified Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high provincial and 02 district level meetings district officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with Support provided to MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Page 10

107 Dadu Nati onal Provin Distr cial ict (input/process/ Consortium s s) Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to districts CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new Data collected and districts & Swat and Endline for original PAIMAN districts) compiled CONTECH Task 2: Data Analysis Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers 01 DAOP developed CONTECH DAOP progress discussed in DHMT meetings 207 health care providers trained CONTECH CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required Activity 7: Use of information for district health management See SO 3 (Procurement of equipment) CONTECH Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System Management District level assessment (PRISM) report CONTECH /PC Monitoring and Evaluation Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Page 11

108 Dadu Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 6: SPECIAL STUDIES Task 7: LQAS Study on AMTSL and Partograph Study report PC, CONTECH Task 8: LQAS Assessment of PDQ Implementation Study report PC, CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 8: Component Evaluation of District Health System Strengthening(existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Data collected PC Contech Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked Consortium partners CONTECH GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, No of awareness session politicians, councilors, and village elders etc. organized Task 3: Advocacy sessions on MNCH issues (meena bazaars, No of advocacy session sports, fairs, healthy baby shows, awareness walk) organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of traners if required Trainers trained Task 4: Identification of TBAs TBAs identified Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Page 12

109 Dadu Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings TBAs organized Task7: Follow up with the TBAs for referals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport system No. of transport system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans avaiable PC Task 2: Monitoring & supervision Reports avaiable PC Page 13

110 Sukkur Dadu Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s Nati onal Provin Distr cial ict (input/process/ s) Action plans finalized and shared PAVHNA JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed PAVHNA Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced;, CM JHU care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Dubbed version of Task 12: Dub and air PAIMAN drama series in regional PAIMAN drama series aired languages on regional languages CM partners JHU/CCP Task 14: Telecast the magazine show Magazine Show telecast Task 15: Support/ organize theatre groups / performances 3 events conducted. Reports PAVHNA (existing districts) Task 17: Conduct pilot-testing of drama road-shows 15 drama Road-shows conducted JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District One seminar conducted. PAVHNA Assembly Members (existing districts) Report Task 16: Organize local events for MNCH &FP (existing 25 events organized. Reports PAVHNA districts) Task 17: Organize mega events/mnch Health days One events organized. PAVHNA Reports Page 1

111 Sukkur Task 19: Organize Health Camps/Melas Nati onal Provin Distr cial ict (input/process/ One health camp organized. Reports Consortium s s) PAVHNA Task 22 : Celebration of child Health weeks/days in collaboration with UNICEF (all districts) Child Health weeks/days celebrated / MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Completion reports JHU PC Task 8: Conduct monitoring of community social mobilization activities Monitoring reports JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph MAP Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 2: Coordination meetings with Tehsil/UC Nazims Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Minute of the meetings MAP Minute of the meetings 4 coordination meetings conducted/ minutes Four meetings held. Reports 64 meetings monitored. NFRs 32 meetings monitored. NFRs 6 meetings held. Minutes 12 meetings held. Minutes 24 meetings held. Reports PAVHNA PAVHNA PAVHNA PAVHNA PAVHNA /Contech PAVHNA PAVHNA Page 2

112 Sukkur Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Task 2 Airing of GL Advertisement on Cable Nati onal Provin Distr cial ict (input/process/ meetings held Consortium s s) PAVHNA PAVHNA, JHU Sample= 1,500 Units Commercial = 5,760 1,666 Spots Task 3: Airing of GL Advertisement on National & Satellite 20 Spots Channel TV (4 month pulses) Task 4: Billboard Display (10 locations on 4 monthly pulse) 15 Launches GS Task 5: Print media insertions 15 Insertions GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) 1,272 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 2, Clinic Sahoolat activities conducted. Activity Reports. GS MoH, PHD, GS MoH, PHD, GS MoH, PHD, GS GS Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) See SO4 Page 3

113 Sukkur Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Nati onal Provin Distr cial ict (input/process/ Consortium s s) See SO4 See SO 4 Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s Activity 3: Integration of FP services at the district level FALAH Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP MoM FALAH Task 5: FP counseling and service delivery during free medical See Grants Management camps Activity 5 Task 1 FALAH Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 Activity 4: Implementation of TBAs orientation strategy NP for MNCH Task 4: Follow up meeting/ refresher training of already oriented See Grants Management TBAs Activity 5 NP for MNCH Task5: Follow up with the TBAs for referrals See Grants Management Activity 5 Task 6: Greenstar HSO Follow-up Plan in 9 districts HSO monthly visit plan & Follow up and implemented GS CM s Task 7: One day TBA Orientation Workshop by Greenstar HSO 12 workshops done by HSO (1 workshop / month) GS CM s Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Ambulances in selected districts New Ambulances procured and placed 97 means of transport. Reports GS/ NP for MNCH Contech PHD, CM partners NP for MNCH/ FP Page 4

114 Sukkur Nati onal Provin Distr cial ict (input/process/ Task 4: Operation of the community managed emergency See Grants Management transport system activity 6 task 3 Task 5: Establish communication between Midwife Homes and See SO2 activity 9 task 6 health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Follow up reports Consortium s s) Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Report Task 6: Conduct newly designed refresher training of selected LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 25 CMWs identified Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified Task 6: Enroll of CMWs in the identified midwifery schools 25 CMWs enrolled Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs CMWs deployed Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed Task 2: Improving coordination between midwifery tutors and clinical instructors Activity 9: Placement of newly graduated CMWs in the field Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level MOM/NFR Seminars organized at the district level NP for MNCH NP for MNCH NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH NP for MNCH/ FP NP for MNCH/ FP NP for MNCH PC MOH and PHD Linkages developed Monitoring & supervisory reports PC Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Page 5

115 Sukkur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 6: Provide support for establishment of the midwife homes NP for MNCH/ Report/NFR in the rural areas. FP Task 7: Establish communication between Midwife Homes and Communication system NP for MNCH/ health facilities. developed FP Task 8: OR on CMW placement and supervisory model See SO 5 PC Task 9: Disseminate OR results OR results disseminated PC NP for FP & PHC Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities MNCH program & NP Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU MNCH program & NP Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 MNCH program & NP Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI ` Task 2: Establishment of the well baby clinics at the up-graded Well baby clinic established MNCH/ FP Contech HFs at DHQ/THQ program & NP Task 3: Establishment of the ORT corners at selected HFs ORT corners established at MNCH/ FP Contech BHUs/ MCH centers program & NP Task 4: Provide support for the placement of equipment/supplies MNCH/ FP Equipment/ supplies for minimum IMNCI services at up-graded HFs including well Contech program & NP baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Core child health interventions implemented Child Health weeks/days celebrated AKU / MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 CM partners MNCH/ FP program & NP Page 6

116 Sukkur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management Task 3: Establishment of the communication system between No. of communications CMW and HFs through cell phones system established, PHD Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist No. of visits Activity 16: Establish emergency preparedness and surgical clinics Task 1: Meetings with stakeholders 1 meetings held GS Task 2: Providers meetings 2 meetings held GS Task 3: TBA meetings See SO 2 Activity 4 GS CM s Task 4: Meeting with community through IPC activities See SO 1 Activity 12 Task 1 (Neighborhood and orientation meetings for both men and women) Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works Equipment distributed Contech Installation report Contech handing over certificate Contech Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Contech Sub task 2.12: Handing over to health facility Incharge //P Task 3: Capacity building of staff See So-4 C/Contech Page 7

117 Sukkur Nati onal Provin Distr cial ict (input/process/ Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities IMNCI) in the health facilities. with MNCH protocols Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and See SO 4 TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Consortium s s) Staff Identified CM s Incentive system in place CM s MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing of Meetings held in area of 6 PDQ process facilities. Minutes PAVHNA Task 2.1: Building Support for PDQ process Support for PDQ process PAVHNA Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Quality exploring process completed in encatchment of seven facilities, reports Six workshops organized. NFRs PAVHNA PAVHNA Page 8

118 Sukkur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 5: Working in partnership/ formation of QI teams Quality improvement teams formed. NFRs 16 meetings held. NFRs PAVHNA Task 6: Follow up meetings with quality improvement teams PAVHNA Activity 8:Improve the image of MNCH service providers (especially SBAs &LHWs, ) facilities in Public/private sector through promotional campaigns, in order to project the New look Task 1: Airing of GL Advertisement on Cable See SO 1 Activity 11 GS Task 2: Airing of GL Advertisement on National TV See SO 1 Activity 11 GS Task 3: Print media insertion (Local / National Newspaper) See SO 1 Activity 11 GS Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings One workshops conducted. 12 HCPs trained. Monitors report Task 4: Conduct EMNC Refresher trainings Two refreshers conducted. 32 HCPs trained Activity 3:Implementation of LHWs trainings Task 3: Conduct LHWs rollout trainings 150 LHWs trained. Monitors reports Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district One meeting conducted. Minutes DoH, NP, PHDC, C National MNCH Program, NP Task 3: District TOT for community IMNCI Two ToTs conducted.40 trainers trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI 400 LHWs trained. Monitors reports National MNCH Program, NP National MNCH Program, NP Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU National MNCH/ FP Program Page 9

119 Sukkur Nati onal Provin Distr cial ict (input/process/ Task 6: Rollout facility based IMNCI trainings 60 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 7:Private sector trainings Task 1: Conduct Clinical Practicum for 20 LHV in GoodLife Network with GoodLife Surgical Providers Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Task 6: Conduct quality assessment of private sector providers (advance EmONC) through regular visits by Consultants 60 deliveries performed by 20 LHVs under supervision of GoodLife Surgical Providers Reports Available 1 providers followed-up Consortium s s) National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program MoH, PHD, PNC Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training 6 district managers identified GS GS GS PC Task 3: Follow up with the trained health managers Follow up reports PC PHD PHD, SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high provincial 02 district level meetings and district officials for sensitization of DHMTs held CONTECH, PHD Task 6: Implementation of a more sustainable (legislative) model of DHMTs Model implemented in district CONTECH, PHD Page 10

120 Sukkur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Activity 2: District Health Performance Target Setting PHD, Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) CONTECH Task 2: Data Analysis CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DAOP progress discussed in DHMT forum DHMT meetings CONTECH Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers 107 health care providers trained CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring and Evaluation Page 11

121 Sukkur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 6: SPECIAL STUDIES Task 7: LQAS Study on AMTSL and Partograph Study report PC, CONTECH Task 8: LQAS Assessment of PDQ Implementation Study report PC, CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private, CM Data collected PC sector activities partners Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Data collected PC Contech Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked Consortium partners CONTECH Page 12

122 Sukkur GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) Nati onal Provin Distr cial ict (input/process/ Consortium s s) No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 13

123 Khairpur Khairpur Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Nati onal Provin Distr cial ict s) Action plans finalized and shared JHU Task 3.3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child Music video produced;, CM JHU care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU 50 Putlee Tamashas, CM Task 11: Conduct revised Putlee Tamashas in selected districts JHU performed partners Task 12: Dub and air PAIMAN drama series in regional languages PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Dubbed version of PAIMAN drama series CM partners JHU/CCP aired on regional languages Task 14: Telecast the magazine show Magazine Show telecast Task 16: Produce and air District Television Talkshows Television talkshow aired JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts 5 Journalists trained JHU Task 16: Produce and air District Television Talkshow District Television Talkshow aired JHU Task 17: Organize mega events/mnch Health days Two events organized. Reports Page 1

124 Khairpur Task 20: Organize sensitization events for MNCH and Family Planning in new districts Nati onal Provin Distr cial ict (input/process/ One event organized. Report Task 21 : Organize district launches (except swat) District launches organized Task 22 : Celebration of child Health weeks/days in collaboration with UNICEF (all districts) Child Health weeks/days celebrated Consortium s s) / All s, PHD MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Completion reports JHU PC M&E reports JHU Monitoring reports JHU SC/US MAP Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Minute of the meetings MAP Minute of the meetings 2 coordination meetings conducted/ minutes 64 LHW meetings monitored/ NFR Task 5: Monitoring/spot checking of LHW's Health Committees 64 LHW meetings monitored/ NFR Task 6: District Coordination meetings Two meetings conducted/ minutes /Contech Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities 8 meetings conducted/ minutes Page 2

125 Khairpur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 9: Facility Based meetings with LHWs and LHSs to 24 meetings conducted/ support Group and Health Committee Activities NFR Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support 1579 meetings held. groups Reports Task 2: Conduct monitoring of SG/HC/community social mobilization activities, JHU Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), See SO4 training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard See SO4 FALAH protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, See SO 4 FALAH standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 5: Support districts for placement of the HCPs at selected No. of HCPs placed on HFs on contract basis contract Task 6: Support visit of specialist doctors to the HFs where No. of specialist doctors specialists are not visits Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach See SO 5 FALAH Page 3

126 Khairpur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 5: FP counseling and service delivery during free medical camps See Grants Management Activity 5 Task 1 Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required Task 2: Identification of TBAs Task 3: Orientation of TBAs on clean delivery practices Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training See Grants Management Activity 5 Task 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 NP for MNCH New Ambulances procured Contech PHD, and placed 17 means of transport NP for MNCH/. Reports CM partners FP See Grants Management activity 6 task 3 NP for MNCH Task 1: Training of trainers if required Trainers trained Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector 20 existing LHVs/midwives trained Task 3: Follow up with the trained LHVs/midwives Follow up reports Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 35 CMWs identified Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified Task 4: Training of midwifery tutors Tutors trained NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Page 4

127 Khairpur Nati onal Provin Distr cial ict (input/process/ Task 6: Enroll of CMWs in the identified midwifery schools 35 CMWs enrolled Consortium s s) Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs CMWs deployed Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the up-graded Well baby clinic HFs established at DHQ/THQ Contech Task 3: Establishment of the ORT corners at selected HFs ORT corners established at BHUs/ MCH centers Contech Task 4: Provide support for the placement of equipment/supplies Equipment/ supplies for minimum IMNCI services at up-graded HFs including well baby clinics Contech Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Core child health interventions implemented Child Health weeks/days celebrated AKU / NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Selected HF declared as Baby Friendly Hospitals MNCH/ FP program & NP Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases See Grants Management activity 6 task 2 CM partners Page 5

128 Khairpur Nati onal Provin Distr cial ict (input/process/ Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through sub-grantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Sub task 2.10: Monitoring and supervision of the execution of civil works See Grants Management See Grants Management No. of communications system established Consortium s s), PHD No. of visits Need assessment report Contech Equipment distributed Contech Installation report Contech handing over certificate Contech MOM Contech Reports Contech Reports Contech Sub task 2.11: Work Completion Report Report Contech Page 6

129 Khairpur Nati onal Provin Distr cial ict (input/process/ Handing over report Sub task 2.12: Handing over to health facility Incharge Task 3: Capacity building of staff See So-4 Consortium s s) //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, Selected health facilities MOH. MOPW, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP MOH. MOPW, Guidelines displayed (Family Planning) guidelines at each selected health facility PHD Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and See SO 4 TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, Incentive system in place CM s etc) Activity 4: Hospital waste management at selected HFs Task 1: Consultative meeting to prepare implementation plan Implementation plan ready Task 2: Training of the staff on hospital waste management No. of staff trained Task 4: Construction of conventional incinerator at selected HFs Incinerator constructed at 6 HFs Task 5: Supervision & monitoring by district managers Reports Task 6: Assessment of the pilot testing Assessment reports Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Assessment report Report Contech Contech Page 7

130 Khairpur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new Mapping reports three districts selected facilities in Task 2: Consultative meetings for planning and designing of PDQ process Meetings held in area of three facilities. Minutes Task 2.1: Building Support for PDQ process Support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Quality exploring process completed in encatchment of three facilities, reports Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Three workshops organized. NFRs Quality improvement teams formed. NFRs 15 meetings held. NFRs Page 8

131 Khairpur Nati onal Provin Distr cial ict (input/process/ Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Three workshops conducted. 45 HCPs trained. Monitors report Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Four ToT conducted. 80 trainers trained. Monitors reports Task 3: Conduct LHWs rollout trainings 352 LHWs trained. Monitors reports Consortium s s) DoH, NP, PHDC, C DoH, NP, PHDC, C Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district One meeting conducted. Minutes Task 3: District TOT for community IMNCI Two ToTs conducted. 40 trainers trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI 352 LHWs trained. Monitors reports National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 60 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program Page 9

132 Khairpur Nati onal Provin Distr cial ict (input/process/ Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Consortium s s) MoH, PHD, PNC MoH, PHD, PNC MAP, PHD, MAP, PHD, Task 1: Roll out trainings See SO3 Activity 6 MAP, PHD, Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of CAI, knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Task 2: Roll out trainings 20 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 10 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication Managers trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts 5 Journalists trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Page 10

133 Khairpur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for DHMs Trained on LQAS additional districts Technique PC, Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers District trainers selected PC Task 3 Conduct rollout trainings for doctors and paramedics 30 HCPs trained All s Task 4: Supervision of first batch of rollout training carried out Supervisory reports by each district team PC All s Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 6 HCPs trained PC Task 2: Training of HCPs on Minilap 6 HCPs trained PC Task 3: Training of HCPs on Vasectomy 6 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership 8 district managers PC training identified Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with Support provided to MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD, All partners Page 11

134 Khairpur Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Nati onal Provin Distr cial ict (input/process/ Support provided to district Consortium s s) CONTECH PHD, Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) workshop organized CONTECH Task 2: Data Analysis Support provided to districts CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum ( Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers DAOP progress discussed in DHMT meetings 348 health care providers trained CONTECH CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement software application, as required of equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 09 monthly District reports CONTECH Page 12

135 Khairpur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 8: Public Private ship Task 2: Implementation of PPP models Models implemented CONTECH PHD, Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, No of awareness session politicians, councilors, and village elders etc. organized Task 3: Advocacy sessions on MNCH issues (meena bazaars, No of advocacy session sports, fairs, healthy baby shows, awareness walk) organized Task 5: Celebration of important days No of days celebrated Page 13

136 Khairpur Nati onal Provin Distr cial ict (input/process/ Consortium s s) Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already oriented Follow up meetings TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 14

137 PAIMAN Annual Work Plan Balochistan October 1, 2008 to September 30, 2009

138 Lasbella PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Nati onal Provinc ial Distric t s) Lasbella Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Task 3: Monitor implementation of District Action Plans District Action plan finalized Monitoring reports CM s JHU JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM s Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care Music video produced; airing schedule JHU, MC Task 4: Air already produced TVCs TVCs aired JHU TVCs on child health Task 6: Air additional TVCs on child health JHU aired Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired Task 8: Produce and air PAIMAN radio talkshow Talkshow aired JHU Task 9: Conduct already developed Putlee Tamashas for 100 putlee tamashas held JHU two districts of Baluchistan Task 12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional JHU MC Task 14: Telecast the magazine show Magazine Show telecast JHU Task 15: Support/ organize theatre groups / performances 4 events conducted. MC (existing districts) Reports Page 1

139 Lasbella Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) Nati onal Provinc ial Distric t Task 17: Organize mega events/mnch Health days Task 18: Seminar on MNCH &FP for school teachers Task 19: Organize Health Camps/Melas Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 2: Coordination meetings with Tehsil/UC Nazims (input/process/ One seminar conducted. Report Two events organized. Reports One event organized. Report Two seminars organized. Reports 4 health camps organized. Reports Child Health weeks/days celebrated Completion reports Consortium s s) MC MC MC MC MC / JHU PC M&E reports JHU Monitoring reports JHU SC/US Minute of the meetings MAP Minute of the meetings 4 meetings held. Minutes 2 meetings held. Reports MC MC MNCH/ FP program & NP & Development partners Page 2

140 Lasbella Task 3: Seminar with /CBOs/Line dept./dco/nazims in Baluchistan, in which performance of all the partners and main achievements will be presented and discussed. Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Nati onal Provinc ial Distric t (input/process/ 1seminar organized. Report 96 meetings monitored. NFR 36 meetings monitored. NFR 6 meetings held. Minutes 12 meetings held. Minutes 16 meetings held. NFRs Consortium s s) MC MC MC Task 6: District Coordination meetings MC /Contech Task 8: District level meeting with DC NP and LHSs for MC facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to MC support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female 3258 meetings held. support groups Reports MC Task 2: Conduct monitoring of SG/HC/community social mobilization activities NFR MC, JHU Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs GS Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) Sample= 1,500 Units Commercial = 5, IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1, Clinic Sahoolat activities conducted. Activity Reports. GS GS Page 3

141 Lasbella Nati onal Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) Provinc ial Distric t (input/process/ Consortium s s) See SO4 See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP MoM Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 FALAH NP for MNCH NP for MNCH Page 4

142 Lasbella Nati onal Provinc ial Distric t (input/process/ Consortium s s) Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts Task 7: One day TBA Orientation Workshop by Greenstar HSO Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Task 6: Conduct newly designed refresher training of selected LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 6: Enroll of CMWs in the identified midwifery schools Task 7: Monitor and provide supportive supervision of CMW trainings See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented 12 workshops done by HSO (1 workshop / month) Ambulances in selected districts New Ambulances procured and placed 25 means of transport. Reports See Grants Management activity 6 task 3 See SO2 activity 9 task 6 Follow up reports GS CM s GS CM s GS/ Contech PHD, MC NP for MNCH NP for MNCH/ FP Report NP for MNCH/ FP 9 LHVs/midwives trained NP for MNCH/ FP 15 CMWs identified NP for MNCH/ FP Schools identified NP for MNCH/ FP 15 CMWs enrolled NP for MNCH/ FP Reports PC NP for MNCH/ FP Page 5

143 Lasbella Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Task 2: Improving coordination between midwifery tutors and clinical instructors Activity 9: Placement of newly graduated CMWs in the field Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Nati onal Provinc ial Distric t (input/process/ CMWs deployed Consortium s s) Guidelines developed NP for MNCH/ FP MOM/NFR NP for MNCH/ FP Seminars organized at the district level PC MOH and PHD Linkages developed NP for MNCH/ FP Monitoring & supervisory reports PC NP for MNCH/ FP Task 5: Introduce monthly reporting tools for CMWs Tools developed PC NP for MNCH/ FP Task 6: Provide support for establishment of the midwife homes in the rural areas. Report/NFR NP for MNCH/ FP Task 7: Establish communication between Midwife Homes Communication system and health facilities. developed NP for MNCH/ FP Task 8: OR on CMW placement and supervisory model See SO 5 PC Task 9: Disseminate OR results OR results disseminated PC NP for FP & PHC Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Consultative meetings organized NP for MNCH/ FP Young women identified CM partners NP for MNCH/ FP Young women enrolled NP for MNCH/ FP Monitoring reports NP for MNCH/ FP Page 6

144 Lasbella Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs Nati onal Provinc ial Distric t (input/process/ Consultative meetings organized Consortium s s) NP for FP & PHC Young women identified NP for FP & PHC Young women enrolled NP for FP & PHC Monitoring reports NP for FP & PHC See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented See SO1 Activity 7, task 22 Selected HF declared as Baby Friendly Hospitals Contech Contech Contech AKU / MNCH program & NP MNCH program & NP MNCH program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners MNCH/ FP program & NP Page 7

145 Lasbella Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Nati onal Provinc ial Distric t (input/process/ See Grants Management activity 6 task 2 Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers See Grants Management No. of communications system established Consortium s s) CM partners, PHD No. of visits Equipment distributed Contech Installation report Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //PC /Contech Task 4: Ensure availability of standard protocols (EMNC, Selected health facilities ESS, IMNCI) in the health facilities. with MNCH protocols MOH. MOPW, PHD Page 8

146 Lasbella Nati onal Provinc ial Distric t (input/process/ Consortium s s) Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed MOH. MOPW, PHD Activity 2:Improve quality of community based MOH. MOPW, PHD MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs See SO 4 and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place CM s Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing Meetings held. Reports of PDQ process MC Task 2.1: Building support for PDQ Process support for PDQ process built CM s Meetings for exploring quality held. Reports MC Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops 4 workshops organized. NFRs MC Page 9

147 Lasbella Nati onal Provinc ial Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC trainings Distric t (input/process/ Quality improvement teams formed 8 meetings held. NFRs MC MC Consortium s s) one EMNC refresher conducted, 16 HCPs trained, monitors reports DOH, PHDC, PHSA, Task 4: Conduct EMNC refresher trainings Activity 4: Implementation of Community IMNCI training One meeting conducted. Task 1: Planning meetings for IMNCI in each district Minutes 0ne workshops conducted. 20 trainers Task 3: District TOT for community IMNCI trained. Monitors reports 150 LHWs trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at TNA report AKU HFs Task 6: Rollout facility based IMNCI trainings 40 HCPs trained National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP National MNCH/ FP Program National MNCH/ FP Program Task 7: Monitoring of facility based IMNCI trainings Monitoring reports National MNCH/ FP Program Task 8: Follow up with the trained HCPs Follow up reports National MNCH/ FP Program Activity 6: Implementation of CMWs training Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 MoH, PHD, PNC Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Reports Available GS PHD, Page 10

148 Lasbella Nati onal Provinc ial Distric t (input/process/ Consortium s s) Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Activity 17: ership Trainings Task 1: Identification of the health managers for leadership district managers PC training identified Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs Task 7: Support districts in organizing monthly meeting with MOICs Task 8: Monitoring and Support for monthly facility staff meetings Activity 2: District Health Performance Target Setting 02 district level meetings held Support provided to district Monitoring and support provided CONTECH, PHD CONTECH CONTECH Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) workshop organized CONTECH Task 2: Data Analysis Support provided to districts CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Page 11

149 Lasbella Nati onal Provinc ial Distric t (input/process/ Consortium s s) Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 176 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement of software application, as required equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 12 monthly District (LHW, EPI, DHIS) reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring and Evaluation Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 6: SPECIAL STUDIES Task 7: LQAS Study on AMTSL and Partograph Study report PC, CONTECH Task 8: LQAS Assessment of PDQ Implementation Study report PC, CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private sector activities Data collected PC, Page 12

150 Lasbella Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Activity 9: MONITORING Nati onal Provinc ial Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) Distric t (input/process/ Consortium s s) Data collected PC Contech Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked No of awareness session organized No of advocacy session organized Consortium partners CONTECH Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional through the involvement of community transport systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Page 13

151 Lasbella Nati onal Provinc ial Distric t Task 10: TT vaccination of the pregnant ladies (input/process/ No. of pregnant ladies vaccinated Consortium s s) Task 11: Improving access to the family planning services Page 14

152 Lasbella Nati onal Provinc ial Distric t (input/process/ Consortium s s) Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 15

153 Jafarabad Jaffarabad Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Task 3: Monitor implementation of District Action Plans s) District Action plan finalized CM s JHU Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM s Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care Music video produced; airing schedule JHU, MC Task 4: Air already produced TVCs TVCs aired JHU TVCs on child health Task 6: Air additional TVCs on child health JHU aired Task 7: Air audio versions of PAIMAN TVCs Radio commercials aired on radio Task 8: Produce and air PAIMAN radio Talkshow aired JHU talkshow Task 9: Conduct already developed Putlee 100 putlee tamashas JHU Tamashas for two districts of Baluchistan held Task 12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional languages JHU MC Task 14: Telecast the magazine show Magazine Show telecast JHU Task 15: Support/ organize theatre groups / performances (existing districts) PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ 4 events conducted. Reports MC Page 1

154 Jafarabad Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) Task 17: Organize mega events/mnch Health days Task 18: Seminar on MNCH &FP for school teachers Task 19: Organize Health Camps/Melas Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF (input/process/ One seminar conducted. Report Two events organized. Reports One event organized. Report Two seminars organized. Reports 4 health camps organized. Reports Child Health weeks/days celebrated Consortium s s) MC MC MC MC MC / MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Completion reports JHU PC M&E reports JHU Monitoring reports JHU SC/US Minute of the meetings MAP Minute of the meetings Page 2

155 Jafarabad Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 2: Coordination meetings with Tehsil/UC Nazims Task 3: Seminar with /CBOs/Line dept./dco/nazims in Baluchistan, in which performance of all the partners and main achievements will be presented and discussed. (input/process/ 4 meetings held. Minutes 2 meetings held. Reports 1seminar organized. Report Consortium s s) MC MC MC Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees 96 meetings monitored. NFR 36 meetings monitored. NFR MC MC Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities 6 meetings held. MC Minutes 12 meetings held. MC Minutes /Contech Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs 16 meetings held. NFRs 2502 meetings held. Reports MC MC NFR Sample= 1,500 Units Commercial = 5,760 MC GS, JHU Page 3

156 Jafarabad Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ 636 IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1, Clinic Sahoolat activities conducted. Activity Reports. Consortium s s) See SO4 See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 GS GS Page 4

157 Jafarabad (input/process/ Consortium s s) Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts Staff placed CM s MoM FALAH See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented GS CM s FALAH NP for MNCH Task 7: One day TBA Orientation Workshop by Greenstar HSO 12 workshops done by HSO (1 workshop / month) GS CM s Activity 5: Transport and Communication for community obstetric/nb emergencies Task 1: Follow-up on availability of EDHI ambulances Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Ambulances in selected districts New Ambulances procured and placed 28 means of transport. Reports GS/ Contech PHD, MC Page 5

158 Jafarabad Task 4: Operation of the community managed emergency transport system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Task 4: Conduction and reporting post training assessment of the already trained LHVs/midwives Task 6: Conduct newly designed refresher training of selected LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 6: Enroll of CMWs in the identified midwifery schools Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Task 2: Improving coordination between midwifery tutors and clinical instructors Activity 9: Placement of newly graduated CMWs in the field Task 2: Organize seminars and meetings in the community to sensitize the target audience about the importance of community midwives (input/process/ See Grants Management activity 6 task 3 See SO2 activity 9 task 6 Follow up reports Report 9 LHVs/midwives trained Consortium s s) 15 CMWs identified Schools identified 15 CMWs enrolled Reports PC CMWs deployed Guidelines developed MOM/NFR Seminars organized at the district level NP for MNCH NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP PC MOH and PHD Page 6

159 Jafarabad (input/process/ Consortium s s) Task 3: Establishment of the referral linkages of the CMWs with the HFs and LHWs through coordination meetings at HFs Linkages developed NP for MNCH/ FP Task 4: Facilitate and conceptualize the monitoring and supervisory system for CMWs at district level Task 5: Introduce monthly reporting tools for CMWs Task 6: Provide support for establishment of the midwife homes in the rural areas. Task 7: Establish communication between Midwife Homes and health facilities. Task 8: OR on CMW placement and supervisory model Monitoring & supervisory reports PC Tools developed PC Report/NFR Communication system developed See SO 5 PC Task 9: Disseminate OR results OR results disseminated PC Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Consultative meetings organized Young women identified CM partners Young women enrolled Monitoring reports Consultative meetings organized Young women identified NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for FP & PHC NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for FP & PHC NP for FP & PHC Page 7

160 Jafarabad Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Young women enrolled Monitoring reports Consortium s s) See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the up-graded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented See SO1 Activity 7, task 22 Contech Contech Contech AKU / NP for FP & PHC NP for FP & PHC MNCH program & NP MNCH program & NP MNCH program & NP ` MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Selected HF declared as Baby Friendly Hospitals MNCH/ FP program & NP Page 8

161 Jafarabad Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases (input/process/ See Grants Management activity 6 task 2 Consortium s s) CM partners Page 9

162 Jafarabad Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district (input/process/ See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Sub task 2.10: Monitoring and supervision of the execution of civil works See Grants Management No. of communications system established Consortium s s), PHD No. of visits Equipment distributed Contech Installation report handing over certificate Contech Contech Reports Contech Page 10

163 Jafarabad (input/process/ Consortium s s) Sub task 2.11: Work Completion Report Report Contech Sub task 2.12: Handing over to health facility Handing over report Contech Incharge //P Task 3: Capacity building of staff See So-4 C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs Selected health facilities with MNCH protocols Guidelines displayed See SO 4 Supplies adequate See SO 2 See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Incentive system in place CM s MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Page 11

164 Jafarabad (input/process/ Consortium s s) Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and Meetings held. Reports designing of PDQ process MC Task 2.1: Building support for PDQ Process support for PDQ CM process built s Meetings for exploring Task 3: Exploring quality in view of health care quality held. Reports providers and community groups MC Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI 4 workshops organized. NFRs Quality improvement teams formed 8 meetings held. NFRs One meeting conducted. Minutes one workshop conducted. 20 trainers trained. Monitors reports 167 LHWs trained. Monitors reports MC MC MC National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Page 12

165 Jafarabad Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Consortium s s) TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Task 8: Follow up with the trained HCPs Activity 6: Implementation of CMWs training Monitoring reports Follow up reports Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Activity 14: DHMT Management Trainings Task 5: Follow-up / mentoring visits Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training Task 3: Follow up with the trained health managers SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings Reports Available 01 follow up visit conducted district managers identified Follow up reports 4 quarterly meetings held National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program MoH, PHD, PNC GS PHD, CONTECH PC PC CONTECH Page 13

166 Jafarabad Task 4: Conduct Individual meetings with the high district officials for sensitization of DHMTs Task 7: Support districts in organizing monthly meeting with MOICs Task 8: Monitoring and Support for monthly facility staff meetings Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) (input/process/ 02 district level meetings held Support provided to district Monitoring and support provided Support provided to district Consortium s s) CONTECH, PHD CONTECH CONTECH CONTECH PHD, workshop organized CONTECH Task 2: Data Analysis Support provided to districts CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 140 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Page 14

167 Jafarabad (input/process/ Consortium s s) Task 11: Provision of Computers to the districts for DHIS software application, as required Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) Task 3: Performance of Routine Information System Management (PRISM) See SO 3 (Procurement of equipment) CONTECH 10 managers trained CONTECH PHD, 12 monthly District CONTECH reports District level assessment CONTECH /PC report Monitoring and Evaluation Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 6: SPECIAL STUDIES Task 7: LQAS Study on AMTSL and PC, Study report Partograph CONTECH Task 8: LQAS Assessment of PDQ PC, Study report Implementation CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private sector activities Data collected PC, Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health System strengthen component Data collected PC Contech Page 15

168 Jafarabad Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) (input/process/ Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked Consortium s s) Consortium partners CONTECH GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with No of awareness session religious leaders, politicians, councilors, organized and village elders etc. Task 3: Advocacy sessions on MNCH issues No of advocacy session (meena bazaars, sports, fairs, healthy baby organized shows, awareness walk) Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung No. of health camps areas organized Task 2: Organization of transport for MNCH emergencies through the involvement of community No. of functional transport systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of already oriented TBAs Follow up meetings organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Page 16

169 Jafarabad Task 9: Mosque/ public announcement for TT vaccination campaigns Task 10: TT vaccination of the pregnant ladies Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan (input/process/ Consortium s s) Reports No. of pregnant ladies vaccinated No. of birthing centers established Reports/NFR No. of transport system established Plans PC Task 2: Monitoring & supervision Reports PC Page 17

170 Gawadar Gwadar Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Task 3: Monitor implementation of District Action Plans District Action plan finalized Monitoring reports s) CM s JHU JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM s Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ Music video produced; airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Talkshow aired JHU /CM s Dubbed version of Task 12: Dub and air PAIMAN drama series in regional PAIMAN drama series languages aired on regional CM s JHU/CCP languages Task 14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshows 1 District Television Talkshow aired JHU Page 1

171 Gawadar Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts Task 17: Organize mega events/mnch Health days (input/process/ 5 journalist trained JHU Two events organized. Reports Consortium s s) Task 20: Organize sensitization events for MNCH and Family Planning in new districts Task 21 : Organize district launches (except swat) Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF One event organized. Report district launches organized Child Health weeks/days celebrated / All s, PHD MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Completion reports JHU PC M&E reports JHU Monitoring reports JHU Minute of the meetings MAP Minute of the meetings 2 coordination meetings conducted/ minutes 64 LHW meetings monitored/ NFR Page 2

172 Gawadar Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities (input/process/ 64 LHW meetings monitored/ NFR Two meetings conducted/ minutes 8 meetings conducted/ minutes Consortium s s) /Contech Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) 24 meetings conducted/ NFR 297 meetings held. Reports, JHU See SO4 See SO4 FALAH See SO 4 FALAH Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 Reports/ NFR functioning HFs Task 2:Up-gradation of the selected HFs See SO3 Page 3

173 Gawadar Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Task 5: Support districts for placement of the HCPs at selected HFs on contract basis Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy (input/process/ Consortium s s) Staff placed CM s Task 1: Training of trainers if required Task 2: Identification of TBAs Task 3: Orientation of TBAs on clean delivery practices Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training No. of HCPs placed on contract See SO 5 FALAH 4 HCPs trained See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 PC NP for MNCH New Ambulances Contech PHD, procured and placed 4 means of transport NP for MNCH/. Reports CM partners FP See Grants Management activity NP for MNCH 6 task 3 NP for MNCH Page 4

174 Gawadar (input/process/ Task 1: Training of trainers if required Trainers trained Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector Task 3: Follow up with the trained LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 6: Enroll of CMWs in the identified midwifery schools Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Task 2: Improving coordination between midwifery tutors and clinical instructors Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support 16 LHVs/midwives trained Follow up reports Consortium s s) 25 CMWs identified Schools identified 25 CMWs enrolled Reports PC CMWs deployed Guidelines developed MOM/NFR Consultative meetings organized 10 Young women identified 10 Young women enrolled Monitoring reports CM partners NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Page 5

175 Gawadar Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Consultative meetings organized 25 Young women identified 25 Young women enrolled Monitoring reports Consortium s s) See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented See SO1 Activity 7, task 22 Contech Contech Contech AKU / NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for FP & PHC MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Selected HF declared as Baby Friendly Hospitals MNCH/ FP program & NP Page 6

176 Gawadar Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases (input/process/ See Grants Management activity 6 task 2 Consortium s s) Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance See Grants Management See Grants Management No. of communications system established CM partners, PHD No. of visits Need assessment report Contech Equipment distributed Contech Installation report handing over certificate Contech Contech Page 7

177 Gawadar (input/process/ Consortium s s) Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs Selected health facilities with MNCH protocols Guidelines displayed See SO 4 Supplies adequate See SO 2 See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place CM s MOH. MOPW, PHD MOH. MOPW, PHD Page 8

178 Gawadar Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs (input/process/ Assessment report Report Consortium s s) Contech Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ Process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Mapping reports of three selected facilities in Meetings held in area of three facilities. Minutes support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams formed. NFRs 15 meetings held. NFRs Page 9

179 Gawadar Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Two workshops conducted. 30 HCPs trained. Monitors report One ToT conducted. 20 trainers trained. Monitors reports 66 LHWs trained. Monitors reports One meeting conducted. Minutes One ToT conducted. 20 trainers trained. Monitors reports 66 LHWs trained. Monitors reports Consortium s s) TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Task 8: Follow up with the trained HCPs Monitoring reports Follow up reports DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program Page 10

180 Gawadar Activity 6: Implementation of CMWs training (input/process/ Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Consortium s s) National MNCH/ FP Program National MNCH/ FP Program Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained PHD, Task 2: Follow-up and support to the trained HCP Follow up reports PHD, Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report CAI, Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication persons trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalists trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system 10 staff trained CONTECH Page 11

181 Gawadar Task 4: Installation of FinSoft and Health Plan software Task 5: Follow-up / mentoring visits Task 6. Training on small scale Household surveys (LQAS) for additional districts Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training Task 3: Follow up with the trained health managers (input/process/ Software installed in district 01 follow up visit conducted Consortium s s) CONTECH PC, district managers identified Follow up reports CONTECH PC PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high 02 district level district officials for sensitization of DHMTs meetings held CONTECH, PHD Task 6: Implementation of a more sustainable (legislative) Model implemented in model of DHMTs district CONTECH, PHD Task 7: Support districts in organizing monthly meeting Support provided to with MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and meetings support provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) Support provided to district Data collected and compiled PHD, CONTECH PHD, CONTECH Task 2: Data Analysis Data analyzed CONTECH HSPH/ Page 12

182 Gawadar (input/process/ Consortium s s) Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software Task 11: Provision of Computers to the districts for DHIS software application, as required Activity 7: Use of information for district health management 01 DAOP developed CONTECH DAOP progress discussed in DHMT meetings 122 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, See SO 3 (Procurement of CONTECH equipment) Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 09 monthly District (LHW, EPI, DHIS) reports CONTECH Task 3: Performance of Routine Information System District level Management (PRISM) assessment report CONTECH /PC Activity 9: District Health Profile Page 13

183 Gawadar Task 1: Preparation of District Profile (4 Pager) Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts (input/process/ 01 health profile prepared Consortium s s) CONTECH PHD, Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT, Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted Applications shared and approved by District PRC pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Page 14

184 Gawadar Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) (input/process/ No of awareness session organized No of advocacy session organized Consortium s s) Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH No. of functional emergencies through the involvement of community transport systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies No. of birthing centers established Reports/NFR No. of transport system established Page 15

185 Gawadar (input/process/ Consortium s s) Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 16

186 Zhobe PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ s) Zhobe Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans District Action plan finalized CM s JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM s Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care Music video produced; airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU TVCs on child health Task 6: Air additional TVCs on child health JHU aired Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Talkshow aired JHU Task 12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional languages /CM s CM s JHU/CCP Task 14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshows 1 District Television Talkshow aired JHU Page 1

187 Zhobe Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts Task 17: Organize mega events/mnch Health days Task 20: Organize sensitization events for MNCH and Family Planning in new districts Task 21 : Organize district launches (except swat) Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF (input/process/ 5 journalist trained JHU Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Two events organized. Reports One event organized. Report district launches organized Child Health weeks/days celebrated Completion reports Consortium s s) / JHU PC M&E reports JHU Monitoring reports JHU All s, PHD Minute of the meetings MAP Minute of the meetings 2 coordination meetings conducted/ minutes 64 LHW meetings monitored/ NFR MNCH/ FP program & NP & Development partners Task 5: Monitoring/spot checking of LHW's Health Committees 64 LHW meetings monitored/ NFR Page 2

188 Zhobe Task 6: District Coordination meetings (input/process/ Two meetings conducted/ minutes Consortium s s) /Contech Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities 8 meetings conducted/ minutes 24 meetings conducted/ NFR Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) 567 meetings held. Reports, JHU See SO4 See SO4 FALAH See SO 4 FALAH Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s Task 5: Support districts for placement of the HCPs at selected HFs on contract basis No. of HCPs placed on contract Page 3

189 Zhobe Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client Centered Approach Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required (input/process/ Consortium s s) See SO 5 FALAH 4 HCPs trained See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 PC Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 NP for MNCH Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training See Grants Management Activity 5 New Ambulances procured and placed 8 means of transport. Reports See Grants Management activity 6 task 3 Contech PHD, NP for MNCH Task 1: Training of trainers if required Trainers trained NP for MNCH/ FP Task 2: Conduct roll out trainings to train existing 16 LHVs/midwives NP for MNCH/ FP midwives/ LHVs both in public & private sector trained Page 4

190 Zhobe (input/process/ Consortium s s) Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH/ FP Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 25 CMWs identified NP for MNCH/ FP Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified NP for MNCH/ FP Task 6: Enroll of CMWs in the identified midwifery schools 25 CMWs enrolled NP for MNCH/ FP Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC NP for MNCH/ FP Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs CMWs deployed NP for MNCH/ FP Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Task 2: Improving coordination between midwifery tutors and clinical instructors Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Guidelines developed NP for MNCH/ FP MOM/NFR NP for MNCH/ FP Consultative meetings organized 10 Young women identified 10 Young women enrolled Monitoring reports Consultative meetings organized 25 Young women identified 25 Young women enrolled NP for MNCH/ FP CM partners NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for FP & PHC NP for FP & PHC NP for FP & PHC Page 5

191 Zhobe (input/process/ Consortium s s) Task 5: Monitoring and supervision of the educational Monitoring reports support Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented See SO1 Activity 7, task 22 NP for FP & PHC Contech Contech Contech AKU / MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 CM partners MNCH/ FP program & NP Page 6

192 Zhobe Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers (input/process/ See Grants Management See Grants Management No. of communications system established Consortium s s), PHD No. of visits Need assessment report Contech Equipment distributed Contech Installation report Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech MOH. MOPW, PHD Page 7

193 Zhobe (input/process/ Consortium s s) Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Selected health facilities with MNCH protocols MOH. MOPW, PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed MOH. MOPW, PHD Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs See SO 4 MOH. MOPW, PHD Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place CM s Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Assessment report Report Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Contech Page 8

194 Zhobe (input/process/ Consortium s s) Task 1: Mapping of facilities selected for upgradation in new districts Mapping reports of three selected facilities in Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ Process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Meetings held in area of three facilities. Minutes support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams formed. NFRs 15 meetings held. NFRs Two workshops conducted. 30 HCPs trained. Monitors report Two ToT conducted. 40 trainers trained. Monitors reports 126 LHWs trained. Monitors reports DoH, NP, PHDC, C DoH, NP, PHDC, C Page 9

195 Zhobe Activity 4: Implementation of Community IMNCI training (input/process/ Consortium s s) One meeting conducted. Minutes Task 1: Planning meetings for IMNCI in each district 1 ToT conducted. 20 trainers trained. Monitors Task 3: District TOT for community IMNCI reports 126 LHWs trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained PHD, Task 2: Follow-up and support to the trained HCP Follow up reports PHD, Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of CAI, knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Page 10

196 Zhobe (input/process/ Consortium s s) Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication persons trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalists trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts PC, Activity 17: ership Trainings Task 1: Identification of the health managers for leadership district managers training identified PC Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high and 02 district level meetings district officials for sensitization of DHMTs held CONTECH, PHD Page 11

197 Zhobe Task 7: Support districts in organizing monthly meeting with MOICs Task 8: Monitoring and Support for monthly facility staff meetings Task 9: Exchange visits of DHMTs for information sharing and lessons learnt Activity 2: District Health Performance Target Setting (input/process/ Support provided to district Monitoring and support provided Consortium s s) CONTECH CONTECH 01 visit conducted CONTECH, PHD Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new Data collected and districts & Swat and Endline for original PAIMAN compiled districts) CONTECH Task 2: Data Analysis Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 89 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Page 12

198 Zhobe (input/process/ Consortium s s) Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement software application, as required of equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 09 monthly District (LHW, EPI, DHIS) reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Field monitoring Consortium conducted and reports partners District HMIS/DHIS Task 2: HMIS/DHIS Reports (including RMOI) reports reviewed and progress on MNCH CONTECH indicators tracked Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, Page 13

199 Zhobe GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval (input/process/ Applications shared and approved by District PRC Consortium s s) Task 5: Pre-award assessment of shortlisted pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) Mapping completed and recorded,294 Ucs No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional through the involvement of community transport systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Page 14

200 Zhobe Task 10: TT vaccination of the pregnant ladies (input/process/ No. of pregnant ladies vaccinated Consortium s s) Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 15

201 Quetta Quetta Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Task 3: Monitor implementation of District Action Plans s) District Action plan finalized CM s JHU Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM s Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care Music video produced; airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Talkshow aired JHU /CM s Dubbed version of Task 12: Dub and air PAIMAN drama series in PAIMAN drama series regional languages aired on regional languages CM s JHU/CCP Task 14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshows PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s 1 District Television Talkshow aired JHU Page 1

202 Quetta Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts Task 17: Organize mega events/mnch Health days Task 20: Organize sensitization events for MNCH and Family Planning in new districts Task 21 : Organize district launches (except swat) Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups (input/process/ 5 journalist trained JHU Two events organized. Reports One event organized. Report district launches organized Child Health weeks/days celebrated Completion reports Consortium s s) / JHU PC M&E reports JHU Monitoring reports JHU All s, PHD Minute of the meetings MAP Minute of the meetings 2 coordination meetings conducted/ minutes 64 LHW meetings monitored/ NFR MNCH/ FP program & NP & Development partners. Page 2

203 Quetta Task 5: Monitoring/spot checking of LHW's Health Committees (input/process/ 64 LHW meetings monitored/ NFR Consortium s s) Task 6: District Coordination meetings Two meetings conducted/ minutes /Contech Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs 8 meetings conducted/ minutes 24 meetings conducted/ NFR 958 meetings held. Reports See SO4, JHU See SO4 FALAH See SO 4 FALAH. Page 3

204 Quetta (input/process/ Consortium s s) Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s Task 5: Support districts for placement of the No. of HCPs placed on HCPs at selected HFs on contract basis contract Activity 3: Integration of FP services at the district level. Task 2: Training of the HCPs on FP through Client Centered Approach See SO 5 Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts 4 HCPs trained FALAH Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 NP for MNCH Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs See Grants Management Activity 5 New Ambulances procured and placed 14 means of transport. Reports. Contech PHD, CM partners NP for MNCH/ FP Page 4

205 Quetta Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training (input/process/ See Grants Management activity 6 task 3 Consortium s s) NP for MNCH. Task 1: Training of trainers if required Trainers trained NP for MNCH/ FP Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector Task 3: Follow up with the trained LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 6: Enroll of CMWs in the identified midwifery schools Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Task 2: Improving coordination between midwifery tutors and clinical instructors Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support 16 LHVs/midwives trained Follow up reports NP for MNCH/ FP NP for MNCH/ FP 30 CMWs identified NP for MNCH/ FP Schools identified NP for MNCH/ FP 30 CMWs enrolled NP for MNCH/ FP Reports PC NP for MNCH/ FP CMWs deployed NP for MNCH/ FP Guidelines developed NP for MNCH/ FP MOM/NFR NP for MNCH/ FP Consultative meetings organized 10 Young women identified 10 Young women enrolled Monitoring reports NP for MNCH/ FP CM partners NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP... Page 5

206 Quetta (input/process/ Consortium s s) Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs Consultative meetings organized 25 Young women identified 25 Young women enrolled Monitoring reports NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for FP & PHC See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the up-graded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented See SO1 Activity 7, task 22 Contech Contech Contech AKU /. MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Page 6

207 Quetta Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district (input/process/ Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Consortium s s) See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community See SO 4 Activity 4 IMNCI Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through See Grants sub-grantee at far flung areas. Management Task 2: Establishment of community managed See Grants transport for the emergency obstetrics Management Task 3: Establishment of the communication No. of communications system between CMW and HFs through cell system established phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist CM partners MNCH/ FP program & NP, PHD No. of visits Page 7

208 Quetta Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each (input/process/ Need assessment report Consortium s s) Contech Equipment distributed Contech Installation report handing over certificate Contech Contech Sub task 2.1: Consultative Meeting with the MOM Contech District Health Department for selection of Sites Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Sub task 2.12: Handing over to health facility Handing over report Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Selected health facilities with MNCH/ FP protocols selected health facility Activity 2:Improve quality of community based MNCH services Guidelines displayed MOH. MOPW, PHD MOH. MOPW, PHD. Page 8

209 Quetta Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs (input/process/ See SO 4 Consortium s s) Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the See SO 2 community based HCPs Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, Incentive system in place CM s certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Assessment report Task 2: Consultative meeting with the Report stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of Reports, PHD selected HFs Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection Reports prevention Task 8: Conduct study for the assessment of the outcome of the intervention Reports Contech. Page 9

210 Quetta Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts (input/process/ Mapping reports of three selected facilities in Consortium s s) Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ Process Task 3: Exploring quality in view of health care providers and community groups Meetings held in area of three facilities. Minutes support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Task 4: Organize and participate in bridging the gap workshops Three workshops organized. NFRs Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Quality improvement teams formed. NFRs 15 meetings held. NFRs Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings three workshops conducted. 45 HCPs trained. Monitors report Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Two ToT conducted.40 trainers trained. Monitors reports DoH, NP, PHDC, C Task 3: Conduct LHWs rollout trainings 213 LHWs trained. Monitors reports DoH, NP, PHDC, C Page 10

211 Quetta Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI (input/process/ One meeting conducted. Minutes One ToTs conducted. 20 trainers trained. Monitors reports 213 LHWs trained. Monitors reports Consortium s s) Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Task 8: Follow up with the trained HCPs Monitoring reports Follow up reports National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 National MNCH/ FP Program Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 National MNCH/ FP Program Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained PHD, Task 2: Follow-up and support to the trained HCP Follow up reports PHD, Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Page 11

212 Quetta (input/process/ Consortium s s) CAI, Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and paramedics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication persons trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalists trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan Software installed in software district CONTECH Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts PC, Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and 20 Trainings conducted paramedics by district trainers All s Page 12

213 Quetta (input/process/ Consortium s s) Task 5: Supervision of subsequent batch of rollout training carried out by each district team Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts rollout trainings supervised All s Task 1: Training of HCPs on insertion of IUCDs HCPs trained PC Task 2: Training of HCPs on Minilap HCPs trained PC Task 3: Training of HCPs on Vasectomy HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for district managers PC leadership training identified Task 3: Follow up with the trained health Follow up reports PC managers SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs. Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs Task 3: Support to quarterly DHMT meetings Task 4: Conduct Individual meetings with district officials for sensitization of DHMTs Task 7: Support districts in organizing monthly meeting with MOICs Task 8: Monitoring and Support for monthly facility staff meetings Task 9: Exchange visits of DHMTs for information sharing and lessons learnt Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting 01 DHMT established/notified 03 quarterly meetings held 02 district level meetings held Support provided to district Monitoring and support provided CONTECH CONTECH CONTECH, PHD CONTECH CONTECH 01 visit conducted CONTECH, PHD Support provided to district CONTECH PHD, Page 13

214 Quetta Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) (input/process/ Data collected and compiled Consortium s s) CONTECH Task 2: Data Analysis Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 131 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required See SO 3 (Procurement of equipment) CONTECH Page 14

215 Quetta Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) Task 3: Performance of Routine Information System Management (PRISM) Activity 9: District Health Profile (input/process/ Consortium s s) 10 managers trained CONTECH PHD, 09 monthly District reports District level assessment report CONTECH CONTECH /PC Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING. Task 1: Monitoring Field Activities and reporting Field monitoring Consortium conducted and reports partners District HMIS/DHIS Task 2: HMIS/DHIS Reports (including RMOI) reports reviewed and progress on MNCH indicators tracked CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of sub-grant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted Applications shared and approved by District PRC pre-award assessment report. Page 15

216 Quetta (input/process/ Consortium s s) Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) Mapping completed and recorded,294 Ucs No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH No. of functional emergencies through the involvement of transport systems community Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of Follow up meetings already oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Page 16

217 Quetta Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan (input/process/ Consortium s s) No. of birthing centers established Reports/NFR No. of transport system established Plans PC Task 2: Monitoring & supervision Reports PC Page 17

218 Sibi (input/process/ Sibi Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans District Action plan finalized Task 3: Monitor implementation of District Monitoring reports Action Plans s) CM s JHU JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM s Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care Music video produced; airing schedule JHU, Task 4: Air already produced TVCs TVCs aired JHU TVCs on child health Task 6: Air additional TVCs on child health JHU aired Task 7: Air audio versions of PAIMAN TVCs Radio commercials aired JHU on radio Task 8: Produce and air PAIMAN radio /CM Talkshow aired JHU talkshow s Task 12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional languages CM s JHU/CCP Task 14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshows PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s 1 District Television Talkshow aired JHU Page 1

219 Sibi Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts Task 17: Organize mega events/mnch Health days Task 20: Organize sensitization events for MNCH and Family Planning in new districts Task 21 : Organize district launches (except swat) Task 22: Celebration of Child Health weeks/days in collaboration with UNICEF (input/process/ 5 journalist trained JHU Two events organized. Reports One event organized. Report district launches organized Child Health weeks/days celebrated Consortium s s) / All s, PHD MNCH/ FP program & NP & Development partners Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 3: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Completion reports JHU PC M&E reports JHU Monitoring reports JHU Minute of the meetings MAP Minute of the meetings 2 coordination meetings conducted/ minutes 64 LHW meetings monitored/ NFR. Page 2

220 Sibi Task 5: Monitoring/spot checking of LHW's Health Committees (input/process/ 64 LHW meetings monitored/ NFR Consortium s s) Task 6: District Coordination meetings Two meetings conducted/ minutes /Contech Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities 8 meetings conducted/ minutes Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) 24 meetings conducted/ NFR 297 meetings held. Reports See SO4, JHU See SO4 FALAH See SO 4 FALAH Page 3

221 Sibi (input/process/ Consortium s s) Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs. Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed CM s Task 5: Support districts for placement of the No. of HCPs placed on HCPs at selected HFs on contract basis contract Activity 3: Integration of FP services at the district level. Task 2: Training of the HCPs on FP through Client Centered Approach See SO 5 FALAH Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts Task 5: FP counseling and service delivery during free medical camps Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required 4 HCPs trained See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 5 See Grants Management Activity 5 PC Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 NP for MNCH Task5: Follow up with the TBAs for referrals See Grants Management Activity 5 Page 4

222 Sibi (input/process/ Consortium s s) Activity 5: Transport and Communication for community obstetric/nb emergencies. Task 2: Hand over ambulances to provincial and New Ambulances district health departments procured and placed Contech NP for MNCH 4 means of transport Task 3: Identify/utilize indigenous means of. Reports transport through VHCs See Grants Task 4: Operation of the community managed Management activity 6 emergency transport system task 3 NP for MNCH Activity 6: Refresher Midwifery Training. Task 1: Training of trainers if required Trainers trained NP for MNCH/ FP Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector Task 3: Follow up with the trained LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 6: Enroll of CMWs in the identified midwifery schools Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Task 2: Improving coordination between midwifery tutors and clinical instructors 16 LHVs/midwives trained Follow up reports 30 CMWs identified Schools identified 30 CMWs enrolled Reports PC CMWs deployed Guidelines developed MOM/NFR NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP.. Page 5

223 Sibi Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Consultative meetings organized 10 Young women identified 10 Young women enrolled Monitoring reports Consultative meetings organized 25 Young women identified 25 Young women enrolled Monitoring reports Consortium s s) CM partners See SO4 Activity 5 AKU NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for FP & PHC Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI. Task 2: Establishment of the well baby clinics at the up-graded HFs Well baby clinic established at DHQ/THQ Contech MNCH/ FP program & NP. Page 6

224 Sibi Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at up-graded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF (input/process/ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented See SO1 Activity 7, task 22 Consortium s s) Contech Contech AKU / MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP MNCH/ FP program & NP & Development partners Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community See SO 4 Activity 4 IMNCI Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through See Grants sub-grantee at far flung areas. Management Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones See Grants Management No. of communications system established CM partners MNCH/ FP program & NP, PHD Page 7

225 Sibi Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance (input/process/ No. of visits Need assessment report Consortium s s) Contech Equipment distributed Contech Installation report handing over certificate Contech Contech Sub task 2.1: Consultative Meeting with the MOM Contech District Health Department for selection of Sites Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Sub task 2.12: Handing over to health facility Handing over report Incharge Contech Task 3: Capacity building of staff See So-4 //P MOH. MOPW, C/Contech PHD Page 8

226 Sibi (input/process/ Consortium s s) Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs Selected health facilities with MNCH protocols Guidelines displayed See SO 4 Supplies adequate See SO 2 See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, Incentive system in place CM s certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Assessment report Contech MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Task 2: Consultative meeting with the Report stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of Reports, PHD selected HFs Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports.. Page 9

227 Sibi Task 8: Conduct study for the assessment of the outcome of the intervention Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts (input/process/ Consortium s s) Reports Mapping reports of three selected facilities in Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ Process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Meetings held in area of three facilities. Minutes support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams formed. NFRs 15 meetings held. NFRs Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Two workshops conducted. 30 HCPs trained. Monitors report Page 10

228 Sibi Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ One ToT conducted. 20 trainers trained. Monitors reports 67 LHWs trained. Monitors reports One meeting conducted. Minutes One ToT conducted. 20 trainers trained. Monitors reports 67 LHWs trained. Monitors reports Consortium s s) TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Task 8: Follow up with the trained HCPs Activity 6: Implementation of CMWs training Monitoring reports Follow up reports Task 1: Conduct refresher trainings See SO2 Activity 6 DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program MoH, PHD, PNC Page 11

229 Sibi (input/process/ Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility See SO3 Activity 6 Analyses report Consortium s s) MoH, PHD, PNC MAP, PHD, MAP, PHD, MAP, PHD, CAI, Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained CAI, NFR HCP Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and paramedics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained CAI, NFR HCP Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication persons trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalists trained JHU Page 12

230 Sibi Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning Task 2: Financial Management Training for managers and accounts staff Task 3: Trainings on supportive supervisory system Task 4: Installation of FinSoft and Health Plan software Task 5: Follow-up / mentoring visits Task 6. Training on small scale Household surveys (LQAS) for additional districts Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers Task 3 Conduct rollout trainings for doctors and paramedics Task 5: Supervision of subsequent batch of rollout training carried out by each district team Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts (input/process/ Consortium s s) 10 staff trained CONTECH 10 staff trained CONTECH 10 staff trained CONTECH Software installed in district 01 follow up visit conducted CONTECH PC, CONTECH District trainers selected PC 20 Trainings conducted by district trainers rollout trainings supervised, All partners All s All s Task 1: Training of HCPs on insertion of IUCDs HCPs trained PC Task 2: Training of HCPs on Minilap HCPs trained PC Task 3: Training of HCPs on Vasectomy HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training Task 3: Follow up with the trained health managers district managers identified Follow up reports PC PC Page 13

231 Sibi SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs Task 2: Support in establishment of DHMTs (input/process/ Consortium s s) 01 meeting held CONTECH 01 DHMT established/notified 03 quarterly meetings held 02 district level meetings held Support provided to district Monitoring and support provided CONTECH Task 3: Support to quarterly DHMT meetings CONTECH Task 4: Conduct Individual meetings with district officials for sensitization of DHMTs CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs CONTECH Task 8: Monitoring and Support for monthly facility staff meetings CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Activity 2: District Health Performance Target Setting. Task 2: Hands on support in target setting Support provided to district CONTECH PHD, Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing Data collected and (Baseline for new districts & Swat and Endline compiled for original PAIMAN districts) CONTECH Task 2: Data Analysis Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational See SO4 Activity 14 CONTECH Planning Task 2: Financial Management Training for See SO4 Activity 14 CONTECH managers and accounts staff Task 3: Trainings on supportive supervisory See SO4 Activity 14 CONTECH system Task 4: Installation of FinSoft and Health See SO4 Activity 14 CONTECH Plan software Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH. Page 14

232 Sibi Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software (input/process/ Consortium s s) 01 DAOP developed CONTECH DAOP progress discussed in DHMT meetings 84 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) Task 3: Performance of Routine Information System Management (PRISM) Activity 9: District Health Profile See SO 3 (Procurement of equipment) CONTECH 10 managers trained CONTECH PHD, 09 monthly District reports District level assessment report CONTECH CONTECH /PC Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING. Page 15

233 Sibi Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) (input/process/ Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium s s) Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of sub-grant to the successful. Task 3: Shortlisted shared with District PRC Committees for approval Applications shared and approved by District PRC Task 5: Pre-award assessment of shortlisted pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Page 16

234 Sibi Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas Task 2: Organization of transport for MNCH emergencies through the involvement of community (input/process/ No. of health camps organized No. of functional transport systems Consortium s s) Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs TBAs identifies Task 5: Orientation of TBAs on clean delivery practices TBAs oriented Task 6: Follow up meeting/ refresher training of Follow up meetings already oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan No. of birthing centers established Reports/NFR No. of transport system established Plans PC Task 2: Monitoring & supervision Reports PC Page 17

235 PAIMAN Annual Work Plan NWFP October 1, 2008 to September 30, 2009

236 Dir Upper PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s s) Dir Upper Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Action plans finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child Music video produced; airing, CM JHU care schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 6.12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional languages CM partners JHU/CCP Task 6.14: Telecast the magazine show Magazine Show telecast JHU Activity 7: Conduct advocacy campaign based on CAM packages JHU Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) Task 17: Organize mega events/mnch Health days One seminar on MNCH organized. Report One local event on MNCH & FP organized. Report 2 events organized. Reports Page 1

237 Dir Upper Task 19: Organize health camps/melas (input/process/ 1 health camp/mela organized (In Dir carried forward) Consortium s s) Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Completion reports JHU PC Task 8: Conduct monitoring of community social mobilization activities Monitoring reports JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Minute of the meetings MAP Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Minute of the meetings MAP Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Three meetings held. Minutes Task 4 : Monitoring/spot checking of LHW's Support Groups 96 LHWs support group meetings monitored. NFR Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities 96 LHWs support group meetings monitored. NFR Four district coordination meetings held. Minutes 12 meetings held. Minutes 36 meetings held. NFRs 3780 support group meetings held. Reports Monitoring conducted. NFRs /Contech, JHU Page 2

238 Dir Upper Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) (input/process/ Sample= 500 Units Commercial = 1, IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1, Clinic Sahoolat activities conducted. Activity Reports. Consortium s s) GS GS GS Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) See SO4 See SO4 See SO 4 Page 3

239 Dir Upper Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs (input/process/ Consortium s s) Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Task 5: Support districts for placement of the HCPs at No. of HCPs placed on selected HFs on contract basis contract Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP MoM FALAH Task 5: FP counseling and service delivery during free See Grants Management medical camps Activity 5 Task 1 FALAH Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 FALAH Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and implemented 12 workshops done by HSO (1 workshop / month) GS Task 7: One day TBA Orientation Workshop by Greenstar HSO GS Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health New Ambulances procured departments and placed Contech PHD, 21indigenous means of Task 3: Identify/utilize indigenous means of transport through transport. Reports VHCs NP for MNCH Task 4: Operation of the community managed emergency See Grants Management transport system activity 6 task 3 Task 5: Establish communication between Midwife Homes See SO2 activity 9 task 6 and health facilities. Activity 6: Refresher Midwifery Training Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH Page 4

240 Dir Upper (input/process/ Consortium s s) Task 6: Conduct newly designed refresher training of selected LHVs/midwives 10 LHVs/midwives trained NP for MNCH Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all Consultative meetings levels organized NP for MNCH Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Young women identified NP for MNCH Task 4: enrollment of the under matric young women for educational support with AIOU Young women enrolled NP for MNCH Task 5: Monitoring and supervision of the educational support Monitoring reports NP for MNCH Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Consultative meetings organized Young women identified Young women enrolled Task 5: Monitoring and supervision of the educational support Monitoring reports Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for FP & PHC MNCH program & NP MNCH program & NP Page 5

241 Dir Upper Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF (input/process/ Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals Consortium s s) AKU MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI See Grants Management activity 6 task 2 Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities See Grants Management No. of communications system established EPI No. of visits Equipment distributed Contech Installation report Contech NP for FP & PHC NP for FP & PHC NP for FP & PHC Page 6

242 Dir Upper Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 3: Capacity building of staff See So-4 Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs (input/process/ handing over certificate Selected health facilities with MNCH / FP protocols Consortium s s) Guidelines displayed See SO 4 Supplies adequate See SO 2 See SO 2 //P C/Contech Contech MOH. MOPW, PHD MOH. MOPW, PHD Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, Incentive system in place CM s etc) Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Page 7

243 Dir Upper Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing and building support for PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams (input/process/ Consortium s s) Meetings held in area of three facilities Support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams formed. NFRs Task 6: Follow up meetings with quality improvement teams 60 meetings held. NFRs Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 4: Implementation of Community IMNCI training One meeting conducted. Minutes Task 1: Planning meetings for IMNCI in each district One workshop conducted. 20 HCPs trained Task 3: District TOT for community IMNCI 123 LHWs trained. Monitors report Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Page 8

244 Dir Upper Activity 8: Performance assessment Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Activity 14: DHMT Management Training (input/process/ Reports Available Consortium s s) GS PHD, Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) DHMs Trained on LQAS for additional districts Technique PC, SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the district officials 02 district level meetings for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) Data collected and compiled CONTECH Task 2: Data Analysis Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum DAOP progress discussed in DHMT meetings CONTECH Page 9

245 Dir Upper Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software (input/process/ 136 health care providers trained Consortium s s) CONTECH 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement of software application, as required equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring and Evaluation Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 6: SPECIAL STUDIES Task 7: LQAS Study on AMTSL and Partograph Study report PC, CONTECH Task 8: LQAS Assessment of PDQ Implementation Study report PC, CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of Data collected PC, private sector activities Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health Data collected PC Contech System strengthen component Page 10

246 Dir Upper Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. (input/process/ Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked No of awareness session organized Consortium s s) Consortium partners CONTECH Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Page 11

247 Dir Upper Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies (input/process/ No. of birthing centers established Consortium s s) Reports/NFR No. of transport system established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 12

248 Buner Buner PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s s) Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Action plans finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child Music video produced;, CM JHU care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 6.12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series CM partners JHU/CCP aired on regional languages Task 6.14: Telecast the magazine show Magazine Show telecast Activity 7: Conduct advocacy campaign based on CAM packages Task 15: Organize Seminar on MNCH & FP for District Assembly Members (existing districts) Task 16: Organize local events for MNCH &FP (existing districts) One seminar on MNCH organized. Report Two local event on MNCH & FP organized. Report Page 1

249 Buner (input/process/ Consortium s s) Task 17: Organize mega events/mnch Health days 1 health days organized. Reports Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Completion reports JHU PC Task 8: Conduct monitoring of community social Monitoring reports mobilization activities JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal Minute of the meetings MAP delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Minute of the meetings MAP Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health Three meetings held. department Minutes Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities 96 LHWs support group meetings monitored. NFR 96 LHWs support group meetings monitored. NFR Four district coordination meetings held. Minutes 12 meetings held. Minutes 36 meetings held. NFRs 3330 support group meetings held. Reports Monitoring conducted. NFRs /Contech, JHU Page 2

250 Buner Activity 13: Strategize social marketing of health products ( e.g. CDKs, iron tablets, multivitamins) and Good Life providers and link to CAM strategy and capacity building plans Task 1: Market CDKs Activity 14: IPC activity for demand generation of products and services for Private Sector Providers Task 1: Conducting IPC activities with community and influencers Task 3: Conducting Clinic Sahoolat at provider outlets (refreshers) Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ Sample= 500 Units Commercial = 1, IPC Activities (Household Visits, Neighborhood Meetings, Gate Keepers) conducted. Activity Reports, No. of beneficiaries contacted = 1, Clinic Sahoolat activities conducted. Activity Reports. Consortium s s) See SO4 See SO4 See SO 4 GS GS GS Page 3

251 Buner Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs (input/process/ Consortium s s) Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Task 5: Support districts for placement of the HCPs at No. of HCPs placed on selected HFs on contract basis contract Activity 3: Integration of FP services at the district level Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP MoM FALAH Task 5: FP counseling and service delivery during free medical camps See Grants Management Activity 5 Task 1 FALAH Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 FALAH Activity 4: Implementation of TBAs orientation strategy Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Task 6: Greenstar HSO Follow-up Plan in 9 districts Task 7: One day TBA Orientation Workshop by Greenstar HSO See Grants Management Activity 5 See Grants Management Activity 5 HSO monthly visit plan & Follow up and GS implemented 12 workshops done by HSO (1 workshop / month) GS Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs New Ambulances procured and placed Contech PHD, 18 indigenous means of transport. Reports NP for MNCH Page 4

252 Buner Task 4: Operation of the community managed emergency transport system Task 5: Establish communication between Midwife Homes and health facilities. Activity 6: Refresher Midwifery Training (input/process/ See Grants Management activity 6 task 3 See SO2 activity 9 task 6 Consortium s s) Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH Task 4: Conduction and reporting post training assessment NP for MNCH/ Report of the already trained LHVs/midwives FP Task 6: Conduct newly designed refresher training of selected LHVs/midwives 10 LHVs/midwives trained NP for MNCH Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Task 3: Post training assessment of the knowledge and skill NP for MNCH/ Report of the trained midwifery tutors FP Activity 10: Educational support to the under matric (10th. Grade) young women for CMW enrollment Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under matric young women for educational support in Baluchistan and NWFP Task 4: enrollment of the under matric young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Activity 11.Educational support to the under 8th. Grade young women to qualify as LHW Task 1: Consultative meetings with the stakeholder at all levels Task 3: Identification of the under 8th. grade young women for educational support Baluchistan and NWFP Task 4: enrollment of the under 8th. Grade young women for educational support with AIOU Task 5: Monitoring and supervision of the educational support Consultative meetings organized NP for MNCH Young women identified NP for MNCH Young women enrolled NP for MNCH Monitoring reports Consultative meetings organized NP for MNCH Young women identified Young women enrolled Monitoring reports NP for FP & PHC NP for FP & PHC NP for FP & PHC NP for FP & PHC Page 5

253 Buner Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Consortium s s) See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 AKU Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 2: Establishment of community managed transport for the emergency obstetrics Task 3: Establishment of the communication system between CMW and HFs through cell phones See Grants Management No. of communications system established MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP EPI NP for FP & PHC NP for FP & PHC NP for FP & PHC Page 6

254 Buner Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.14: Distribution of Equipment to selected health facilities and training centers (input/process/ Consortium s s) No. of visits Equipment distributed Contech Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Installation report Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, Selected health facilities ESS, IMNCI) in the health facilities. with MNCH protocols Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs See SO 4 and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified MOH. MOPW, PHD MOH. MOPW, PHD Page 7

255 Buner Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) (input/process/ Incentive system in place Consortium s s) Activity 6: Infection prevention at both public and private HFs Task 6: Monitor and supervise IP & C, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 2: Consultative meetings for planning and designing Meetings held in area of and building support for PDQ process three facilities Task 2.1: Building support for PDQ process Support for PDQ process built Task 3: Exploring quality in view of health care providers and community groups Quality exploring process completed in encatchment of three facilities, reports Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Three workshops organized. NFRs Quality improvement teams formed. NFRs 60 meetings held. NFRs One Training conducted, 15 HCPs trained. Monitor report One meeting conducted. Minutes National MNCH Program, NP Page 8

256 Buner (input/process/ One workshops conducted. 20 HCPs trained. Monitored report Consortium s s) Task 3: District TOT for community IMNCI 115 LHWs trained. Monitors reports Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports National MNCH Program, NP National MNCH Program, NP Task 5: Conduct quality assessment for Infection Prevention (IP) of private sector providers (basic EmONC) through Clinic Sahoolat activities Activity 14: DHMT Management Training Task 5: Follow-up / mentoring visits Task 6. Training on small scale Household surveys (LQAS) for additional districts SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Reports Available 01 follow up visit conducted DHMs Trained on LQAS Technique CONTECH PC, GS PHD, Task 3: Support to quarterly DHMT meetings 4 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting Support provided to with MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district PHD, CONTECH PHD, Page 9

257 Buner Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) (input/process/ Data collected and compiled Consortium s s) CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 85 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement software application, as required of equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Monitoring and Evaluation Activity 2: End line survey for existing districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Page 10

258 Buner (input/process/ Consortium s s) Activity 6: SPECIAL STUDIES Task 7: LQAS Study on AMTSL and Partograph Study report PC, CONTECH Task 8: LQAS Assessment of PDQ Implementation Study report PC, CONTECH Task 9: LQAS Study on TBA delivery practices Study report PC, CONTECH Activity 7:Component Evaluation of Private Sector activities (existing districts) Task 3: Conduct data collection for process evaluation of private sector activities Data collected PC, Activity 8: Component Evaluation of District Health System Strengthening existing districts) Task 2: Conduct field work for evaluation of District Health Data collected PC Contech System strengthen component Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) GRANTS MANAGEMENT Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH/ FP indicators tracked No of awareness session organized No of advocacy session organized Consortium partners CONTECH Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Page 11

259 Buner (input/process/ Consortium s s) Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 12

260 Swat Swat Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ Action plan finalized and shared s) JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child Music video produced;, CM JHU care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 6.12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional languages CM partners JHU/CCP Task 6.14: Telecast the magazine show Magazine Show telecast JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 5: Map key Ulama and community influentials in new areas in additional districts Mapping report JHU Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material 50 ulama contacted JHU Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy 1 Ulama conventions held JHU Task8: Organize special trainings for journalists from additional PAIMAN districts 25 journalists trained JHU Page 1

261 Swat Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities (input/process/ Completion reports Consortium s s) JHU PC M&E reports JHU Monitoring reports JHU SC/US Minute of the meetings MAP Minute of the meetings MAP Two meetings held. Minutes 50 SG meetings monitored, NFRS 50 HCs meetings monitored, NFRS Two meetings held. Minutes Eight meetings held. Minutes 24 meetings held. NFRs 1350 support group meetings held (100 LHWs will start from 3rd quarter and 100 will start in 4th). Reports. Monitoring conducted. NFRs /Contech, JHU Page 2

262 Swat Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ Consortium s s) See SO4 See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 5: Support districts for placement of the HCPs at No. of HCPs placed on selected HFs on contract basis contract Task 6: Support visit of specialist doctors to the HFs where specialists are not Activity 3: Integration of FP services at the district level Task 5: FP counseling and service delivery during free medical camps Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required Task 2: Identification of TBAs No. of specialist doctors visits See Grants Management Activity 5 Task 1 See Grants Management Activity 5 See Grants Management Activity 5 Page 3

263 Swat (input/process/ Consortium s s) Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 Task 4: Follow up meeting/ refresher training of already See Grants Management oriented TBAs Activity 5 Task5: Follow up with the TBAs for referrals See Grants Management Activity 5 Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district New Ambulances procured health departments and placed Contech 13 indigenous means of Task 3: Identify/utilize indigenous means of transport transport. Reports through VHCs Activity 6: Refresher Midwifery Training Task 2: Conduct roll out trainings to train existing midwives/ 30 existing midwives/lhvs LHVs both in public & private sector trained NP for MNCH Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required 50 CMWs identified Schools identified 2 midwifery schools strengthened and up-graded NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Task 6: Enroll of CMWs in the identified midwifery schools 50 CMWs enrolled NP for MNCH/ FP Task 7: Monitor and provide supportive supervision of NP for MNCH/ Reports PC CMW trainings FP Task 8: Advocate MoH MNCH/ FP Program for the NP for MNCH/ CMWs deployed deployment of trained CMWs FP Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Task 3: Post training assessment of the knowledge and skill of the trained midwifery tutors Report NP for MNCH Page 4

264 Swat Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Activity 14: Improving community based IMNCI (input/process/ Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals Consortium s s) AKU Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs (5 HFs) Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance (5 HFs) Sub task 2.10: Monitoring and supervision of the execution of civil works Equipment distributed Contech Installation report Contech handing over certificate Contech Reports Contech Sub task 2.11: Work Completion Report Report Contech MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP Page 5

265 Swat (input/process/ Handing over report Sub task 2.12: Handing over to health facility Incharge Task 3: Capacity building of staff See So-4 Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs Selected health facilities with MNCH protocols Consortium s s) Guidelines displayed See SO 4 Supplies adequate See SO 2 See SO 2 //P C/Contech Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified CM s Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place CM s Activity 4: Hospital waste management at selected HFs Contech MOH. MOPW, PHD MOH. MOPW, PHD Task 1: Consultative meeting to prepare implementation plan Implementation plan ready Task 2: Training of the staff on hospital waste management No. of staff trained Task 4: Construction of conventional incinerator at selected Incinerator constructed at 3 HFs HFs Task 5: Supervision & monitoring by district managers Reports Task 6: Assessment of the pilot testing Assessment reports Activity 6: Infection prevention at both public and private HFs Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Reports, PHD Page 6

266 Swat (input/process/ Consortium s s) Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out LHW trainings on community IMNCI Four workshops conducted. 60 HCPs trained. Monitors report One ToT conducted. 20 HCPs trained. Monitors report 200 LHWs trained. Monitors report One meeting conducted. Minutes One ToT conducted. 20 HCPs trained. Monitors report 200 LHWs trained. Monitors report DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Page 7

267 Swat Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Consortium s s) TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 50 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program National MNCH/ FP Program MoH, PHD, PNC MoH, PHD, PNC MAP, PHD, MAP, PHD, MAP, PHD, Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication managers trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalists trained JHU Activity 14: DHMT Management Training Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts DHMs Trained on LQAS Technique PC, Page 8

268 Swat Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics (input/process/ Consortium s s) Task 1: Identification and selection of district trainers District trainers selected PC Task 4: Supervision of first batch of rollout training carried Supervisory reports out by each district team PC All s Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised All s SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 3 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visits conducted CONTECH, PHD Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) Data collected and compiled CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH, All partners Page 9

269 Swat Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software (input/process/ Consortium s s) 01 DAOP developed CONTECH DAOP progress discussed in DHMT meetings 175 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement of software application, as required equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 12 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Page 10

270 Swat Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting (input/process/ Field monitoring conducted and reports Consortium s s) Consortium partners Task 2: HMIS/DHIS Reports (including RMOI) District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked CONTECH GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted Applications shared and approved by District PRC pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices, Page 11

271 Swat (input/process/ Consortium s s) Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Task 10: TT vaccination of the pregnant ladies Reports No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 12

272 Charssada Charsadda Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ Action plan finalized and shared s) JHU Task 3: Monitor implementation of District Action Plans Monitoring report JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child care Music video produced; airing schedule JHU, CM partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Dubbed version of Task 6.12: Dub and air PAIMAN drama series in regional PAIMAN drama series languages aired on regional languages CM partners JHU/CCP Task 6.14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshow District Television Talkshow aired JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 5: Map key Ulama and community influentials in new areas in additional districts Mapping report JHU Page 1

273 Charssada (input/process/ Consortium s s) Task 6: Conduct Trainings/ individual meetings with senior 50 ulama contacted JHU Ulama with revised resource material Task 7: Pilot test innovations involving Ulama as outline in 1 Ulama conventions JHU the CAM Strategy held Task8: Organize special trainings for journalists from 5 Journalists trained JHU additional PAIMAN districts Task 14: Refine and scale up work with school teachers in No of school teachers JHU other districts sensitized Two events organized. Task 17: Organize mega events/mnch Health days Reports Task 20: Organize sensitization events for MNCH and One event organized. Family Planning in new districts Report Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Completion reports Task 3: Conduct field surveys and document results JHU PC Task 5: Conduct monitoring and evaluation of Ulama M&E reports JHU journalists and Teachers projects Task 8: Conduct monitoring of community social Monitoring reports JHU SC/US mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Minute of the meetings MAP Minute of the meetings MAP Two meetings held. Minutes 64 support group meetings monitored. NFRs 64 HC's meetings monitored. NFRs Two meetings held. Minutes /Contech Page 2

274 Charssada Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ Eight meetings held. Minutes 24 meetings held. NFRs 1128 meetings held. Reports Monitoring conducted. NFRs Consortium s s), JHU See SO4 See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 6: Support visit of specialist doctors to the HFs where specialists are not Activity 3: Integration of FP services at the district level No. of specialist doctors visits Task 1: Technical support for the district to establish functional integration of services between DOH and PWD See SO3 Activity 5, Task 3 Page 3

275 Charssada (input/process/ Consortium s s) Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP Task 5: FP counseling and service delivery during free medical camps Activity 4: Implementation of TBAs orientation strategy MoM See Grants Management Activity 5 Task 1 Task 1: Training of trainers if required See Grants Management Activity 5 Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 Task 4: Follow up meeting/ refresher training of already oriented TBAs See Grants Management Activity 5 Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector Task 3: Follow up with the trained LHVs/midwives See Grants Management Activity 5 New Ambulances procured and placed Contech 16 indigenous means of transport. Reports See Grants Management activity 6 task 3 16 existing LHVs/midwives trained Follow up reports NP for MNCH NP for MNCH Page 4

276 Charssada Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings (input/process/ Consortium s s) 25 CMWs identified NP for MNCH/ FP Schools identified NP for MNCH/ FP Task 6: Enroll of CMWs in the identified midwifery schools 25 CMWs enrolled NP for MNCH/ FP Task 7: Monitor and provide supportive supervision of NP for MNCH/ Reports PC CMW trainings FP Task 8: Advocate MoH MNCH/ FP Program for the NP for MNCH/ CMWs deployed deployment of trained CMWs FP Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 8: Follow up with the trained HCPs See SO4 Activity 5 NP for MNCH Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Contech NP for MNCH Contech NP for MNCH Contech NP for MNCH AKU NP for MNCH / NP for MNCH Page 5

277 Charssada Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI (input/process/ Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities See Grants Management See Grants Management Consortium s s) NP for MNCH No. of visits Need assessment report CM partners NP for MNCH Contech Equipment distributed Contech Installation report Contech NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC Page 6

278 Charssada (input/process/ Consortium s s) Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Selected health facilities with MNCH protocols Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs See SO 4 and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Staff Identified Incentive system in place MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Page 7

279 Charssada (input/process/ Consortium s s) Task 1: Assessment of the situation of infection prevention Assessment report at the selected HFs Task 2: Consultative meeting with the stakeholders to share Report findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Mapping reports of three selected facilities in Meetings held in area of three facilities Support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams formed. NFRs 15 meetings held. NFRs Page 8

280 Charssada Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Task 4: EMNC Refresher trainings conducted Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings (input/process/ Three trainings conducted. 45 HCPs trained. Monitors report Nine training sessions conducted and 127 HCP s trained ( carry forwarded task) Two ToTs conducted. 40 trainers trained. Monitors report 251 LHWs trained. Monitors report Consortium s s) Activity 4: Implementation of Community IMNCI training One meeting conducted. Minutes Task 1: Planning meetings for IMNCI in each district 1 ToTs conducted.20 trainers trained. Task 3: District TOT for community IMNCI Monitors report 251 LHWs trained. Monitors report Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports, DOH, PHDC, PHSA, NP DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Page 9

281 Charssada (input/process/ Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Consortium s s) MoH, PHD, PNC MoH, PHD, PNC MAP, PHD, MAP, PHD, MAP, PHD, CAI, Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication See SO1 JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts See SO1 JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system (for new districts) 10 staff trained CONTECH Page 10

282 Charssada (input/process/ Consortium s s) Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) DHMs Trained on for additional districts LQAS Technique PC, Activity 17: ership Trainings Task 1: Identification of the health managers for leadership district managers PC training identified Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with Support provided to MOIC district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new Data collected and districts & Swat and Endline for original PAIMAN compiled districts) CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Page 11

283 Charssada (input/process/ Consortium s s) Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 164 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required Activity 7: Use of information for district health management See SO 3 (Procurement of equipment) CONTECH Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 09 monthly District CONTECH (LHW, EPI, DHIS) reports Task 3: Performance of Routine Information System District level assessment CONTECH /PC Management (PRISM) report Page 12

284 Charssada Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts (input/process/ 01 health profile prepared Consortium s s) CONTECH Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted Applications shared and approved by District PRC pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs, Page 13

285 Charssada Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) (input/process/ No of awareness session organized No of advocacy session organized Consortium s s) Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional through the involvement of community transport systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Page 14

286 Charssada (input/process/ Consortium s s) Task 2: Monitoring & supervision Reports PC Page 15

287 Mardan Mardan PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s s) Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Action plan finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring report JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child Music video produced;, CM JHU care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 6.12: Dub and air PAIMAN drama series in regional languages Dubbed version of PAIMAN drama series aired on regional languages CM partners JHU/CCP Task 6.14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshow District Television Talkshow aired JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 5: Map key Ulama and community influentials in new areas in additional districts Mapping report JHU Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material 50 ulama contacted JHU Page 1

288 Mardan (input/process/ Consortium s s) Task 7: Pilot test innovations involving Ulama as outline in 1 Ulama conventions held JHU the CAM Strategy Task8: Organize special trainings for journalists from 5 Journalists trained JHU additional PAIMAN districts Task 14: Refine and scale up work with school teachers in No of school teachers JHU, other districts sensitized Two events organized. Task 17: Organize mega events/mnch Health days Reports Task 20: Organize sensitization events for MNCH and One event organized. Family Planning in new districts Report Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Completion reports Task 3: Conduct field surveys and document results JHU PC Task 5: Conduct monitoring and evaluation of Ulama M&E reports JHU journalists and Teachers projects Task 8: Conduct monitoring of community social Monitoring reports JHU SC/US mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Minute of the meetings MAP Minute of the meetings MAP Two meetings held. Minutes 64 support group meetings monitored. NFRs Task 5: Monitoring/spot checking of LHW's Health Committees 64 HC's meetings monitored. NFRs Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Two meetings held. Minutes Eight meetings held. Minutes /Contech Page 2

289 Mardan Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ 24 meetings held. NFRs 1407 meetings held. Reports Monitoring conducted. NFRs Consortium s s), JHU See SO4 See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 6: Support visit of specialist doctors to the HFs where specialists are not Activity 3: Integration of FP services at the district level No. of specialist doctors visits Task 1: Technical support for the district to establish functional integration of services between DOH and PWD See SO3 Activity 5, Task 3 Page 3

290 Mardan (input/process/ Consortium s s) Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts Task 5: FP counseling and service delivery during free medical camps MoM 70 HCPs trained FALAH See Grants Management Activity 5 Task 1 Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required Task 2: Identification of TBAs Task 3: Orientation of TBAs on clean delivery practices Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector Task 3: Follow up with the trained LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 New Ambulances procured and placed 20 indigenous means of transport. Reports See Grants Management activity 6 task 3 16 existing LHVs/midwives trained Follow up reports Contech NP for MNCH 30 CMWs identified NP for MNCH NP for MNCH/ FP Page 4

291 Mardan (input/process/ Consortium s s) Task 2: Identify the midwifery/ PH/ nursing schools of NP for MNCH/ Schools identified CMW trainings FP Task 3: Strengthen 2 midwifery schools in Baluchistan for 2 midwifery schools NP for MNCH/ CMWs training and minor repair maintenance of other strengthened and upgraded FP schools if required Task 6: Enroll of CMWs in the identified midwifery schools 30 CMWs enrolled NP for MNCH/ FP Task 7: Monitor and provide supportive supervision of NP for MNCH/ Reports PC CMW trainings FP Task 8: Advocate MoH MNCH/ FP Program for the NP for MNCH/ CMWs deployed deployment of trained CMWs FP Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 8: Follow up with the trained HCPs See SO4 Activity 5 NP for MNCH Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals Contech NP for MNCH Contech NP for MNCH Contech NP for MNCH AKU NP for MNCH / NP for MNCH NP for MNCH Page 5

292 Mardan Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI (input/process/ See Grants Management activity 6 task 2 Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Sub task1.16: Commissioning and Handing Over to the health facilities Incharge Task 2: Civil works/ Repair & Maintenance See Grants Management See Grants Management No. of visits Need assessment report Consortium s s) CM partners NP for MNCH Contech Equipment distributed Contech Installation report handing over certificate Contech Contech NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC Page 6

293 Mardan (input/process/ Consortium s s) Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs Selected health facilities with MNCH protocols Guidelines displayed See SO 4 Supplies adequate See SO 2 See SO 2 Task 5: improve referral from the community Reports MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Page 7

294 Mardan Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs (input/process/ Consortium s s) Staff Identified Incentive system in place Assessment report Report Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Mapping reports of three selected facilities in Meetings held in area of three facilities Support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Task 4: Organize and participate in bridging the gap workshops Three workshops organized. NFRs Task 5: Working in partnership/ formation of QI teams Quality improvement teams formed. NFRs Page 8

295 Mardan Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Task 4: EMNC Refresher trainings conducted Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings (input/process/ 15 meetings held. NFRs Two trainings conducted. 30 HCPs trained. Monitors report Nine training sessions conducted and 127 HCP s trained ( carry forwarded task) 4 ToTs conducted. 80 trainers trained. Monitors report 313 LHWs trained. Monitors report Consortium s s) Activity 4: Implementation of Community IMNCI training One meeting conducted. Minutes Task 1: Planning meetings for IMNCI in each district Two ToTs conducted.40 trainers trained. Monitors Task 3: District TOT for community IMNCI report 313 LHWs trained. Monitors report Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports, DOH, PHDC, PHSA, NP DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Page 9

296 Mardan Task 8: Follow up with the trained HCPs (input/process/ Follow up reports Consortium s s) Page 10

297 Mardan (input/process/ Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Consortium s s) MoH, PHD, PNC MoH, PHD, PNC MAP, PHD, MAP, PHD, MAP, PHD, Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of CAI, knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication See SO1 JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts See SO1 JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system (for new districts) 10 staff trained CONTECH Page 11

298 Mardan Task 4: Installation of FinSoft and Health Plan software Task 5: Follow-up / mentoring visits Task 6. Training on small scale Household surveys (LQAS) for additional districts Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics (input/process/ Software installed in district 01 follow up visit conducted DHMs Trained on LQAS Technique Consortium s s) CONTECH PC, CONTECH Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and paramedics 30 HCPs trained All s Task 4: Supervision of first batch of rollout training carried Supervisory reports out by each district team PC All s Task 5: Supervision of subsequent batch of rollout training rollout trainings carried out by each district team supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 6 HCPs trained PC Task 2: Training of HCPs on Minilap 6 HCPs trained PC Task 3: Training of HCPs on Vasectomy 6 HCPs trained PC Activity 17 : ership Trainings Task 1: Identification of the health managers for leadership district managers PC training identified Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings (for all districts) 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Page 12

299 Mardan Task 8: Monitoring and Support for monthly facility staff meetings (for all districts) Task 9: Exchange visits of DHMTs for information sharing and lessons learnt Activity 2: District Health Performance Target Setting (input/process/ Monitoring and support provided Consortium s s) CONTECH 01 visit conducted CONTECH, PHD Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new Data collected and districts & Swat and Endline for original PAIMAN compiled districts) CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system (for new districts) See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 200 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Page 13

300 Mardan (input/process/ Consortium s s) Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement software application, as required of equipment) CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 09 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, Page 14

301 Mardan GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted (input/process/ Applications shared and approved by District PRC pre-award assessment report Consortium s s) Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports, Page 15

302 Mardan Task 10: TT vaccination of the pregnant ladies (input/process/ No. of pregnant ladies vaccinated Consortium s s) Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 16

303 Peshawar Peshawar Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans (input/process/ Action plan finalized and shared s) JHU Task 3: Monitor implementation of District Action Plans Monitoring reports JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child care PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s Music video produced; airing schedule JHU, CM partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Dubbed version of Task 6.12: Dub and air PAIMAN drama series in regional PAIMAN drama series languages aired on regional languages CM partners JHU/CCP Task 6.14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshow District Television Talkshow aired JHU Activity 7: Conduct advocacy campaign based on CAM packages Task 5: Map key Ulama and community influentials in new areas in additional districts Mapping report JHU Page 1

304 Peshawar (input/process/ Consortium s s) Task 6: Conduct Trainings/ individual meetings with senior 50 ulama contacted JHU Ulama with revised resource material Task 7: Pilot test innovations involving Ulama as outline in 1 Ulama conventions JHU the CAM Strategy held Task8: Organize special trainings for journalists from 5 Journalists trained JHU additional PAIMAN districts Task 14: Refine and scale up work with school teachers in No of school teachers JHU, other districts sensitized Two events organized. Task 17: Organize mega events/mnch Health days Reports Task 20: Organize sensitization events for MNCH and One event organized. Family Planning in new districts Report Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Completion reports Task 3: Conduct field surveys and document results JHU PC Task 5: Conduct monitoring and evaluation of Ulama M&E reports JHU journalists and Teachers projects Task 8: Conduct monitoring of community social Monitoring reports JHU SC/US mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Minute of the meetings MAP Minute of the meetings MAP Two meetings held. Minutes 64 support group meetings monitored. NFRs 64 HC's meetings monitored. NFRs Two meetings held. Minutes /Contech Page 2

305 Peshawar Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ Eight meetings held. Minutes 24 meetings held. NFRs 958 meetings held. Reports Monitoring conducted. NFRs Consortium s s), JHU See SO4 See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 6: Support visit of specialist doctors to the HFs where specialists are not No. of specialist doctors visits Page 3

306 Peshawar (input/process/ Consortium s s) Activity 3: Integration of FP services at the district level Task 1: Technical support for the district to establish functional integration of services between DOH and PWD See SO3 Activity 5, Task 3 Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts Task 5: FP counseling and service delivery during free medical camps Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required MoM 70 HCPs trained FALAH See Grants Management Activity 5 Task 1 See Grants Management Activity 5 Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 Task 4: Follow up meeting/ refresher training of already oriented TBAs See Grants Management Activity 5 Task5: Follow up with the TBAs for referrals See Grants Management Activity 5 Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system New Ambulances procured and placed 14 indigenous means of transport. Reports See Grants Management activity 6 task 3 Contech Page 4

307 Peshawar Activity 6: Refresher Midwifery Training Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector Task 3: Follow up with the trained LHVs/midwives Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required (input/process/ 16 existing LHVs/midwives trained Follow up reports Consortium s s) NP for MNCH 30 CMWs identified Schools identified 2 midwifery schools strengthened and upgraded NP for MNCH NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Task 6: Enroll of CMWs in the identified midwifery schools 30 CMWs enrolled NP for MNCH/ FP Task 7: Monitor and provide supportive supervision of NP for MNCH/ Reports PC CMW trainings FP Task 8: Advocate MoH MNCH/ FP Program for the NP for MNCH/ CMWs deployed deployment of trained CMWs FP Activity 8: Monitoring quality of CMW trainings Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 8: Follow up with the trained HCPs See SO4 Activity 5 NP for MNCH Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Well baby clinic established at DHQ/THQ Contech NP for MNCH Task 3: Establishment of the ORT corners at selected HFs ORT corners established at BHUs/ MCH centers Contech NP for MNCH Page 5

308 Peshawar Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI (input/process/ Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist See Grants Management See Grants Management Consortium s s) Contech NP for MNCH AKU NP for MNCH / NP for MNCH NP for MNCH No. of visits CM partners NP for MNCH NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC Page 6

309 Peshawar Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers (input/process/ Need assessment report Consortium s s) Contech Equipment distributed Contech Installation report Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Selected health facilities with MNCH protocols MOH. MOPW, PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed MOH. MOPW, PHD Page 7

310 Peshawar Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs (input/process/ See SO 4 Supplies adequate See SO 2 See SO 2 Consortium s s) Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Assessment report Report MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the Reports model hospitals for infection prevention Task 8: Conduct study for the assessment of the outcome of Reports the intervention Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Mapping reports of three selected facilities in Meetings held in area of three facilities Support for PDQ process built Page 8

311 Peshawar Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in bridging the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Task 4: EMNC Refresher trainings conducted Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district (input/process/ Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams formed. NFRs 15 meetings held. NFRs Two EMNC trainings conducted. 30 HCPs trained. Monitors report Nine training sessions conducted and 127 HCP s trained ( carry forwarded task) Two ToTs conducted. 40 trainers trained. Monitors report 212 LHWs trained. Monitors report Consortium s s) One meeting conducted. Minutes, DOH, PHDC, PHSA, NP DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP Page 9

312 Peshawar (input/process/ Consortium s s) One ToTs conducted. 20 trainers trained. Monitors Task 3: District TOT for community IMNCI report 212 LHWs trained. Monitors report Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report National MNCH Program, NP National MNCH Program, NP MoH, PHD, PNC MoH, PHD, PNC MAP, PHD, MAP, PHD, MAP, PHD, CAI, Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Page 10

313 Peshawar (input/process/ Consortium s s) Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication See SO1 JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts See SO1 JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system (for new districts) 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Task 5: Follow-up / mentoring visits Task 6. Training on small scale Household surveys (LQAS) for additional districts Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Software installed in CONTECH district 01 follow up visit CONTECH conducted DHMs Trained on LQAS PC, Technique Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and paramedics 30 HCPs trained All s Task 4: Supervision of first batch of rollout training carried Supervisory reports out by each district team PC All s Task 5: Supervision of subsequent batch of rollout training rollout trainings carried out by each district team supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 10 HCPs trained PC Task 2: Training of HCPs on Minilap 10 HCPs trained PC Task 3: Training of HCPs on Vasectomy 10 HCPs trained PC Page 11

314 Peshawar Activity17: ership Trainings Task 1: Identification of the health managers for leadership training Task 3: Follow up with the trained health managers (input/process/ district managers identified Follow up reports Consortium s s) PC PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings (for all 03 quarterly meetings districts) held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting Support provided to with MOICs district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings (for all districts) provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new Data collected and districts & Swat and Endline for original PAIMAN compiled districts) CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system (for new districts) See SO4 Activity 14 CONTECH Page 12

315 Peshawar (input/process/ Consortium s s) Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Page 13

316 Peshawar Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software (input/process/ Consortium s s) 01 DAOP developed CONTECH DAOP progress discussed in DHMT meetings 233 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required Activity 7: Use of information for district health management See SO 3 (Procurement of equipment) CONTECH Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 09 monthly District (LHW, EPI, DHIS) reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9:District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Page 14

317 Peshawar Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) (input/process/ Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium s s) Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted Applications shared and approved by District PRC pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of awareness session organized No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized, Page 15

318 Peshawar (input/process/ Consortium s s) Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional through the involvement of community transport systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 16

319 D.I Khan s) DI Khan Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 1: Conduct Formative Research Task 1.3: Monitor research Formative Research report JHU CM s Task 1.4: Share findings Distribution list JHU ` Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Action plan finalized and shared JHU Task 3: Monitor implementation of District Action Plans Monitoring report JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Material distributed Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task3: Produce and air a music video on newborn and child Music video produced;, CM JHU care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 6.12: Dub and air PAIMAN drama series in regional languages PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Dubbed version of PAIMAN drama series CM partners JHU/CCP aired on regional languages Task 6.14: Telecast the magazine show Magazine Show telecast JHU District Television Task 16: Produce and air District Television Talkshow JHU Talkshow aired Page 1

320 D.I Khan Activity 7: Conduct advocacy campaign based on CAM packages Task 5: Map key Ulama and community influentials in new areas in additional districts Task 6: Conduct Trainings/ individual meetings with senior Ulama with revised resource material Task 7: Pilot test innovations involving Ulama as outline in the CAM Strategy Task8: Organize special trainings for journalists from additional PAIMAN districts Task 14: Refine and scale up work with school teachers in other districts Task 17: Organize mega events/mnch Health days Task 20: Organize sensitization events for MNCH and Family Planning in new districts Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Task 5: Conduct monitoring and evaluation of Ulama journalists and Teachers projects Task 8: Conduct monitoring of community social mobilization activities Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups (input/process/ Consortium s s) Mapping report JHU 50 ulama contacted JHU 1 Ulama conventions held JHU 5 Journalists trained JHU No of school teachers sensitized Two events organized. Reports One event organized. Report Completion reports JHU, JHU PC M&E reports JHU Monitoring reports JHU SC/US Minute of the meetings MAP Minute of the meetings MAP Two meetings held. Minutes 64 support group meetings monitored. NFRs Page 2

321 D.I Khan Task 5: Monitoring/spot checking of LHW's Health Committees (input/process/ 64 HC's meetings monitored. NFRs Consortium s s) Task 6: District Coordination meetings Two meetings held. /Contech Minutes Task 8: District level meeting with DC NP and LHSs for Eight meetings held. facilitation in reporting SG activities Minutes Task 9: Facility Based meetings with LHWs and LHSs to 24 meetings held. NFRs support Group and Health Committee Activities Activity 12: Conduct community group activities Task 1: Support National Program in conducting female 715 meetings held. Reports support groups Task 2: Conduct monitoring of SG/HC/community social Monitoring conducted. mobilization activities NFRs, JHU Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individual/group counseling and community IMNCI), training of CMWs and orientation of TBAs) See SO4 Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) See SO4 See SO 4 Activity 2: Strengthening of Facility Based Obstetric Care services at the selected HFs Task 1: Advocate and provide support for 24/7 functioning HFs Reports/ NFR Task 2:Up-gradation of the selected HFs See SO3 Task 4: Placement of the postgraduate trainees at the DHQ/ THQ hospital for CEmONC services No. of PGT visits Task 6: Support visit of specialist doctors to the HFs where specialists are not No. of specialist doctors visits Page 3

322 D.I Khan (input/process/ Consortium s s) Activity 3: Integration of FP services at the district level Task 1: Technical support for the district to establish functional integration of services between DOH and PWD See SO3 Activity 5, Task 3 Task 3: Joint coordination meeting of FALAH and PAIMAN with the district authorizes for advocacy on FP Task 4: Clinical training of HCPs on contraceptive surgery in non-falah districts Task 5: FP counseling and service delivery during free medical camps Activity 4: Implementation of TBAs orientation strategy Task 1: Training of trainers if required Task 2: Identification of TBAs Task 3: Orientation of TBAs on clean delivery practices Task 4: Follow up meeting/ refresher training of already oriented TBAs Task5: Follow up with the TBAs for referrals Activity 5: Transport and Communication for community obstetric/nb emergencies Task 2: Hand over ambulances to provincial and district health departments Task 3: Identify/utilize indigenous means of transport through VHCs Task 4: Operation of the community managed emergency transport system Activity 6: Refresher Midwifery Training Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector MoM 70 HCPs trained FALAH See Grants Management Activity 5 Task 1 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 New Ambulances procured and placed Contech 10 indigenous means of transport. Reports See Grants Management activity 6 task 3 16 existing LHVs/midwives trained NP for MNCH Task 3: Follow up with the trained LHVs/midwives Follow up reports NP for MNCH Page 4

323 D.I Khan Activity 7: Enrollment of CMWs (18 months) on new curriculum Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Task 3: Strengthen 2 midwifery schools in Baluchistan for CMWs training and minor repair maintenance of other schools if required Task 6: Enroll of CMWs in the identified midwifery schools Task 7: Monitor and provide supportive supervision of CMW trainings Task 8: Advocate MoH MNCH/ FP Program for the deployment of trained CMWs Activity 8: Monitoring quality of CMW trainings (input/process/ Consortium s s) 35 CMWs identified Schools identified 2 midwifery schools strengthened and up-graded 35 CMWs enrolled Reports PC CMWs deployed NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP NP for MNCH/ FP Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination between midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 NP for MNCH Task 8: Follow up with the trained HCPs See SO4 Activity 5 NP for MNCH Activity 13: Improving referral and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI services at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Well baby clinic established at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented NP for MNCH NP for MNCH NP for MNCH AKU NP for MNCH Page 5

324 D.I Khan Task 6: Celebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Activity 14: Improving community based IMNCI (input/process/ Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out LHW trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centers See Grants Management See Grants Management No. of visits Need assessment report Consortium s s) NP for MNCH NP for MNCH Contech Equipment distributed Contech NP for MNCH NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC NP for MNCH & NP for FP & PHC Page 6

325 D.I Khan (input/process/ Consortium s s) Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Installation report Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Health Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Environment Examination and Environment Impact assessment survey of selected health facilities Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P C/Contech Task 4: Ensure availability of standard protocols (EMNC, Selected health facilities MOH. MOPW, ESS, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs See SO 4 and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Page 7

326 D.I Khan Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consultative meeting with the stakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs (input/process/ Consortium s s) Incentive system in place Assessment report Report Reports, PHD Task 6: Monitor and supervise IP & C Reports, PHD Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in Mapping reports of three new districts selected facilities in Task 2: Consultative meetings for planning and designing of PDQ process Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Meetings held in area of three facilities. Minutes Support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Task 4: Organize and participate in bridging the gap workshops Three workshops organized. NFRs Task 5: Working in partnership/ formation of QI teams Quality improvement teams formed. NFRs Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training 15 meetings held. NFRs Page 8

327 D.I Khan Task 3: Conduct EMNC trainings Task 4: EMNC Refresher trainings conducted (input/process/ Two EMNC trainings conducted. 30 HCPs trained. Monitors report Nine training sessions conducted and 127 HCP s trained ( carry forwarded task) Consortium s s) Activity 3:Implementation of LHWs trainings One ToTs conducted. 20 Task 2: District ToT of NP for FP & PHC trainers trained. Monitors report Task 3: Conduct LHWs rollout trainings 160 LHWs trained. Monitors report Activity 4: Implementation of Community IMNCI training Meeting held. minutes Task 1: Planning meetings for IMNCI in each district One ToTs conducted.20 trainers trained. Monitors Task 3: District TOT for community IMNCI report 160 LHWs trained. Monitors report Task 4: Roll-out LHW trainings on community IMNCI Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings See SO2 Activity 6 Task 2: CMWs enrolled for regular trainings See SO2 Activity 7 Activity 9: Training on Active management of Third Stage of Labour and use of Partograph, DOH, PHDC, PHSA, NP DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP MoH, PHD, PNC MoH, PHD, PNC Page 9

328 D.I Khan (input/process/ Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings See SO3 Activity 6 Consortium s s) MAP, PHD, MAP, PHD, MAP, PHD, Task 2: Follow-up and support to the trained HCP See SO3 Activity 6 Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of CAI, knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication See SO1 JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts See SO1 JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system (for new districts) 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Task 5: Follow-up / mentoring visits Task 6. Training on small scale Household surveys (LQAS) for additional districts 01 follow up visit conducted DHMs Trained on LQAS Technique PC, CONTECH Page 10

329 D.I Khan (input/process/ Consortium s s) Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and paramedics 30 HCPs trained All s Task 4: Supervision of first batch of rollout training carried Supervisory reports out by each district team PC All s Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 8 HCPs trained PC Task 2: Training of HCPs on Minilap 8 HCPs trained PC Task 3: Training of HCPs on Vasectomy 8 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership district managers identified PC training Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings (for all districts) 03 quarterly meetings held CONTECH Task 4: Conduct Individual meetings with the high district 02 district level meetings officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings (for all districts) provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Page 11

330 D.I Khan (input/process/ Consortium s s) Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing (Baseline for new districts & Swat and Endline for original PAIMAN districts) Data collected and compiled CONTECH Task 2: Data Analysis (for all districts) Data analyzed CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system (for new districts) See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DAOP progress discussed DHMT forum in DHMT meetings CONTECH Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software 176 health care providers trained CONTECH 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS See SO 3 (Procurement of software application, as required equipment) CONTECH Activity 7: Use of information for district health management Page 12

331 D.I Khan (input/process/ Consortium s s) Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 09 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9: District Health Profile Task 1: Preparation of District Profile (4 Pager) 01 health profile prepared CONTECH PHD, Monitoring and Evaluation Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts See SO4 Activity 14 PC, Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium partners CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shortlisted Applications shared and approved by District PRC pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs, Page 13

332 D.I Khan Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) (input/process/ No of awareness session organized No of advocacy session organized Consortium s s) Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional transport through the involvement of community systems Task 3: Training of trainers if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referrals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Page 14

333 D.I Khan (input/process/ Consortium s s) Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed opportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans PC Task 2: Monitoring & supervision Reports PC Page 15

334 PAIMAN Annual Work Plan AJK October 1, 2008 to September 30, 2009

335 Bhimber Bhimber Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans Action plan finalized and shared s) JHU Task 3: Monitor implementation of District Action Plans Monitoring report JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM partners Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and child care PAIMAN AWP National, Provincial and District October 2008-September 2009 Consortium s (input/process/ Music video produced; airing schedule JHU, CM partners Task 4: Air already produced TVCs TVCs aired JHU TVCs on child health Task 6: Air additional TVCs on child health JHU aired Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Talkshow aird JHU Task 11: Conduct revised Putlee Tamashas in selected 50 Putlee Tamashas, CM JHU districts performed partners Task 14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshow (new districts only including Swat) Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts Task 14: Refine and scale up work with school teachers in other districts One District Television Talkshow aired JHU CM partners 5 journalits trained JHU Report JHU, CM partners District Annual Workplsn

336 Bhimber (input/process/ Consortium s s) Task 17: Organize mega events/mnch Health days Two events organized. Reports Task 20: Organize sensitization events for MNCH and One event organized. Family Planning in new districts Report Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives Task 3: Conduct field surveys and document results Completion reports JHU PC Task 5: Conduct monitoring and evaluation of Ulema journalists and Teachers projects M&E reports JHU Task 8: Conduct monitoring of community social Monitoring reports mobilization activities JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department Task 4 : Monitoring/spot checking of LHW's Support Groups Task 5: Monitoring/spot checking of LHW's Health Committees Task 6: District Coordination meetings Task 8: District level meeting with DC NP and LHSs for facilitation in reporting SG activities Task 9: Facility Based meetings with LHWs and LHSs to support Support Group and Health Committee Activitites Minute of the meetings MAP Minute of the meetings 2 coordination meetings conducted/ minutes 64 LHW meetings monitored/ NFR 64 LHW meetings monitored/ NFR Two meetings conducted/ minutes 8 meetings conducted/ minutes 24 meetings conducted/ NFR /Contech MAP District Annual Workplsn

337 Bhimber Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individiual/group counselling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) (input/process/ 851 meetings held. Reports monitoring reports avaiable Consortium s s), JHU See SO4 See SO4 FALAH Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 See SO 4 FALAH trainings, standard protocols + MNCH equipment) Activity 2: Strenthenning of Facility Based Obstetric Care services at the selected HFs FALAH Task 1: Advocate and provide support for 24/7 fuctioning HFs Reports/ NFR FALAH Task 2:Up-gradation of the selected HFs See SO3 FALAH Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed PAVHNA FALAH Task 5: Support districts for placement of the HCPs at No. of HCPs placed on selected HFs on contract basis contract Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client 20 HCPs trained Centered Approch Task 4: Clinicla training of HCPs on contraceptive surgey in non-falah districts Task 5: FP councelling and service delivery during free medical camps 4 HCPs trained See Grants Management Activity 5 Task 1 District Annual Workplsn

338 Bhimber Task 6: Refresher training of TBAs on FP Activity 4: Implementation of TBAs orientation strategy Task 1: Training of traners if required Task 2: Identification of TBAs Task 3: Orientation of TBAs on clean delivery practices Task5: Follow up with the TBAs for referals (input/process/ See Grants Management Activity 5 Task 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 See Grants Management Activity 5 Consortium s s) NP for MNCH Activity 5: Transport and Communication for community obstetric/nb emergencies NP for MNCH Task 2: Hand over ambulances to provincial and district New Ambulances health departments procured and placed Contech NP for MNCH 12 means of transport Task 3: Identify/utilize indigenous means of transport. Reports through VHCs See Grants Task 4: Operation of the community managed emergency Management activity 6 transpoty system task 3 NP for MNCH Activity 6: Refresher Midwifery Training NP for MNCH Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector 16 LHVs trained NP for MNCH Task 3: Follow up with the trained LHVs/midwives Follow up reports avaialable NP for MNCH Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 25 CMW Identified NP for MNCH Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified NP for MNCH Task 4: Training of midwifery tutors NP for MNCH Task 6: Enroll of CMWs in the identified midwifery schools 25 CMWs enrolled NP for MNCH District Annual Workplsn

339 Bhimber (input/process/ Consortium s s) Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC Activity 8: Monitoring quality of CMW trainings NP for MNCH Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination betweem midwifery tutors and clinical instructors MOM/NFR NP for MNCH Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs See SO4 Activity 5 AKH Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referal and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI sewrvices at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Clebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases Well baby clinic establshed at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 AKU Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out lhw trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP District Annual Workplsn

340 Bhimber Task 1: Establishment of birthing centers through subgrantee at far flung areas. Task 2: Establishment of community managed transport for the emergency obstetrics Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centres (input/process/ See Grants Management See Grants Management No. of visits Need assessment report Consortium s s) Contech Equipment distributed Contech Instalation report Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Healht Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Enviornment Examination and Enviornment Impact assessment survey of selected health facilites Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P MOH. MOPW, C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, ESS, IMNCI) in the health facilities. Selected health facilities with MNCH protocols MOH. MOPW, PHD District Annual Workplsn

341 Bhimber (input/process/ Consortium s s) Task 5: Ensure availability and display of Tiahrt and MCP (Family Planning) guidelines at each selected health facility Guidelines displayed Activity 2:Improve quality of community based MNCH services Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs See SO 4 and TBAs Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Supplies adequate Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs See SO 2 Task 4: Support monitoring and supervision of the community based HCPs See SO 2 Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection prevention at the selected HFs Task 2: Consulattive meeting with the atakeholders to share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Incentive system in place Assessment report Report MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD MOH. MOPW, PHD Reports, PHD Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD District Annual Workplsn

342 Bhimber Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in new districts (input/process/ Mapping reports of thee selected facilities in Consortium s s) Task 2: Consultative meetings for planning and designing of PDQ process Meetings held in area of three facilities. Minutes Task 2.1: Building support for PDQ process Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in brigding the gap workshops Task 5: Working in partnership/ formation of QI teams Task 6: Follow up meetings with quality improvement teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Task 3: Conduct LHWs rollout trainings Support for PDQ process built Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs Quality improvement teams forme. NFRs 15 meetings held. NFRs Two workshops conducted. 30 HCPs trained. Monitors report Two ToT conducted. 40 trainers trained. Monitors reports 189 LHWs trained. Monitors reports DoH, NP, PHDC, C DoH, NP, PHDC, C District Annual Workplsn

343 Bhimber Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district Task 3: District TOT for community IMNCI Task 4: Roll-out lhw trainings on community IMNCI (input/process/ One meeting conducted. Minutes One ToT conducted. 20 trainers trained. Monitors reports 189 LHWs trained. Monitors reports Consortium s s) National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKH Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings 16 LHVs trained MoH, PHD, PNC Task 2: CMWs enrolled for regular trainings 25 CMWs enrolled MoH, PHD, PNC Activity 9: Training on Active management of Third Stage of Labour and use of Partograph MAP, PHD, Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports MAP, PHD, Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings 16 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports avaialable MAP, PHD, District Annual Workplsn

344 Bhimber Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility (input/process/ Analyses report Consortium s s) CAI, Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication Managers trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalist trained JHU Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system (for new districts) 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts HCPs trained PC, Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics, All Task 1: Identification and selection of district trainers District trainers selected PC partners Task 3 Conduct rollout trainings for doctors and paramedics 20 HCPs trained All s Task 4: Supervision of first batch of rollout training carried out by each district team Supervisory reports PC All s District Annual Workplsn

345 Bhimber (input/process/ Consortium s s) Task 5: Supervision of subsequent batch of rollout training rollout trainings carried out by each district team supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 4 HCPs trained PC Task 2: Training of HCPs on Minilap 4 HCPs trained PC Task 3: Training of HCPs on Vasectomy 4 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for leadership training Task 3: Follow up with the trained health managers district managers identified Follow up reports PC PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings (for all districts) Task 4: Conduct Individual meetings with the high provincial and district officials for sensitization of DHMTs Task 7: Support districts in organizing monthly meeting with MOICs Task 8: Monitoring and Support for monthly facility staff meetings Task 9: Exchange visits of DHMTs for information sharing and lessons learnt Activity 2: District Health Performance Target Setting 03 quarterly meetings held 02 district level meetings held Support provided to district Monitoring and support provided CONTECH CONTECH, PHD CONTECH CONTECH 01 visit conducted CONTECH, PHD Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing CONTECH Task 2: Data Analysis CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH District Annual Workplsn

346 Bhimber (input/process/ Consortium s s) Task 2: Financial Management Training for managers and See SO4 Activity 14 CONTECH accounts staff Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DHMT forum Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers Task 6: Training of computer personnel on use of DHIS software Task 7: Installation of DHIS software DAOP progress discussed in DHMT meetings 117 health care providers trained CONTECH CONTECH 03 staff trained CONTECH Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, Task 11: Provision of Computers to the districts for DHIS software application, as required CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports 09 monthly District (LHW, EPI, DHIS) reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9: District Health Profile Task 1: Preparation of Distrcit Profile (4 Pager) 01 health profile prepared CONTECH District Annual Workplsn

347 Bhimber (input/process/ Consortium s s) MONITORING and EVALUATION Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Sub-task 7.3: Field data collection Data collected PC, Contech Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting Task 2: HMIS/DHIS Reports (including RMOI) See SO4 Activity 14 PC, Field monitoring conducted and reports District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked Consortium partners CONTECH, All partners Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH PHD, GRANTS MANAGEMENT, Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shorlisted Applications shared and approved by District PRC pre-award assessment report Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious leaders, politicians, councilors, and village elders etc. No of awareness session organized District Annual Workplsn

348 Bhimber (input/process/ Consortium s s) Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH emergencies No. of functional through the involvement of community transport systems Task 3: Training of traners if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established Task 2: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases Reports/NFR Task 3: Establishment of the community operated transport No. of transport system system fro obstetric emergencies established Activity 7: Monitoring & Supervision Task 1: Preparation and Implementation of PM&E Plan Plans avaiable PC Task 2: Monitoring & supervision Reports avaiable PC District Annual Workplsn

349 Sudhanoti Sudhanoti Strategic Objective 1: increase awareness and promote positive maternal, neonatal and child health behaviors Activity 3: Develop and share district specific Communication, Advocacy, Mobilization (CAM) action plans Task 2: Finalize and share District Action Plans PAIMAN AWP National, Provincial and District October 2008-September 2009 (input/process/ Consortium s Action plan finalized and shared s) JHU Task 3: Monitor implementation of District Action Plans Monitoring report JHU CM s Activity 5: Review, Printing and distribution of IEC materials for use by household/community on need basis Task 3: Distribute IEC materials Distribution list CM partners Activity 6: Implement communication interventions through mass/ traditional media campaigns Task 2: Televise the drama serial Drama televised JHU Task 3: Produce and air a music video on newborn and Music video produced;, CM JHU child care airing schedule partners Task 4: Air already produced TVCs TVCs aired JHU Task 6: Air additional TVCs on child health TVCs on child health aired JHU Task 7: Air audio versions of PAIMAN TVCs on radio Radio commercials aired JHU Task 8: Produce and air PAIMAN radio talkshow Radio talkshow aired JHU Task 11: Conduct revised Putlee Tamashas in selected 50 Putlee Tamashas, CM JHU districts performed partners Task 14: Telecast the magazine show Magazine Show telecast JHU Task 16: Produce and air District Television Talkshow One District Television (new districts only including Swat) Talkshow aired JHU CM partners Activity 7: Conduct advocacy campaign based on CAM packages Task 8: Organize special trainings for journalists from additional PAIMAN districts 5 Journalists trained JHU Task 14: Refine and scale up work with school teachers, CM Report JHU in other districts partners Task 17: Organize mega events/mnch Health days Two events organized. Reports Task 20: Organize sensitization events for MNCH and One event organized. Report Family Planning in new districts District Annual Workplan

350 Sudhanoti Activity 9: Monitor CAM activities and improve / refine campaigns/initiatives (input/process/ Consortium s s) Task 3: Conduct field surveys and document results Completion reports JHU PC Task 5: Conduct monitoring and evaluation of Ulema journalists and Teachers projects M&E reports JHU Task 8: Conduct monitoring of community social mobilization activities Monitoring reports JHU SC/US Activity10: Conduct advocacy campaign for expansion and extension of AMTSL and Increased MAP Use of Partograph Task 1: Advocate for policy support for routine use of Partograph for every labour AMTSL in every vaginal Minute of the meetings MAP delivery Task 2: Promote community and facility based practice for routine use of Partograph and AMTSL Minute of the meetings Activity 11: Sensitize and gain support of stakeholders for MNCH activities Task 1: Coordination meeting with district Health department 2 coordination meetings conducted/ minutes Task 4 : Monitoring/spot checking of LHW's Support 64 LHW meetings Groups monitored/ NFR Task 5: Monitoring/spot checking of LHW's Health 64 LHW meetings Committees monitored/ NFR Task 6: District Coordination meetings Two meetings conducted/ /Contech minutes Task 8: District level meeting with DC NP and LHSs for 8 meetings conducted/ facilitation in reporting SG activities minutes Task 9: Facility Based meetings with LHWs and LHSs to support Support Group and Health Committee Activitites Activity 12: Conduct community group activities Task 1: Support National Program in conducting female support groups Task 2: Conduct monitoring of SG/HC/community social mobilization activities Strategic Objective 2: Increase access (including emergency obstetric and newborn care) to and community involvement in MNCH services and ensure services are delivered through health and ancillary health services. 24 meetings conducted/ NFR 607 meetings held. Reports monitoring reports avaiable, JHU District Annual Workplan

351 Sudhanoti Activity 1: Implement MNCH Packages at community, FLCF and referral level Task 1: Implement community based packages (Training of LHWs on individiual/group counselling and community IMNCI), training of CMWs and orientation of TBAs) Task 2: Implement FLCF packages (Training of staff on EMNC, ESS, BLS, AMTSL, IP & C, and facility IMNCI, standard protocols and MNCH equipment) Task 3: Implement Referral level facility packages (Training of staff on advance skills in addition to the Task 2 trainings, standard protocols + MNCH equipment) (input/process/ Consortium s s) See SO4 See SO4 FALAH See SO 4 FALAH Activity 2: Strenthenning of Facility Based Obstetric Care services at the selected HFs FALAH Task 1: Advocate and provide support for 24/7 fuctioning HFs Reports/ NFR FALAH Task 2:Up-gradation of the selected HFs See SO3 FALAH Task 3: Advocate for deployment/ placement of the existing staff at selected HFs Staff placed PAVHNA FALAH Task 5: Support districts for placement of the HCPs at No. of HCPs placed on selected HFs on contract basis contract Activity 3: Integration of FP services at the district level Task 2: Training of the HCPs on FP through Client 20 HCPs trained Centered Approch Task 4: Clinicla training of HCPs on contraceptive surgey 4 HCPs trained in non-falah districts Task 5: FP councelling and service delivery during free See Grants Management medical camps Activity 5 Task 1 Task 6: Refresher training of TBAs on FP See Grants Management Activity 5 Task 5 District Annual Workplan

352 Sudhanoti Activity 4: Implementation of TBAs orientation strategy (input/process/ Consortium s s) Task 1: Training of traners if required See Grants Management Activity 5 Task 2: Identification of TBAs See Grants Management Activity 5 Task 3: Orientation of TBAs on clean delivery practices See Grants Management Activity 5 NP for MNCH Task5: Follow up with the TBAs for referals See Grants Management Activity 5 Activity 5: Transport and Communication for community obstetric/nb emergencies NP for MNCH Task 2: Hand over ambulances to provincial and district New Ambulances procured health departments and placed Contech NP for MNCH Task 3: Identify/utilize indigenous means of transport 7 means of transport through VHCs. Reports Task 4: Operation of the community managed emergency See Grants Management transpoty system activity 6 task 3 NP for MNCH Activity 6: Refresher Midwifery Training NP for MNCH Task 2: Conduct roll out trainings to train existing midwives/ LHVs both in public & private sector 16 LHVs trained NP for MNCH Task 3: Follow up with the trained LHVs/midwives Follow up reports avaialable NP for MNCH Activity 7: Enrollment of CMWs (18 months) on new curriculum NP for MNCH Task 1: Identify CMWs for enrollment according to PNC selection criteria through district selection committees 25 CMW Identified NP for MNCH Task 2: Identify the midwifery/ PH/ nursing schools of CMW trainings Schools identified NP for MNCH Task 4: Training of midwifery tutors NP for MNCH Task 6: Enroll of CMWs in the identified midwifery schools 25 CMWs enrolled NP for MNCH Task 7: Monitor and provide supportive supervision of CMW trainings Reports PC Activity 8: Monitoring quality of CMW trainings NP for MNCH Task 1: Develop guidelines for practical training attachment Guidelines developed NP for MNCH Task 2: Improving coordination betweem midwifery tutors and clinical instructors MOM/NFR NP for MNCH District Annual Workplan

353 Sudhanoti Activity 12: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs (input/process/ Consortium s s) See SO4 Activity 5 AKU Task 6: Rollout facility based IMNCI trainings See SO4 Activity 5 Task 7: Monitoring of facility based IMNCI trainings See SO4 Activity 5 Task 8: Follow up with the trained HCPs See SO4 Activity 5 Activity 13: Improving referal and access to IMNCI Task 2: Establishment of the well baby clinics at the upgraded HFs Task 3: Establishment of the ORT corners at selected HFs Task 4: Provide support for the placement of equipment/supplies for minimum IMNCI sewrvices at upgraded HFs including well baby clinics Task 5: Provide support to the HF staff for implementation of the core child health interventions Task 6: Clebration of Child Health weeks/days in collaboration with UNICEF Task 7: Provide support to the districts and HF staff for baby friendly hospital initiative in collaboration with UNICEF Task 8: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases Well baby clinic establshed at DHQ/THQ ORT corners established at BHUs/ MCH centers Equipment/ supplies Core child health interventions implemented Child Health weeks/days celebrated Selected HF declared as Baby Friendly Hospitals See Grants Management activity 6 task 2 AKU Activity 14: Improving community based IMNCI Task 3: Planning meetings for IMNCI in each district See SO 4 Activity 4 Task 5: District TOT for community IMNCI See SO 4 Activity 4 Task 6: Roll-out lhw trainings on community IMNCI See SO 4 Activity 4 Activity 15: Innovation to improve access to MNCH services Task 1: Establishment of birthing centers through subgrantee at far flung areas. See Grants Management Task 2: Establishment of community managed transport for the emergency obstetrics See Grants Management Task 4: Involvement of the private sector specialist for emergency obstetrics & CEmONC services at public sector HFs where there is no specialist No. of visits MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP MNCH program & NP District Annual Workplan

354 Sudhanoti Strategic Objective 3: Improve service quality in both public and private sectors, particularly related to the management of obstetrical care and neonatal complications Activity 1: Up gradation of selected health facilities (Public sector) according to quality standards. Task 1: Procurement and provision of MNCH equipment at selected HFs Sub task1.1: Needs Assessment Survey for Equipment at Selected Health Facilities Sub task1.14: Distribution of Equipment to selected health facilities and training centres (input/process/ Need assessment report Consortium s s) Contech Equipment distributed Contech Sub task1.15: Installation of Equipment and training/orientation of staff at designated health facilities Instalation report Contech Sub task1.16: Commissioning and Handing Over to the handing over certificate health facilities Incharge Contech Task 2: Civil works/ Repair & Maintenance Sub task 2.1: Consultative Meeting with the District Healht Department for selection of Sites MOM Contech Sub task 2.2: Needs Assessment, Initial Enviornment Examination and Enviornment Impact assessment survey of selected health facilites Reports Contech Sub task 2.10: Monitoring and supervision of the execution of civil works Reports Contech Sub task 2.11: Work Completion Report Report Contech Handing over report Sub task 2.12: Handing over to health facility Incharge Contech Task 3: Capacity building of staff See So-4 //P MOH. MOPW, C/Contech PHD Task 4: Ensure availability of standard protocols (EMNC, Selected health facilities MOH. MOPW, ESS, IMNCI) in the health facilities. with MNCH protocols PHD Task 5: Ensure availability and display of Tiahrt and MOH. MOPW, MCP (Family Planning) guidelines at each selected health Guidelines displayed PHD facility Activity 2:Improve quality of community based MNCH services MOH. MOPW, PHD Task 1: Capacity building of the community based HCPs including LHW (communication skill & IMNCI), CMWs and TBAs See SO 4 MOH. MOPW, PHD District Annual Workplan

355 Sudhanoti Task 2: Advocate and provide support to the district for supplies like CDKs and contraceptives Task 3: Advocate and provide support to the district for coordination meetings of the community based HCPs Task 4: Support monitoring and supervision of the community based HCPs (input/process/ Supplies adequate See SO 2 See SO 2 Consortium s s) MOH. MOPW, PHD Task 5: improve referral from the community Reports Activity 3: Incentivize performance Task 2: Identify best performing district staff according to set procedures and criteria Staff Identified Task 3: Assist district Govt to implement reward system (Advance Training for Staff, Study tours, certificates, shields, etc) Incentive system in place Activity 6: Infection prevention at both public and private HFs Task 1: Assessment of the situation of infection Assessment report prevention at the selected HFs Task 2: Consulattive meeting with the atakeholders to Report share findings of the assessment Task 4: Provide support to prepare and implement the Infection Prevention Plan of selected HFs Reports, PHD Task 6: Monitor and supervise IP & C Reports Task 7: Study tour of the health managers and HCPs to the model hospitals for infection prevention Reports Task 8: Conduct study for the assessment of the outcome of the intervention Reports, PHD Activity 7: Implementation of the partnership Defined Quality (PDQ) Task 1: Mapping of facilities selected for upgradation in Mapping reports of selected new districts facilities in Task 2: Consultative meetings for planning and Meetings held in area of designing of PDQ process three facilities. Minutes Task 2.1: Building support for PDQ process Support for PDQ process built Task 3: Exploring quality in view of health care providers and community groups Task 4: Organize and participate in brigding the gap workshops Quality exploring process completed in encatchment of three facilities, reports Three workshops organized. NFRs District Annual Workplan

356 Sudhanoti (input/process/ Consortium s s) Task 5: Working in partnership/ formation of QI teams Quality improvement teams forme. NFRs Task 6: Follow up meetings with quality improvement 15 meetings held. NFRs teams Strategic Objective 4: Increase capacity of MNCH managers and health care providers Activity 1: Implementation of EMNC training Task 3: Conduct EMNC trainings Two workshops conducted. 30 HCPs trained. Monitors report Activity 3:Implementation of LHWs trainings Task 2: District ToT of NP for FP & PHC Two ToT conducted. 40 trainers trained. Monitors reports Task 3: Conduct LHWs rollout trainings 136 LHWs trained. Monitors reports Activity 4: Implementation of Community IMNCI training Task 1: Planning meetings for IMNCI in each district One meeting conducted. Minutes Task 3: District TOT for community IMNCI One ToTs conducted. 20 trainers trained. Monitors reports Task 4: Roll-out lhw trainings on community IMNCI 136 LHWs trained. Monitors reports DoH, NP, PHDC, C DoH, NP, PHDC, C National MNCH Program, NP National MNCH Program, NP National MNCH Program, NP Activity 5: 1. Improving the skills of the health care providers in IMNCI at the facilities Task 1: Training Need Assessment of the HCPs working at HFs TNA report AKU Task 6: Rollout facility based IMNCI trainings 40 HCPs trained Task 7: Monitoring of facility based IMNCI trainings Monitoring reports Task 8: Follow up with the trained HCPs Follow up reports Activity 6: Implementation of CMWs training Task 1: Conduct refresher trainings 16 LHVs trained MoH, PHD, PNC District Annual Workplan

357 Sudhanoti (input/process/ Task 2: CMWs enrolled for regular trainings 25 CMWs enrolled Activity 9: Training on Active management of Third Stage of Labour and use of Partograph Task 1: Roll out trainings 25 HCPs trained Task 2: Follow-up and support to the trained HCP Follow up reports Activity 10: Training of the HCP on Infection prevention Task 1: Roll out trainings 16 HCPs trained Consortium s s) MoH, PHD, PNC MAP, PHD, MAP, PHD, MAP, PHD, Task 2: Follow-up and support to the trained HCP Follow up reports avaialable Activity 11: Training of the HCPs on Essential Surgical Skills (MNCH) Task 1: Pre-intervention situation analysis in terms of CAI, knowledge and skills of health workers, morbidity and mortality indicators of emergencies being handled by the health facility Analyses report Task 2: Roll out trainings 16 HCPs trained CAI, Task 3: Follow-up and support to the trained HCP NFR CAI, Task 4: Impact assessment Report CAI, Activity 12: Training of the drivers and para-medics in Basic Life Support Task 1: Roll out trainings 8 participants trained CAI, Task 2: Follow-up and support to the trained HCP NFR CAI, Activity 13: Capacity building of partners/ managers (public and private) in communication Task 1: Conduct trainings programs in Strategic Communication Managers trained JHU Task 2: Organize special trainings for journalists from additional PAIMAN districts Journalist trained JHU District Annual Workplan

358 Sudhanoti (input/process/ Consortium s s) Activity 14: DHMT Management Training Task 1: Training on District Annual Operational Planning 10 staff trained CONTECH Task 2: Financial Management Training for managers and accounts staff 10 staff trained CONTECH Task 3: Trainings on supportive supervisory system 10 staff trained CONTECH Task 4: Installation of FinSoft and Health Plan software Software installed in district CONTECH Task 5: Follow-up / mentoring visits 01 follow up visit conducted CONTECH Task 6. Training on small scale Household surveys (LQAS) for additional districts HCPs trained PC, Activity 15: Training on Client Centered Family Planning Services for female doctors and paramedics Task 1: Identification and selection of district trainers District trainers selected PC, All partners Task 3 Conduct rollout trainings for doctors and paramedics 20 HCPs trained All s Task 4: Supervision of first batch of rollout training Supervisory reports carried out by each district team PC All s Task 5: Supervision of subsequent batch of rollout training carried out by each district team rollout trainings supervised All s Activity 16: Clinical training of the HCPs on CS procedures (insertion of IUDs, Minilap and vasectomy) in non-falah districts Task 1: Training of HCPs on insertion of IUCDs 4 HCPs trained PC Task 2: Training of HCPs on Minilap 4 HCPs trained PC Task 3: Training of HCPs on Vasectomy 4 HCPs trained PC Activity 17: ership Trainings Task 1: Identification of the health managers for district managers identified PC leadership training Task 3: Follow up with the trained health managers Follow up reports PC SO-5; Improve management and integration of services at all levels Activity 1: Support in establishing and effective functioning of DHMTs Task 1: Conduct Orientation meetings of DHMTs 01 meeting held CONTECH Task 2: Support in establishment of DHMTs 01 DHMT established/notified CONTECH Task 3: Support to quarterly DHMT meetings 03 quarterly meetings held CONTECH District Annual Workplan

359 Sudhanoti (input/process/ Consortium s s) Task 4: Conduct Individual meetings with the high 02 district level meetings district officials for sensitization of DHMTs held CONTECH, PHD Task 7: Support districts in organizing monthly meeting with MOICs Support provided to district CONTECH Task 8: Monitoring and Support for monthly facility staff Monitoring and support meetings (for all districts) provided CONTECH Task 9: Exchange visits of DHMTs for information sharing and lessons learnt 01 visit conducted CONTECH, PHD Activity 2: District Health Performance Target Setting Task 2: Hands on support in target setting Support provided to district CONTECH Activity 3 : Decision Space Analysis (DSA) Baseline/End line study Task 1: Data Collection and Processing CONTECH Task 2: Data Analysis CONTECH HSPH/ Activity 4: DHMT Management Trainings Task 1: Training on District Annual Operational Planning See SO4 Activity 14 CONTECH Task 2: Financial Management Training for managers and accounts staff See SO4 Activity 14 CONTECH Task 3: Trainings on supportive supervisory system See SO4 Activity 14 CONTECH Task 4: Installation of FinSoft and Health Plan software See SO4 Activity 14 CONTECH Task 5: Follow-up / mentoring visits See SO4 Activity 14 CONTECH Activity 5: Hands on support of DHMT during district planning cycle Task 2: Facilitate in preparation of strategic and district annual operational plans (DAOP) for year DAOP developed CONTECH Task 3: Monitoring of implementation of DAOP through DAOP progress discussed in DHMT forum DHMT meetings CONTECH Activity 6: Facilitate in Implementation of District Health Information System Task 5: Refresher Training of health care providers 117 health care providers trained CONTECH Task 6: Training of computer personnel on use of DHIS software 03 staff trained CONTECH Task 7: Installation of DHIS software Software installed in district CONTECH Task 8: Backup support for DHIS software Backup support provided CONTECH PHD, Task 9: Assist in implementation of DHIS Assistance provided CONTECH PHD, District Annual Workplan

360 Sudhanoti (input/process/ Consortium s s) Task 11: Provision of Computers to the districts for DHIS software application, as required CONTECH Activity 7: Use of information for district health management Task 1: Organize workshops on use of DHIS information 10 managers trained CONTECH PHD, Task 2: Assisting districts to prepare monthly MIS reports (LHW, EPI, DHIS) 09 monthly District reports CONTECH Task 3: Performance of Routine Information System District level assessment Management (PRISM) report CONTECH /PC Activity 9: District Health Profile Task 1: Preparation of Distrcit Profile (4 Pager) 01 health profile prepared CONTECH MONITORING and EVALUATION Activity 1: Baseline Survey for additional 12 districts Task 4: Field Data Collection Data collected PC Sub-task 7.3: Field data collection Data collected PC, Contech Activity 5: M&E CAPACITY BUILDING Task 1. Training on small scale Household surveys (LQAS) for additional districts Activity 9: MONITORING Task 1: Monitoring Field Activities and reporting See SO4 Activity 14 PC, Field monitoring conducted and reports Consortium partners, All partners Task 2: HMIS/DHIS Reports (including RMOI) District HMIS/DHIS reports reviewed and progress on MNCH indicators tracked CONTECH Activity 10: BASELINE MIS DATA COLLECTION AND ANALYSIS FROM ALL PUBLIC SECTOR HEALTH FACILITIES Task 5: Field Data Collection Data collected CONTECH GRANTS MANAGEMENT Activity 1: Selection of local and award of subgrant to the successful Task 3: Shortlisted shared with District PRC Committees for approval Task 5: Pre-award assessment of shorlisted Applications shared and approved by District PRC pre-award assessment report PHD,, District Annual Workplan

361 Sudhanoti (input/process/ Consortium s s) Activity 3: Start up activities for the revised project Task 1: Hiring of staff by No. of staff hired Task 2: Orientation of the staff on revised project No. of staff oriented Task 3: Mapping of the area Mapping completed and recorded,294 Ucs Activity 4: Implementation of CAM activities through awareness to improve health seeking behaviours on MNCH and FP Task 1: Awareness session at schools, with religious No of awareness session leaders, politicians, councilors, and village elders organized etc. Task 3: Advocacy sessions on MNCH issues (meena bazaars, sports, fairs, healthy baby shows, awareness walk) No of advocacy session organized Task 5: Celebration of important days No of days celebrated Task 6: Organization of the events (street theaters/ Putlee Tamasha) No of events organized Activity 5: Improving access to MNCH services Task 1: Organize health camps at far flung areas No. of health camps organized Task 2: Organization of transport for MNCH No. of functional transport emergencies through the involvement of community systems Task 3: Training of traners if required Trainers trained Task 4: Identification of TBAs Task 5: Orientation of TBAs on clean delivery practices Task 6: Follow up meeting/ refresher training of already Follow up meetings oriented TBAs organized Task7: Follow up with the TBAs for referals Reports Task 8: Orientation of the technical staff on TT vaccination No. of staff oriented Task 9: Mosque/ public announcement for TT vaccination campaigns Reports Task 10: TT vaccination of the pregnant ladies No. of pregnant ladies vaccinated Task 11: Improving access to the family planning services Activity 6:Innovations Task 1: Establishment of birthing stations at far flung areas No. of birthing centers established District Annual Workplan

362 Sudhanoti Task 2: Provide support to the district to improve EPI through addressing missed oportunities and defaulters cases Task 3: Establishment of the community operated transport system fro obstetric emergencies Activity 7: Monitoring & Supervision (input/process/ Reports/NFR No. of transport system established Consortium s s) Task 1: Preparation and Implementation of PM&E Plan Plans avaiable PC Task 2: Monitoring & supervision Reports avaiable PC District Annual Workplan

363 CA # 391-A project is funded by the United States Agency for International Development and implemented by Research & Training Institute, inc. in conjunction with Aga Khan University, Contech International, Greenstar Social Marketing, JHU/CCP, PAVHNA, Population Council, Save the Children USA