Implementation is facing many challenges, e.g. clearance of medical items and distribution to PHUs, M&E, community mobilisation.
The health sector has undergone a number of reforms during the last 6 months, e.g. payroll cleaning, revised salaries, recruitment.
Committees are continuing their work to ensure successful delivery of FHC.
Strategy to be developed for both short and long term management in order to ensure sustainability.
Impact – after an unexpected decrease in utilization prior to launch here has been asignificant increase in utilization of health facilities The M&E subcommittee has formed a taskforce to strengthening the existing health management information system. Recently completed a baseline review of FHC with support from WHO and participation from all districts with objective to review health sector performance against key sector indicators and setting baselines and targets for the FHC. A national level review is planned for August. It is working with CSOs to strengthened community ownership and monitoring of health services through the revitalisations of health management committees at community level and is working to improve supervision.
Impact – in spite of increase in utilization the lack of drugs and delays in patients presenting themselves means there has been a increase in fatality rates An immediate investigation has been carried out to find the determining causes which include lack of paediatric drugs available and the number of patients which are admitted late and die within a short timeframe of being admitted. Work will be done through health education to ensure population sensitized and aware to come to the health facility as soon as symptoms present themselves
33% of UNICEF ordered drugs and medical supplies have been received as at 28th May 2010.
88 % of the received drugs and medical supplies have been distributed to the districts and the PHUs, while a balance of 12% buffer is kept at the Central Medical Stores (CMS) to meet the call forwards needs from the districts and PHUs.
Additional 30% of FHC-I drugs in 20 containers and 3 packages have been received and are awaiting clearance at the ports after which they will be distributed.
Distribution and Transport –with Plan B SUPPLIERS VIA UNICEF CMS or WFP Warehouse - Water Quay, Cline Town 3,500 CBM DISTRICT HEALTH MANAGEMENT TEAM REGIONAL HOSPITAL STORES DISTRICTS MEDICAL STORES DISTRICTS HOSPITAL STORES COMMUNITY HEALTH POST DISTRICT HOSPITAL PHARMACY COMMUNITY HEALTH CENTER REG.HOSPITAL PHARMACY MATERNAL CHILD HEALTH POST Risks:
Difficult road terrains in most districts, PHUs which are accessible only by boats availability of transport mechanisms
Fuel costs, operating cost for maintenance of vehicles planned routes, mileage, days, drivers salaries
Inventory Control System, warehouse racking and shelving
Timely release of funds for completion and refurbishments of DMS.
UNICEF supported 65 BEmONCcentres (Basic Emergency Obstetric and Neonatal Care) with provision of basic water and sanitation facilities by 27April.
In process to support 112 PHUs and 7 district hospitals with pipe borne water and sanitation facilities. In addition, the 65 BEmONCcentres will also get pipe born water facilities by the end of the year.
Planning to support rehabilitation of pediatric wards in 7 district hospitals and strengthening of BEmONC services in 65 PHUs.
Cash for Facilities –the devolvedtertiaryhospitalsallreceivedtheir new operationalbudgets in time for the launch. Thisserves as an effectivemeasure to enablethem to delivercriticalservices and ensuresthatadditionalfeesarenotcharged to patients for legitimateexpenditure.