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Briefing for HHS Officers
GAVI HSS Focal Point
HSS Officers
s/n Name

Appointed townships

Station Township

1

Dr. Kyawt Khin Khin

Yedarshay, Thayarwaddy

Yedarshay

2

Dr. Nyi Nyi Lwin

Bamaw, Shweku

Bamaw

3

Dr. Kyawt Thar Sein

Lewe, Pyinmana

Pyinmana

4

Dr. Aye Thawdar Mon

Demawso, Nyaung Shwe

Demawsoe

5

Dr. Thida Win

Kawthmu, Ngaputaw

Kawthmu

6

Dr. Khin San Aye

Thaton, Mudon

Mudon

7

Dr. Kay Khine Aye

Kyaing Tong

Kyaing Tong

8

Dr. Aye Pyae Sone

Ye U

Ye U

9

Dr. Naing Lin

Maungtaw

Maungtaw

10

Dr. Khine Thinzar Lin

Myeik

Myeik

11

Dr. Tin Tin Ohn

Hakkah

Hakkah

12

Dr. Khin Moe Hlaing

Htilin

Htilin

13

Dr. Wai Thet Tun

Hsipaw

Hsipaw

14

Dr. Saw Lin Naung Soe

Hlaing Bwe

Hlaing Bwe
WHAT are YOU going to do as HSSO starting from next few days?

1. Relinquish your duty form Government side after getting
appointment from WHO
2. Planning division DOH will send letter to S/R HD and cc to
TMO informing about you coming to monitor HSS
activities in (X) township for one year
3. Accommodation –at station township/ SR office
4. Adaptation with TMO and BHS
5. Adoption of your TOR as HSSO
6. Buffer between DOH and townships for HSS
implementation
7. Reporting to Planning Division, DOH
8. Reporting to State/Regional HD/Deputy HD
9. Reporting to WHO
Terms of Reference in GAVI HSS Proposals for HSSOs
In collaboration with the Division of Planning, States/
Region Directors and Township Medical Officers,
1. Conduct baseline health system assessments of selected
Township clusters
2. Facilitate the development of Coordinated Township
Health Plans.
3. Support States and Regions to conduct programs of
supportive supervision according to guidelines developed.
4. Participate in research and development of Health
Financing schemes in Township clusters.
Terms of Reference
5. Assist in the development and oversight of new costing
guidelines of coordinated Township Health Plans.
6. Assist in the development and oversight of strategies to
revitalize health committees and CHW participation in
preventive health programs
7. Facilitate communications between NGOs and the DOH for
Agreements of Work in hard to reach or never reached
areas.
8. Assist in the development and oversight of human
resource development activities, including integrated
training programs, and the design and evaluation of
retention schemes for rural midwives and PHS 2.
9. Support the enhancement of M & E activities (including
programs of annual review) within the current system of
HMIS).
Terms of Reference
10. Periodically report to the HSS working group on the
research, development and implementation of health
systems innovations (health planning, health
financing, social mobilization).
11. Assist the DOH and HSS Working Group to facilitate
uptake of findings into policy and practice by
disseminating findings of research in public health
forums, HSS Working Group Meetings, Annual
Program Reviews and through publications.
Expected Outcomes (as in the proposal)
1. Enhanced institutional capacity in the MOH, States and
Regions and Townships for health systems research,
development and practice.
2. Enhanced capacity at State /Region and Township level
for human resource management, health financing and
financial management (including management of health
financing schemes).
3. System research, design and evaluation in the areas of
health planning, finance, human resource management
and social mobilization.
4. (a) Research studies, (b) evaluation reports, (c) Township
planning, supervision and health financing guidelines
Expectations from GAVI Focal Point
• Look into the present status of township after HSS
assessment (baseline)
• Look beyond year one and two and till the end of
year four (even if you're not there anymore, even if
TMO has turned over by then) ….
•How would you like to see this township in next 4
years after getting inputs from GAVI HSS rolling in
for 4 years?
• What changes you expected to see in those
townships that you have initiated HSS
implementations and monitor for one year?
Let's hear Your Expectations as HSSOs
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
•PLANNING & MANAGEMENT
1.HSS Assessments (with guidelines)
2.Mapping HTR (detail mapping identifying P, E, S
barriers)
3.Coordinated Township Health Plan (including
RHC/SH plans) (with guidelines)
4.Costed Planning with Financial Analysis and Gap
identification
5.Monitoring and supervision according to CTHP
Expectations from GAVI Focal Point

•PLANNING & MANAGEMENT
Role of HSSO:
•Participation in HSS assessment
•For those who will get to townships ahead of assessment,
start with preliminary collection of data and filling in tables
for planning and management, helping midwives to fill in
mapping data for 2012, HR tables, Infrastructure tables etc
(after negotiating with TMO);
•For those townships with assessment done in 2011 (2010
data), also try with collection of 2011 data as above
•Mapping HTR (detail mapping identifying P, E, S barriers) –
try to make sure midwives understand P,E,S barriers in
identifying HTR
Expectations from GAVI Focal Point
•PLANNING & MANAGEMENT
Role of HSSO:
•In your lap top, try to put in HSS assessment results,
(preliminary data collected as for Planning and
management, HR, infrastructure) in the formats of 10
tsp assessment/Lewe assessment (in English)
•Try to prepare CTHP formats taking examples from
Lewe/ Mudon as examples and start preparing folders
with RHCs/SH plan from your township and start
entering data available. (in English)
•Try and put in M&E baseline for 2010, 2011 &2012
Expectations from GAVI Focal Point
•PLANNING & MANAGEMENT
Role of HSSO:
•HSSOs will be finalizing your HSS assessment and
CTHP with central HSSOs in 1st week of February,
2013.
•Those who are still computer illiterate, start now in
practicing using computer; typing/ data entry/using
excel etc
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
•Service Delivery
1.Delivering package of service (MCH +EPI +
Nutrition + EH) by group of BHS
2.Develop micro plan for this service in group at
each RHC emphasizing to reach mothers and
children from HTR
3.Delivering quality of service
4.Supporting DA/TA for those activities
Expectations from GAVI Focal Point
•Service Delivery
Role of HSSO:
•Monitor and supervise the package of services
•Check whether they follow their tour program
•Check whether they've filled up the data in fields
•Sometimes ask the community with your own
interest whether there is improvement in quality of
service (random)
•U1 forms preparation for them to get per-diems
and U2 for support for travel
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
•FINANCING
1.Hospital Equity Funds for the poor to access
2.MVS in Yedashe and later CBHI
3.Health Financing Management Skill
4.Development of Sub Committee for Funds
Management
5.Financial Management Guidelines
6.Identification of poor (work together with TMO)
Expectations from GAVI Focal Point
•FINANCING
Role of HSSO:
•Discussing with TMO/staff to get ideas on how to initiate
Hospital Equity Funds (write down the discussion points)
•Try to ask about THC's activities
•Ask permission to attend future THC meeting as observer
and to include HSS in agenda and assist TMO in developing
meeting minutes;
•Ask when will the sub committee for fund management
under THC/THSC will be formed and note down the process
•Assist TMO with ideas for identification of poor according to
guidelines
• HSSO Bago Region has to participate in MVS
implementation
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
• HUMAN RESOURCE FOR HEALTH
1.Financial incentives to BHS for improving service
delivery /supervision, monitoring
2.Recruitment/Training of AMWs & refresher
training
3.Recruitment/Training of CHWs & refresher training
Expectations from GAVI Focal Point
•Human Resource for Health
Role of HSSO:
•Discussing with TMO/staff in identifying
AMW/CHW from HTR areas, villages where
midwives cannot reach and there is need (15 each
for recruitment and training)
•If TMO permits, involve in training of CHW/AMW
for some parts
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
• Capacity Building for Management & Leadership
1.TOT given to HSSOs on M&L & then to BHS
2.Improve facilitating skills of BHS
3.Improve team building amongst BHS
4.Improve knowledge management
5.Improve Continuous Personal Professional
Development
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
• Capacity Building for Health Systems Research
1.TOT given to HSSOs on HSR & then to BHS
2.S/R personnel conducting operational research on
HSS implementation at respective townships
3.Ignite and assist TMO/senior HAs to write proposal
for operational research and conduct research
(evaluative)
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
• Capacity Building for Evaluation Tools/Others
1.TOT given to HSSOs on Evaluation tools & then to
BHS
2.TOT on coordinated action of 4 programs to HSSOs
& then to BHS
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
• Infrastructure
1.Constructing new Sub Centers
2.Renovating RHCs
3.Installing solars
4.Identification and prioritization of most needy
with TMO/BHS
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
•Supplies & Equipment
1.Stock out of ED
2.Equipment maintenance
3.Need for the coming year
Role: checking for incoming S&E from GAVI HSS
Monitoring use and stock out at all levels
Expectations from GAVI Focal Point
• To strengthen the Township Health Systems we
have invested in…
•DATA QUALITY and SERVICE QUALITY
1.HSS assessment- includes for 2 HTR and 1 easy to
reach
Role of HSSO:
Data quality check whenever you visit RHC/sub
RHC and note down
Teach midwives on data quality
Expectations from GAVI Focal Point
HSSOs equipped with
• Lap Top for M&E and many other inputs/process
• If possible open g-mail account in areas where internet
is accessible to get contact
• Always note down whatever you observe/any progress
in your lap top
•Monthly report to Division of Planning for progress of
work in writing upon the Inputs and process whether
following CTHP as planned or not
•Be innovative and be accountable and transparent
upon your job
• Be happy and enjoy your work!!!
Did Your Expectations Changed??
•
•
•
•
•
•

A good Team working well in township
Planning and management capacity improved
M&E indicators improved
BHS work with interest of their own
More participation from THC
Poor people can access to township hospital
for treatment of illnesses
• Nice working environment
• HSR correcting inputs/process of work
• Quarterly meeting and Evaluation-becomes
productive
Plan for HSS Assessments and CTHP in 40 townships
Thank You
k You
Than

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Briefing for hhs officers

  • 1. Briefing for HHS Officers GAVI HSS Focal Point
  • 2. HSS Officers s/n Name Appointed townships Station Township 1 Dr. Kyawt Khin Khin Yedarshay, Thayarwaddy Yedarshay 2 Dr. Nyi Nyi Lwin Bamaw, Shweku Bamaw 3 Dr. Kyawt Thar Sein Lewe, Pyinmana Pyinmana 4 Dr. Aye Thawdar Mon Demawso, Nyaung Shwe Demawsoe 5 Dr. Thida Win Kawthmu, Ngaputaw Kawthmu 6 Dr. Khin San Aye Thaton, Mudon Mudon 7 Dr. Kay Khine Aye Kyaing Tong Kyaing Tong 8 Dr. Aye Pyae Sone Ye U Ye U 9 Dr. Naing Lin Maungtaw Maungtaw 10 Dr. Khine Thinzar Lin Myeik Myeik 11 Dr. Tin Tin Ohn Hakkah Hakkah 12 Dr. Khin Moe Hlaing Htilin Htilin 13 Dr. Wai Thet Tun Hsipaw Hsipaw 14 Dr. Saw Lin Naung Soe Hlaing Bwe Hlaing Bwe
  • 3. WHAT are YOU going to do as HSSO starting from next few days? 1. Relinquish your duty form Government side after getting appointment from WHO 2. Planning division DOH will send letter to S/R HD and cc to TMO informing about you coming to monitor HSS activities in (X) township for one year 3. Accommodation –at station township/ SR office 4. Adaptation with TMO and BHS 5. Adoption of your TOR as HSSO 6. Buffer between DOH and townships for HSS implementation 7. Reporting to Planning Division, DOH 8. Reporting to State/Regional HD/Deputy HD 9. Reporting to WHO
  • 4. Terms of Reference in GAVI HSS Proposals for HSSOs In collaboration with the Division of Planning, States/ Region Directors and Township Medical Officers, 1. Conduct baseline health system assessments of selected Township clusters 2. Facilitate the development of Coordinated Township Health Plans. 3. Support States and Regions to conduct programs of supportive supervision according to guidelines developed. 4. Participate in research and development of Health Financing schemes in Township clusters.
  • 5. Terms of Reference 5. Assist in the development and oversight of new costing guidelines of coordinated Township Health Plans. 6. Assist in the development and oversight of strategies to revitalize health committees and CHW participation in preventive health programs 7. Facilitate communications between NGOs and the DOH for Agreements of Work in hard to reach or never reached areas. 8. Assist in the development and oversight of human resource development activities, including integrated training programs, and the design and evaluation of retention schemes for rural midwives and PHS 2. 9. Support the enhancement of M & E activities (including programs of annual review) within the current system of HMIS).
  • 6. Terms of Reference 10. Periodically report to the HSS working group on the research, development and implementation of health systems innovations (health planning, health financing, social mobilization). 11. Assist the DOH and HSS Working Group to facilitate uptake of findings into policy and practice by disseminating findings of research in public health forums, HSS Working Group Meetings, Annual Program Reviews and through publications.
  • 7. Expected Outcomes (as in the proposal) 1. Enhanced institutional capacity in the MOH, States and Regions and Townships for health systems research, development and practice. 2. Enhanced capacity at State /Region and Township level for human resource management, health financing and financial management (including management of health financing schemes). 3. System research, design and evaluation in the areas of health planning, finance, human resource management and social mobilization. 4. (a) Research studies, (b) evaluation reports, (c) Township planning, supervision and health financing guidelines
  • 8. Expectations from GAVI Focal Point • Look into the present status of township after HSS assessment (baseline) • Look beyond year one and two and till the end of year four (even if you're not there anymore, even if TMO has turned over by then) …. •How would you like to see this township in next 4 years after getting inputs from GAVI HSS rolling in for 4 years? • What changes you expected to see in those townships that you have initiated HSS implementations and monitor for one year?
  • 9. Let's hear Your Expectations as HSSOs
  • 10. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… •PLANNING & MANAGEMENT 1.HSS Assessments (with guidelines) 2.Mapping HTR (detail mapping identifying P, E, S barriers) 3.Coordinated Township Health Plan (including RHC/SH plans) (with guidelines) 4.Costed Planning with Financial Analysis and Gap identification 5.Monitoring and supervision according to CTHP
  • 11. Expectations from GAVI Focal Point •PLANNING & MANAGEMENT Role of HSSO: •Participation in HSS assessment •For those who will get to townships ahead of assessment, start with preliminary collection of data and filling in tables for planning and management, helping midwives to fill in mapping data for 2012, HR tables, Infrastructure tables etc (after negotiating with TMO); •For those townships with assessment done in 2011 (2010 data), also try with collection of 2011 data as above •Mapping HTR (detail mapping identifying P, E, S barriers) – try to make sure midwives understand P,E,S barriers in identifying HTR
  • 12. Expectations from GAVI Focal Point •PLANNING & MANAGEMENT Role of HSSO: •In your lap top, try to put in HSS assessment results, (preliminary data collected as for Planning and management, HR, infrastructure) in the formats of 10 tsp assessment/Lewe assessment (in English) •Try to prepare CTHP formats taking examples from Lewe/ Mudon as examples and start preparing folders with RHCs/SH plan from your township and start entering data available. (in English) •Try and put in M&E baseline for 2010, 2011 &2012
  • 13. Expectations from GAVI Focal Point •PLANNING & MANAGEMENT Role of HSSO: •HSSOs will be finalizing your HSS assessment and CTHP with central HSSOs in 1st week of February, 2013. •Those who are still computer illiterate, start now in practicing using computer; typing/ data entry/using excel etc
  • 14. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… •Service Delivery 1.Delivering package of service (MCH +EPI + Nutrition + EH) by group of BHS 2.Develop micro plan for this service in group at each RHC emphasizing to reach mothers and children from HTR 3.Delivering quality of service 4.Supporting DA/TA for those activities
  • 15. Expectations from GAVI Focal Point •Service Delivery Role of HSSO: •Monitor and supervise the package of services •Check whether they follow their tour program •Check whether they've filled up the data in fields •Sometimes ask the community with your own interest whether there is improvement in quality of service (random) •U1 forms preparation for them to get per-diems and U2 for support for travel
  • 16. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… •FINANCING 1.Hospital Equity Funds for the poor to access 2.MVS in Yedashe and later CBHI 3.Health Financing Management Skill 4.Development of Sub Committee for Funds Management 5.Financial Management Guidelines 6.Identification of poor (work together with TMO)
  • 17. Expectations from GAVI Focal Point •FINANCING Role of HSSO: •Discussing with TMO/staff to get ideas on how to initiate Hospital Equity Funds (write down the discussion points) •Try to ask about THC's activities •Ask permission to attend future THC meeting as observer and to include HSS in agenda and assist TMO in developing meeting minutes; •Ask when will the sub committee for fund management under THC/THSC will be formed and note down the process •Assist TMO with ideas for identification of poor according to guidelines • HSSO Bago Region has to participate in MVS implementation
  • 18. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… • HUMAN RESOURCE FOR HEALTH 1.Financial incentives to BHS for improving service delivery /supervision, monitoring 2.Recruitment/Training of AMWs & refresher training 3.Recruitment/Training of CHWs & refresher training
  • 19. Expectations from GAVI Focal Point •Human Resource for Health Role of HSSO: •Discussing with TMO/staff in identifying AMW/CHW from HTR areas, villages where midwives cannot reach and there is need (15 each for recruitment and training) •If TMO permits, involve in training of CHW/AMW for some parts
  • 20. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… • Capacity Building for Management & Leadership 1.TOT given to HSSOs on M&L & then to BHS 2.Improve facilitating skills of BHS 3.Improve team building amongst BHS 4.Improve knowledge management 5.Improve Continuous Personal Professional Development
  • 21. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… • Capacity Building for Health Systems Research 1.TOT given to HSSOs on HSR & then to BHS 2.S/R personnel conducting operational research on HSS implementation at respective townships 3.Ignite and assist TMO/senior HAs to write proposal for operational research and conduct research (evaluative)
  • 22. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… • Capacity Building for Evaluation Tools/Others 1.TOT given to HSSOs on Evaluation tools & then to BHS 2.TOT on coordinated action of 4 programs to HSSOs & then to BHS
  • 23. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… • Infrastructure 1.Constructing new Sub Centers 2.Renovating RHCs 3.Installing solars 4.Identification and prioritization of most needy with TMO/BHS
  • 24. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… •Supplies & Equipment 1.Stock out of ED 2.Equipment maintenance 3.Need for the coming year Role: checking for incoming S&E from GAVI HSS Monitoring use and stock out at all levels
  • 25. Expectations from GAVI Focal Point • To strengthen the Township Health Systems we have invested in… •DATA QUALITY and SERVICE QUALITY 1.HSS assessment- includes for 2 HTR and 1 easy to reach Role of HSSO: Data quality check whenever you visit RHC/sub RHC and note down Teach midwives on data quality
  • 26. Expectations from GAVI Focal Point HSSOs equipped with • Lap Top for M&E and many other inputs/process • If possible open g-mail account in areas where internet is accessible to get contact • Always note down whatever you observe/any progress in your lap top •Monthly report to Division of Planning for progress of work in writing upon the Inputs and process whether following CTHP as planned or not •Be innovative and be accountable and transparent upon your job • Be happy and enjoy your work!!!
  • 27. Did Your Expectations Changed?? • • • • • • A good Team working well in township Planning and management capacity improved M&E indicators improved BHS work with interest of their own More participation from THC Poor people can access to township hospital for treatment of illnesses • Nice working environment • HSR correcting inputs/process of work • Quarterly meeting and Evaluation-becomes productive
  • 28. Plan for HSS Assessments and CTHP in 40 townships