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?
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