Articulation of Programme Implementation Results in Akwa Ibom State 2017

1. UNFPA 2017 Year End Programme Review Meeting
(December, 2017)
Akwa Ibom Ministry of Economic
Development & Manpower Planning
Programme Report
By
Dr. Joachim Chijide
Cross River Sub-office Conference Room , Calabar
1

2. Presentation Outline
List of agreed Activities and Implementation
Status by Output
2017 Year-End implementation rates
(Program/Finance)
Key results achieved by Output based on
indicator tracking
 Key challenges and suggested intervention
Best Practice
Success Stories
Lessons Learnt
Way Forward
2

3. List of agreed Activities and implementation Status
by Output (As per approved 2017 AWP)
CP Output: Family Planning/RHCS (FP/RHCS)
S/N Work Plan Activity Implementation Status
Completed
(e.g. √)
Partial Not done
1 Support Integrated Last Mile Distribution of commodities
to Health Facilities
√
2 Strengthen Service Delivery through the conduct of state
data quality assurance on NHMIS
√
3 Support the development of the Akwa Ibom State
Strategic Health Development Plan II;
√
3

4. 2017 Mid-Year Implementation Rates:
Program/Finance
Output
I.D.
(A)
Programme Implementation Rate Finance Implementation Rate
Total
funded
Activities
(B)
No of funded
Activities
completely
Implemented
(C)
Rate - Program
(D=C/B*100)
Funds
Advanced
(kk
Budget)
(E)
Actual
Expenditure
(F)
Rate-Finance
(G=F/E*100)
FP/GPRHCS 3 3 100% 7,715,500 7,715,500 100%
Maternal
Health
ASRH
M&E/Data
SRH in HUM
GRAND
TOTAL
3 3 100% 7,715,500 7,715,500 100%
4

5. Results Planned for the Quarter as
reflected in the milestone template
CP Output (Short): Family Planning
CP Indicator: Percentage of service-delivery points with no stock-outs of modern
contraceptives within the last three months
Program Indicators:
a) Number of health facilities providing at least 3 modern methods of family planning ; Baseline: 322 ; Target: 361
b) Number of states supported to develop State Strategic Health Development Plan. Baseline: 0. Target: 1
c) State NHMIS Mean DQA Score. Baseline: 58%. Target: 63%.
d) Akwa Ibom State Strategic Health Development Plan II Available. Baseline: No. Target: Yes
S/N Milestones Achieved Action
required
Yes No Yes No
1. Availability of FP commodities in the Health Facilities X X
2. Draft Akwa Ibom SSHDP II available X X
5

6. Key Challenges and suggested interventions
 CHALLENGES
1. Very limited timelines for implementation due to receipt of advances late in the
quarter
2. Changes in leadership of MOED (New commissioner, Perm. Sec. and Project
Director) impacted on programme implementation as follows:
a) Limited understanding of programme procedures, rules and regulation
b) Some challenges with prompt transfer of funds to SMOH (the sub-contractee)
occasioned by need to change signatories
3. Need to revise elements of budget justification to accommodate the following
initially unanticipated costs and activity modifications
a) Servicing of project vehicle to support logistics for the activity
b) Distribution of Life-saving medicines to health facilities in the 31 LGAs
c) AKS SSHDP II M&E plan development workshop
 SUGGESTED INTERVENTIONS
1. Early release of funds
2. Advocacy to Government on the need to provide GCCC
3. Prompt change of signatories by IPs when required
6

7. Good Practices
Ensuring integrated distribution of life-saving
medicines though funding was initially assigned
to distribution of contraceptives only…
The conduct of DQA analysis for 2 consecutive
years enabled a trend analysis of the DQA
parameters
7

8. Success Stories
 256 health facilities in 31 LGAs received family planning and life-saving Maternal
Health medicines
 Increase in the number of Service Delivery Points (SDPs) offering at least 3
modern methods of FP from 322 to 365 over the last year
 There has been an increase in New Acceptors of FP methods in the 1st and 2nd
quarters of 2017 as shown below:
NEW ACCEPTORS RE-VISIT
1ST QUARTER 11,845 12,525
2ND QUARTER 12,227 13,185…
 Data Quality of NHMIS has improved as evidenced by the following
 Average Data Availability has increased by 4% points (74% in 2017 vs 70%
in 2016
 Average Data Validity has increased by 19% point (72% in 2017 vs 53% in
2016)
 Average overall DQA score has increased by 2% points (53% in 2017 vs
51% in 2016)
8

9. Lessons Learnt
- Current modality of funds allocation to state is
somewhat flawed and inimical to UNFPA’s
relevance at state level
- Responsiveness of UNFPA to the needs of the
IP improves visibility
- Interventions implemented outside of the state
work plan e.g. WPD 2017 and procurement of
life-saving medicines were successful but need
to be properly reflected in the work plans for
accountability and to prevent under-reporting
9

10. Way Forward
 Resource mobilization to scale up interventions in line with the UNFPA SP
 High-level follow-up consultations on payment/release of GCCC
 More advocacy to the State Government for the payment of its Counterpart
Contribution to ensure commitment and sustainability of the programme.
 Establish a more competitive and objective modality for defence of work
plans by IP focal points at the technical review meetings conducted prior to
WP approvals
 Improve UNFPA modalities for Annual Planning and development of IP
work plans
a) Establish a more competitive and objective modality for defence of work plans
at the technical review meetings
b) Where possible, financial support should be routed through the states
c) Ensure all UNFPA support to the states are linked to the Work Plans to
ensure proper tracking of interventions and avoid under-reporting of financial
and technical support
d) Consider flagship modalities for states where possible
10

11. THANK YOU
11