About our ongoing project in five high priority districts of Odisha on Health Systems Strengthening through supportive supervision

2. IMNCI
• Integrated Management of Neonatal and Childhood Illnesses
• Management = Assessment, Classification, Treatment, Referral and
Appropriate Counseling
• Platform: Home Visits on 1st, 3rd, 7th, 14th, 21st and 28th days after birth
• By Community Health Worker
• Beneficiaries: Children from birth up till 5 years of age

3. VHND
• Village Health and Nutrition Day
• Beneficiaries: Pregnant women, lactating mothers, 0 to 3 years children, 3 to
6 years under weight children/sick children, other members of the community
with any health complains
• Services Provided: Antenatal check-ups, post-natal check-ups, family
planning counseling, health and nutrition education, child health service
delivery
• By Community Health Workers
• Fixed Day Programme – Biweekly in each village

4. RI
• Routine Immunization
• Beneficiaries: All children within 1 year of age, Pregnant Mothers, Children
due for booster doses
• Vaccination provided against six killer diseases
• By Community Health Workers
• Fixed Day Programme – Weekly Once in each Village

5. STAKEHOLDERS
1. COMMUNITY-AWARENESS & HEALTH SEEKING
2. HEALTH &
FW
3. WCD/ICDS
DUTY & SOCIAL RESPONSIBILITY DUTY & SOCIAL
RESPONSIBILITY
D
B
S
F
D
B
S
F
District
Level
Managers
ASHA, ANM, HWM
Sector Supervisors
Block Level
Managers
DSWO
AWW
Lady Supervisors
CDPO

6. STUDY SETTING
ODISH
A

7. STUDY SAMPLE (BASED ON WHO 30 CLUSTER SAMPLING)

8. STUDY DESIGN
• Baseline (2 months)
• Intervention Phase (1 year)
• Quarterly Analysis (Every Quarter)
• End line (2 months)
• Dissemination of Findings (1 month)

9. BASELINE
• Assessment of existing practices and knowledge & opinion of supervisors
• 108 RI Sessions, 118 VHND Sessions, 238 IMNCI Sessions and 84
Supervisors
• Major findings:
• Availability of drugs and logistics about 60%
• Quality indicators of the three programmes ranged from 20% to 80%
• Knowledge of supervisors on components of supervision was found to be
dissatisfactory
• Report Generation and Dissemination

10. OUR INTERVENTION
• Supportive Supervision through external monitoring
• Capacity Building of supervisors and data handlers
• Streamlining availability of essential logistics
• Strengthening review at all levels
• Facilitating convergence among stakeholders
• Scaling up best practices
• Innovations

11. ACHIEVEMENTS SO FAR
The overall availability of drugs and logistics increased from 60% to 75% -
• 2% in availability of hub cutters,
• 5% in examination beds,
• 10% in screens,
• 10% in VHND drugs,
• 28% in six IMNCI drugs

12. ACHIEVEMENTS SO FAR
The overall quality indicators improved by 20%
• correct needle cutting by 10%,
• proper disposal of immunization waste by 2%,
• abdominal palpation by 5%,
• privacy during examination by 6%,
• communication of danger signs of newborns to parents by 26% and weight
recording by 22%
• IMNCI assessment skills improved by 27%; home visits increased by 44% and
timely submission of monthly reports improved by 34%.

13. WAY FORWARD
• End line survey and report generation
• Documentation of best practices and case studies
• Scientific Writing and Dissemination
• Scale up to other districts

14. PROJECT TEAM
Dr. Bhuputra Panda
Principal Investigator
Dr. Gyanaranjan Pradhan PT Mr. Subhrabhanu Panda
State Program Coordinator Regional Coordiantor
Ms. Shatabdi Das Ms. Anindita Pattnaik
Project Officer Project Officer

15. THANK YOU