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Monitoring & Evaluation – FPS Grant Activities By Mary Kama, GMU. Outline. EXPANDING HEALTH OPPORTUNITIES. Role of FPS to Grant FPS Grant Activities Link to Supply Chain Management Monitoring of Impact of IM Trainings Analysis & Findings of Supervisory Visits Way forward. - PowerPoint PPT Presentation
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Monitoring & Evaluation – FPS Grant ActivitiesBy Mary Kama, GMU
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
Outline1. Role of FPS to Grant 2. FPS Grant Activities3. Link to Supply Chain Management4. Monitoring of Impact of IM Trainings 5. Analysis & Findings of Supervisory Visits6. Way forward
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
How Grant activities contribute to MoH StrategiesStrategic Goal 3 HSS is undertaken at all levels in the MoHObj 8.5- Proportion of popln with access to affordable essential medicines on a
sustainable basis- 80% of facilities rated service satisfactoryObj 8.9: M&E - Strengthening the M&E frameworkCorporate Plan – Output 10 http://www.health.gov.fj/files/reports/Corporate%20Plan%202011.pdf
- Elimination of stock out of medicines from present 100/month- % of goods (incl. all stock at FPS + HFs) overstocked/ annum = <5%- % of goods expired+ value (incl. all stock at FPS + HFs) per year = <5%- Total volume of stock at one point in time @ 80% (Universal Access)
Includes Vitals
(71 out 100)
Includes Vitals
(71 out 100)
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
Why FPSC is CRITICAL to the Nation?
COMMON GOODS that are used my the majority of the population to improve quality of life
Essential Medical & Diagnostic SuppliesVital Medical & Diagnostic Supplies
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
1. Role of FPS to Grant• FPS activities contribute to 3 out of the 10
objectives of the grant To contribute to health systems
strengthening Strengthen Laboratory Services Strengthen Pharmaceutical Supply
Management
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
2. FPS Grant Activities• Under the Grant, total of 160+ activities• FPS has 6 in Y1 & 5 in Yr 2 1. Revision of SOPs2. Training of Trainers (19) in Meds Supply Mx3. Training of 144 nurses by SDHSs + FPSC4. Supervisory Visits to H/Facilities by SDHs5. Procurement of identified Lab Commodities + HIV-RDKs6. Procurement of Lab supplies for DST & Liquid Culture
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
3. Link to Supply Chain Management Good Waste
ManagementGood Waste Management
Good Supply Chain Management
Good Supply Chain Management
Order……..Stock
Taking
Order……..Stock
Taking
Keeping Proper
Records
Keeping Proper
Records
Organize Supplies……
FEFO
Organize Supplies……
FEFOMonitoring
& EvaluationMonitoring
& Evaluation
Receive supplies . …
Quality Assurance
Receive supplies . …
Quality Assurance
Health Systems Strengthening
Health Systems Strengthening
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
4. Monitoring of Impact of IM Training• Done through Supervisory Visits using Checklists• Checklists are monitoring Tools• IM Checklists – Vital Medicines Lists; Storage
Conditions • Aim – Score 100% in storage room conditions &
maintain 100% vital medicines availability in health facility
• On-Site refresher trainings & Reporting
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
5. Analysis & Findings of S/Visits Health Facility Coverage
Category # visited Total %
Sub-div level 1 5 5 100
Sub-div level 2 10 16 63
Health Center Level A
8 12 67
Health Center Level B
6 10 60
Health Center Level C
17 57 30
National Referral center
2 3 67
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
5. Analysis & Findings of S/Visits
% Availability (Tracer Medicines)100% 14
90 - 99% 13
80 - 89% 11
70 - 79% 5
60 - 69% 3
<60% 1
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
5. Analysis & Findings of S/Visits PF Target Facility Coverage
Division Total Target Health Facilities
Total covered
%
Central 28 18 64%
Eastern 20 0 0%
Western 32 10 31%
Northern 23 18 78%
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
5. Analysis & Findings of S/Visits
Grant PF Target Health FacilitiesAttended IM Training Station Total Score (Checklists)
Store room Conditions (/10)
Vital List (%)
Yes Waiyevo Health Center 9 100Yes Taveuni Sub-divisional Hosp 10 100Yes Savusavu Health Center 10 100Yes Savusavu Sub-divisional Hosp 10 100Yes Rabi Health Center 9 94Yes Natewa Health Center 8 94Yes Saqani Health Center 10 94Yes Nabouwalu Health Center 9 94Yes Nabouwalu Sub-divisional Hosp 9 87Yes Dreketi Health Center 10 87Yes Tukavesi Health Center 10 81Yes Wainunu Health Center 9 78Yes Nakorovatu Health Center 10 75Yes Lekutu Health Center 9 72Yes Labasa Health Center 8 66No Seaqaqa Health center 8 94No Wainikoro Health Center 4 94No Korotasere Health Center 9 84No Vuna Health Center 6 81
Summary - 4/19 health facilities had 100% stock availability (target H/facilities), 3 of nursing stations had 100% availability. Nurses managing 11 /19 H/Fs that scored >80% in both vital list & storeroom conditions, attended Inventory Management training . However, Nurses managing 4/19 HFs who attended IM trainings scored between 66% to 78% in both checklist categories. The remaining nurses
DID not attend IM training BUT scored >80% in both categories.
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
5. Analysis & Findings of S/Visits Generic Issues Identified• Medicines not used by HFs therefore not ordered BUT allocated to health
facility• HFs continue to receive short expiry medicines from FPS + Late arrival of
stock• Incorrect use of stock cards• Is the FPSC Order Form user friendly?• Storage capacity• Poor inventory management practices – HFs incl of labs• More monitoring support by divisional supervisors + FPSC• Poor supply stability – out of stock• Communication
A department of the Ministry of Health
EXPANDING HEALTH OPPORTUNITIES
6. Way Forward1. Alignment to Strategic Objectives – all work together2. Possibility for FPS to review order form3. More supervisory visits – can be co-funded by the Grant4. Practice new knowledge learnt in IM5. FPSC to work with divisions/program Managers to improve forecasting
( procurement planning6. Improve checking process at FPS dispatch7. Improve communication8. Capacity building opportunities9. Improve storage capacity10. Improve supply chain11. Lab, Dental, X-ray to develop a vitals list