SUSU MAMAS PNG INC. ANNUAL REPORT 2015 · PDF file4 5 SUSU MAMAS PNG INC. ANNUAL REPORT 2015 ABBREVIATIONS KEY OUTPUTS ANC Antenatal Care ANGAU Provincial Hospital Lae CHW’s Community

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SUSU MAMAS PNG INC. ANNUAL REPORT 2015

INTRODUCTIONLetter from our Board of Directors.

People often ask us why our Susu Mamas PNG Head Office is based in Mt Hagen, in the Western Highlands when many other Non-Government Organisations have their headquarters in Port Moresby. To us it is simple, Susu Mamas PNG is about provision of free primary health care services to underserved communities in rural and remote areas, and the provision of complementary maternal, child and youth health services in urban areas.

Having our headquarters in the most populous region in PNG makes sense. It means we are more connected to the issues on the ground in the rural areas and are able to work more effectively at community level. It means we are able to match our services to the needs of communities that we serve and ensure that they are highly accessible and available. It means we are able to work more collaboratively with the Provincial Health Authorities and Provincial Health Offices across the five Provinces of our operations.

This approach has seen a significant growth in our services over the last 4-years. In 2015, we had over 100,000 clients accessing our services across our health facilities, through joint clinics and accessing our outreach services. Susu Mamas PNG was able to do this more efficiently than ever before, by doubling services with only a 30% increase in expenditure.

The majority of our expenditure is for direct service delivery costs, of which our largest expense is human resources. In 2015 we employed 118 staff. Clinical

Staff, Nurses, Midwives and Community Health Workers represent 60% of our workforce. Support staff to our clinical teams across the five Provinces represent 35% of our workforce and includes data entry/client record officers, administration staff and drivers. Our management structure remains lean and linear in line with our value-for-money approach. The remaining 5% of the human resource expenditure for 2015 was for our executive management team.

We are able to keep our management costs low, whilst maintaining excellent governance and transparency by investing in IT and innovation across our organisation. In 2015 we installed a new online accounting software, developed our intranet which includes online in-service training, and instituted weekly Health Facility Management meetings through skype and ‘google hangouts’. This ensures that we stay connected at all times to our services across the country, and our staff are supported.

Partnerships are a key focus of the Board of Directors and the Executive Management Team. In 2015 we were proud to re-sign our overarching Partnership Agreement with the National Department of Health. Susu Mamas PNG through this partnership arrangement continues to contribute to achieving the health and development goals of the National Government. Susu Mamas PNG annual operational plans and strategies are aligned with the National Health Plan 2011-2020 and relevant NDOH policies, standards and sub-strategies.

We continue to work in partnership with our key priority Provinces of Western Highlands, Eastern Highlands, Morobe, Central and the National Capital District. Further expansion plans are being considered, but this requires additional funding. This will be a focus of fundraising efforts in 2016.

We are grateful for the continuing support from Australian Aid, which has enabled us to continue to improve the quality and performance of services and keep key service delivery areas operational. Continued support from our private and corporate sponsors, such as Steamships Trading Company, Digicel and Puma Energy keep us moving and connected to the community, and has supported on-going professional development of our staff – a key activity in ensuring continued quality improvement.

We believe that health is a human right and that everyone has a right to health. We will continue to work in partnership to ensure that delivery of free primary health care, maternal, child and youth health services and our men’s health initiatives will remain strong into 2016 and beyond.

Thank you to our community of partners who have made 2015 the best year yet for Susu Mamas PNG!

Tiffany Twivey, Anna Maalsen, Dianne Peliokai, Loi Vele, Bessie Maruia and Tracey Head.

2 12

Susu Mamas Executive Management Team

Susu Mamas PNG Inc.PO Box 1419Mount Hagen. WHPPapua New Guinea

Phone: +675 542 0948Fax: +675 542 2894 Email: [email protected]

All imagery © Anna Maalsen 32

CONTENTSSUSU MAMAS PNG INC. ANNUAL REPORT 2015

Contents

2 Abbreviations

3Key Outputs 2015

4KRA 1. Improve Service Delivery

8KRA 2. Strengthening Partnerships and Coordination

10KRA 3. Strengthening Health Systems and Governance

14KRA 4. Improve Child Survival

18KRA 5. Improve Maternal Health

20KRA 6. Reduce Burden of Communicable Diseases

23Appendix A Tables 1-4 Service Delivery

26Appendix B Financial Table

Susu Mamas PNG is a non-government organisation (NGO) that was formed over 30 years ago to support and promote optimal nutrition for infants and young children in PNG.

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ABBREVIATIONSSUSU MAMAS PNG INC. ANNUAL REPORT 2015 KEY OUTPUTS

ANC Antenatal Care

ANGAU Provincial Hospital Lae

CHW’s Community Health Workers

COPD Children’s Outpatients Department

CU5 Children Under 5 Years of Age

GBH Goroka Base Hospital

HCW’s Health Care Workers (Nurses, CHW’s, Health Extension Officers, Drs)

HCT HIV Counselling and Testing

IMAI Integrated Management of Adult Illness (Includes HIV Treatment)

IMCI Integrated Management of Childhood Illness

LARC Long Acting Reversible Contraception

LLIN Long lasting Insect Net

MHGH Mt Hagen General Hospital

MSPNG Marie Stopes PNG

NDoH National Department of Health

NHSS National Health Service Standards 2011-2020

NHIS National Health Information System

PICT Provider Initiated Counselling and Testing (HIV)

PHA’s Provincial Health Authorities

PMGH Port Moresby General Hospital

PPTCT Prevention of Parent to Child Transmission of HIV

RDT Rapid Diagnostic Test for Malaria

SAM Severe-Acute Malnutrition

SIREP Special Integrated Routine EPI Strengthen Program (Immunisations)

WHHS Western Highlands Health Service


Abbreviations Key Outputs for 2015

KRA 1 Improve Service Delivery• Occasions of service: increase

of 36% for all occasions of service (health facilities, joint clinics, mobile outreach) total: 105,748.

• Mobile outreach services: increased by 176% – total number of clinics 354.

• Children under 5 years of age accessing rural outreach services increased by 116% (6626 CU5).

MOBILE

OUTREACH INCREASED

176%

CU5 TREATED FOR PNEUMONIA

UP 17%

INJECTABLE CONTRACEPTION

UP 42%EXPENDITURE

INCREASED

BY 19%

KRA 2 Strengthening Partnerships and Coordination • Memorandum of Agreement

with the NDoH has been signed.

KRA 3 Strengthening Health Systems and Governance• 11% increase in Human Resources.

Majority were Health Care Workers.• All NHIS reports now accessible

via our Intranet.• Transitioned to fully integrated online

accounting and payroll systems.

KRA 4 Improve Child Survival• The 3rd dose of Pentavalent increased

by 18%.• Susu Mamas participated in the SIREP

immunisation campaign in the WHP, EHP which included the new Measles/Rubella vaccine.

• The number of CU5 treated for pneumonia increased by 17% and the number treated for diarrheal disease increased by 35%. The 2015 drought was a key contributing factor to these increases.

KRA 5 Improve Maternal Health• Injectable contraception increased

by 42%

• ANC/PPTCT 1st visits increased by 23%.

KRA 6 Reduce Burden of Communicable Diseases• This year 9363 LLIN were distributed.

• Treatment for STI’s increase by 26% for women and 29% for men.

• 99% of women attending ANC opt to be tested for HIV.

Province Service Type District SSM Data

EHP Goroka

SSM Urban Facility Seigu Goroka Occasions of Service: 11163

Joint Clinic with North Goroka Health Centre

Goroka Occasions of Service: 6017 (Child Health)

Rural Outreach Tarabo Okapa Clinics (17) Occasions of Service: 1295

Rural Outreach Megabo Bena Clinics (11) Occasions of Service: 367

GBGH Hospital GorokaDaily Referral Service. Referrals for Breastfeeding Follow-up and Support

Morobe Lae

SSM Urban Facility Show-grounds Lae Attendance: Occasions of Service: 14868

Rural Outreach Gain and MusomNawaeb (2 Sites)

Attendance: Occasions of Service: 14868

Rural Outreach Tararan and GabensisHuon (2 Sites)

Clinics (15) Occasions of Service: 2114

Rural Outreach BagabuanMarkham (1 Site)


NGAU Hospital Lae4 Days/Week Service. Women/Infants: Breastfeeding Information and Support

NCD & Central Port Moresby

SSM Urban Facility PMGH Grounds NCD Occasions of Service: 4912

Joint Clinic with 6 Mile Health Centre NCDOccasions of Service: 11864100% Children < 5 Years of Age

Settlement Outreach Pump Station Vabukori

NCD (2 sites)


Rural Outreach Sabusa Central (1 sites) Clinics (7) Occasions of Service: 427

PMGH Hospital service NCD Daily Service. Women and Infants: 357

WHP Mt Hagen

SSM Urban facility Hagen/Newtown Hagen Central Occasions of service: 24688

SSM Urban facility Kagamuga Hagen Central Occasions of service: 14233

Joint ANC/PPTCT with Tinsley Hospital

Mul BayierJoint clinics (8) ANC/PPTCT; Women: 41

Well Women’s clinic (MHGH) Hagen Central Cervical Screening, weekly

Rural Outreach

Tambul Nebilyer (1 site)Hagen Central (24 sites)*Die Council (3 sites)

Total clinics (3) Occasions of service: 30Total clinics (249) Occasions of service: 8298Total clinics (18) Occasions of service: 420

MHGH Hospital Hagen Central Daily inpatient service: Women/Infant

Jiwaka Province

Kudjip Health Centre Joint ANC/PPTC

Anglimp-South Waghi

Joint clinics (36) ANC/PPTCT: Women: 879

Rural OutreachAnglimp-South Waghi (3)

Total Clinics (17) Occasions of service: 468

Kudjip HospitalAnglimp-South Waghi

Breastfeeding support

1.1 OBJECTIVES

Increase access to quality Health Services in rural areas and the urban disadvantaged.

*Hagen Central District outreach includes M&CH and SIREP services. SIREP measles/rubella vaccines administered to Children/Youth over 1 year of age; 6893 by mobile outreach services.


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KRA 1

IMPROVE SERVICE DELIVERYKey Result Area 1

WHP/Jiwaka: includes both Hagen and Kagamuga Health facilities.

Occasions of Service 2014–2015• There was a 32% increase in occasions of service at our health facilities

• WHP/Jiwaka includes to both Kagamuga and Hagen health facilities

• Total of 69,864 occasions of service at Susu Mamas Health Facilities (5)

There was an overall increase of 36% for all occasions of service (health facilities, joint clinics, mobile outreach) – total: 105,748.

Hospital visiting data not included.

Rural Outreach# of Clinics Provided

# of Children <5 Years

3RD Dose Pentavalent

Measles <1 Year of Age

Morobe 37 2,476 182 225

WHP 265 3,074 205 327

Jiwaka 17 216 15 44

EHP 28 722 71 37

Central 7 138 1 7

TOTAL 354 6,626 474 640

SETTLEMENT OUTREACH

NCD 18 463 14 20

TOTALS 372 7,089 488 660

Rural Outreach Occasions of service by children under 5 years of age (CU5).

Susu Mamas Occasions of Service all areas by Province of Operations

60,000

50,000

40,000

30,000

WHP/Jiwaka EHP Morobe NCD/Central

SSM HF

Joint Clinic20,000

10,000

0

*Outreach data reported (NHIS) by nearest health facility. Outreach services for children attending - data taken from Client database/client health record. Have also included settlement outreach (NCD).

Susu Mamas Toll Free

Health information Line

7200 6262

Other (general inquiries and nuisance calls) consistent with 2014 data

Opening times and locations of health centres

Total number of calls (1451) increased since 2014

Immunisations

Booking appointments

Outreach

SUSU MAMAS PNG INC. ANNUAL REPORT 2015 SUSU MAMAS PNG INC. ANNUAL REPORT 2015KRA 1 KRA 1

98

2.1 OBJECTIVEDevelop partnerships with other health services and NDoH.

Partnership Agreements at National and Provincial Level

1. Our overarching Memorandum of Agreement (MOA) with the National Department of Health was signed for another 3 years.

2. MoA with the Eastern Highlands Provincial Health Authority drafted – to be finalised in 2016.

3. MoA with Central Provincial Health Office drafted – to be finalised in 2016.

4. Negotiations continuing with the Morobe Provincial Health Office to formalize partnership agreement.

5. Renegotiated MoA with Western Highlands Provincial Health Authority for signing in Q2 2016.

Working with the NDoH and other Stakeholders

SSM participated in:

• Development Partners Meetings organised by WHO and DFAT.

• Development of the National Nutrition Policy Guidelines.

• Review of the Baby Feed Supplies Legislation.

• Development of the National Infant and Young Child Feeding Guidelines and Policy facilitated by NDoH and UNICEF.

• Review of the Village Health Volunteer training curriculum facilitated by NDoH and RPHSDP.

• Women’s Conference US Embassy, Port Moresby.

• Mobile Phone forum in Port Moresby hosted by Coffey and GSMA Connected Women, in partnership with the Government of Australia.

• Global Strategy on Women’s, Children’s & Adolescent’s Health Consultative Meeting for the Sustainable Development Goals.

• Special Integrated Routine EPI Strengthen Program for Immunization.

• Maternal Health Network Activities, Port Moresby.

• Maternal and Child Health Initiatives including the ‘Midwifery Leadership and Management’ Workshop hosted in Madang.

• Health Cluster meetings for drought response.

• Provincial Partnership meetings in Morobe and Western Highlands.

• Midwifery Symposium held in Port Moresby in November 2015.

• Maternal and Child Health Initiative (MCHI) Stakeholder Forum.

• Family Planning Policy Update meeting for the inclusion of Youth.

Working with Provincial Health Services and other Stakeholders

Eastern Highlands Conducted joint services with Provincial Health including North Goroka Health Centre, Hospital Children’s OPD, Kama ANC/PPTCT clinic and Goroka Base Hospital. Supported referral services for MARPS clients (Tingim Laip, SCiPNG) and Marie Stopes PNG (MSPNG).

MorobeConducted joint services with ANGAU Hospital. Supported referral services for MARPS clients (Tingim Laip, SCiPNG, PSI).

National Capital DistrictConducted joint services with Port Moresby Hospital inpatients and outpatients, NCD and Six-Mile Health Centre.

Western Highlands Conducted joint services with the Mt Hagen General Hospital and Tinsley health centre. Supported referral services for MARPS clients (Tingim Laip, Baptist Services) and MSPNG.

JiwakaConducted joint services with Kudjip Rural Hospital (Nazarene Health Ministries) and Health Centre.


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KRA 2

STRENGTHENING PARTNERSHIPS& COORDINATION WITH OTHER STAKEHOLDERS Key Results Area 2

3.1 OBJECTIVESQuality workforce, capable of meeting health needs into the future.

Human Resources

There was a 9% increase in the number of health care workers employed across the organisation in 2015, which included staff for our newest health facility, Kagamuga, in the Western Highlands that we are operating in partnership with the Western Highlands Provincial Health Authority.

Midwives now represent 28% of our total nursing staff and they are providing essential services for antenatal and postnatal care at our health facilities in Lae, Mt Hagen, Kagamuga, Goroka and Port Moresby. Across all facilities, between 30-70% of women attending our health services was for antenatal care. Susu Mamas PNG continues to support the on-going professional development and in-service training of all our health care workers.

Security concerns at our Lae Health Care Facility saw the need to recruit three security guards after break-ins and social unrest in the 4th quarter. Ensuring the on-going safety of our staff and clients is always our utmost priority.

Increases in outreach services necessitated the recruitment of an additional driver in the WHP. The driver as part of this supported increased mobile outreach, distribution of insecticide treated nets and supporting the SIREP campaign.

HCW Susu Mamas 2015

CHW

Nurses


1312

KRA 3

40

30

20

10

WHP EHP Morobe NCD

0

STRENGTHEN HEALTH SYSTEMS & GOVERNANCE Key Results Area 3

ICT Systems Management and Support

ICT systems management. This year we have moved to an on-line accounting and payroll system. The ‘invoice manager’ has been upgraded.

Client Database

Current database and system of maintaining paper based client records is not sustainable, so we are investigating possibility of moving to an electronic client record. Currently Kuakawa trialling an electronic client record system.

Human Resources

We will use an online Human Resource management system in 2016. This will include recruitment, leave, training, performance, registration and licensing modules.

Medication and Medical Supplies

The NDoH distributes health centre kits to all health centres and small qualities of medication supplied by the AMS. Additional medication required includes; antibiotics (STI treatments), zinc, injectable contraception. Health Facility Managers are now checking their medication stock via the Intranet and moving Medication between health facilities. Medication not required is being stored in the provincial offices as AMS (Govt store) and Hospital Pharmacy departments are unable to store this medication.

3.2 OBJECTIVESSusu Mamas utilises ICT solutions and delivers timely and accurate information for planning and decision making.

Professional Development

The development of Susu Mamas on-line training platform with support from Kuakawa is being established.

Post Graduate Studies

• Three (3) Nurses are currently on Study Leave – Midwifery at the University of Goroka EHP they will finish their studies early 2016

• Breastfeeding: Advocacy and Practice. A Regional Outreach Course Penang, Malaysia. One Midwife (NCD)

NDoH Training Courses

• Emergency Obstetric Care (EoC) 1 midwife Morobe and 1 Nurse WHP November

• Ultrasound training – Two HCW’s WHP attended three day training November

• Youth Health – one (1) nurse NCD and WHP December

• Malaria (Morobe): Lae health team

• Long Acting Reversible contraception (Hormone Implant) two HCW’s one in the WHP (July) and EHP (December)

• Sexual and Reproductive Health and Family Planning Post Basic Certificate. (Australian Aid, PSI, Family Planning Australia) Morobe (1) Nurse graduated

In-service Training

Additional training materials and programs available from the NDoH (PICT, PPTCT, IMCI, Malaria). These are being adapted for uploading onto our online training platform.


14 15

KRA 3

4.1 OBJECTIVESIncrease coverage of childhood immunisations.

Total occasions of service for Children under 5 years of age (CU5)

Note: Measles/Rubella vaccines introduction in the 4th quarter for the EHP, WHP and Jiwaka provinces. *Joint Clinic NHIS data is reported by the 6 mile and North Goroka health centres.

Supplementary Immunisation Program (SIREP)

WHP also provided Measles/Rubella 12,782 vaccines during the 4th quarter for all ages.

SSM Health Facilities <12 Months 1-4 Years TOTAL3RD Dose Pentavalent

Measles <12 Months

Goroka East 3,967 3,012 6,979 489 286

North Goroka 1,512 175 143

Hagen 7,337 3,284 10,621 771 1,049

Kagamuga 2,960 2,284 5,244 309 466

Lae 5,555 1,925 7,480 853 1,026

Port Moresby 1,433 1,008 2,441 41 53

6 Mile HC NCD* 11,864 1,419 2,143

TOTAL 21,252 11,513 32,765 4,057 5,166

4.2 OBJECTIVESReduce Case Fatalities due to Pneumonia

2014–2015 The number of CU5 treated for pneumonia increased by 17% and the number treated for diarrheal disease increased by 35%. The drought was a contributing factor.

• % CU5 attending health facility/centre for IMCI: Mt Hagen 27%; Kagamuga 47%; Goroka 58%; POM 30%; Lae 11%

Diagnosis of Pneumonia in Children under 5 years (CU5) Health Facility data only.

*Joint health service

Health Facility Pneumonia <5 Years Hospital Referrals

Port Moresby 427 9

Lae 413 5

Hagen 1,291 81

Kagamuga 1,234 44

Goroka East 2,835 26

North Goroka* 1,263 N/R

TOTAL 7,463 165

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SUSU MAMAS PNG INC. ANNUAL REPORT 2015 KRA 4

IMPROVE CHILD SURVIVAL Key Results Area 4

*Joint health service

4.3 OBJECTIVESDecrease Neonatal Deaths

Increase Coverage of Tetanus Toxoid Vaccine for all Pregnant Women

Neonatal Sepsis

Health Facility 1st Visit ANC. % Receiving Tetanus Toxoid Vaccine

Lae 1,170 1,104 (94%)

Hagen 1,496 1,155 (77%)

Kagamuga 535 397 (74%)

Goroka East 114 110

OUTREACH CLINICS

Morobe Outreach 34 26

Tarabo Okapa Outreach EHP 94 101

Megabo Bena Outreach EHP 35 30

TOTAL 7,463 165

Health Facility # Referred to Hospital 2014

# Referred to Hospital 2015

Mt Hagen / Newtown 23 52

Kagamuga 8 18

Goroka 6 24

Lae 5 8

Port Moresby 4 9

Health Facility Diarrheal Disease <5 Years Hospital Referrals

Port Moresby 294 12

Lae 406 16

Hagen 1,548 54

Kagamuga 1,192 20

Goroka East 1,201 12

North Goroka* 461 N/R

TOTAL 5,102 114

Neonates: 0-4weeks of age.

4.4 OBJECTIVESReduce Malnutrition in Children less than 5 years of age.

Malnutrition Malnutrition diagnosed in Children under 5 years of age attending SSM health facilities and joint clinics increased this year. Screening for Severe Acute Malnutrition (SAM) was introduced November 2014.

Health Facility Severe-Acute Malnutrition Referrals to Hospital

Goroka East 75 15

Mt Hagen 96 11

Kagamuga 35 8

Lae 25 11

Port Moresby 82 4

North Goroka* 13 N/R

TOTAL 326 49

2015 % of CU5 Underweight CU5 % of CU5 Underweight

Hagen 618 7,186 9%

Kagamuga 168 2,856 6%

Lae 2,064 7,328 28%

Port Moresby 305 1,786 17%

6 Mile 860 11,847 7%

Goroka 1,573 6,979 22%

North Goroka 133 1,510 9%

*Supplies of Ready to use therapeutic foods (i.e. ezzee paste)

Percentage of children under five years who attend Maternal and Child Health clinics that are moderately (60–80% Weight for Age) or severely (<60% weight for age). Largest Increase in Lae – the 2015 drought was a major contributing factor to these increases. This is not reflected in the number of children diagnosed as SAM.

Diagnosis of Diarrheal disease in Children under 5 years (CU5) Health Facility data only.

SUSU MAMAS PNG INC. ANNUAL REPORT 2015 SUSU MAMAS PNG INC. ANNUAL REPORT 2015

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KRA 4 KRA 4

5.1 OBJECTIVESIncrease Coverage of Family Planning.

All SSM health facilities including outreach services have the capacity to offer family planning services at all times. The demand for Injectable contraception increased by 42%. The Mt Hagen Health Facility now provides long acting reversible contraception (hormone Implants). MSPNG also provide hormone implants to our clients free of charge.

Health Facility Injectable Contraception Hormone Implant LARC% Referrals for Long Acting & Permanent Methods

Mt Hagen 2,465 307 3

Kagamuga 601 N/A 8

Lae 1,187 N/A 40

Goroka East 1,239 N/A 57

Port Moresby 96 N/A 2

TOTAL 5,588

OUTREACH

NCD / Central 19

Morobe Outreach 198

EHP 253

WHP / Jiwaka 17

TOTAL 487 307 107

5.2 OBJECTIVESEnsure every health facility is capable of providing quality service/support before, during and after pregnancy.

2015 ANC 1st Visit 4TH ANC Visit

SUSU MAMAS HEALTH FACILITIES PPTCT Refer 6.2

Lae 1,170 628

Hagen SSM 1,496 566

Kagamuga 535 215

Goroka 114 42

EHP Rural Outreach (Excluding PPTCT) 129 54

Morobe Outreach (Excluding PPTCT) 34 118

All Susu Mamas health facilities and outreach clinics provide antenatal/PPTCT care and postnatal care for women and infants.

Number of Women attending at least one ANC visit

Occasions of service for women in: Lae: 71% do so for ANC; Hagen: 40% do for ANC.


2120

KRA 5

IMPROVE MATERNAL HEALTH Key Results Area 5

6.1 OBJECTIVESReduce Malaria related Morbidity and Mortality.

Health Centre RDT’SChild >5 Years of Age Treated

Clients <5 Years Treated

LLIN Distributed

Lae 138 4 20 1,158

Mt Hagen 215 0 4 5,735

Kagamuga 424 0 12 138

Goroka 188 0 3 N/S

Port Moresby 125 4 8 2,332

North Goroka* 34 0 1 N/S

TOTAL 942 8 48 9,363

All Susu Mamas health facilities and outreach services provide diagnosis and treatment for malaria. Malaria rapid diagnostic test kits (RDT). 9,363 LLINs were distributed through our ANC services in conjunction with Rotary Against Malaria and Provincial Health Offices.

6.2 OBJECTIVESScale up Prevention, Treatment, Care and Support for Sexually Transmitted Infections and HIV.

Treatment for STI’s is available at all SSM health facilities: 26% increase in the number of women receiving treatment and a 29% increase in the number of men receiving treatment.

Condom Distribution (HHISP Reporting)

Health Facility Female Male

Goroka 779 307

Mt Hagen 2,210 349

Kagamuga 572 269

Lae 657 60

Port Moresby 152 23

TOTAL 4,370 1,008

Health Facility Female Male

Lae 385 8,908

NCD 136 2,863

Goroka 179 7,520

Kagamuga 120 4,560

Hagen 370 16,325

TOTAL 1,190 40,176


2322

KRA 6

REDUCE THE BURDEN OF COMMUNICABLE DISEASES Key Results Area 6

Mt Hagen, Kagamuga and Lae PPTCT (ART)

Mt Hagen, Kagamuga and Lae Health facilities provide ARV treatment for 60 Women and 5 Men (PPTCT). Goroka Health facilities commenced HCT (ANC) this year. A number of other women are shared care with the Provincial HIV treatment Centre (access to ART).

TPHA test kits: insufficient stock available in WHP, EHP.

HIV Counselling and Testing (Non ANC)

NHIS ANC data reported by the Host health facility as they are both joint clinics.

PPTCTHCT at ANC Visit

HCT Repeat 3 Months

Pregnant Women 15-24 Years who test positive for HIV

Pregnant Women >24 Years of age tested positive for HIV

TPHAReactive TPHA

Lae 1,199 1 4 3 1,027 18

Lae Male 464 1 1 (Male) 1 (Male) 326 4

Hagen 1,483 497 16 7 150 1

Kagamuga 477 117 3 7 38 0

Kagamuga Male 1 0 0 0 0 0

Goroka 116 31 3 0 123 1

Goroka Male 3 0 0 0 4 1

Health Facility (SSM) Male Positive Male Positive

Lae 31 2 17 1

Kagamuga 43 3 75 10

Hagen 59 7 238 16

Goroka East 9 1 72 4

Port Moresby 4 0 22 0

Joint Clinics PPTCT/ANC

Jiwaka. Kudjip Hospital & ANC/PPTCT 879

WHP. Tinsley ANC/PPTCT 41


24 25

KRA 6

APPENDIX A Tables 1–4 Service Delivery

Occasions of Service at all Susu Mamas PNG Health Facilities

Total Number of Occasions of Service across all Susu Mamas PNG services (includes outreach) Human Resources

Expenditure & Occasions Service SSM Health Facilities

80,000

80,000

100,000

80

80,000

60

70,000

40

60,000

20

50,000

0

40,000

30,000

20,000

10,000

0

120,000

70,000

60,000

60,000

50,000

40,000

40,000

30,000

20,000

20,000

10,000

0

0

2015

2015

2015

20152014

2014

2014

20142013

2013

2013

20132012

2012

2012

2012Women

Linear (Occasions of Service)

Children Expenditure

Men

Management/Administration

Nurses/Community Health Workers

Support Staff

Occasions of Service

Health Facilities

Joint Clinics

Mobile Outreach

SUSU MAMAS PNG INC. ANNUAL REPORT 2015 SUSU MAMAS PNG INC. ANNUAL REPORT 2015

2726

APPENDIX A APPENDIX A

Income

NDoH Grant 1,730,000

AusAid Grant 2,861,501

Sponsorships & Donations 402,845

Interest Received 24,293

GST Refunds 107,863

TOTAL INCOME 5,126,502

Expenses

Operational 619,080 11%

Bank Charges 6,903 0%

Salaries 3,623,025 64%

Professional Fees 20,934 0%

Capital Purchases 188,863 3%

Insurance 95,832 2%

Motor Vehicle Maintenance 164,875 3%

Professional Development & Training 76,274 1%

Rent 525,751 9%

Travel Costs 86,126 2%

ICT Management & Support 266,358 5%

TOTAL EXPENSES 5,674,021

Susu Mamas Papua New Guineas INC. Income and Expenditure 2015


2928

APPENDIX B Financial Table

APPENDIX B

Operational 11%

Bank Charges 0%

Professional Fees 0%

Salaries 64%

Capital Purchses 3%

Insurance 2%

Motor Vehicle Maintenance 3%

Professional Development and Training 1%

Rent 9%

Travel Costs 2%

ICT Management and Support 5%

Susu Mamas Papua New Guineas INC. Expenditure Chart 2015

SUSU MAMAS PNG INC. ANNUAL REPORT 2015 SUSU MAMAS PNG INC. ANNUAL REPORT 2015KRA 1 KRA 1

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Documents

SUSU MAMAS PNG INC. ANNUAL REPORT 2015 · PDF file4 5 SUSU MAMAS PNG INC. ANNUAL REPORT 2015 ABBREVIATIONS KEY OUTPUTS ANC Antenatal Care ANGAU Provincial Hospital Lae CHW’s Community