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Posts Tagged ‘Health Systems Strengthening’

MannionDaniels has developed an organisational capacity assessment tool (OCAT) that is used to identify the extent of a health management team’s organisational capacity to support health systems.

This diagnostic is accompanied by the development of a targeted capacity development plan to address identified capacity gaps. The assessment is conducted on an annual basis.

The baseline for the Maternal Newborn and Child Health Programme (MNCH2) was gathered in 2015 and the accompanying poster reveals the progress achieved in 2016.

Click here to download the Kano State OCA poster.

Kano State OCA poster 13.03.18

 


Nnenna Ike, MannionDaniels’ Behaviour Change Communication Specialist, spoke at the MSH Anniversary Event in Abuja, Nigeria.

The event was held to celebrate the work on health system strengthening and community health interventions carried out by a variety of partners in Nigeria.

Nenna Ike MSH Talk

Nnenna’s talk focused on how to promote behaviour change in the community.  Based on MannionDaniels’ experience with the PATHS2 programme in Nigeria, we identified three key strategies:

  1. Inclusion:  If we want people to adopt healthy household behaviours, we have to involve some otherwise ignored informal players in the health sector such as traditional healers, traditional birth attendants and other key influencers in the community. They can feel intimidated by BCC that promotes early care-seeking because it threatens their livelihood.  We have brought them into the program as partners – rather than rivals – by taking their advice, by integrating their responses, and then by linking them to health facilities.  When they have a positive attitude towards health facilities, they promote early care-seeking to their clients.  This has increased the acceptance and utilisation of health facilities.
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  3. Acceptability:  Different states in Nigeria have different cultures.  When trying to improve the adoption of healthy household behaviours, we need to work respectfully and sensitively within those cultures and existing traditional structures.  This includes considering the language; in the North, we communicate the intervention in Hausa but have some PhD students in Bayero state University translating it into Arabic to make it more widely accessible.  In the South, messages have been translated into Yoruba and Igbo languages. We even have products in Pidgin English and Egun language (predominant in western Nigeria).  It also involves considering the cultural norms around men and women – for example, in the North, men and women meet separately, whilst in the South they can meet together for community meetings. Also, we incorporate BCC activities into to existing structures like the ‘August meetings’ and the women fellowships or pregnant women support groups in churches and mosques in the southern states.
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  5. Involving men: Men are the main decision-makers when it comes to maternal and reproductive health – so they are a very important group to promote early care-seeking to.  The volunteers in the Northern States we work in are largely men, they act as drivers, blood donors and manage the communal purse dedicated to obstetric emergencies.  In the South, there are male leaders in churches who are given responsibilities, for examples they pray with the women in the pregnancy support groups in churches; and women who go to health facilities with their husbands get a special mention by the health providers.

MSH Anniversary Event Nigeria group talk

 


UK Aid Direct M2MMalawi is one of the world’s least developed and most densely populated countries, with a population approaching 17 million.  An estimated 10% of the country’s adults between the ages of 15 and 49 are living with HIV and the majority of them are women.

Support from DFID’s UK Aid Direct global fund, aimed at supporting civil society organisations to achieve the Sustainable Development Goals, has enabled mothers2mothers (m2m) to create an extensive footprint in Malawi, where an estimated 560,000 women aged 15 and over are living with HIV. The essential health education and support that Mentor Mothers provide is critical to helping women cope with the shock and stress of learning that they are HIV-positive and are being put on a lifelong ARV treatment in a single visit to the health facility. Mentor Mothers continue to provide support to the women in the years that follow in order to help them stay on treatment, minimize the risk of transmission, and make healthy choices for their families.

mothers2mothers Malawi UK Aid Direct Mentor Mothers

Catherine Kassam, PMTCT Coordinator at the Malawi Ministry of Health, discussed the importance of Mentor Mothers and the role they play in creating a generation free from HIV:

mothers2mothers Catherine Kassam Malawi Ministry of Health PMTCT coordinator Malawi“The first time I heard about the mothers2mothers model, I was thinking maybe it would be a challenge. I thought the women [Mentor Mothers] would not be open enough to disclose their status. But after the training, I found them very open so that other women [clients] could cope. Mentor Mothers have helped a lot to assist other mothers to disclose their status, and we are seeing men getting involved in PMTCT. All facilities should have Mentor Mothers so that we can catch every community. And everyone in the community should know the importance of being tested. Those who are HIV-positive should start taking their ARVs, so that we can have a generation free of HIV.”

mothers2mothers UK Aid Direct Malawi Mentor Mothers

 

Grantee: mothers2mothers

Project title: Improving access to HIV prevention and support services for 243,949 women and children in five countries of East and Southern Africa

Location: Malawi

 


Better data for the Somali Health System

somalia news item pic

UNICEF, acting as the Principal Recipient of the Global Fund’s support for malaria in Somalia, has awarded a contract to MannionDaniels to support the development of the country’s unified Health Management Information system, HMIS.

Phase 1 of the assignment will last until March 2014 and result in a new database design for the HMIS, an agreed indicator list and a curriculum for health workers who are involved in data entry and use.  We will give support to the Zonal Health Authorities to use to the HMIS for better decision-making.  Ashraf Mohad will lead the work in Somalia.  Ashraf served as the Director of the Health Management Information System Unit in the Ministry of Public Health, Kabul, Afghanistan from 2005 to 2010.


MannionDaniels conducted a review of DFID’s £57 million Sexual and Reproductive Health Programme, including HIV/AIDS, in Zimbabwe in 2014. This involved assessing the technical and value-for-money aspects of the programme, which spanned both private and public sector support, and whose objectives include:

  • Providing over 2.2 million Couple Years of Protection (CYPs), helping avert more than 800,000 unintended pregnancies
  • Providing HIV testing and counselling for more that 400,000 people in priority populations
  • Providing Antiretroviral treatment for 1200 people living with HIV and AIDS, targeted at marginalised populations, including 500 sex workers and their children

The team also designed a business case for re-allocated and new funding for SRH services, and assessed coordination mechanisms and operational issues.

DFID works with other donors in Zimbabwe to provide the Integrated Support Programme, partnering with both the private and the public sectors to provide integrated SRH and HIV/AIDS services.  This includes:  distribution of condoms and other FP commodities, carrying out voluntary male medical circumcision, provision of cervical cancer screening, and providing services for survivors of gender-based violence.