APHIAplus support for RMNCH/FP Services -BUNGOMA COUNTY
County RMNCH/FP Profile Indicator Women of Reproductive Age
Geographical location of supported Health Facilities Status 387,644 259/100,000 live births 5% 41% 50% 54% 41% 73%
Maternal Mortality Rate Total Fertility Rate Skilled birth attendance 4 + ANC Visits Contraceptive Prevalence Rate % deliveries in health facilities % Fully Immunized Children
Outcomes Trends in the 4th ANC visits
Data source: KDHS 2014 & DHIS
Supported RMNCH/FP Health Facilities by Sub-county Sub –county
Number of Health Facilities
Bumula
9
Bungoma Central
10
Kimilili
8
Bungoma North
16
Bungoma South
18
Cheptais
6
Trends in skilled deliveries
Best practices/lessons learnt
Bungoma West
7
Bungoma East
5
Total
79
RMNCH/FP Interventions
Training of HCPs– FP, FANC, EmONC, IPC, IMCI, Commodity Management, UBT, CaCx screening, RMC, Chlorhexidine
Training of CHVs– FP, iCCM
Support for CMEs, OJT, CPD
Use of immunization appointment diaries improved immunization defaulter tracing RH integrated camps increased uptake of RH services especially Long acting and reversible methods.
Monthly outreaches in hard to reach areas of the county
ANC mapping and referral ( using the CHVs)
Capacity Building
FP integration into Comprehensive Care Centers
Working with TBAs in referring mothers in labor improved hospital deliveries has improved skilled deliveries. Mapping and referral of pregnant women is key in ensuring th early ANC attendance hence a boost to 4 ANC attendance Defaulter identification and tracing by CHVs improves 4th
Equipment, Supplies and Facilities
Delivery sets, fetoscopes, thermometers, handwashing equipment, ORT equipment Repair of EPI equipment Improvement of selected delivery rooms– repairs, painting, curtains Consumables for CaCx screening and RH camps
Quality Improvement
-Supportive supervision by CHMT, S/CHMT and focal persons - Provision of job aids, guidelines, reporting tools Use of data for decision making at all levels
Supporting MPDSR committees
Community
Integrated community outreaches
Referrals by CHVs for services
Active defaulter tracing by CHVs for ANC and immunization services
Innovations
Commodity management training for health workers in Bungoma south sub county
CYP trends