APHIAplus support for RMNCH/FP Services –HOMABAY COUNTY County RMNCH/FP Profile Indicator
Geographical location of supported Health Facilities
Outcomes Trends in 4th ANC visits
Status
Women of Reproductive Age Maternal Mortality Rate
280,362 583/100,000 live births
Total Fertility Rate
5.2%
Skilled birth attendance
60.4%
4+ ANC Visits
61%
Contraceptive Prevalence Rate
46%
Deliveries in health facilities
62%
Fully Immunized Children
54%
Data source: KDHS 2014 & DHIS
Trends in skilled deliveries
Supported RMNCH/FP Health Facilities by Sub-county Sub County
Number of Health Facilities
Kasipul
19
Kabondo Kasipul
17
Total
36
Best Practices/lessons learnt
RMNCH/FP Interventions
Capacity Building
Training of HCPs– FP, FANC, PNC, EmONC, IPC, IMCI, FP Commodity Management, UBT, CaCx screening, RMC, Chlorhexidine
Training of CHVs– FP, iCCM
Support for CMEs, OJT, CPD
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
Upgrading the Sub county hospitals to RH centers of excellence Creation of mentorship teams from the facility staff for mentorship and OJT Use of immunization appointment diaries improved immunization defaulter tracing Use of RH integrated camps increased uptake of RH services especially FP and Immunization Regular outreaches in hard to reach areas Working with the CHVs for household mapping of pregnant women and referral for ANC, and facility delivery. Working with CHVs for household mapping of under fives for referral and defaulter tracing for immunization services Working with TBAs in referring mothers in labor improved hospital deliveries Mapping and referral of pregnant women is key in th ensuring early ANC attendance hence a boost to 4 ANC attendance Defaulter identification and tracing in MCH clinic improves 4th ANC & Immunization attendance
CYP trends
Quality Improvement
-Supportive supervision by CHMT, S/CHMT and focal persons
Next steps/ opportunities
- 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
UBT roll out
FANC training and mentorship on use of chlorhexidine in Kabondo sub county, Othoro level level 4 hospital
Strengthen Post Partum Family Planning in Maternity Strengthen Adolescent and Youth friendly services in health facilities Introduction of cryotherapy services in high volume facilities Strengthen the CeMONC centers by establishing blood transfusion centers
Strengthen the existing and initiate QIT in all the facilities
Strengthen the centers of excellence to CeMONC