APHIAplus support for RMNCH/FP Services –VIHIGA COUNTY
County RMNCH/FP Profile Indicator
Status
Women of Reproductive Age
147213
Maternal Mortality Rate
531/100,000 live births
Total Fertility Rate
4.5%
Skilled birth attendance
50%
4+ ANC Visits
61%
Contraceptive Prevalence Rate
57%
Deliveries in health facilities/%
50%
Fully Immunized Children
91%
Geographical location of supported Health Facilities
Outcomes Trends in the 4th ANC visits
Trends in skilled deliveries
Supported RMNCH/FP Health Facilities by Sub-county Sub County
Number of Health Facilities
Emuhaya Hamisi
12 18
Sabatia
14
Vihiga
9
Luanda
13
Total
66
Best Practices/lessons learnt
RMNCH/FP Interventions Capacity Building
Training of HCPs– FP, FANC, EmONC, IPC, IMCI, Commodity Management, UBT, CaCx screening, Chlorhexidine, RMC
Training of CHVs– FP, iCCM
Support for CMEs, OJT, CPD
Use of CHVs for ANC mapping and immunization referrals. RH integrated camps increased uptake of RH services especially Long acting and reversible methods.
CYP trends
Monthly outreaches has improved immunization coverage and defaulter tracing. 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
Equipment , Supplies and Facilities
Delivery sets, fetoscopes, thermometers, handwashing equipment, ORT equipment Repair of EPI equipment Improvement of selected delivery rooms– repairs, painting, curtains
Next steps/opportunities/recommendations
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
UBT roll out
LARC training for health workers in Vihiga county, Mbale Rural health center
Enhance use of SOPs for standardized client/patient management. Advocate with County Government for more health financing for improved service provision Encourage use of technology in RMNCH/FP/Nutrition programming.
Strengthen PPFP
Strengthen the existing and initiate QIT in all the facilities