MAWENI CDF DISPENSARY

1. MAWENI CDF DISPENSARY LDP RESULTS WORKSHOP 19TH JUNE, 2012 STRATHMORE UNIVERSITY-NAIROBI

2. MAWENI CDF DISPENSARY • Click to edit Master text styles • Second level • Third level • Fourth level • Fifth level

3. BACKGROUND INFORMATION • Level 2 facility under Ministry of Public Health and Sanitation • Located in Mombasa County, Coast Province. • catchment population -10,000 • Number of staff- 10

4. Left to right: Fatuma Dume, Elizabeth Nkaduda, Guantai Kariuki, Grace Mwinga, Evans Kitsao

5. MOPHS MISSION To provide effective leadership and participate in the provision of public health and sanitation services that are equitable, responsive, accessible and accountable to Kenyans.

6. MOPHS VISION • A Nation free from preventable diseases and ill health Facility Vision • A community free from deliveries by unskilled birth attendants

7. DESIRABLE MEASURABLE RESULT Number of deliveries by skilled birth attendants increased from a total of 3 between June and October 2011 to 30 from November to March 2012.

8. Justification and pre-LDP situation • AOP targets for reproductive health performance were not met • Population of women of reproductive age in catchment area 1500 deliveries in facility for 7 months prior to LDP—only 3 • Low utilization of delivery services

9. Obstacles and Root Causes

10. Challenge Statement • How will we increase the number of deliveries by skilled birth attendants from 3 to 30 in six months in light of insecurity, cultural practices and management gaps

11. STAKEHOLDER S • Community • Facility staffs & DMOH • CDF Kisauni • Provincial Administration • National Bank • Maweni Secondary School • APHIAplus • TUPANGE KENYA

12. Priority Actions • Sensitize facility staff on measurable result

13. Priority Actions (cont’d) • Insecurity • Approach provincial administration • Hold security meeting • Increase the number of security patrols District Commissioner and Chief at security meeting

14. Priority Actions (cont.) • Cultural practices • Sensitization meetings with TBAs • Meeting with CHWs • Chiefs baraza CHWs meeting

15. Lack of funds • Approached National Bank of Kenya for purchase of delivery couch and additional furniture

16. Lack of funds(cont.) • Lack of running water • Wrote a proposal to the Ministry of Water and Irrigation for water storage tank • Wrote a letter to neighboring school to access water from their bore hole • Wrote a proposal to CDF for connection of water from school to dispensary

17. Water Challenge • Click to edit Master text styles • Second level • Third level • Fourth level • Fifth level BEFORE AFTER

18. RESULTS/ACHIEVEMENTS • Increased deliveries by skilled birth attendants

19. Skilled Delivery • Click to edit Master text styles • Second level • Third level • Fourth level • Fifth level

20. Additional Results • Supply of delivery equipment • Six Nurses updated on Management of 3rd Stage of Labour • Supply of KEMSA kit

21. WAY FORWARD. COMPARISON BETWEEN DELIVERIES AND BCG.

22. NEXT MEASURABLE RESULT • Increased number of deliveries by skilled birth attendants from a total of 26 by March 2012 to 60 by October 2012

23. KEY LESSONS LEARNT. • Commitment and teamwork is crucial to succeed. • Clear statement of measurable result to stakeholders.

24. ACKNOWLEGDEMENT • USAID/MSH/LMS • MOPHS • National Bank of Kenya • The LDP Facilitators • Kisauni CDF Office • APHIAplus • Provincial Administration • The entire Maweni community • Maweni dispensary staff

25. THE END. THANK YOU !