2.5 jica semah presentation c. gwoswar, moms nyanza lmg health conference 30jan13

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MOPHS/JICA SEMAH Project Health Systems Management Training Programme Results & Achievements 2010- 2013 Presented by Clementine Gwoswar Provincial Public Health Nurse, Nyanza/Chair of Training Management Working Group, SEMAH Project 1 st National Conference on Health Leadership, Management and Governance Nairobi, 30 th January 2013

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Presentation during the session on LMG Training Successes at the First National Conference on Health Leadership, Management and Governance

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Page 1: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

MOPHS/JICA SEMAH Project

Health Systems Management Training Programme

Results & Achievements 2010- 2013

Presented by Clementine Gwoswar Provincial Public Health Nurse, Nyanza/Chair of Training Management Working Group, SEMAH

Project

1st National Conference on Health Leadership, Management and Governance Nairobi, 30th January 2013

Page 2: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Health Systems Management Training Programme

To strengthen core management capacity of health managers and their teams, through selected topical and practical areas to provide core competencies required for effective and efficient health systems management for change.

Objective:

Page 3: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Health Systems Management Training Programme : Module Outline

Evidence Based Practice & Operations Research Evidence Based Practice & Operations Research

Cluster 1 (4days)

Cluster 2 (4days)

Introduction of Health Systems Management Introduction of Health Systems Management Day1Day1

Team Building Team Building

Module1Module1

Leadership, Management & Governance Leadership, Management & Governance

Strategic Thinking & Project Management Strategic Thinking & Project Management

Module2Module2

Module3Module3

Module4Module4

Day2Day2

Day3Day3

Day4Day4

Health Policy Management in Action Health Policy Management in Action

Supportive Supervision, Coaching & Mentoring Supportive Supervision, Coaching & Mentoring

Information Management Information Management

Module5Module5

Module6Module6

Module7Module7

Module8Module8

Day1Day1

Day2Day2

Day3Day3

Day4Day4

Resource Generation, Mobilization& Management Resource Generation, Mobilization& Management

Basic Health Promotion Basic Health Promotion

Service Quality Management Service Quality Management

Customer Relationship Management Customer Relationship Management

Module9Module9

Module10Module10

Module11Module11

Module12Module12

Day1Day1

Day2Day2

Day3Day3

Day4Day4

Cluster 3 (4days)

Evidence Based Practice & Operations Research Evidence Based Practice & Operations Research

Page 4: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Programme Duration

The programme is designed to be delivered in 3 times as Clusters for 5 months as follows. Each cluster of the Training will be organised to take 4days.

Programme Duration

The programme is designed to be delivered in 3 times as Clusters for 5 months as follows. Each cluster of the Training will be organised to take 4days.

IT TrainingIT Training

Page 5: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Training Management Working Group

JICA HRD Advisors

JICA HRD Advisors

Core Members

Chair/Vice Chair

TrainingCoordinator

TrainingCoordinator

PHMT&DHMTs in Nyanza ProvincePHMT&DHMTs in Nyanza Province

Community of Practice

UNICEF, World BankUZIMA FoundationUniversity of Nairobi, Moi Pricewatershouse CoopersAPHIA-PlusKEMSA

KCA University

GLUK Maseno University

Mzumbe Uni

Edenconsult

KSG (KIA)

MOPHS/MOMS-HQMOPHS/MOMS-HQ

Training Focal Persons

PHMT-Nyanza, DHMT-Kisumu West, Siaya, Ugenya, Suba, Kisii Central, Nyamira, Kuria West, Bondo, Nyando Borabu,

Homabay, NyatikeKMTC

AMREFMSH

Page 6: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Case Story: Peer Facilitation & Cost Sharing Approach

Master Trainers (Universities/MOH-HQ/DPHK)Master Trainers (Universities/MOH-HQ/DPHK)

Participants 2010/11 (Pilot Teams)

Peer Facilitator 2011/12Peer Facilitator 2011/12

Participants 2011/12(Group A&B)

Peer Facilitator 2012/13Peer Facilitator 2012/13

Participants 2012/13 (Group C)

TOF TOF

TOF TOF

A Home Based Care Coordinator (HBCC) of DHMT-Manga was NOT selected for a official participants for the HSM training initially. Yet she was eager to develop her managerial capacity and decided to join the training as self-sponsored participants. She aggressively participated in the training and completed

all 12 modules .

A Home Based Care Coordinator (HBCC) of DHMT-Manga was NOT selected for a official participants for the HSM training initially. Yet she was eager to develop her managerial capacity and decided to join the training as self-sponsored participants. She aggressively participated in the training and completed

all 12 modules .

She showed great performance including score of the Post Test (one of the best scorer) during the training. Therefore her team nominated her name and she was finally selected a New HSM Training Facilitator !!

She showed great performance including score of the Post Test (one of the best scorer) during the training. Therefore her team nominated her name and she was finally selected a New HSM Training Facilitator !!

Page 7: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Health Systems Management Training Programme in Nyanza Province

Year 2011Total 4 teams covered

(PHMT+3Pilot DHMTs)

97 Health Managers were newly trained

Year 2012Total 22 teams covered

( +18 DHMTs)

172 Health Managers were newly trained

Year 2013Total 37 teams covered

( +15 DHMTs )

120 Health Managers were newly trained

Year 2009 - 2013

ALL DHMTs were

covered !!

ALL DHMTs were

covered !!

Total 389 Health Managers were trained

Total 389 Health Managers were trained

Operations Research

Operations Research

Page 8: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Operation Research on Health Systems Management

Group A:9DHMTs

20days Training(Package A)

Kisii -SGucha

Kisii CentralNyamiraManga

Kisumu- MCPNyandoMbita

Rarieda

Group A:9DHMTs

20days Training(Package A)

Kisii -SGucha

Kisii CentralNyamiraManga

Kisumu- MCPNyandoMbita

Rarieda

Group B:9DHMTs

10days Training(Package B)

Masaba -NMasaba -S

Kuria -EKuria -WGucha -S

Rachuonyo-NNyakach

BondoRachuonyo -S

Group B:9DHMTs

10days Training(Package B)

Masaba -NMasaba -S

Kuria -EKuria -WGucha -S

Rachuonyo-NNyakach

BondoRachuonyo -S

Group C:9DHMTs

Control Group

Nyatike NyamacheHomabay

Kisumu EastBorabuMigori

NdhiwaGem

Rongo

Group C:9DHMTs

Control Group

Nyatike NyamacheHomabay

Kisumu EastBorabuMigori

NdhiwaGem

Rongo

Endline Survey fort the comparative impact analysis between Group A,B & C (May 2012)Endline Survey fort the comparative impact analysis between Group A,B & C (May 2012)

Baseline Survey on Health Leadership and Management for Group A,B &C (March 2011)Baseline Survey on Health Leadership and Management for Group A,B &C (March 2011)

Health Systems Management Training Programme

Page 9: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Pre/Post Test Result Comparison Group A & Group B

Total Average Score

Page 10: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Capacity Assessment Result

Page 11: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

There was significant differences between groups. (Kruskal-Wallis test: P=0.009). In addition, by using Scheffe multiple-comparison test, we compared each group. Compared with control, Group A and Group B were significantly higher

P=0.019

P=0.003

Page 12: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Resource Corner & 5S Kaizen(DHMT-Kisumu West)

RESOURCE CORNER“After 5S Kaizen”

RESOURCE CORNER“After 5S Kaizen”

RESOURCE CORNER“Before 5S Kaizen”

RESOURCE CORNER“Before 5S Kaizen”

Page 13: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Calendar of ActivitiesKISUMU WEST DHMT CALENDER OF ACTIVITIES

October 2012 Legend:

DHMT Routine Activities

Other Activities this Month (Undated) JICA Supported Activities    WRP-PEPFAR Supported Activities

   Activities Organized from the Office of

the PDPHS    Activities supported by AMPATH

Activities supported by other partnes

Sun Mon Tue Wed Thu Fri Sat1 2 3 4 5 6

  Monday Morning Brief   Facility in-charges meeting   Dialogue day at West Othany      PHOs monthly meeting          CHC training for new CU supported by Plan International    EQA by DMLT and DTLC   EQA by DMLT and DTLC                 

7 8 9 10 11 12 13  IYCF training for CHEWs

  Monday Morning Brief  DHMT/AMPATH consultative

meeting     

        HTC quarterly review meeting and update               

14 15 16 17 18 19 20IYCF training for CHWs  

Monday Morning Brief DHMT support suprevision supported by APHIA Plus  

      DHMT/WRP consultative meeting   CME for clinicians  

        Training of village elders on CLTS supported by Plan International

         Jiggers campaign in Maseno

division supported by AMPATH

 

        Counsellors' support supervision meeting (2 groups)  

21 22 23 24 25 26 27  IYCF training for CHWs  

  DHMT meeting  DHMT/Implementing partners

consultative meetingWASH stakeholders meeting

supported by Plan International   

             

   CHEWS quarterly performance

review meeting     

28 29 30 31      

  Monday Morning Brief  Bi-annual nutrition quarterly

meeting     

Page 14: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

DHMT-Bondo: Notice Board with Visualized Plan

DHMT-Nyamira (5S-Kaizen) DHMT-Nyando

Customer Care Desk

Note: This slides will be elaborated by 28th Jan

Note: This slides will be elaborated by 28th Jan

Page 15: 2.5 JICA SEMAH Presentation C. Gwoswar, MOMS Nyanza LMG Health Conference 30Jan13

Asanteni Sana !!