monitoring & evaluation – fps grant activities by mary kama, gmu

Monitoring & Evaluation – FPS Grant ActivitiesBy Mary Kama, GMU

A department of the Ministry of Health

EXPANDING HEALTH OPPORTUNITIES

Outline1. Role of FPS to Grant 2. FPS Grant Activities3. Link to Supply Chain Management4. Monitoring of Impact of IM Trainings 5. Analysis & Findings of Supervisory Visits6. Way forward



How Grant activities contribute to MoH StrategiesStrategic Goal 3 HSS is undertaken at all levels in the MoHObj 8.5- Proportion of popln with access to affordable essential medicines on a

sustainable basis- 80% of facilities rated service satisfactoryObj 8.9: M&E - Strengthening the M&E frameworkCorporate Plan – Output 10 http://www.health.gov.fj/files/reports/Corporate%20Plan%202011.pdf

- Elimination of stock out of medicines from present 100/month- % of goods (incl. all stock at FPS + HFs) overstocked/ annum = <5%- % of goods expired+ value (incl. all stock at FPS + HFs) per year = <5%- Total volume of stock at one point in time @ 80% (Universal Access)

Includes Vitals

(71 out 100)

Includes Vitals

(71 out 100)



Why FPSC is CRITICAL to the Nation?

COMMON GOODS that are used my the majority of the population to improve quality of life

Essential Medical & Diagnostic SuppliesVital Medical & Diagnostic Supplies



1. Role of FPS to Grant• FPS activities contribute to 3 out of the 10

objectives of the grant To contribute to health systems

strengthening Strengthen Laboratory Services Strengthen Pharmaceutical Supply

Management

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2. FPS Grant Activities• Under the Grant, total of 160+ activities• FPS has 6 in Y1 & 5 in Yr 2 1. Revision of SOPs2. Training of Trainers (19) in Meds Supply Mx3. Training of 144 nurses by SDHSs + FPSC4. Supervisory Visits to H/Facilities by SDHs5. Procurement of identified Lab Commodities + HIV-RDKs6. Procurement of Lab supplies for DST & Liquid Culture




3. Link to Supply Chain Management Good Waste

ManagementGood Waste Management

Good Supply Chain Management

Good Supply Chain Management

Order……..Stock

Taking

Order……..Stock

Taking

Keeping Proper

Records

Keeping Proper

Records

Organize Supplies……

FEFO

Organize Supplies……

FEFOMonitoring

& EvaluationMonitoring

& Evaluation

Receive supplies . …

Quality Assurance

Receive supplies . …

Quality Assurance

Health Systems Strengthening

Health Systems Strengthening




4. Monitoring of Impact of IM Training• Done through Supervisory Visits using Checklists• Checklists are monitoring Tools• IM Checklists – Vital Medicines Lists; Storage

Conditions • Aim – Score 100% in storage room conditions &

maintain 100% vital medicines availability in health facility

• On-Site refresher trainings & Reporting




5. Analysis & Findings of S/Visits Health Facility Coverage

Category # visited Total %

Sub-div level 1 5 5 100

Sub-div level 2 10 16 63

Health Center Level A

8 12 67

Health Center Level B

6 10 60

Health Center Level C

17 57 30

National Referral center

2 3 67




5. Analysis & Findings of S/Visits

% Availability (Tracer Medicines)100% 14

90 - 99% 13

80 - 89% 11

70 - 79% 5

60 - 69% 3

<60% 1




5. Analysis & Findings of S/Visits PF Target Facility Coverage

Division Total Target Health Facilities

Total covered

%

Central 28 18 64%

Eastern 20 0 0%

Western 32 10 31%

Northern 23 18 78%




5. Analysis & Findings of S/Visits

Grant PF Target Health FacilitiesAttended IM Training Station Total Score (Checklists)

Store room Conditions (/10)

Vital List (%)

Yes Waiyevo Health Center 9 100Yes Taveuni Sub-divisional Hosp 10 100Yes Savusavu Health Center 10 100Yes Savusavu Sub-divisional Hosp 10 100Yes Rabi Health Center 9 94Yes Natewa Health Center 8 94Yes Saqani Health Center 10 94Yes Nabouwalu Health Center 9 94Yes Nabouwalu Sub-divisional Hosp 9 87Yes Dreketi Health Center 10 87Yes Tukavesi Health Center 10 81Yes Wainunu Health Center 9 78Yes Nakorovatu Health Center 10 75Yes Lekutu Health Center 9 72Yes Labasa Health Center 8 66No Seaqaqa Health center 8 94No Wainikoro Health Center 4 94No Korotasere Health Center 9 84No Vuna Health Center 6 81

Summary - 4/19 health facilities had 100% stock availability (target H/facilities), 3 of nursing stations had 100% availability. Nurses managing 11 /19 H/Fs that scored >80% in both vital list & storeroom conditions, attended Inventory Management training . However, Nurses managing 4/19 HFs who attended IM trainings scored between 66% to 78% in both checklist categories. The remaining nurses

DID not attend IM training BUT scored >80% in both categories.




5. Analysis & Findings of S/Visits Generic Issues Identified• Medicines not used by HFs therefore not ordered BUT allocated to health

facility• HFs continue to receive short expiry medicines from FPS + Late arrival of

stock• Incorrect use of stock cards• Is the FPSC Order Form user friendly?• Storage capacity• Poor inventory management practices – HFs incl of labs• More monitoring support by divisional supervisors + FPSC• Poor supply stability – out of stock• Communication



6. Way Forward1. Alignment to Strategic Objectives – all work together2. Possibility for FPS to review order form3. More supervisory visits – can be co-funded by the Grant4. Practice new knowledge learnt in IM5. FPSC to work with divisions/program Managers to improve forecasting

( procurement planning6. Improve checking process at FPS dispatch7. Improve communication8. Capacity building opportunities9. Improve storage capacity10. Improve supply chain11. Lab, Dental, X-ray to develop a vitals list

monitoring & evaluation – fps grant activities by mary kama, gmu

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