session 2.3: best practices in managing integrated ntd programme · session 2.3: key messages...

District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 1

District Level Management NTD Training Course

Module 2: District Coordination and Programme Management

Session 2.3: Best practices in managing Integrated NTD programme

16.7.2015



Session 2.3: Purpose

• Purpose of the session 2.3 is to draw the attention of importance of best practices in learning district integrated NTD programme (INTDP) with set targets.



Session 2.3: Learning objectives

At the end of the session 2.3, the participants should be able to understand the

• Importance of the leadership development at the district level

• Best practices to develop integrated NTD control/elimination process

• Challenges in developing and implementing integrated NTD control



Best practices in Integrated NTD control

Best practices in integrated NTD control

• Leadership

• Planning and implementation of integrated NTD control

• Communication

• Team work

• Ownership, Sustainability and exist strategy



Leadership styles

• 1. Autocratic

• 2. Democratic

• 3. Laissez faire

• 4. Bureaucratic

• 5. Executive • 6. Diplomatic

‘I say, you do’

‘Let’s discuss’

‘OK, If you want it that way ’ ‘Send me a memo’

‘Make it happen!’

'OK, perhaps there is another way?'



Principles of integration

• Clarify the national and district's priorities • Consensus among stakeholders with respect to their NTD goals • Integration is not a prescribed formula – it is an attitude • An integrated approach allows districts with multiple diseases

to optimise use of available resources and minimise the need of special/vertical/separate drug distribution activities

• Efficiencies demonstrated through integration • Reduced costs

• Training , Supervision, Reporting • Improves efficiency and effectiveness

• Logistics, M&E (surveys, impact assessments etc) • Increased geographic coverage



Challenges in integration process

• Combining many disease-specific programs may be complicated by organizational structures, financial management systems and technical reporting pathways

• Different standards of performance & operations between programmes

• Territorialism and perceptions of hostile take-over • Transparency in information sharing, esp. budget • Respecting timelines of the various NTD programme activities • Over-load of HWs with excessive tasks in impossible time-

frames • Limited human resources and technical capacity will dictate the

pace in the early rounds to national scale-up



Benefits of integration (1)

1. Cost-effectiveness by pooling limited resources 2. Sharing of training sessions and facilities 3. Pooling of advocacy tools 4. Pooling of social mobilization: TV/radio announcements 5. Utilization of common registers and standard M&E tools 6. Sharing of operational costs and facilities: equipment 7. Sharing of logistics: vehicles, transportation expenses, fuel 8. ↑ impact on poverty ↓and disease burden as interventions are

delivered as a package with synergistic effect and improved outcomes

9. Improved compliance in endemic communities as they will be less frequently called upon to participate / cooperate



Benefits of Integration (2)

10. Broader knowledge of multiple disease control for health workers (HWs)

11. Increased ownership of the integrated NTDP 12. Better cooperation between sectors, ministries (health, education,

local government) and local donors 13. Optimization of the use of expertise: social scientists,

epidemiologists, entomologists, parasitologists as each will serve >1 programme

14. Improved supervision of community drug distributors (CDDs) and school teachers with fewer resources

15. Strong and consolidated partnership and consensus for control/ elimination of NTDs



Communication

• Tailored communication strategies for different target groups during the different phases of the district NTDP

• What communities need to know before MDA round 1 will gradually change by MDA Round 5

• Rapid, effective, credible response to AE, SAE and rumours of during MDA

• Clear guidelines, training for CDDs/HWs regarding AE and SAE identification and their management

• Effective channels of reporting and follow-up by the district NTD Programme of AEs and SAEs



Teamwork and Team coordination

• Team members conduct activities directed towards a common goal • Work closely together or from different locations • Communicate well, are informed and aware of other team

members activities • Clear roles and responsibilities of all parties • Negotiated working arrangements with all stakeholders Strategies

• Delegate: assign specific tasks • Motivate: energise and direct behaviour of the team(s) • Different people/groups are motivated by different things,

some may need per diems, others status their community or wider public ‘recognition’ of their contribution(s)

• Accountability is maintained by the team leader: NTD Coordinator



Sustainability and exit strategy

• Importance of district ownership and leadership

• District NTD unit - to plan early for post-LF elimination control strategies

• Keep donors/communities/HWs motivated

• Keep stakeholders at district level involved

• Ensure government policy makers continue support

• Ensure government budget line for NTD programme at district level

• Plan the exit strategy in phased manner



Leadership, managing and coordination

Dr. Jon Warner in Topic Cartoons

Coordination

http://blog.readytomanage.com/author/jon-warner/

http://blog.readytomanage.com/category/topic-cartoons/



Session 2.3: Key messages

• District authorities must assert leadership and ownership for long-term success and sustainability

• Integration carries out multiple activities with efficient, cost-effective use of available resources

• Challenges of combining/coordinating multiple NTD programmes can be overcome through good leadership

• Clarify the national and district's NTD programme priorities • Develop consensus among stakeholders with respect to the

NTD programme goals at district level • Identify the roles and responsibilities of implementing partners • Phase integration and scale-up according to capacities • NTD programmes need to plan early for PC exit strategies



Group work

• Group 1: Work on PC-NTDs to be integrated and methods followed

• Group 2: Work on challenges/problems in integrating PC-NTDs

session 2.3: best practices in managing integrated ntd programme · session 2.3: key messages...

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