2. STAYING ALIVE! MAKING MATERNAL HEALTH WORK KENYA MONITORING AND EVALUATION TRAINING Tools and AkvoFlow BY ALEXIA WADIME 30 TH OCTOBER 2013

3. PRESENTATION OUTLINE  Project background  Project intervention areas and expected outcomes  Project strategies  Achievements  Challenges

4. BACKGROUND  Project Sites: West Pokot  Budget: Euros 1,530,000  Funding agency: Dutch Government  Project duration: Three (3) years – Jan 2013 to Dec 2015 GOAL  To contribute to the achievement of the MDG 5a, to reduce by 75% the maternal mortality, and significantly reduce the maternal morbidity of 116,000 WRA in West Pokot County

5. EXPECTED OUTCOMES (1) #Project intervention Area Expected outcomes 1Family Planning  At least 20% of the women accept a family planning method post-delivery  At least 60% of the women aged 15-20 yrs of age have access to FP methods of their choice 2Safe delivery  At least 50% of the deliveries are attended to by skilled attendants  At least 70% of the pregnant women have essential care & drugs timely administered to prevent haemorrhage, eclampsia & infections during their delivery 3Abortion & PAC care At least 20% of the women who had a reported abortion receive adequate post-abortion care 18 November 2015 5

6. OUTCOMES (2) #Project intervention Area Expected outcomes 4Antenatal care  100% coverage of 1 ANC visit  At least 60% coverage of 4 ANC visits  At least 50% of the pregnant women with obstetric complications are referred to health facilities for care 5Fistula prevention & treatment  At least 50% reduction in fistula incidence  At least 80% of identified women with fistula are treated & rehabilitated 6PMTCT  At least 80% of the HIV-positive pregnant women receive treatment to prevent mother- to-child transmission 18 November 2015 6

7. PROJCT STRATEGIES (1) 1.INCREASING KNOWLEDGE & CREATING DEMAND FOR MATERNAL HEALTH SERVICES - Training CHWs on maternal health CHS technical module - Introducing performance-based incentives for CHWs - Working with the community leaders including religious & council of elders 2.ENHANCING THE CAPACITIES OF HEALTH FACILITIES - Train health workers on maternal health – FANC, PAC, BEmOC -Minor renovations for health facilities in project sites -Supply of basic equipments for maternal health services -Supply of basic drugs & other supplies -Conducting fistula repairs using AMREF surgeons, and onsite training of County based doctors & nurses -Setting up youth friendly centres

8. PROJECT STRATEGIES (2) 3. QUALITY ASSURANCE -Conducting supportive supervision – CHMT and Sub –CHMTs -Initiating partnership defined quality (PDQ) at health facilities in project sites -Enhancing mentorship 4. DOCUMENTATION AND DISSEMINATIONS OF BEST PRACTICES FOR REPLICATION - Conducting Operations Researches (OR) - Publications in peer review journals - Presentations in local and international conferences - Case-studies & CBHMIS 5. ADVOCACY - Influencing policies - Increased budget for maternal health services in the County 18 November 2015 8

9. ACHIEVEMENTS  Start-up team  Project work plan revised & approved by donor  Recruitment of staff - 4 staff on board, recruitment for an M&E officer in progress  Regional planning meeting – Baseline survey, OR  Office space identified – Teachers’ Plaza, 2 nd floor  County health team sensitized on the project  Project sites identified – Pokot North, Pokot South and Pokot West, but fistulae management to the entire county  Baseline survey undertaken  Year 2 work plan developed and submitted to donor 18 November 2015 9

10. CHALLENGES  Delayed signing of the agreements thus leading to delays on the commencement of the activities 18 November 2015 10

11. ACKOWLEDGEMENTS  Dutch Government for funding  AMREF Netherlands  West Pokot Health Management Team 18 November 2015 11

12. END THANKS & BE BLESSED