1. Phila Mntwana Centres UGU District
02/09/2013

2. Progress in reducing NNMR & U5MR

3. Progress in reducing NNMR & U5MR

4. Progress in reducing NNMR & U5MR

5. Progress in reducing NNMR & U5MR

6. Progress in reducing NNMR & U5MR

7. Progress in reducing NNMR & U5MR

8. Progress in reducing NNMR & U5MR

9. Progress in reducing NNMR & U5MR
This indicator is not well interpreted by PHC. 43 facilities reported 0 between 1-3 times. Umzinto Mobile1,PSH mobile1, Mthimude clinic, Bhobhoyi & Thonjeni clinics did not report on this indicator( 0 for the whole quarter). Dlangeswa, Khayelihle,Ludimala,Madlala,Mfume,Mgangeni,Nhlalwane, PSH Mobile 2,4,5,6,7,8,9, Pennington,Santombe,Scottburgh, Shelly Beach, Thembalisizwe, Umtwentweni,Umzinto & Umzinto Mobile 2& 4 Clinics did not report on this indicator for two months. Which leaves 16 other clinics that did not report on this indicator for one month. This indicator now reads: Infant exclusively breastfed at HepB 3rd dose rate.

11. In KZN ... 1 in 20 children die before their 5th birthday Of these…
38% die outside the health service
55% die in association with HIV
33% have underlying severe malnutrition

12. Age distribution of under 5 deaths

15. Aim of Phila Mntwana Centres
To Reduce morbidity and mortality from preventable conditions: TB, HIV, Pneumonia, diarrhoea and malnutrition

16. Objectives
To provide comprehensive prevention and health promotion package for children at community level.
To provide the community leadership and warroom members with a simple diagnosis of the status of the children in the community, so that corrective measures may be taken when necessary.
To monitor the Nutritional and Health Status of all Children under 5 years at community level on a monthly basis.
To ensure early identification of children with malnutrition, diarrhoea, TB and other health conditions as early as possible and to refer for health care.
To identify children who require referral for government
To improve access to preventative health services: Growth Monitoring; Oral rehydration, Breastfeeding and Immunization.

17. Location
The location of the “PHILA MNTWANA CENTRE” will be dependent on the decision by the local leadership as part of the OSS operations in the ward. The location will include but not limited to the following structures:
War rooms
Early Childhood Development Centers (ECDs)
Elderly Luncheon Clubs
Any other point in the ward depending on the catchment population under 5 years and the accessibility based on geographical size of the ward
N.B. Each “PHILA MNTWANA CENTRE” should be linked to a local PHC facility or mobile team

19. Operation Sukuma Sakhe Programme - Local Task Team Chairpersons
Municipality
Name & Surname
Tel.No
Cell No.
Address
Ezinqoleni
Jonathan Mnguni( Acting Chairperson)
039 –
083 
HCM
Thandiwe Sonjica
Umzumbe
Thobile Khuzwayo
033 –
Umdoni
Vusumuzi Dube
Vulamehlo
Joy Ngwane
Umuziwabantu
Nomawethu Tshalata
Acting District Task Team Chaiperson : Thobile Khuzwayo – / 033 
Provincial Convener : Matho Gwala –

20. Location of Proposed Sites in UGU District

21. Location of Proposed Sites in UGU District

22. LIST OF PROPOSED SITES IN UGU DISTRICT UMZUMBE NORTH
NO. OF CCGS
AREA
CENTRE
WARD
CHF 2
HLOKOZI
ZUKE STORE 7
MR YENI
NYAVINI
MPCC 8
MATHAFENI
HEALTH CENTRE 9 1
QOLOQOLO 11
MABHELENI 12
SKILLS CENTRE 15
NYANWINI
LITAH’S CRECHE 10
MSWILILI 13
H.B LUTHULI
KWAHLONGWA
TRADITIONAL AUTHORITY 14
H.B. LUTHULI
CABHANE 16
KWAMAHLAFUNA 17
SHLONYANENI 18
TURTON
MQADI CRECHE 19

23. Location of Proposed Sites in UGU District
Vulamehlo
Name
Surname
Area
Centre
Tel
Ward
IMPLEMENTATION DATE
Nompumelelo
Mnyadi
Mdumezulu
Mdumezulu S Centre 1
Mathombi
Zungu
Qumbu
Qumbu Health Post
Joice
Gcaba
Fakazi
Fakazi Health post 2
Zinhle
Hlengwa
Imfume
Malibukeni 3
Busisiwe
Msomi
Tenjani
Isulethu 4
Dumile
Mbhele
Mkhunya
Mqiniseni Hall 5
Marshall
Kwalembe
Lembe Health Post
Nelisiwe
Shozi
Dududu 6
Bathobile
Hlongwane
Dumisa
Myfield 7
Nozipho
Sibisi
Mgangeni 8
Sanelisiwe
Zama
Dumisa hall 9
Skhulile
Gumede
Mistakefarm
Mistakefarm Hall 10

24. Location of Proposed Sites in UGU District
UMDONI MUNICIPALITY PHILA MNTWANA CENTRES
CCG NAME /SURNAME
CELL
AREA
CENTRE
WARD
IMPLEMENTATION DATE
SINDISIWE ROSEMARY MNYANDU
AMAHLONGWA
ECD 1
THULISILE PURITY MBUTHO
OKHALWENI 2
LUTCHMIDEVI RAMPERSAD
GHANDINAGAR 3
THEMBEKA NANCY BHENGU
AMANDAWE
AMANDAWE COMM HALL 4
HLENGIWE NONKULULEKO CELE
AMANDAWE/MAGCINO 5
SIBONGILE HAPPINESS DLADLA
UMZINTO / SANATHAN
UMZINTO CLINIC 6
DUDUZILE CAROLINE JIJI
KWAMAGWAZA 7
THOKOZILE ANNACLETA
MHLANGAMKHULU 8
NONZWAKAZI MFANEKISO
MALANGENI
MPCC 9
NOMBUSO ANGELINE MTHEMBU
SHAYAMOYA LOC
SHAYAMOYA COMM HALL 10

25. Location of Proposed Sites in UGU District

26. Location of Proposed Sites in UGU District
UMUZIWABANTU SUB-DISTRICT
WARD
SITE
CLINIC LINKED
NUMBER OF CCGS’
CHF
RESOURCES NEEDED
START DATE 1
Esigodini
Santombe 3
N. Shinga
2 CCGs
1 October 2013 2
Ndlovini
Mobile 1/ Mbotho Clinic
Sabelweni
Mobile 1/ Meadow Sweet
Structure
Winterton
Gateway
S. Gasa 4
Nobantu - NIPsite
Mobile 3/ Pisgah 10
None 5
Ubuntu-abande NIP
Mobile 3/ Elim 11 6
Nhlanza creche
Mobile 2/ Pisgah
Mshisweni 7
Sowing centre
Mobile 2/ KwaJali Clinic 8
War room
Mbonwa Clinic
1 September 2013 9
Tribal Court
Mobile2/ KwaJali Clinic
Xhamini Clinic

27. Services Operational Hours: 07.00-16.00 Monday - Friday Immunization
EPI Screening and referral for catch-up /referral for other Health Services for children under 5 years.
 Wellness
Vitamin A supplementation to children 12 – 59 months administered 6 monthly/referral for deworming
HIV counseling and referral
TB screening and/or referral.

28. Services Growth Monitoring
Monthly MUAC measurements to detect acute malnutrition in children 6-59 months (Moderate = MAM and Severe = SAM)
Growth interpretation and Promotion using the weight for age chart of the RTHB.
 Oral rehydration
Assessment of Diarrhoea and Education on preparation and administration of Sugar-Salt- Solution (S-S-S) /Oral Rehydration Solution (ORS).
Breastfeeding
Infant & Young Child Feeding Assessment and Counseling

30. Implementation Process
1) Staffing
The CCGs will be responsible for staffing the “PHILA MNTWANA CENTRES”
The CCGs will rotate daily to ensure that at all times serves are provided. The CCG Facilitator will be responsible for staff rotation rooster
 Hours of operation: – from Monday to Friday
2) Supervision and Support
The CCG supervisors and CHF’s will supervise and monitor the activities conducted by the CCGs in the GMP Sites.
In the municipal wards with Family Health Teams (FHTs), the team will support the CCGs with all the activities in the “PHILA MNTWANA CENTRES”
At district level: The MCWH coordinator will be responsible for compiling reports on the status of the all the sites in the district.
The District Managers remains overall responsible.
Other key team members include: the District Nutrition coordinator, the PHC,Paeds nurse & Family Physician - district clinical specialists, CCG coordinator and DDM monitoring. The DDM Programmes is the team leader.

31. Implementation Process
3) Site Preparation
Site assessments for preparedness
Site assessment visits should be conducted to assess feasibility prior to implementation, using warroom assessment tool. Assessment tool (Appendix 2: Quality Improvement on War Rooms: audit tool and OTP tool to be aligned)
4) Leadership and Community Mobilization
•Intensive community education and mobilization is key to the success of the sites. The must be sensitized in terms of the nature of the services to be provided, the importance of monthly monitoring of the growth of the child and importance of keeping the children healthy at all times.
•The community leadership, in particular the Local Ward Councilor
5) Referral Systems
•Assess referral systems that are in place within the wards so that these systems are enhanced to
ensure children with nutritional and health problems are detected and referred early.
•Existing CCG referral forms should be used for referral purposes from community to PHC facility.

32. Implementation Process( cont)
6)Skills Strengthening
•An orientation program or refresher training on MNCWH & N Framework should be conducted for CCG’s, Support staff (FHTs), CCG supervisors, CHFs and War Room Health Representatives in all wards.
•Further training should include OSS package.
7)Community Advocacy
•The Community Outreach component should engage Ward Councilors, Izindunas, and Amakhosis through the Community Health Facilitators (CHFs).
•The Primary Health Care Coordinators (PHCCs) should mobilize the Clinic Advisory committee and war room health representatives.
•The District OSS Co-ordinator should ensure engagement of the Local Task Team (LTT) and Local Aids council (LAC).

34. Data Management 8)Data Management and M & E
•Data should be captured daily onto the tally sheets, validated weekly and collated onto a monthly summary form.
•Data will flow from the CCGs in each child wellness site to the central war room, where it will be collated, analyzed, interpreted, graphically represented and posted on the strategic points in the war room.
•The monthly collated summary sheet should be forwarded to the CHF for verification and submission to the PHC Operational Manager.
•The PHC coordinator will further verify the data for onward submission to the DIO.
•Data will be feedback to the community leaders (local counselor and traditional leadership) via the war rooms.

35. Equipment & Furniture

36. Training of CCGs done at Masinenge & Mkholombe
Masinenge team: locating the mid-point and performing the measurements

37. Training of CCGs done at Masinenge & Mkholombe
Masinenge Team interpreting Growth Faltering on RTHB

38. Training of CCGs done at Masinenge & Mkholombe
Masinenge Team interpreting growth and identification of cases for nutrition referrals

39. Training of CCGs done at Masinenge & Mkholombe
Mkholombe team plotting and interpretation of growth

40. Training of CCGs done at Masinenge & Mkholombe
The Mkholombe team using the RTHB

41. Thank You