1. LDP RESULTS WORKSHOP 19TH JUNE, 2012 STRATHMORE UNIVERSITY-NAIROBI MAWENI CDF DISPENSARY

2.  Click to edit Master text styles ◦ Second level ◦ Third level  Fourth level  Fifth level MAWENI CDF DISPENSARY

3.  Level 2 facility under Ministry of Public Health and Sanitation  Located in Mombasa County, Coast Province.  catchment population -10,000  Number of staff- 10 BACKGROUND INFORMATION

4. Left to right: Fatuma Dume, Elizabeth Nkaduda, Guantai Kariuki, Grace Mwinga, Evans Kitsao

5. To provide effective leadership and participate in the provision of public health and sanitation services that are equitable, responsive, accessible and accountable to Kenyans. MOPHS MISSION

6.  A Nation free from preventable diseases and ill health Facility Vision  A community free from deliveries by unskilled birth attendants MOPHS VISION

7. Number of deliveries by skilled birth attendants increased from a total of 3 between June and October 2011 to 30 from November to March 2012. DESIRABLE MEASURABLE RESULT

8. AOP targets for reproductive health performance were not met ◦ Population of women of reproductive age in catchment area 1500 deliveries in facility for 7 months prior to LDP—only 3 ◦ Low utilization of delivery services Justification and pre-LDP situation

9. ObstaclesRoot Causes Lack of staff awareness on measurable result Inaccessibility of facility at night to both staff and clients Not all staffs trained on LDP Insecurity Due to land disputes Delivery by TBAs Cultural practices Inadequate equipment and lack of running water Lack of funds Obstacles and Root Causes

10.  How will we increase the number of deliveries by skilled birth attendants from 3 to 30 in six months in light of insecurity, cultural practices and management gaps Challenge Statement

11.  Community  Facility staffs & DMOH  CDF Kisauni  Provincial Administration  National Bank  Maweni Secondary School  APHIAplus  TUPANGE KENYA STAKEHOLDER S

12. ◦ Sensitize facility staff on measurable result Priority Actions

13.  Insecurity ◦ Approach provincial administration ◦ Hold security meeting ◦ Increase the number of security patrols Priority Actions (cont’d) District Commissioner and Chief at security meeting

14.  Cultural practices ◦ Sensitization meetings with TBAs ◦ Meeting with CHWs ◦ Chiefs baraza Priority Actions (cont.) CHWs meeting

15. Lack of funds ◦ Approached National Bank of Kenya for purchase of delivery couch and additional furniture

16. Lack of running water ◦ Wrote a proposal to the Ministry of Water and Irrigation for water storage tank ◦ Wrote a letter to neighboring school to access water from their bore hole ◦ Wrote a proposal to CDF for connection of water from school to dispensary Lack of funds(cont.)

17. Water Challenge  Click to edit Master text styles ◦ Second level ◦ Third level  Fourth level  Fifth level BEFORE AFTER

18.  Increased deliveries by skilled birth attendants RESULTS/ACHIEVEMENTS Period Number of deliveries Apr-Oct 2011 3 Apr 2011-Mar 2012 26

19. Skilled Delivery  Click to edit Master text styles ◦ Second level ◦ Third level  Fourth level  Fifth level

20.  Supply of delivery equipment  Six Nurses updated on Management of 3rd Stage of Labour  Supply of KEMSA kit Additional Results

21. WAY FORWARD. COMPARISON BETWEEN DELIVERIES AND BCG.

22.  Increased number of deliveries by skilled birth attendants from a total of 26 by March 2012 to 60 by October 2012 NEXT MEASURABLE RESULT

23.  Commitment and teamwork is crucial to succeed.  Clear statement of measurable result to stakeholders. KEY LESSONS LEARNT.

24.  USAID/MS H/LMS  MOPHS  National Bank of Kenya  The LDP Facilitator s  Kisauni CDF Office  APHIAplus  Provincial Administr ation  The entire Maweni communit y  Maweni dispensary staff ACKNOWLEGDEMENT

25. THANK YOU ! THE END.