State/CountyBriefingHealthPooledFund2– Lot4

Kapoeta EastandNorthCountiesNovember2016– February2018

PurposeofBriefing

• ProvideanoverviewofARC’sroleintheimplementationandprovisionofHPF2intheKapoeta EastandNorthCounties.

• Providestate/countyleadershipwithtransparencyandaccountabilityforHPF2.

• IdentifylessonslearnedandansweranyoutstandingissuesfromHPF1.

Background

• ARChasoperatedinSouthSudansince1994.• SinceJuly2013:– ARCandCHDshaverehabilitatedfivePHCUsandonePHCCwithkeyinfrastructuralimprovements.

– ARCandCHDshaveendeavoredtoensureprimaryhealthcareservicesareaccessibleandmeetBasicPackageofHealthcareServicestandards.

– 11,858womenhavebenefitedfromenhancedantenatal,postnatalandmaternitycareandfamilyplanningservices.

– 45,246childrenunder5wereattendedtointhethreecounties.

ObjectivesofHPF2

• Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• Increaseaccesstonutritionservicesparticularlyforpregnantwomenandyoungchildren.

SafeMotherhoodandReproductiveHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• FocusedAntenatalCare

Source:MartinSpriggs

SafeMotherhoodandReproductiveHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• CareofUncomplicatedDelivery

Source:MartinSpriggs

SafeMotherhoodandReproductiveHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• EmergencyObstetricandNeonatalCare

Source:MartinSpriggs

SafeMotherhoodandReproductiveHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• FocusedPostnatalCare

Source:MartinSpriggs

SafeMotherhoodandReproductiveHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• SexualandReproductiveHealthandFamilyPlanning/BirthSpacing

Source:MartinSpriggs

ChildHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• Immunization/ExpandedProgramofImmunizationServices

Source:MartinSpriggs

ChildHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• IntegratedManagementofNewbornandChildhoodIllness

Source:MartinSpriggs

ChildHealth

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• SchoolHealth

Source:MartinSpriggs

Preventionandcontrolofcommunicableandotherendemicdiseases

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• Malaria

Source:MartinSpriggs

Preventionandcontrolofcommunicableandotherendemicdiseases

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• Diarrheal,EntericInfectionsandInfestations

Source:MartinSpriggs

Preventionandcontrolofcommunicableandotherendemicdiseases

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• AcuteRespiratoryInfection

Source:MartinSpriggs

Preventionandcontrolofcommunicableandotherendemicdiseases

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• Tuberculosis

Source:MartinSpriggs

Preventionandcontrolofcommunicableandotherendemicdiseases

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• SexuallyTransmittedInfectionsandHIV/AIDS

Source:MartinSpriggs

Preventionandcontrolofcommunicableandotherendemicdiseases

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• NeglectedTropicalDiseases

Source:Carter Center:Albertson

Non-communicable,highprioritydiseasesandconditions

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• DiabetesandHypertension

Source:MartinSpriggs

Non-communicable,highprioritydiseasesandconditions

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• PrimaryEyeCare

Source:MartinSpriggs

Non-communicable,highprioritydiseasesandconditions

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• Otherconditions(MentalHealth,roadtrafficaccidents,violencerelatedtrauma,substanceabuse,andcancers) Source:MartinSpriggs

Non-communicable,highprioritydiseasesandconditions

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• EmergencyPreparednessandResponse

Source:MartinSpriggs

Non-communicable,highprioritydiseasesandconditions

Objective1:Increaseaccess,useandqualityofhealthservicesacrossalllevels,particularlyforwomen,childrenandvulnerablegroups.

• CommunityParticipation,UtilizationandDemandCreation

Source:MartinSpriggs

Objective2:StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• HumanResources

Source:MartinSpriggs

Objective2:StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• HealthManagementInformationSystem

Source:MartinSpriggs

Objective2:StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• PharmaceuticalandMedicalSupplies

Source:MartinSpriggs

Objective2:StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• HealthFinancing

Source:MartinSpriggs

Objective2:StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• Governance,LeadershipandManagement(CountyLevel)

Source:DanielAtem

Objective2:StrengthenthehealthsystemunderthestewardshipoftheCountyHealthDepartments.

• Governance,LeadershipandManagement(CommunityLevel)

Source:MartinSpriggs

Objective3:Increaseaccesstonutritionservicesparticularlyforpregnantwomenandyoungchildren

• EssentialNutritionAction

Source:MartinSpriggs

ChallengesfromHPF1

• AccountabilityofCountyHealthDepartment.• Gapinhumanresourcesforhealthfacilities.• Gapinservicedelivery(nomads/distance).• GapinHMISreporting.• Shortagesinpharmaceuticalsandsupplies.• Gapsintransferpayments.• Challengesinleadershipandgovernance.

MovingForwardwithHPF2

• ImplementationofWHO’sIMCI.• ClosingthegapsencounteredinHPF1.• Additionofessentialnutritionaction.• Strengtheningthereferralsystem.• RenovationofNapotpot PHCU.• FurnishingmaternitywardsinNanyagachor,Mogos andNarus CDOT.

• Implementingemergencyresponseplans.

State/CountyBriefingHealthPooledFund2– Lot4

Kapoeta EastandNorthCountiesNovember2016– February2018