Copy of Wkly Surveillance Summary

8/11/2019 Copy of Wkly Surveillance Summary

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DISTRICT MONTHLY PROGRESS UPDATE

District:______________ Month ___________________ Numbe

If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.

Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___

Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify

1

Were there any vitamin A stockouts reported last month in the district

(from health facilities, a community outreach activity or campaigns)?

2

Has the amount of vitamin Aneeded for the next quarter been calculated

and budgeted at this time?

3

Were there anyiron/folate stockouts reported last month in the district?

4

Has the amount of vitamin A, iron/folate needed for the next quarter been

calculated and budgeted at this time?

5

Have the district essential drugs been ordered this month by the monthly

deadline (using the pull system)?

6

Have health facilities received their essential drugs kit from KEMSA for this

quarter? If yes, Specify date_________________

7Did the KEMSA essential drugs kit come late this quarter?

8

Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?

Specify, what was missing (nutrition related items like vitamins, deworming

meds, antibiotics) in observations column.

9

Were there any sensitization campaigns on micronutrients conducted this

past month?

10

# of sensitization campaigns conducted this past month regarding

micronutrients.

11

Were there any surveys conducted this month with questions related to

micronutrients (use of iodized salt or other)?

Infant and Young Child Feeding and Baby Friendly Hospital Initiative

12

# of PMTCT, ANC/MCH staff ward staff who received and completed

IYCF and HIV on the job training (infant feeding counseling options in the

context of HIV, energy needs, ARV and food intake.

13

#of Pediatric ward staff who received and completed IYCF on the job

training this month (IYCF counseling, position, latching and optimal

breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during

illness).

14

# of maternity, nursery and labor and delivery staff who received and

completed IYCF on the job training this month (IYCF counseling,

positioning, latching and optimal breastfeeding, counseling options in the

context of HIV, AFASS, energy needs, ARV and food etc).

15% of Maternity trained staff who correctly and consistentlycounselsEACH mother on IYCF.

16

% of PMTCT labor and delivery trained staff who correctly and

consistentlycounsels EACH mother on IYCF options in the context of HIV,

AFASS.

17

Did the District Health Management Team receive an orientation or

sensitization session to BFHI this past month or in the recent past? Specify

date___________

PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS

Micronutrient Supplementation

Recomm


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Current progress of ACTIVITIES

YES/NO/not Applicable, #, % (specify

18

How many DHMT members were present at this BFHI

presentation/orientation? (for DHMTs who have never been sensitized in

BFHI)

19

Has the national breastfeeding policy been translated into local language

this past month?

20

Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,

nursery and ANC this past month?

21

# (and %) of staff who received on the job training this past month to

implement the BFHI policy?

22Are newborns placed on the breast within to 1 hour after delivery?

23

How long are mothers and babies separated after a C-section delivery?

Specify duration in hours___

24

Does the hospital support mothers to breastfeed in the first six hours

following delivery? Specify activities in the observations column.

25

Did the District Hospital have, promote, use or offer infant formula this

month to its patients? If yes, specify in which context is the formula

used (where/which ward) and who are the target beneficiaries). Also,find out who provides the infant formula and who funds it. Write

these in the observations column.

26

Did the District hospital use pre-lacteal feeds for premature babies, babies

born through C-section, or other this month? Specify make or brand of the

feed, who provides the feed and who funds it. Specify in the

observations column.

27

Are there any Breastmilk Code violations observed this month in the

Maternity, ANC, MCH?

28

Did the District/Provincial ANCstaff sensitize mothers consistently and

correctlyagainst the use of bottles, teats and other nipples this month?

29

Did the District/Provincial Maternitystaff sensitize mothers consistently

and correctlyagainst the use of teats, bottles and other nipples thismonth?

30

Did the district/Provincial PMTCT staff sensitize mothers consistently and

correctlyagainst the use of teats, bottles and other nipples this month?

31

# of mother support groups with the majority of mothers


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37

Have the District nutrition supply needs for next quarter been ordered by the

UNICEF deadline? Specify date when the order was sent to

UNICEF__________and when it was received by UNICEF

_______________

38

Were there any nutrition related products which will expire within the next

month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,

provide technical assistance on better forecasting etc.)

39

Percentage of severely malnourished children under 5 years screened and

referred for management of acute malnutrition (target 50%)

40

Percentage of moderately malnourished children under 5 years who are

screened and referred for management of acute malnutrition (target 50%)

41

# (and %) of severely and moderately malnourished children under 5 who

accessed treatment and recovered from acute malnutrition.

42(# and %) Default rate for severely acute malnourished this month.

43 (# and %) Default rate for moderately acute malnourished this month.

44 (# and %) Death rate for severely malnourished this month.

45(# and %) Death rate for moderately malnourished this month.

46 # (and % ) non-recovered during management of acute malnutrition

47 # (and %) of children under 5 who were weighed this month.

48 # (and %) of children under 5 who are underweight this month.

49 # (and %) of children under 5 who are normal weight this month.

Monitoring and Evaluation

50

% of District and Provincial MCH, pediatric and maternity staff who received

and completed the Essential Nutrition Services On the Job Training.

51 # and (%) of children


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59

Has the district monthly SFP stock movement report been sent by the

deadline? Specify the date when the report was sent_______________

60

Has the district monthly SFP beneficiary report been sent to WFP by the

deadline?

61 Specify date when report was sent to WFP__________

62

# (and %) of health facilities who have copies of the National Guidelines for

the Management of Acute Malnutrition (one for each health worker and

department).[1]

63

% of trained staff adhering consistently and correctly to protocols for

inpatient management of acute malnutrition.

64

% of trained staff adhering consistently and correctlyto protocols for

outpatient management of acute malnutrition.

65

% of trained staff adhering consistently and correctlyto micronutrient

protocols.

66 % of trained staff adhering consistently and correctlyto IYCF policy.

67

% of trained staff adhering consistently and correctlyto Baby Friendly

Hospital Initiative protocols.

68% who received and completed the Essential Nutrition Services On the JobTraining.

Coordination

69 # of coordination meetings held this past month.

70% of district partners who attended the meeting.

71 Update of the 3Ws among partners (whos doing what where).

72

# (and %) of partners utilizing the standard MOH guideline forms for

Essential Nutrition Services (ie., for management of acute malnutrition,

micronutrient).

73

# (and %) of partners adhering to the information and reporting flow from the

health facilities to the District.

Reporting

74

# of sensitization efforts this past month to health facilities with difficulties for

timely reporting (phone calls/text messages, meetings, personal contact,other) to increase timely reporting rates.

75

Was a solution negotiated this month for transporting reports from the hard

to reach areas this month? (e.g., use of the HMIS data collection system,

use of radio, creation of a monthly plan/schedule and identification of

truckers, health personnel, ambulance, partner, patient, friend, taxi driver,

relative, other who will be traveling and have accepted to drop the report to

the district hospital? If yes, explain in the observations column what was

negotiated and for which health facility.

76

Were funds in the health facility cost-sharing kitties utilized to ensure timely

reporting this month?

77

# of reports received this month from health facilities which normally do not

submit any reports?

78

Which health centers sent their reports late (i.e, beyond the 5 thof themonth)? List all relevant health facilities in the observations column.

PROCESS INDICATORS CHALLENGES AND

OBSERVATIONS

Recom


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79

Which health centers did not send reports at all this month (i.e., no reports

received by the 12th

of the month)? List all relevant health facilities in the


80

% of qualitymonthlyreports received from the health facilities (and

partners) on or beforethe Districts reporting deadline of the5

th

of everymonth.

81

% of qualitymonthlyreports sent to the Province, the Division of Nutrition,

UNICEF and WFP from the district on or beforethe reporting deadline of

the 15th every. Date Sent_________

Budgeting

82

# of attempts to negotiate nutrition program funding through MTEF this

month

83% of nutrition program needs funded through MTEF

84 # of proposals written this month

85

#of proposals which received funding from partners or other government

mechanisms.

[1] Reminder that the Guidelines belong to and must remain at the health facilities.


OBSERVATIONS

Recom


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FACILITY MONITORING SHEET

List of Health facilities

WK 1 WK 2 WK 3 WK4 WK 1 WK 2 WK3 WK4 WK 1 WK2 WK3 WK4

LOWER YATTA DISTRICT

1 NTHONGONI

2 ILIKA

3 KWA VONZA

4 YATTA H/C

5 KANYANGI MISSION

KITUI WEST DISTRICT

6 KAUWI S D HOSP

7 KWA MUTONGA

8 KATUTU

9 KAUMA

10 MUTHALE MISSION

11 IIANI MISSION

MUTOMO DISTRICT12 Ikanga S D Hospital

13 Kyatune Disp

14 Ndatani Disp

15 Mutha Disp

16 Ikutha H/C

17 Kanziku Disp

18 Katyethoka Disp

19 Kasaala

20 Kyoani

21 Ilengi

22 Katilini

KITUI CENTRAL DISTRICT

23 KITUI DIST HOSP

24 KATULANI S D HOSP25 MBITINI H/C

26 MIAMBANI H/C

27 KAVISUNI MISSION

28 KISASI

29 BOMA

MUTITO DISTRICT

30 ENDAU

31 KAUMU

32 KYAMATU

33 MALALANI

34 MWITIKA DISP

35 KASUNGUNI DISP

36 KALIKU

37 AIC ZOMBE38 MUTITO CATHOLIC

39 INYUU DISP

JANUARY FEBRUARY MARCH


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1



2



3


4



5



6




8




9


past month?

10


micronutrients.

11




12




13




illness).

14






16



AFASS.

17



date___________


Recomm



8/44



18



BFHI)

19


this past month?

20



21




23



24



25





26





27



28



29



30



31



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37




_______________

38




39



40



41












50





10/44



59



60


deadline?


62



department).[1]

63



64



65


protocols.


67




Coordination




72



micronutrient).

73



Reporting

74



75








76



77


submit any reports?

78



OBSERVATIONS

Recom


11/44



79





80



th

of everymonth.

81




Budgeting

82


month



85


mechanisms.



OBSERVATIONS

Recom


12/44






1



2



3


4



5



6




8




9


past month?

10


micronutrients.

11




12




13




illness).

14






16



AFASS.

17



date___________


Recomm



13/44



18



BFHI)

19


this past month?

20



21




23



24



25





26





27



28



29



30



31



14/44



37




_______________

38




39



40



41












50





15/44



59



60


deadline?


62



department).[1]

63



64



65


protocols.


67




Coordination




72



micronutrient).

73



Reporting

74



75








76



77


submit any reports?

78



OBSERVATIONS

Recom


16/44



79





80



th

of everymonth.

81




Budgeting

82


month



85


mechanisms.



OBSERVATIONS

Recom


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1



2



3


4



5



6




8




9


past month?

10


micronutrients.

11




12




13




illness).

14






16



AFASS.

17



date___________


Recomm



18/44



18



BFHI)

19


this past month?

20



21




23



24



25





26





27



28



29



30



31



19/44



37




_______________

38




39



40



41












50





20/44



59



60


deadline?


62



department).[1]

63



64



65


protocols.


67




Coordination




72



micronutrient).

73



Reporting

74



75








76



77


submit any reports?

78



OBSERVATIONS

Recom


21/44



79





80



th

of everymonth.

81




Budgeting

82


month



85


mechanisms.



OBSERVATIONS

Recom


22/44






1



2



3


4



5



6




8




9


past month?

10


micronutrients.

11




12




13




illness).

14






16



AFASS.

17



date___________


Recomm



23/44



18



BFHI)

19


this past month?

20



21




23



24



25





26





27



28



29



30



31



24/44



37




_______________

38




39



40



41












50





25/44



59



60


deadline?


62



department).[1]

63



64



65


protocols.


67




Coordination




72



micronutrient).

73



Reporting

74



75








76



77


submit any reports?

78



OBSERVATIONS

Recom


26/44



79





80



th

of everymonth.

81




Budgeting

82


month



85


mechanisms.



OBSERVATIONS

Recom


27/44


District:___KITUI___________ JUNE Numbe




1



100,000 IU out of stock 100,000 IU capsules. Last

delivery had seven tins only

while other deliveries lack the

100,000 IU caps.

Follow u

other dru

2



NO District facilities have been

relying on the parallel supply

Calculat

3

Were there anyiron/folate stockouts reported last month in the district? YES. Iron has been out of stock for along

period of time

KEMSA kit has been

delivered severally without

Iron despite orders from the

facilities.

KEMSA

forward

4



NO

Calculat

5



YES Drugs delivered in smaller

quantities than ordered for

hence shortages before end

of quarter

Follow u

6



NO Drugs are delivered late

hence services are slowed

downRecomm

7Did the KEMSA essential drugs kit come late this quarter? YES

8




NO N o Iron was in the kit

Recomm

of suppli

9


past month?

NO ECD activity was postponed

to July due to unavailability of

funds

Support

campaig

10


micronutrients.

N/A

11



NO Support

campaig


12




N/A

Support

impleme

13




illness).

4 They have started but not

completed yet

Support

impleme

14





6 Training still on going. There

has been a change over of

nurses in the hospital hence

we have to start the session

again

Continue

in the ho


Recomm



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15

% of Maternity trained staff who correctly and consistentlycounsels

EACH mother on IYCF.

N/A Individual counseling not done

for all mothers, only one nurse

is trained on IYCF

Continu

in the h

16



AFASS.

N/A Individual counseling not done

for all mothers, only one nurse

is trained on IYCF

Continu

in the h

17



date___________

NO

Suppor

sensitiz


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18



BFHI)

N/A

19


this past month?

YES Translation has been done

only in the District Hospital

Suppor

Langua

20



YES The sub district hospitals donthave the policy in place. The

same with the dispensaries

and health centres

Requescirculat

21



10 Staff movement with new staff

not trained posted to the

wards hence implementation

of the process lags behind

Continu

in the h

22

Are newborns placed on the breast within to 1 hour after delivery? YES For CS deliveries, initiation

takes a little longer since

general anaesthesia is most

preffered as opposed toepidural

Follow

23


Specify duration in hours___2 - 3 hours

24



YES, through demonstration on

hand expressing , rooming in,

attachment and positioningFollow

help su

25



used (where/which ward) and who are the target beneficiaries). Also,

find out who provides the infant formula and who funds it. Write


NO Infant feeding policy not

routinely communicated to

health workers

Suppor

commu

26



feed, who provides the feed and who funds it. Specify in theobservations column.



health workers Suppor

commu

27



NO Health workers not aware of

the code of marketing

breastmilk substitutesSuppor

commu

28





health workers. Health

education sessions done once

a week hence not adequate to

broadly cover all relevant

topics Suppor

commu

29


and correctlyagainst the use of teats, bottles and other nipples this

month?

YES Infant feeding policy not

routinely communicated tohealth workers. Health




to ics

Suppor

commu


OBSERVATIONS

Recom


30/44

30





health workers. Health




to ics

Suppor

commu

31



31/44



37


UNICEF deadline? Specify date when the order was sent to UNICEF_11

june 2010_________and when it was received by UNICEF _11 june 2010

YES

38




YES. Multiple micronutrients and

sprinkles in the district storesare expiring this month Suppor

higher c

use in t

39



Reports for the month not yet in

40



41












50



NONE



32/44



59



NO Reports from the facilities are

not yet in. Reporting deadline

for SFP is on 10th of every

month

Timely

reportin

enhanc

60


deadline?


62



department).[1]

11 One copy in each facility.

Reques

and circ

63



NONE Some of the trained staff

transferred to other wards,

temperature not routinely

taken, recording of feeds and

amounts given not done,

standard clinical signs not

monitored every daySuppor

protoco

64

% of trained staff adhering consistently and correctlyto protocols foroutpatient management of acute malnutrition.

NONE Standard clinical tests are notdone on every visits,

recording of findings and

treatment given not done, Suppor

protoco

65


protocols.

NONE Vit A given alongside

immunizations is recorded

while any other for whichever

purpose more often than not

is not recorded Suppor

protoco

66

% of trained staff adhering consistently and correctlyto IYCF policy. NONESuppor

of the p

67



NONE Staff movement is a

challenge,Suppor

Implem

68

% who received and completed the Essential Nutrition Services On the JobTraining.

NONE Suppor

action p

Coordination

69

# of coordination meetings held this past month. NONE Partners are not sensitized on

the need for district

coordination meetings,

meetings not held on a regular

basis Suppor

sensitiz

70% of district partners who attended the meeting. N/A

71 Update of the 3Ws among partners (whos doing what where). YES

72



micronutrient).

2 ACF, CDK

Suppor

guidelin

73# (and %) of partners adhering to the information and reporting flow from thehealth facilities to the District.

2 ACF, CDK Supporguidelin

Reporting

74


timely reporting (phone calls/text messages, meetings, personal contact,

other) to increase timely reporting rates.

6 - personal contact during

monitoring visitsSuppor

timely r

NO


OBSERVATIONS

Recom


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75








NONE Most facilities sited workload,

transport and being not

conversant with all reporting

tools as being hindrances to

timely reporting

Suppor

timely r

76



YES Most facilities use to cater for

transport costs

77


submit any reports?

N/A

78

Which health centers sent their reports late (i.e, beyond the 5thof the

month)? List all relevant health facilities in the observations column.

N/A


34/44



79


received by the 12thof the month)? List all relevant health facilities in the


N/A Received so far, ilika disp,

kyamatu disp, mutitu disp,

kaumu, mwitika, mbitini H/C,

kaliku disp, kisasi

disp,muthale mission,

nthongoni dispSupportimely r

80


partners) on or beforethe Districts reporting deadline of the5th

of every

month.

N/A

81




N/A

Budgeting

82


month

N/A

83% of nutrition program needs funded through MTEF N/A

84

# of proposals written this month 1 A proposal to train health

workers on IYCF in the district Develo

brigde t

85


mechanisms.

N/A



OBSERVATIONS

Recom


35/44


District:___KITUI___________ JUNE Numbe




1



100,000 IU out of stock 100,000 IU capsules.Most

deliveries dont have the

100,000 IU caps.

Follow u

other dru

2



NO District facilities have been

relying on the parallel supply

Calculat

3

Were there anyiron/folate stockouts reported last month in the district? YES. Iron has been out of stock for along

period of time

KEMSA kit has been

delivered severally without

Iron despite orders from the

facilities.

KEMSA

forward

4



NO

Calculat

5



YES Drugs delivered in smaller

quantities than ordered for

hence shortages before end

of quarter

Follow u

6



NO Drugs are delivered late

hence services are slowed

downRecomm

7Did the KEMSA essential drugs kit come late this quarter? YES

8




NO N o Iron was in the kit

Recomm

of suppl

9


past month?

NO ECD activity was postponed

to July due to unavailability of

funds

Support

campaig

10


micronutrients.

N/A

11



NO Support

campaig


12




N/A

Support

BFHI

13



breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding duringillness).

N/A

Support BFHI

14





N/A

Support

BFHI

15

% of Maternity trained staff who correctly and consistentlycounsels

EACH mother on IYCF.

N/A Support

BFHI

16



AFASS.

N/A

Support

BFHI



Recomm


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17



date___________

NO

Suppor

BFHI to


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18



BFHI)

N/A

19


this past month?

NO Facilities do not have copies

of the policy and are neither

aware of it.

Reques

facilities

20

Has the breastfeeding policy been placed visibly in the Hospital in seven

strategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,


NO The sub district hospitals dont

have the policy in place. The

same with the dispensaries

and health centres

Reques

circulat

21



N/A Staff movement with new staff

not trained posted to the

wards hence implementation

of the process lags behind

Suppor

implem

22

Are newborns placed on the breast within to 1 hour after delivery? YES For CS deliveries, initiation

takes a little longer since

general anaesthesia is mostpreffered as opposed to

epidural

Follow

23


Specify duration in hours___2 - 3 hours

24



YES, through demonstration on

hand expressing , rooming in,

attachment and positioning

Suppor

implem

25



used (where/which ward) and who are the target beneficiaries). Also,

find out who provides the infant formula and who funds it. Write


N/A Mutomo mission hospital is

used as the referral point for

the district, as the gok one is

not fully equipped.Suppor

commu

26








not fully equipped.

Suppor

commu

27



NO

Suppor

commu

28






not fully equipped.

Suppor

implem

29

Did the District/Provincial Maternitystaff sensitize mothers consistentlyand correctlyagainst the use of teats, bottles and other nipples this

month?

N/A Mutomo mission hospital isused as the referral point for


not fully equipped.

Supporimplem

30






not fully equipped.

Suppor

implem


OBSERVATIONS

Recom


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31



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37


UNICEF deadline? Specify date when the order was sent to UNICEF_11

june 2010_________and when it was received by UNICEF _11 june 2010

YES

38




YES All have been distributed to

the facilities depending onneed. No tools available to

capture data on multiple

micronutrients.

Suppor

micronu

needs.

39



Reports for the month not yet in

40



41












50



NONE

Suppor

51 # and (%) of chil

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