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Implementing Partners:Funded by: 2011 2015; What have we achieved? Increasing Access to Quality Basic Primary Health Care in 6 Coastal Districts in the Western Region Joyce Ablordeppey Team Leader STAR CHPS / Jhpiego 1 April 2015

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2 Jhpiego: Innovating to Save Lives Jhpiego prevents the needless deaths of women and their families. Founded 1973 Affiliate of Johns Hopkins University Currently working in more than 50 countries Experience working in 154 countries More than 2,000 employees worldwide

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3 Jhpiego in Ghana 20-year history in Ghana Technical areas: Pre-service Education (Midwifery, Community and Public Health Nursing) Quality improvement Infection Prevention Basic Emergency Maternal Obstetric and Newborn Care Family Planning HIV/AIDS and TB Malaria Cervical Cancer

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Project Background Project Goal: Increase Access to Quality Basic Primary Health Care in 6 Coastal Districts in the Western Region Project Life: 1 May 2011 30 April 2016 Project Sponsors: Jubilee Partners Tullow Oil Ghana Limited Anardarko Oil KOSMOS Energy PetroSA Ghana National Petroleum Company (GNPC)

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Location 6 coastal districts Ahanta West Ellembelle Jomoro Nzema East Shama Sekondi-Takoradi Metropolitan Authority

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Community-Based Health Planning and Services A process of health care provision in which health workers and community partners are actively engaged as partners in the delivery of Primary Health Care The Community Health Officer (CHO) CHPS Compound / CHPS Zone District Health Management Team (DHMT) Community Health Volunteer (CHV) Community Health Committee (CHC)

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CHPS Stakeholders Community Health Nurse Community Health Volunteer Community Health Management Committee Sub-District & District Management District Assembly Community & Chiefs

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Phased Project Approach WE ARE HERE

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Outputs 61 213 401 CHPS ZONES Community Health Management Committees Community Health Officers trained 100% Community Health Volunteers selected and trained 413 Community Health Management Committee members selected and trained

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Outcomes 18 CHPS Zones achieving 80% performance standards 52 NHIS accredited CHPS % of STAR CHPS Zones with ACTIVE Community Health Management Committees 100% % of STAR CHPS Zones with ACTIVE Community Health Volunteers

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Improving Performance target

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Clients Served at Quality CHPS 266,753

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Family Planning Acceptors

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Malaria cases confirmed 130,077 TARGET

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Children Under 1-year fully immunized (Penta-3) 28,877

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SBM-R Recognition Criteria Gold Award: Highest Performing CHPS Zone Silver Award: 2 nd highest performing CHPS Bronze Award: 3 rd Highest Performing CHPS CRITERIA: SBMR follow-up performance SBMR level of improvement between baseline and follow-up Percentage increase in average service delivery performance in 12 consecutive months between baseline and follow-up SBMR assessment Functional CHPS (i.e. registered in DHIMS)

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Recognition 43 CHPS

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Client Satisfaction Survey Why do you seek care at CHPS? Phase 2 sites - 2013 Nurses pay attention to everything u say nearer to house, no bother about car bcos it is in my community

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Health Systems Strengthening 6 DHMTs HMIS Systems 6 DHMTs HMIS Systems

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Achieve healthier communities 430 Communities 395,583 Population 430 Communities 395,583 Population

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Demarcated CHPS Zones DISTRICT # OF DEMARCATED ZONES # OF ACTIVE ZONES # OF DEMARCATED ZONES LEFT Jomoro20128 Ellembelle361224 Sekondi Takoradi Metro 49938 Nzema East1183 Shama17116 Ahanta West17107 TOTAL1506288

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Next Steps Finish bringing all 61 CHPS to standard and accreditation Continue supporting DHMTs/SDHTs for sustainability Considering final evaluations to review: Qualitative and/or Comparison with other CHPS districts and/or Costing analysis

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Thank you You have invested in better health for the communities in the Western Region!