Orobotan: Updates on the Rollout of CHX for Cord Care and Misoprostol Use in Sokoto State, Nigeria

7/28/2019 Orobotan: Updates on the Rollout of CHX for Cord Care and Misoprostol Use in Sokoto State, Nigeria

1/24

TargetedStatesHighImp

actProject

TSHIPU

pdateso

ntherolloutof

ChlorhexidineforCordCare

(CHX)&Misoprostolusein

SokotoS

tate,NIG

ERIA

Dr.N

osaOrobaton

Dr.K

amilShoretire

Dr

.GoliLamiri

Dr.Abu

bakarMaisha

nu

Dr.IbrahimKaboet

al

13April2013


2/24

OnUSA

ID/JSI-TSHIP

USAID

-funded(O

ct.2

009-Sept.2014)

Cover

servicedeliveryinMN

CH,F

P&RH

Based

inSokotoa

ndBauchiStates

Cover

HealthSystemsstreng

thening

Governance-focused

Aligne

dwithNigeriasSavingOneMillio

n

LivesInitiative


3/24

APro

fileofSokotoSta

te,Niger

ia

4.4

millio

npeople

23LocalGovernmentAr

eas

244polit

icalwards

SeatofCaliphate,S

upreme

leaderof

Islam,N

igeria

Illiteracy

Rateis83%

TotalFertilityRateis8.7

95%ofallDeliveriesoccurat

home

25%ofallDeliveriesoccurwith

Zeropersonspresent


4/24

KeyMilestones

SokotoGovt.purchased

1st

batchof56,0

00doseseachof

CHX,M

iso

PPPdeliv

ersfirstinAfricaCHX

State-wid

e,C

ommunity-Based

Distribut

ionsystemsetup

918of12

20Community

Drug

keeperstrainedandcertified

Dossiero

nCHXpreparedwith

NigeriaN

AFDAC

CHX

4%r

egisteredwithNAFDACand

procuredbySokotoStatego

vernment


5/24

KeyMile

stonesC

ontd

GovtofNigeriauses

Sokotoex

perienceto

issueCall-to-Actionto

all36governors

Bauchistategovt

engaged,issuedmemo

toprocureCHX,M

iso

Outreach

toatleast3

stategove

rnments

commenc

ed

Sokotolaunch-Go

vernorofSokotoState&M

inisterof

Health,March8,2013


6/24

TheySa

idYesto

CHX&M

isoBasedon

Evidence

Governo

rAliyuM.W

am

makoofSokoto

Stateist

hefirstgovernorinNigeriato

finances

tate-wideuseofMisoandCHX.

Hasaske

dfortherepor

t30daysafter

distributionofCHXand

Misoto

Commun

ities.

AlhajiFa

roukMalamiYabo,S

okoto

CommissionerofLocalGovernment,

soldthe

ideaofCHXandMisofor

state-wi

deusetoGover

nor

Wammako


7/24

CalltoActionbyH

on.Minis

terofSta

tefor

Health,Dr.M

uhamme

dAliPate

(heardby100MillionNigerians

)

IapplaudtheSokotoStat

eGovernmentfortheirleadershipin

pioneeringtheprocurem

entoftwolife-savingcommo

dities:

Chlorhex

idineGluconate7.1

%(CHX)andMisoprostol

forthe

survivalofnewbornsan

dmothers,r

espectively.

IinviteotherStateGovern

mentstoemulatethiscommendable

initiative

oftheSokotoS

tateGovernmentintheirrespective

statesandcontributeto

ournationaleffortsofSavingOne

MillionLivesby2015.....

SignedinAbuja,March13,2013

Availableat:

http://www.tshipnigeria.org/images/Call%20to%20Action%20by%

20Honourable%20Minis

ter%20of%2

0Health%20of%20State%20of%20S.pd

f


8/24


9/24

CreatingaMarketofUse

rs:Form

ative

ResearchFindings

Moth

erswantwhat

works:

Liste

n!

wantcontrol

wanttobesurem

edicine

onceapplied,s

taysput

wantassuranceo

fgood

m

other---multi-use?

Identifypackagewithimage

ofchild

Whatformulationth

en?

GEL.


10/24

Creating

aSystem

forDistri

butionto

Users

inSokot

o:Commu

nityBased,Comm

unity

M

anaged

Distributing

what?

Knowledge

Applicati

oncapabilities

Chlorhex

idinegel/Misoprostol

Cultivatinglocaltrust

linkingback

tohealthfacility

Supplychain

righttocommu

nity

ThePoliticalWard-Unitof

Consideratio

n

MOLG>HealthFacility(1)>D

rug

keepers(5)>

CBHV(10)


11/24

Training

ofMidw

iveson

ProperU

seof

CHX


12/24

Counse

lingCardforCHX

applica

tion


13/24

Counse

lingCardforCHX

Applica

tion


14/24

Roll-O

utofCH

XatScaleinSokoto

244WardDevelopment

Committees(WDC)inSokoto,

briefedbystategovt

918of12

20drugkeepers

trained

CHXand

Misopackaged

for

oneHCperpoliticalwar

d

CHX&MisotoHCfor

distributiontoDrugkee

pers

plannedforApril2013


15/24

Crea

tingaMarketofLocalCH

X

Su

ppliers

Vibrantmarketin

Nigeria

Highlyconsolida

ted

Stro

ngindustrial

capacity

Chlorhexidinefamiliar

Keensmallcomp

anies

Waitandseementality-

Showmethemarket!


16/24

Measuring

Program

Efforts

Buildintoroutine

M&ES

ystems

LQAS

NDHS

2013and

beyon

d


17/24

MeasuringProgr

amEfforts:Indic

ators

forCH

XandM

isoprost

olProgram

NumberofLGAswhereCHX

&Misoisintroduced

NumberofHealthWorkers

trainedonCHXandMiso

AvailabilityofCHXand

Miso

withCommunities

AvailabilityofCHXand

Miso

athealthFacilities


18/24

MeasuringProgr

amEfforts:Indic

ators

forCH

XandM

isoprost

olProgram

Percenta

geofmothers/

care

takersw

horeceivedCH

X

tube/Misoprostoltablets

Percenta

geofmotherswho

reported

applyingno

substanceotherthanC

HX

inthefreshlycutcordstump

Percenta

geofdeliveriesby

SkilledB

irthAttendant

NeonatalMortalityRate


19/24

SomeConsidera

tions

Localtrust:Balancingsp

eed

&pruden

ce

NestingC

HX-Misointoh

ealth

eco-syste

m

Including

morewomeninto

PHC-C

HX

decision

architecture

Balkanizedhealthfacilit

ies

LocalPro

ductionofCHX

GoingtoNationalscale

intensifie

d

Callforspe

ed

Membersof100WomenGroup

,Yabo,

Sokoto


20/24


21/24

Conclud

ingRem

arks

Cultiva

tinglocaltru

stand

localownership:balance

withsp

eed

Moreb

uyers.....

mor

e

momentum

Localp

roductionis

an

impera

tive-G

MP,inc

entives

Docum

entationoflessons

ongoin

g

Oneoftheearly

recipientsof

CHX:

AbdulrahmanI.

Alhassanborn

2/1/2013


22/24

Governance

,Leader

shipand

Stewardship:AsItShouldBe


23/24

Formor

einformationgoto:

http://w

ww.jsi.com

/JSIInterne

t/index.c

fm


24/24

References

NationalDemograp

hy&HealthSurvey(NDHS)

2008.

NigeriaBureauofS

tatistics,20

12.

Orobotan: Updates on the Rollout of CHX for Cord Care and Misoprostol Use in Sokoto State, Nigeria

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Transcript of Orobotan: Updates on the Rollout of CHX for Cord Care and Misoprostol Use in Sokoto State, Nigeria