REPORT OF OYO SEMO[1]

Report submitted to:

USAID-MAPS8th Floor, River Plaza 470

AgbogoLargema Street, Central Business District,Abuja

Nigeria

Title of the Report

Phases (1 & 2)

Consultants Names

Dr. (Mrs.) Folasade Fadare - Team Leader

Dr. Angell Yakubu

Dr. Andrew Agbenin

Victoria Daaor

Dr. Olubisi O. Fabode

30th May-1st June, 20126th June-8th June, 2012

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Oyo State Ministry of Health in collaboration with USAID/MAPS State Level Orientation of Health Sector Executives

For Strengthening Capacity for Malaria ControlMiccom Golf Resort Ada, Osun State

Final ApprovalReport approved and Signed off by:

Approval Date InitialsLead AdvisorChief of Party

(Note that final payments can only be made when reports are finally signed-off)Table of Contents

Section Page No.Section 1 Title Page 1

Table of Contents 2Acronyms 3Acknowledgements 3

Section 21 page

Executive Summary (summary of findings and recommendations) 4

Section 3 2 pages(max)

3.1 Background & Introduction 5-63.2 Objective of the Assignment 63.3 Approach and Methodology 6

10 pages(max)

3.4 Key activitieso Preparationo Opening sessiono Technical sessionso Selection of participants for the next activity

7-10

3.5 Emerging issues 103.6 Recommendations 103.7 Next Steps 10

Section 4 Annexes:Annex 1: Terms of Reference Annex 2: Consultants profileAnnex 3: Agenda for Preparatory meetingAnnex 4: Time tableAnnex 5: List of participants Batch 1&2 Annex 6: List of selected participants for SToTAnnex 7: Opening session agendaAnnex 8: Opening session planAnnex 9: Grouping of participantsAnnex 10: Technical session planAnnex 11: Criteria for selection for SToT Annex 12: Evaluation formAnnex 13: Role of MAPSAnnex 14: The roll-out planAnnex 15: MAPS Report writing format

11-1314-15

1617

18-1920-21

2223-24

2526-38

3940

41-4546

47-50

The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria Initiative through United States Agency for International Development

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http://www.fhi360.org/en/index.htm

AcronymsMAPS Malaria Action Programmes for States

SMART Specific, Measurable, Achievable, Realistic and Time-bound

SUFI Scale Up For Impact

SEMO State Executive Management Orientation

GEAR Grouping Embed Adopt/Assess Report

USAID US Agency for International Development

AcknowledgementsThe consultants are grateful to the following for their assistance in the production of this report:

Name Position Organizationwilliam anyebe Lead Advisor Treeshade AssociateDr. Adebola Karim-Mohammed

MAPS Coordinator MAPS

Dr. Olusimbo Ige MAPS Capacity Building Officer MAPSDr. T. O. Ladipo SMCP Oyo State MOHGrace Akpata Support staff Treeshade Associate


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2.0 Executive SummaryThe State Executive Management training was held in two batches for Senior executive

officers of Oyo State at Miccom Golf Ada, Osun State. It took place between the 30 th of

May and 1st of June, 2012 for the first batch and 6th to 8th of June, 2012 for the second

batch of participants.

A total of sixty four (64) participants for these activities were drawn from the State

Ministry of Health and other relevant and related ministries and agencies. Thirty three

(33) and thirty one (31) participants attended the first and second programs

respectively.

The adult learning participatory approach was used to expose all participants to the

four(4) management modules. Experiences were shared and the forum presented a

good opportunity for development of harmony and integration between the various

agencies in the State.

The meeting was able to introduce MAPS to participants, clarify the roles of MAPS as

well as that of Oyo State government towards achieving a robust malaria control

programme for a strengthened health sector.

The meeting had in attendance Permanent Secretaries, Commander of Military

Hospital, Assistant Commissioner of Police for Hospital services in Oyo State, many

Directors, Deputy Directors and program officers. Due to the status of people in

attendance only twenty two (22): seven (7) participants from the first batch and fifteen

(15) participants from the second batch were able to fulfil the criteria for selection to

participate in the SToT.

The recommendation is for the State based consultant, MAPS Capacity building officer

as well as the SMCP coordinator to work together to select an additional eighteen (18)to

make up the number of participants to be invited for SToT by inviting officers in the state

health sector (working within the government sector) to complete the expected forty(40)

participants.


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It was noted that the objectives of the meeting were satisfactorily met and the

engagement of this level of participants will go a long way in improving the trend of

health care provision in the State.

3.1 Background & IntroductionNigeria is committed to making progress towards the achievement of the Millennium

Development Goals (MDGs). An effective malaria control programme is required for the

achievement of the targets related to child mortality, maternal mortality, and reducing

the burden of communicable diseases.

A rapid baseline capacity building needs assessment for malaria control at federal level

and in six Nigerian States (SuNMaP, 2008 & 2010) found a wide range of training

materials for malaria control; many of them neither targeted nor domiciled in NMCP.

With support from SuNMaP (another Malaria Control program supported by UK

Aid/DfID), the National Malaria Control Programme (NMCP) has developed a

harmonized capacity building package for program management and service delivery.

The package includes 14 modules developed through utilizing, re-aligning, re-working,

and updating existing materials and developing new ones where necessary. The

Programme Management modules include:

- General Management

- Programme Planning & Budgeting

- Integrated Supportive Supervision and

- On-the-Job capacity building and Monitoring and Evaluation

- ETC

USAID-funded Malaria Action Programme for States (MAPS) is a 5 year project taking

on the USAID mandate of improving malaria control at scale in seven Nigerian States

(Benue, Cross-River, Ebonyi, Kogi, Nasarawa, Oyo and Zamfara). Health Partners

International (HPI) is part of a consortium led by FHI 360 implementing the MAPS

program on behalf of USAID. HPI is specifically responsible for the implementation of

improved capacity for malaria program management at the State and local government The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria

Initiative through United States Agency for International Development5

levels. Treeshade Associates, Nigeria Ltd., a firm of Health and Social Development

Consultants is working with HPI during 2012 to provide technical assistance to the initial

roll-out of the Programme Management Modules in the MAPS Project - supported

States.

The overall objective of the assignment is to assist the six MAPS-supported States to

strengthen their capacity in the management of malaria control. More specifically, the

key activities include:

o Training plan development (undertaken separately by MAPS)

o National Training of Trainers

o 3-day state level orientation of health sector executives using the management

support modules

o State Training of Trainers (SToT)

o State level training of heads of health facilities, LGA PHC Coordinators/Medical

Officers of Health

o Training of officers in charge of PHC facilities

3.2 Objectives of the AssignmentThe specific objectives of the orientation events are to:

i. Introduce a cross section of managers (up to 80) in the State health sector to the

management modules & support materials for strengthening malaria programme

management and service delivery in Nigeria.

ii. Initiate the process of enhancing the capacity of the health managers to apply the

basic elements of management required for effective, efficient and sustained

malaria control within the health system.

iii. Discuss the roll out of the management support modules and clarify the role of

MAPS in contributing to organizational and human resource capacity building

efforts aimed at improving malaria control in the State

iv. Expose potential participants in the State Training of Facilitators to the

management support modules and provide a transparent avenue for their selection.


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3.3 Approach and Methodology

The Adult Learning participatory approach was used to facilitate the NMCP

management modules with a lot of group activities, experience sharing and plenary

sessions.

3.4 Key Activities

Preparatory meetingThe two day preparatory meeting for the State Executive Management Orientation

(SEMO) commenced on the 28th May, 2012 the MAPS office Agodi GRA Ibadan with

the lead consultant coordinating the session and supported by the lead advisor william

anyebe .

The activities of the first day started with self introduction followed by the development

of the preparatory meeting agenda (see annex 3). The terms of reference was clarified

by the lead Consultant (see annex 1).The activities of the Consultant was also clarified

(see annex 2). The time table for the meeting was developed and roles assigned (see annex 4). The opening session agenda (see annex 7) and the opening session plan

(see annex 8) was developed. The Consultants work technical session plans (see annex 10).On the second day, all the materials and equipment requested for were sighted,

inspected and assembled ready for transportation to the venue of the meeting in Ada,

Osun state. The power point presentation of the MAPS’ State coordinator (see annex 13) was developed and reviewed. This was followed by a discussion on the format for

report writing (see annex 15).The session plans were rehearsed and adjusted based on

time allotted for the sessions.

The criteria for selecting potential participants for State Training of Trainers (SToT)

(see annex 11) were developed using the GEAR approach. The list of Participants for

the first batch of the orientation was reviewed and allocated to four groups (see annexes 5) and the lists were printed to be placed on each table to determine seating

arrangement.

The Consultants departed Ibadan for Ada in Osun state venue of the meeting.

On arrival the hall was inspected and arranged. The activity strips were developed and

printed.


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Opening sessionThe session for the first batch started late due to late arrival of participants, however, the

second batch was prompt and on time.

The session went as scheduled though there were some hitches. It started with opening

prayers followed by self introductions .The objectives of the meeting were clarified and

MAPS was introduced to the participants.

Technical sessions

General Management Session.The session started with a brief introduction on why managers in the health sector need

training on General management. This was followed by various activities, group work

and plenary presentations bordering on who a manager is, the activities carried out by

managers, definitions of key terminologies in management: resource, resource

management and systems.

The session was very participatory and the outputs from group work were

commendable. The EURO concept and how it applies to various resources in the Health

Sector was introduced and participants demonstrated a high level of enthusiasm to use

the knowledge acquired for effective and efficient management of resources.

Programme Management and Budgeting SessionThe Session started with an introduction on why Managers need training on Planning

The participants then discussed what they understood by planning. Participants were

exposed to the commonly used words in planning: definitions of plans, planning,

strategy, policies, guidelines and frameworks and examples of these that are related to

Malaria control. The participants were thereafter taken through the 8 steps in the

planning process.

The session on budgeting commenced with discussions on what budgeting is with

comments taken in plenary. Thereafter the six elements of budgeting were read out by

participants. This was followed by an activity to demonstrate the budgeting process with

respect to the six elements of the budget process and suggested ways to improve

budgetary allocation to Malaria control activities in the state. The session was

concluded with an activity targeted at generating an extensive resource list for malaria

control activities. The session was very interactive and participants benefited immensely

from experience sharing.


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Integrated Supportive Supervision/On-the-Job-Capacity Building (ISS/OJCB) SessionThe adult learning participatory approach was used to facilitate the session. The

participants were exposed to a lot of group work activities and discussions to enhance

learning, understanding and assimilation.

The following terms: Supervision, Supportive Supervision, Integrated Supportive

Supervision (ISS) and On the Job Capacity Building (OJCB) were clarified at plenary as

well as the basic differences between Supervision and Monitoring. The eight steps of

establishing ISS were explained at plenary followed by the benefits of ISS to strengthen

the health sector. There was an in depth explanation of the need for On-the Job

Capacity Building during supervisory visit.

MODULE CONTENT ISSUE: In order to refer participants to document to clarify the

differences between Supervision and Monitoring, participants were given excerpt from

the M&E module. The recommendation is that since Monitoring is not in the ISS/OJCB

module, the activity on Comparing Supervision and Monitoring should be taken during

M&E.

Monitoring & Evaluation Session.

The adult learning participatory approach was used for this session. The session was

co-facilitated. Activities were done in groups and presentations made in plenary with all

participating groups making contributions. Topics covered were introductory remarks on

Monitoring and Evaluation, the meaning of monitoring and evaluation, the basic

differences between supervision, monitoring and evaluation, how monitoring and

evaluation help us as managers and Health Management Information System/malaria

specific data, were enumerated in plenary.

Also, the data management cycle, use of analyzed malaria data at the different levels of

the health system and understanding indicators were delivered.

In the course of the delivery of the module, it was observed that the trainee module has

no section on data management cycle but only data information cycle and this was

made available to the participants from the trainer module.


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Participants’ Evaluation of the meetingBatch 1All the participants (100%) described the orientation meeting as being very good and

the methodology and contents was very relevant to their work. However, half (50%)

would have loved to have a tour round the golf course while the remaining (50%) were

satisfied with everything that was done and did not have any issue that needed to be

addressed.

Batch 2Eighty-seven percent (87%) rated training as very good and thirteen percent (13%) as

good. The training was described as relevant by twenty-six percent (26%) and very

relevant by the remaining seventy-four percent (74%).The methodology as satisfactory

by nineteen percent (19%) and very satisfactory by eighty-one percent (81%).

Selection of participants for the next activity

Twenty-two (22) participants were selected from the SEMO; seven (7) from the first

batch and fifteen (15) from the second batch based on the agreed selection criteria (see annex 11)

Emerging issuesThirty three (33) and thirty one (31) participants attended the first and second meetings

respectively. The meeting had in attendance Permanent Secretaries, Commander of

Military Hospital, Assistant Commissioner of Police for Hospital services in Oyo State,

many Directors, Deputy Directors and program officers. Due to the status of people in

attendance only twenty two (22): seven (7) participants from the first batch and fifteen

(15) participants from the second batch were able to fulfil the criteria for selection to

participate in the SToT.

Recommendations


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The recommendation is for the State based consultant, MAPS Capacity building officer

as well as the SMCP coordinator to work together to select an additional eighteen (18)to

make up the number of participants to be invited for SToT by inviting officers in the state

health sector (working within the government sector) to complete the expected forty(40)

participants.

Conclusion

The 3-day State Executive Management Orientation for Oyo State achieved its

objectives.

Next Step

The State Training of Trainers SToT is scheduled to take place between the18th and 23rd

of June, 2012. This will further boost the capacity building efforts of MAPS in Oyo State.

Annexes:

Annex 1: Terms of Reference

Terms of Reference

State Level Orientation of Health Sector Executives using the Programme Management Modules of the Harmonized Training & Support Materials for

Strengthening Capacity for Malaria Control in the six MAPS/USAID -supported States

(Benue, Cross-River, Ebonyi, Kogi, Nasarawa, Oyo and Zamfara)

Background/Introduction

Nigeria is committed to making progress towards the achievement of the Millennium Development Goals (MDGs). An effective malaria control programme is required for the achievement of the targets related to child mortality, maternal mortality, and reducing the burden of communicable diseases.

A rapid baseline capacity building needs assessment for malaria control at federal level and in six Nigerian States (SuNMaP, 2008 & 2010) found a wide range of training materials for malaria control; many of them neither targeted nor domiciled in NMCP. With support from SuNMaP (another Malaria Control program supported by UK Aid/DfID), the National Malaria Control Programme (NMCP) has developed a harmonized capacity building package for program management and service delivery. The package includes 14 modules developed through utilizing, re-aligning, re-working,


11

and updating existing materials and developing new ones where necessary. The Programme Management modules include:

- General Management- Programme Planning & Budgeting- Integrated Supportive Supervision and - On-the-Job capacity building and Monitoring and Evaluation- ETC

USAID-funded Malaria Action Programme for States (MAPS) is a 5 year project taking on the USAID mandate of improving malaria control at scale in seven Nigerian States (Benue, Cross-River, Ebonyi, Kogi, Nasarawa, Oyo and Zamfara). Health Partners International (HPI) is part of a consortium led by FHI 360 implementing the MAPS program on behalf of USAID. HPI is specifically responsible for the implementation of improved capacity for malaria program management at the State and local government levels. Treeshade Associates, Nigeria Ltd., a firm of Health and Social Development Consultants is working with HPI during 2012 to provide technical assistance to the initial roll-out of the Programme Management Modules in the MAPS Project - supported States.

The overall objective of the assignment is to assist the six MAPS-supported States to strengthen their capacity in the management of malaria control. More specifically, the key activities include:

o Training plan development (undertaken separately by MAPS)o National Training of Trainerso 3-day state level orientation of health sector executives using the management

support modules o State Training of Trainers (SToT)o State level training of heads of health facilities, LGA PHC Coordinators/Medical

Officers of Healtho Training of officers in charge of PHC facilities

Rationale

The National Training of Trainers (NToT) took place from April 26 to May 2nd 2012. The total of forty five participants included an NMCP official; six State-based consultants, 30 Independent consultants and eight MAPS Capacity Building Staff. This has produced a core team of national consultants that are available to provide technical support to States as they commence the implementation of the roll out process. At the State level, the roll out process commences with a 3-day State Level Orientation of Health Sector Executives using the Programme Management Modules. The programme management modules have only been in limited circulation for about a year and most health sector executives and potential State level trainers are likely to be seeing them for the first time during the orientation. The orientation exposes potential participants in the State Training of Trainers to the modules and provides a transparent avenue for their selection.

The specific objectives of the orientation events are to:


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v. Introduce a cross section of managers (up to 80) in the State health sector to the management modules & support materials for strengthening malaria programme management and service delivery in Nigeria.

vi. Initiate the process of enhancing the capacity of the health managers to apply the basic elements of management required for effective, efficient and sustained malaria control within the health system.

vii. Discuss the roll out of the management support modules and clarify the role of MAPS in contributing to organizational and human resource capacity building efforts aimed at improving malaria control in the State

viii. Expose potential participants in the State Training of Facilitators to the management support modules and provide a transparent avenue for their selection.

Purpose

The purpose of this assignment is to provide technical support to the MAPS/USAID supported States to undertake two batches of 3-day (residential) orientation meeting.

Methodology

In each State, the State Level Orientation of Health Sector Executives will take place in two batches in order to accommodate all the executives, without shutting down the management arm of the health sector. The State based consultant for each State will work with the MAPS Capacity Building Officer for the State and the State Ministry of Health to determine which executives will attend the first batch and which ones will participate in the second batch. The participants per State will be drawn from the under listed organisations/constituencies:

o SMOH o Hospital Management Board o Primary Health Care Agency/Boardo Private for-profit providers o Private not-for- profit providerso Ministry of Local Government; Local Government Service Commission o State Malaria Control Programme


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Annex 2: Consultants profile

Fadare, Folasade Oluseye is a medical officer with over twenty years experience and

two years experience in consultancy practice. A Chief Medical Officer with the Lagos

State Health Service Commission. She is an MPH holder from University of Lagos,

Akoka. Fadare Folasade is the State-based Consultant for SuNMaP in Lagos State for

the NMCP capacity building package for both Service Delivery and Programme

Management and was involved in all the roll-out of capacity building activities in the

state. She has carried out consulting assignments for SuNMaP on Programme

management in Katsina and Niger State. Fadare Folasade has carried out technical

support for the institutionalising Integrated Supportive Supervision/On the Job Capacity

Building (ISS/OJCB) in Lagos, Anambra and Ogun States. She is the Lead/ISS/OJCB

Consultant for the State Executive Management Orientation meeting for Oyo State.

Angell Yakubu is a doctorate degree holder and currently lectures at the Benue State

University. She has a consultancy experience that span over a period of six years.

She has been involved in women empowerment projects and also in community theatre

development projects. She is also involved in acting movies of social change and Health


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Awareness creation for the Nigerian Television Authority. She is facilitated the Planning

and Budgeting session during the State Executive Management Orientation meeting for

Oyo State.

Dr. Agbenin Andrew is a clinical pharmacist with the University of Calabar Teaching

Hospital and holds a bachelor of pharmacy (Bpharm), Doctor of Pharmacy (PharmD)

and Masters of Public Health (MPH) degrees. He is currently an associate of the West

African Postgraduate College of Pharmacists (WAPCP) with a bias for cardio-

vascular/Renal pharmaceutical care. He has less than one year consultancy experience

on program management but has vast experience in clinical pharmacy practice that has

spanned over six years. He is single.

Victoria Daaor holds a Masters degree in Organizational Psychology and is the Chief

Executive of Elohim Development Foundation a faith based Non-Governmental

organization based in Makurdi. She is a Management Consultant and a certified trainer

on Gender and Nonviolence/ Peacebuilding.

Victoria’s experience spans over 14 yrs of involvement in HIV/Aids research,

programme planning and Human Resource Management with bias to recruitment. She

is a member of the Benue State Gender Forum and also the secretary of the Benue

State Network of NGOs (BENGONET) and a member of the network of African Women

Nonviolent Initiative for Change (AWANICH) based in Accra – Ghana. She is facilitated

the General Management session during the State Executive Management Orientation

meeting for Oyo State.

Dr. Olubisi Oyeyemi Fabode, a Chief Medical Officer and Deputy Director, Primary

Health Care with the Oyo State Ministry of Health. A medical officer with about twenty-

eight (28) years experience in employment. An alumnus of the University of Maiduguri,

and has an MPH of the University of Ibadan. An accomplished and astute civil servant.

She is an independent consultant (health Sector) for the State response for HIV/AIDS

and has travelled widely within and out of the State in this regard. As the State

Epidemiologist, she coordinates programme implementation, monitoring and evaluation

at the State and Local Government Level. She is part of technical working group for

Malaria, HIV/AIDS and Immunization.


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She partook in the development of the State HIV/AIDS implementation plan (2008-

2013) as well as the recent Malaria training implementation plan for malaria (2011-

2014).She co-facilitated the Monitoring and Evaluation session during the State

Executive Management Orientation meeting for Oyo State.

.

Annex 3: Agenda for Preparatory meeting


For Strengthening Capacity for Malaria Control

Miccom Golf Resort Ada, Osun StateAgenda for the Preparatory Meeting for the Oyo State Executive Management

Orientation Training Held at the MAPS office Agodi GRA, Ibadan

May 28, 2012

1. Opening Remarks

2. Self introductions

3. Discussion of the TOR

4. Developing agenda for planning meeting

5. Review list of participants

6. Develop timetable for the SEMO

7. Assign roles and responsibilities

8. Develop session plans

9. Develop session materials


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10.Assemble training materials

11.Develop State Coordinator’s Presentation

12.Develop an agenda for the opening session

13.Develop session plan for the Opening Session

14.Develop criteria for selection of potential SToT participants

15.Develop a presentation on the roll out process

16.Develop mechanism for evaluating SEMO

17.Presentation of session plans

18.Rehearsal of session plans

19.Allocate participants to groups

20.Discuss travel arrangement

21.Visit and arrange meeting hall

22.Report writing arrangements


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Annex 4: Time table


for Strengthening Capacity for Malaria Control

Miccom Golf Resort Ada, Osun State

TIME TABLETime Wed. 30th May 2012/6TH June

2012Thurs. 31st May 2012/7th June 2012

Fri. 1st June 2012/8th June 2012

8.30 – 9.00am Registration Reflections(DAOOR) Reflections(YAKUBU)9am – 10am Opening Session Planning and Budgeting

1(YAKUBU)M & E 1(FABODE)

10am – 10.30am TEA BREAK10.30am – 11.30am State Coordinator’s

Presentation(Role Of MAPS in Capacity Building)

Planning and Budgeting 2(YAKUBU)

M & E 2(AGBENIN)

11.30am – 1.30pm General Management 1(DAOOR) ISS/OJCB 1(FADARE)

1.30pm – 2.30pm GROUP LUNCH2.30pm - 5.00pm General Management2(DAOOR) ISS/OJCB 2(FADARE) Discussing the Roll Out

Process(MAPS CBO)Wrap – Up (ALL)

5.00pm TEA BREAK

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Annex 5: List of participants Batch 1& 2

List of Participants for batch 1

S/N NAMES DESIGNATION 1 Alh. Moshood Olayide Abas Chairman SHMB2 Mr Sunday Olukayode Adedeji Director of schools(TESCOM)3 Mrs. Latifat Titilayo Oladeji Deputy director of schools (EDU)4 Mrs. Florence Oyelola Fatunmibi Deputy director pers. (SHMB)5 Mrs. Felicia Abimbola Farinde BCC6 Mr Hakeem Obalowo Yinka Imam Data manager SMOH7 Mr Karim Mohammed Adebola Co-ordinator MAPS8 Dr Muideen Babatunde Olatunji Vice chairman NMA9 Brigadier Gen M A Obio Head of Military Hospital10 Mr. Iseoluwa Adedokun Rep PS (Education) 11 Mr. Joseph Adeyemi Akinlabi Director of Env.12 Dr. Taye Joshua Akande Director SHC13 Anyanwu Maureen O M&E (RBM)14 Mr. Oladapo Augustine Director Pharm. (SHMB)15 Mr. Fatai Abiodun Ogundairo Director Information16 Dr. Ganiyat Odunola Adeniran Deputy director NS (SMOH)17 Mr. Yinka Osuntogun PS (TESCOM)18 Mr. Isaac Olanrewaju Okediran Director HHM (SMOH)19 Mr. Moshood Ajani Adeola Director of Env.20 Dr. Taiwo Olabode Ladipo SCMP21 Mrs. Adejoke Omoniyi Eyitayo Director of F&S(SHMB)22 Mrs. Risqat Toyosi Nasir Deputy director NS (SHMB)23 Mr. Babatunde Lukman Akinwande Deputy director pharm. Service24 Dr. Abbas Gbolahan Deputy state epidemiologist25 Mr. Olufemi Sunday Amoo Deputy director F,L & W)26 Mr. Tunde Busari PS Information27 Dr. David Gbadegesin Okunade DDMS (SHMB)28 Mr. Asimiyu Bola Shittu DD Physio29 Mrs. Esther Foluwake Elabur Deputy director Lab. (SHMB)30 Dr. Adebisi Mufutau Ayoola Director disease control31 Mrs. Oyeronke Adewole DD LGA (MLG&CM)32 Pharm. Solomon Funmbi Ewetola DD Pharm. (SMOH)33 Dr. Augutus Olusola Akande Deputy director PRS

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List of Participants for batch 2

S/N NAMES DESIGNATION 1 ACP Dafe Ogheneuwoke Esiorho Head Police Medical services2 Mr. Kazeem Olalekan Adekola DPers SHMB3 Mrs. Christie Ifeoma Popoola D Comm. Dev. (w. Affairs)4 Mrs. Fadeke Idiat Idowu-Toga DDNS (SMOH)5 Mr. Abiodun Aderoju DDAdmin. (SMOH)6 Dr. Olusola Julius Popoola SMOH7 Dr. Olujoke Olawunmi Akintunde DDNCD8 Mr. Adebayo Taiwo Belo DMS SHMB9 Evang. Samuel Akinlolu Akinwale D Pers LGSC10 Mrs. Mopelola Adetoro DPharm. (SMOH)11 Mrs. Adijat Omolara Alarape NUT. (SMOH)12 Mr. John Oyediji Oyelade CHS (SHMB)13 Mrs. Olufunmilayo Arinola DNS (SMOH)14 Dr. Akindele Olupelumi Adebiyi UCH15 Mr. Henry Babatunde Babalola D PERS. TESCOM16 Mrs. Risikat Folusho. Sali PS Women Affairs17 Mrs. Elizabeth Ebelechukwu. Adeleke DSCMP (SMOH)18 Mr. Tesleem Tunde Mudasiru DD Pers (LGSC)19 Mrs. Margaret Olukemi Bello DDMIS (SHMB)20 Mrs. Victoria Abimbola Adepoju DPRS (SMOH)21 Mr. Oluwafemi Oyeniyi SMOH22 Dr. Joshua Adejare Fakeye DD SHC (SMOH)23 Dr. Sunday Adeyemi Adewole SMOH24 Mrs. A. T. Olofin PS SHMB25 Mr. T. A. Ajibola DPHC (LG&CM)26 Mr. Abiola Agbaje Salami DFL&W (SMOH)27 Mrs. O. O. Idowu DDPharm. (SHMB)28 Mrs. K. A. Adegoke DDF (SHMB)29 Mrs. O. Y. Ola-Kayode DChild Welf(W.Affairs)30 Dr. Kofo Soyinka SMOH31 Dr. Uchendu UCH


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Annex 6: List of Selected participants for SToT




CRITERIA FOR SHORTLISTING POTENTIAL SToT PARTICIPANTS 1

S/No NAMES Sector Status Availability and willingness

Previous experience

Computing skill

Communication skill

Knowledge of local environment

Good team player

Health prog. Support experience

Previous experience in training

1 Mrs. F. A. Farinde *** *** *** *** ** ** *** *** *** **2 Mr H. O. Y. Imam *** *** *** *** *** ** *** *** *** **3 Mr. I. O. Okediran *** ** *** *** ** *** *** *** *** **4 Dr. T. O. Ladipo *** *** *** *** *** *** *** *** *** **5 Dr. Abbas Gbolahan *** *** *** ** *** *** *** *** *** **6 Mrs. O. Adewole *** * ** ** ** *** ** *** ** **7 Dr. A. O. Akande *** * * * ** ** * * * **

*Below Average ** Average ***Above average

CRITERIA FOR SHORTLISTING POTENTIAL SToT PARTICIPANTS 2

S/No NAMES Sector Status Availability and willingness

Previous experience

Computing skill

Communication skill

Knowledge of local environment

Good team player

Health prog. Support experience

Previous experience in training

1 Mr. K. O. Adekola *** * ** *** ** *** *** *** ** *

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2 Mrs. Idowu-Toga *** ** *** *** ** *** *** *** *** *3 Dr. Popoola *** *** *** *** *** *** *** *** *** ***4 Dr. Akintunde *** * *** *** *** *** *** ** *** **5 Mrs. Alarape *** *** *** *** ** *** *** *** *** *6 Mr. J. O. Oyelade *** *** *** *** *** *** *** ** ** *7 Dr. Adebiyi *** *** *** *** *** *** *** *** *** ***8 Mr. Oluwafemi Oyeniyi *** *** *** *** *** *** *** *** *** **9 Dr. Faleye *** *** *** *** *** *** *** *** ** *10 Dr. Adewole *** *** *** *** *** *** *** *** *** ***11 Mrs. E. E. Adeleke *** *** *** *** *** *** *** *** *** **12 Mrs. O. O. Idowu *** ** ** *** ** *** *** *** ** **13 Mrs. K. A. Adegoke *** *** *** *** *** *** *** *** ** **14 Dr. Soyinka *** *** *** *** *** *** *** *** *** ***15 Dr. Uchendu *** *** *** *** *** *** *** *** *** ***

*Below Average ** Average ***Above average


22

Annex 7: Opening session agenda



Miccom Golf Resort Ada, Osun StateSpecific objectives of the orientation

ix. Introduce a cross section of managers (up to 80) in the State health sector to the

management modules & support materials for strengthening malaria programme management and service delivery in Nigeria.

x. Initiate the process of enhancing the capacity of the health managers to apply the basic elements of management required for effective, efficient and sustained malaria control within the health system.

xi. Discuss the roll out of the management support modules and clarify the role of MAPS in contributing to organizational and human resource capacity building efforts aimed at improving malaria control in the State

xii. Expose potential participants in the State Training of Facilitators to the management support modules and provide a transparent avenue for their selection.

Opening Session Agenda1. Opening Prayer2. Welcome Address3. Introduction of Dignitaries 4. Self introduction of all other participants5. Objectives of the Meeting6. Setting of Ground Rules7. Opening Remarks by the Permanent Secretary Ministry of

Health8. Admin/Logistics Announcement by MAPS

Annex 8: Opening session plan

23


for Strengthening Capacity for Malaria Control


SESSION PLAN FOR OPENING SESSIONSession title: Opening session

1. Objectives: Create an avenue for participants and facilitators to get acquainted with one another.

2. To introduce the participants to the purpose of the meeting3. To generate ground rules4. To clarify admin/logistics issues

Duration: 9.30am – 10.00amEquipment: i. Public Address system

ii. Flip chart standiii. Multimedia projector and screeniv. Laptopv. Extension Box (electrical)

Materials: i. Flipchart/Markersii. Power point presentation of the objectives

Contents and Sub – timing: 1. Activity one: SMCP coordinator invites a volunteer to say the opening

prayer 9.00am – 9.01am2. Activity two: SMCP coordinator invites the state Director of PHC to

present and make a welcome session(9.01 – 9.06am)3. Activity three: the director of PHC introduces the Permanent

Secretary and makes a welcome address(9.06 – 9.015am)4. Activity four: The SMCP coordinator coordinates self introduction by

requesting participants to provide the following Name Designation Place of work (9.15 – 9.35am)

5. Activity 5: the lead facilitator presents the objectives of the three day meeting and invites the Permanent Secretary Health to make an opening remark(9.35 – 9.40am)

6. Activity six: Permanent Secretary (health) makes an opening remark(9.40 – 9.45am)


24

7. Activity seven: Facilitator (SBC) appreciates the permanent secretary and facilitates a). the setting of the ground rules.b). determination of sanctions (9.45 – 9. 55am)

8. Activity eight: Facilitator (SBC) invites MAPS capacity building officer to makes admin/logistics announcement and responds to any question(9.55am)

9. Activity nine: MAPS capacity building officer makes admin/logistics announcement and responds to any question.(9.55 – 10.00am)

10. Activity 10: MAPS capacity building officer announces Tea break(10.00am)

Annex 9: Grouping of participants


25

TABLE 1 (ANDREW)

1. CHAIRMAN (SHMB)2. BCC3. DD (LG Affairs) Local Govt Service Commission4. D (School)5. DD Personnel (SHMB)6. DD (NCD) SMOH7. MR IMAM

TABLE 2 (ANGELL)

1. COMMANDER MILITARY HOSP2. M&E3. DIR INFORMATION4. REP PS EDUCATION5. D PHARM SHMB6. D HHM SMOH7. DD NURSING SMOH8. DD ACCT SMOH

TABLE 3 (FABODE)

1. PS MIN OF LOCAL GOVT2. PROG MGR3. D SCHOOL(TESCOM)4. DIR FS (SHMB)5. D SEC HEALTHCARE SMOH6. MR AKINWANDE7. DR GBOLAHAN8. DD (FLEW) SMOH

TABLE 4 (VIKKI)

1. DIR PHC2. DD MLS (SHMB)3. DD (LG AFFAIRS)4. PS TESCOM5. DD MED SERVICES (SHMB)6. DD (PHYSIO) SHMB7. DD-PRS (MOH)8. MR EWETOLA9. D DX CONTROL SMOH

Annex 10: Technical session plan


26




GENERAL MANAGEMENT SESSION PLANDate 30th may 2012/6th June, 2012

Generate a list of regular and non- regular activities in the work of managers in the health sector

Identify the basic management tasks performed by managers in the health sector.

Describe the different types of resources available to managers in the health sector and discuss ways to improve on how resources are currently managed.

Describe the set up and workings of malaria control teams.

‘Time allocated: 4hrs 30minsEquipment needed: flip chart stand, Materials needed: flip chart paper, markers, trainer and trainee modules, EURO worksheet, puzzle for activity 5, (NMPC organogram), activity slips for group work in activity 5, paper, and cardboard.Part OneS/N

Activity Description Allotted Time Comments

OPENING

Opening- Share learning objectives and ask participants to readRequest the group to appoint: A Group Leader, A Note Taker and Decide on who will present

5 minutes

5 minutes

Plenary

Group work

Introduction: Why do health workers need management training?

10minutes Give two examples of the usefulness of management in real life situations if you can.

ACTIVITY ONE1 Request participants to think as

a group and write a brief description on a flip chart (operational definition) of: WHO IS A MANAGER IN THE HEALTH SECTOR?

15minsGroup work

2 A group presents in the plenary and others to fill in the gap

25 minutes Distribute module, and refer participants to page 5 to read out the definition Total=


27

60min (11.30am to 12.30am)

ACTIVITY TWO1 Participants as a group to think

and using bullet points on a flip chart make a list of management type activities (routine and non-routine) they undertake in their daily, weekly, monthly or annual work. (EXCLUDE CLINICAL DUTIES)

15minutesGroup WorkThings needed flip chart paper and markers.

2 Presentation by one group to a large group, comparison and filling in the gaps by other groups

15 minutes Other groups to paste their flip charts on the wall. Refer to Activity Profile on page 6 of your manual and page 5 on the trainee manual.

3 Summarize the session 5 minutes Summarise by saying that all what the manager does in the health sector is to manage resources using established systems…skilfully and objectively Total=35mins(12.30 to 1.05pm)

ACTIVITY 31 ASK participants as a group to

answer the following three (3) questions :o ‘What is a resource?’ (give

examples)o ‘What is resource

management?’o ‘What is a system?’

10 minutes Group work

2 Ask a group to present and others to fill in the gaps

10 minutes DISCUSS with the group, refer to page 7/8 of the module and ensure that the points therein are covered

3 Summarize & Mention that management modules of the Harmonised Training & Support Materials For Strengthening Malaria Programme Management And Service Delivery in Nigeria covers 5 major systems:

o Planning and Budgeting,o Supportive Supervision

and on the job training

5 minutes In the activity profiling of the manager in the health sector we identified planning, supervision, review, etc. as parts of his management duties. This module is cross-cutting and sets the stage for in-depth discussion of some of these activities….


28

o Monitoring and Evaluation

o Procurement, logistic and supply chain management

o Accounting and records

The General Management module cross-cuts/introduces/sets the stage for the five other modules. However, in this training, we shall be focusing on:

o Supportive Supervision and on the job training

o Monitoring and Evaluation

o Planning and Budgeting

Time (25mins) 1.05 to 1.30pm

Total Time Allocation 2 hours Break for lunch

Part TwoBasic Elements of Resource Management: the EURO ASSIGNMENT –

Examples, Challenges, and RecommendationsACTIVITY FOUR1. Ask Participants to read the

introduction to section 3.1. Basic elements of resource management

10 minutesThe E U R O Group workPage 6 of the trainee module

2. DISTRIBUTE the printed EURO activity work sheet,Discuss one point each with each group to be sure that there is a clear understanding of what is expected.Ask participants to fill in the chart for the resource that relates to their TeamsIntroduce an energizer if participants seem dull.

60 minutes Resources to work on: 1. Human Resource for

Health2. Finance3. Infrastructure, equipment

and supplies (including drugs)

4. Service Delivery Points/Facilities

4. Ask each group to paste their completed EURO worksheets on the wall for a gallery presentations

40 minutes (In plenary )SUMMARISE the challenges and solutions that the groups present. DISCUSS any problems that groups might have experienced and clarify any outstanding issues.

TOTAL TIME 1 hr 40mins 1hr 40mins ( 2.30pm to 4.20pm)


29

3 Wrap up the session 20mins (Emphasize that a well constituted, equipped and functional SMCP is essential to the achievement of the roll back malaria targets of Nigeria,)Time 120mins(4.200 to 4.40pm)

SESSION PLAN FOR PROGRAMME PLANNING & BUDGETING

Date: 31st MAY 2012/ 7th June, 2012 Duration: 3 hrsS/N

ACTIVITY METHODOLOGY

ALLOTED TIME

1. Introduction/session objectivesWhy do managers need better understanding of Planning and Budgeting? P5

Planning is central to human Endeavour “He who FAILS to plan, PLANS to fail”

plenary 5 minutes

2 Activity 1Participants break into four groups. Ask participants to share their experiences in Planning.Ask participants to discuss the following questions relating to a recent planning process they were involved in:

What was the plan about? Who was involved in the planning process? What could have happened in the situation if there

was no plan? Were the activities in the plan costed and budgeted

for?Summarise the answers on a flip chart

Group Work

plenary

20 minutes

5 minutes

3 Activity 2

What is a Plan? P7- Discussion Define Plan & Planning Give examples of other plans related to malaria

control at state level. What is the relevance of each of these to the

development of a State Malaria Control Plan?Distribute trainee modules and refer participants to p. 7Mention the different types of plans P12.TEA BREAK

Group Work

Plenary

10 minutes

10 minutes

10 minutes

4 What is policy, Strategy, Guideline, FrameworkActivity 3

Group 1: What is Policy (Discuss) Trainee Module P7 Give Examples of policy related to malaria control in

Oyo state. What is the relevance of each of the examples to

the development of an operational plan for malaria control?

Group Work

20 minutes


30

Group 2: What is a Strategy? (Discuss) Trainee Module P7

Give Examples of strategies related to malaria control in Benue State.

What is the relevance of each of the examples to the development of an operational plan for malaria control?

Group 3: What is a FRAMEWORK? Give Examples of frameworks related to malaria

control in Benue State. What is the relevance of each of the examples to


Group 4: What is a GUIDELINE? Discuss- P11 Give Examples of guidelines related to malaria

control in oyo State. What is the relevance of each of the examples to


Link policy to strategies to framework to guidelines to orders to tasks.

Feedback

5 Eight Steps in the Planning Process.Activity 4

Ask the Group Leader to allocate each of the 8 steps to a member, who will thereafter spend at least 5 minutes to read the items allocated to her/him and share with the other members of the group.(PP 15-18) Trainee Module.

Activity5Randomly allocate to each Group, two (2) out of the 8 steps and the group is to list 3 reasons why each of the (2) steps in planning is important. (NOTE: each step to be presented by a different person; two persons to report from each group, and these reporters will participate in next activity.

1….Analysing situations and opportunities….Group 12….Identifiy the aim of the plan…………………. Group 23….Explore Options……………………. Group 34….Sellect the best options………………… Group 4

5….Detailed Planning……………………….. Group 16….Plan Evaluation…………….…………… Group 27….Implementation……............................... Group 38….Closing the Plan………..………………Group 4

All Group Work

5 minutes

40mins. min


31

6 What is Budgeting?Ask Participants their understanding of BudgetingTake note of some key words.Read extracted and attached contents of box on pg 27 (Trainer Module.

Plenary 20 minutes

7

8

Activity on distribution of mosquito nets.

Wrap up

Plenary25minutes

5mins

SESSION PLAN: ISS/OJCB31 ST MAY 2012/ 7 th June, 2012

OBJECTIVE1. Describe their roles as health managers in the process of Integrated Supportive Supervision2. Describe supervision and identify any shortcomings / challenges of current supervisory

arrangements (if any)3. Identify the core components of a model Integrated Supportive Supervision system4. Discuss the characteristics of an effective ISS team5. Demonstrate a clear understanding of how an Integrated Supportive Supervision system

can contribute to a high quality health care service.6. Describe a typical On-the-Job Capacity Building process

Time allocated: 4 hrs 30 mins

Equipment needed: Flip chart stand

Material needed: flip chart paper, markers, and modules, cardboard, activity strips

S/N Activity Duration Methodology1. Overview of the module

Introduction the session to the participants5min Plenary

2. Understanding the key concepts in supervisionActivity 1

Break the participants into their 4 groups, ask each group to describe the following operational terms on flip chart:

Supervision Supportive supervision Integrated supportive supervision On-the-job Capacity Building

The presenter of group 1 present Supervision alone other contribute at plenary and so on

25mins Group work

Plenary


32

Activity 2In the 4 groups above, each group to :

Compare Monitoring and SupervisionResponse should be put on flip chart, one group present and the others contribute

Distribute Trainee module and refer participants to pg 6 & 7

15min Group work

3. Current Supervisory Practises

Activity 3 In plenary, ASK participants which health workers they are

currently responsible for/supervise? Generate a list of health workers that they supervise on a

flipchart.

Activity 4In 4 groups, allocate one or two groups of workers that they are responsible for and ASK them to DISCUSS the following questions related to these groups:

1. Who is carrying out the supervisory visits?2. What tools (if any) are being used for supervision?3. What are the major activities that take place during a typical

supervisory visit?4. How often does the supervisory visit take place?5. Who provides the funds for the supervisory visits?6. What follow-up arrangements are in place beyond supervisory

visits?7. What are the challenges to supervision?8. Who ensures that the supervision takes place?

Refer participants to 4.0 on pg 7 in trainee module

10min

15min

Plenary

Group work

4. Overview of Supervision in the Health Sector

Activity 5ASK the participants to reflect on the supervision they do as managers and discuss their understanding of the purpose of supervision and what the objectives of supervision are.

Give feedback in plenary/write on flip chart

Read the box on page 8

10min

10min

10min

Group work

Plenary

Plenary5. Core elements of ISS

Activity 6Refer the trainees to pg8, section 13.3 of the trainee module and ask them to read this section by themselves.Explain that they should not worry if they don’t understand every detail as they read; you will go through it afterwards.Allow about 10 mins reading time

20min Plenary


33

Once the trainees have had a chance to look at the text thenEXPLAIN the text in your own words

ASK for any comments or questions they have and facilitate answers from participants. QUESTION them about what you have told them in order to check their learning.

2hr

Break.6

Establishing ISS System

Activity 7In their groups of at least 8 participants each. ASK them to look at the Eight Steps for establishing an ISS system in their trainee notes (pg.10, section13.5).

Each of the 8 steps should be allocated to a member of the group.

Each group member should spend at least five minutes to read the item allocated to her/him and share with the other members of the group.

Each small group is then (randomly) allocated 2 out of the 8 steps and asked to give an overview of the steps to the large group.Group 1----------step 1&7Group 2----------step 2&8Group 3----------step 3 &5Group 4----------step 4&6

Presentation in plenary

Each step should be boldly written on cardboard paper. The group representatives that presented the various steps should be requested to hold up their cards and arrange themselves in a sequence which demonstrates how one step leads to the other.

In a short input, EXPLAIN to the participants the eight steps necessary in establishing a functional ISS system (refer participants to the section in the trainee module).DISCUSS any questions that might arise.

20min

30min

10min

10min

Group work

Plenary

Plenary

Plenary

7 ISS Supervisory visitActivity 8

Distribute the pre-packaged 11 steps written on cardboard paper to the groups

20mins Group work


34

In groups participants should arrange the 11 steps into a logical sequence that describes the supervision process

ASK one group representative to stick the steps onto the wall in sequence.

Compare with diagram on Pg 38

ASK the trainees to read this section Pg 38-42, section 13.8 by themselves later in their spare time (it can be found in the trainee notes-the integrated supervisory visit-11 steps and the ten commandments for the integrated supervisory visit.)

Plenary

Individual home work

On the Job Capacity Building (OJCB)8. Introduction

REMIND participants that the model of ISS addressed in this module is designed to serve as a medium for conveying on the job capacity building

Activity 9ASK the trainees to read this section by themselves (it can be found in the trainee notes-OJCB pg.44-45).Explain that they should not worry if they don’t understand every detail as they read; you will go through it afterwards.Allow them about 10 min reading time

Once the trainees have had a chance to look at the text then EXPLAIN the text in your own words. ASK for any comments they have and QUESTION them about what you have told them in order to check their learning.

5min

30min

Plenary

Group work

Plenary

.

9.

Activity 10In groups ASK participants to use their own experience to discuss:

The OJCB experiences they have had Whether these go beyond knowledge and skills sharing and

address attitude Whether the OJCB has been structured or unstructured What can they do as manager to institutionalize OJCB in the

health sector?

In plenary, DISCUSS any issues or areas needing clarification/further discussion

Wrap up the session

10min

5min

10min

Group work

Plenary

2hr 30min

SESSION PLAN FOR MONITORING AND EVALUATION (31/2 hours)


35

8 TH June 2012, 8 th June, 2012

Objective of the session1. Describe monitoring and evaluation (M&E) and the current tools used to collect

data2. Discuss the difference between supervision, monitoring and evaluation3. Identify the current weaknesses of the routine HMIS system, with a specific focus

on malaria specific data elements and data flow4. Explain the basic characteristics of each step of the data management cycle,

outlining the roles and responsibilities of service providers and managers in the implementation of each step

5. Demonstrate how to analyze, interpret and utilize the data generated from the indicators

S/n Activity Time Allocation Responsible Person

1 IntroductionMonitoring

For the women, what do you do when cooking

Evaluation For the men, what do you do when your

wife finishes cooking

10 Minutes

Dr. Fabode

2Group Work On M&EActivity 1Step one

Ask the participants to appoint a group leader, a note taker and a presenter

Give each group a flipchart and ask them to fold it into three equal parts in portrait orientation.

On the divided flip chart, use the one part each to state what you understand by the word:

Monitoring Evaluation Supervision

Note: The presenter for each group only

presents either Monitoring or Evaluation or Supervision in plenary

Other groups will fill in the gaps In a plenary request the participants to

discuss the differences between the three term

10 Minutes

15 Minutes

Dr. Fabode


36

Step Two Distribute the participants’ modules.

Ask participants to read the definitions pages 4 and 5 of Trainee module

5 MinutesDr. Fabode

Activity 2Give participants a flipchart, ASK the participants to discuss in - groups How does M&E helps us as managers?Note:

Group 4 presents in plenary Other groups will fill in the gaps

Refer to pg 5 & 6

10 Minutes

10 Minutes

Dr. Fabode

Tea Break3 Group Work On Health Management

Information System /Malaria Specific DataActivity 3

Malaria specific Data

“Malaria Specific Data are numbers, facts and information related to service delivery and the management of malaria obtained at community, facility, LGA, State and national levels which are useful for making conclusions about the desirability, progress and impact of malaria interventions and programmes”

Discuss who collects malaria specific data in Oyo State and write responses on flip chart

What M&E are we currently doing? Plenary

5 Minutes

10 Minutes

10Minutes

Dr. Fabode

Activity 4 In present groups, ASK two of the groups

to discuss topic 1 while the other two groups discuss Topic 2

Topic 1One of the major challenges facing Nigeria’s HMIS in general and malaria data elements and data flow in particular is the multiplicity of data collection forms/tools.

1. What data collection forms/tools currently

10 Minutes

Dr. Fabode


37

exist?2. Give Suggestions for improvement.

Topic 2Nigeria’s HMIS in general and malaria data elements and data flow in particular are facing challenges due to under-reporting.

1. What factors are responsible for under reporting?

2. Give Suggestions for improvement.

Group Presentation One group each make presentation while the other (s) will fill the gaps

20 minutes

4Data Management Cycle Activity 5

Start by asking participants what sizes of shoes they use

Collect the data Collate the data Analyze the data Interpret the data

20 Minutes

Dr. Andrew

Group WorkIn the existing groups, discuss

Group OneList 2 (two) major challenges in data collection in Oyo State.Suggest ways of addressing these Challenges

Group TwoList 2 (two) major challenges in data analysis in Oyo StateSuggest ways of addressing these challenges

Group ThreeList 2 (two) major challenges in data Interpretation in Oyo StateSuggest ways of addressing these challenges

Group FourList 2 (two) major challenges of storing and retrieval of data Oyo State.Suggest ways of addressing these challenges

Group Presentation

10 Minutes

Dr. Andrew


38

Each group to make presentation. 15 Minutes

6 Activity 6Describe how analyzed malaria data can be used at the different levels of the health system.

One group presents in plenary while others make contributions

Page reference: pages 49-52 of trainee’s manual

40mins

Dr. Andrew

Group work Activity 7What is an indicator?What purposes do indicators serve?Give an example of indicator in your everyday life

One group presents in plenary with flip chart while others make contributions

Refer participants to pages 26 and 27 of trainee’s module

10mins

15mins

. Andrew

Annex 11: Criteria for selection for SToT

CRITERIA FOR SELECTION


39

i. Availability and willingness to attend a 6-day state training of trainers without

being paid a fee (accommodation, feeding and transport will be provided based

on MAPS rate)

ii. Availability and willingness to support the state level planning and roll-out training

scheduled to take place intermittently during July to August 2012.Consequently;

Directors and very busy Deputy Director in the MDAs are disqualified.

iii. Previous experience in training delivery at state and LG level

iv. Some health programme management/support experience

v. Computing skill

vi. Good team player

vii. Resident within the state

viii. Good communication skills (writing and presentation) and should be able to

adapt to varying audience

ix. Working knowledge of local environment including culture, language and local

geography

Annex 12: Evaluation Form

Oyo State Ministry of Health in collaboration with USAID/MAPS


40

State Level Orientation of Health Sector Executives For Strengthening Capacity for Malaria Control


Evaluation Form1. How would you describe the orientation meeting?

A. Poor

B. Fair

C. Good

D. Very good

2. How relevant is the meeting to your work?

A. Not relevant

B. Relevant

C. Very relevant

3. In your opinion how would you describe the methodology used.

A. Not satisfactory

B. Satisfactory

C. Very satisfactory

4. What other issues do you think should have been addressed in the

course of the

Study……………………………………………............................

………………………………………………………………………………

Annex 13: Role of MAPS


41

MONITORING AND 'EVALUATION': THE

RESULTS 1

Malaria Action Program 8-Jun-12 for States (MAPS)The Role of MAPS in Malaria Control inOyo StateDr Karim MohammedOyo State USAID/MAPS CoordinatorMalaria Action Program for States (MAPS)Outline of the presentation• Burden of Malaria

• Overview of USAID/MAPS Program

• Background and Concept of the Capacity

Building Support

• Role of USAID/MAPS Program

• Role of State Government

Malaria Action Program for States (MAPS)Burden of Malaria• Major cause of morbidity and mortality in Nigeria

• Causes over 100 million clinical cases every

year

• Directly contributing to:

– poverty

– low productivity

– reduced school attendance

Malaria Action Program for States (MAPS)Burden of Malaria (cont’d)• Accounts for:

– 60% of all outpatient attendance

– 30% of all hospital admissions

– death of 300,000 children under 5 years annually

– 11% of maternal mortality annually

– 25% of all infant-related mortality and 30% of childrelated

mortality

(FMoH 2008)The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria


Malaria Action Program for States (MAPS)Overview of USAID/MAPS• Malaria Action Program for States (MAPS) is an

integrated/comprehensive malaria project

• Five-year [2010 – 2015] USAID award with funds from the

President’s Malaria Initiative (PMI)

• Managed by a consortium: FHI360, Malaria Consortium and Health

Partners International

• Project States:– Oyo, Benue, Ebonyi and Kogi

– Cross River, Nasarawa and Zamfara

Malaria Action Program for States (MAPS)What MAPS is set to do• IR 1: Increased access to malaria prevention interventions

– Long Lasting Insecticidal Nets

– Intermittent Preventive Treatment (IPT) for malaria in pregnancy

• IR 2: Improved malaria diagnosis and treatment services

– Parasite-based diagnosis (mRDTs and microscopy)

– Treatment with appropriate antimalaria drugs

• IR 3: Increased awareness, knowledge of malaria prevention and treatment

services

• IR 4: Improved capacity for malaria program management at the State and LGA

level

• IR 5: Strengthened management Information System for malaria at facility, LGA,

State and National levels


RESULTS 2

Malaria Action Program for States (MAPS)Background and Concept of the CapacityBuilding Support• Nigeria is committed to making progress towards

the achievement of the Millennium Development

Goals (MDGs)

• An effective malaria control program is requiredThe USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria


for the achievement of the targets related to:– child mortality

– maternal mortality

– reducing the burden of communicable

diseases

Malaria Action Program for States (MAPS)Background (contd)• A rapid baseline capacity building needs

assessment for malaria control took place at:

– Federal level and

– Six Nigerian States by the National Malaria ControlProgram (NMCP) with support from SuNMaP• SuNMaP is another Malaria Control program

supported by UK Aid/DfID)

Malaria Action Program for States (MAPS)Background (cont’d)• NMCP has developed a harmonized capacity

building package for program management

and service delivery

• The package includes 14 modules

Malaria Action Program for States (MAPS)NMCP Harmonized TrainingModulesService Delivery – Facility LevelService DeliveryCommunityProgramme ManagementCase Management – Hospitals

Prevention in pregnancy

(in both packs)

Diagnosis

(in both packs)

Prevention

( in both packs)The USAID-MAPS Project is A 5 year Integrated Malaria Control Program Funded by Presidential Malaria


Case Management – PHC

Community care givers

Patent Medicine Vendors

Records and Accounts

Procurement and Supply

Programme Planning

General Management

Supervision and Training

Monitoring and Evaluation

Communication SkillsMalaria Action Program for States (MAPS)Background (contd)• The Program Management modules include:

– General Management

– Program Planning & Budgeting

– Integrated Supportive Supervision/On-the-Job

Capacity Building (ISS/OJCB)

– Monitoring and Evaluation (M&E)

– etc

Malaria Action Program for States (MAPS)The Role of USAID/MAPS1. Support the State in the development of the

detailed, costed State Training Plan for Malaria

Control

2. Support the State in the implementation of

aspects of the detailed, costed State Training

Plan for Malaria Control

3. Ensure quality assurance and best practices in

the implementation of all activities


RESULTS 3

Malaria Action Program for States (MAPS)MAPS Capacity Building Strategic Approach•Participatory appraisals and assessments


45

•Building of individual and team capabilities using

multiple approaches

•Strengthening of line systems (Integrated Supportive

Supervision, Supply chain, M&E, etc)

•Institutional strengthening of State and National

program units

•Incorporation of elements to promote sustainability and

expansion of capacity building interventions beyond

program efforts

Malaria Action Program for States (MAPS)The Role of the State Government(in the roll out of the capacity building package)

1. Ownership, oversight and coordination to ensure that

all stakeholders and partners buy-in to the detailed,costed State Training Plan for Malaria Control2. Lead in the development of micro plans for the roll out

3. Provide all necessary inputs

4. Identify suitably qualified participants for the various

training events

Malaria Action Program for States (MAPS)The Role of the State Government(in the roll out of the capacity building package; cont’d)

5. Facilitate the release of all relevant staff to participate in

the various training events

6. Mobilize additional resources from various:

sectors,all tiers of government,partners andimplementing agenciesto facilitate the implementation and sustainability of the detailed,

costed State Training Plan for Malaria Control

Malaria Action Program 8-Jun-12 for States (MAPS)Thank you


46

Annex 14: The roll-out Plan

OYO State programme management Training Roll-Out Dates

TRAINING 1ST Event 2nd Event Date Venue Date Venue

Executive Orientation( Batch 1&2)

May30th - 2nd

June,2012 Ada,OsunJune 6th-9th,2012 Ada,Osun

SToT 17TH -24TH

June,2012 Ada,Osun NIL NILHead of Institutions 23rd-25th

July,2012Equity Resort Ijebu-Ode

July 30TH -1st Aug 2012

Equity Resort Ijebu-Ode

LGA Training Aug 20th -23rd,2012

Non-residential

27th -29th

Aug,2012Non-residential


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Annex 15: MAPS Report writing format

Report submitted to:

USAID-MAPS8th Floor, River Plaza 470

Agbogo Largema Street, Central Business District,Abuja

Nigeria

Title of the Report

IR: 1

Phase (if applicable):1

Consultants Names

Month / Year


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E.g.: Developing Strategy for Routine LLIN Distribution in Nasarawa State

Final ApprovalReport approved and Signed off by:

Approval Date InitialsLead AdvisorChief of Party

(Note that final payments can only be made when reports are finally signed-off)

Table of ContentsSection Page No.Section 1 Title Page

Table of ContentsAcronymsAcknowledgements

Section 2 1 page Executive Summary (summary of findings and recommendations)

Section 3 2 pages(max)

3.1 Background & Introduction3.2 Objective of the Assignment3.3 Approach and Methodology

10 pages(max)

3.4 Key activitieso Preparationo Opening sessiono Technical sessionso Selection of participants for the next activity

3.5 Emerging issues3.6 Recommendations3.7 Next Steps

Section 4 Annexes:Annex 1: Terms of ReferenceAnnex 2: Consultants profile-12 lines (max)Annex 3: Agenda for preparatory meeting Annex 4: Time tableAnnex 5: List of Participants – (disaggregated) Annex 6: Completed Assessment sheets Annex 7: Groups for Modules in practice sessionAnnex 8: How to organize the practice session Annex 9: Allocation of topics for Modules in practiceAnnex 10: Presentations (if any)


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http://www.fhi360.org/en/index.htm

AcknowledgementsThe consultant(s) is/ are grateful to the following for their assistance in the production of this report:

Name Position Organisation

Disclaimer: The contents of this report are the sole responsibility of its authors and do not necessarily reflect the views of USAID-MAPS project

(Note that the official font is Arial, size 12 and line spacing should be 1.5)


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REPORT OF OYO SEMO[1]

Documents

Transcript of REPORT OF OYO SEMO[1]