Achievements

 

2010

2009

2010 Achievements

Key achievements of PRRINN-MNCH during 2010 include the following (for more details see the 2010 Annual Report):

Goal and Purpose Indicator Targets

In comparison with the baseline data, the project has made significant strides in reaching the targets in the four PRRINN-MNCH states:

• 314% increase or an additional 222,141 fully immunised children per annum

• 431% increase or an additional 360,072 pregnant women appropriately immunised against tetanus per annum

• 270% increase or an additional 24,748 women per annum attending ANC first visits in targeted facilities in the CEOC first clusters

• 271% increase or an additional 13,998 women being delivered by SBAs per annum in targeted facilities in the CEOC first clusters

• Polio cases in 2010 were 9 in the four states – down from the baseline of 237

Full details are available here.

Governance

 

• State Primary Health Care Bill passed in Yobe and Zamfara (details here)
• Memo/guidelines on ‘bringing PHC under one roof’ approved by NPHCDA Board and memo prepared for National Council for Health (2011)

• Establishment of a pooled health fund in Jigawa

• MOUs signed in Yobe and Zamfara between the state government and UKaid and at LGA level (in the first clusters) between state/LGA government and PRRINN-MNCH (Katsina and Zamfara to follow in 2011)

• Integrating approaches to MSP delivery, free MCH services and resource availability (e.g. from government, inclusive of NHIS, NPHCDA and MDG Fund)

• Request and obtain UKaid’s approval for SAVI and SPARC to provide additional support for advocacy and institutional change in the PRRINN-MNCH supported states

Improved human resource policies and practices for PHC

 

• Developed and updated a Human Resource Information System (HRIS) in all 4 states

• Tracked retention of MSS Midwives (MWs)

• Established high level Human Resources for Health ‘taskteams’ in the states

Improved delivery of MNCH services via the PHC system 

• Reviving Kangaroo Mother Care (KMC) in the three MNCH states

• Close collaboration with NPHCDA on MSS resulting in significantly increased ANC and delivery attendance at health facilities

• Introduced maternal death audits

• Significant improvement in immunisation coverage

Operational research evidence  

• State OR governance and institutional capacity development ongoing

• Nahuche HDSS fully functional

• OR studies in each state initiated

• Performance-based financing (PBF) studies initiated

Improved information and knowledge

• Utilising data from the routine Health Management Information System (HMIS) for a variety of purposes

• Finalising and reporting quarterly on the PRRINN-MNCH Monitoring and Evaluation (M&E) framework

• Producing a variety of Knowledge Management materials

Increased demand for MNCH services  

• Increase in the number of communities involved in community engagement from 68 to 300

• Under the Emergency Transport Scheme (ETS), 1,214 women (milestone was 150) transported to hospital for maternal emergencies in 2010; a total of 4.2m Naira was saved with 145 families receiving EMC loans and 239 families receiving EMC grants

• Two critical studies (financial barriers to access and clustering of mortality) led to a revised approach and increased advocacy

Improved capacity at Federal Ministry level for state routine immunization  

• Ensuring the ongoing provision and use of the GAVI funds

• Maintaining key links with federal level bodies and thus assuring interest in PRRINN-MNCH state level activities (e.g. ‘Bringing PHC under one roof’)

 

2009 Achievements

Key achievements of PRRINN-MNCH during 2009 include the following (for more detail see the 2009 Annual Report):

State strengthening

• Our project strengthened state and Local Government Authority (LGA) governance of Primary Health Care (PHC) systems geared to Maternal, Newborn and Child Health (MNCH)
• We facilitated dialogue amongst all stakeholders in three states (Yobe, Zamfara and Katsina), leading to all PHC services being brought under one roof. Yobe has progressed further and legislation is currently being considered by the State Assembly.

• All states have embarked on planning and budgeting exercises at state and LGA levels.
• Initial work on a costed minimum service package for states has started and this will link with costing free MNCH services.

Improved human resource policies and practices for PHC

• Our programme has completed Human Resource (HR) audits in all four states. HR committees are being established at state level to review and utilise the data from the audits for planning purposes.

Improved delivery of MNCH services via the PHC system

• In each state, we have identified a Comprehensive Emergency Obstetric Care (CEOC) cluster and have completed an audit of services, infrastructure and equipment
• Initial work has started on developing a sustainable drug supply system in all states.
• Transport policies have been developed and are in the process of being implemented.

Operational research evidence

• Our operational research has provided evidence for PHC stewardship, MNCH policy and planning, service delivery, and effective demand
• The learning LGA site in each state has been identified and teams from each state have had the opportunity to learn from similar work in Navrongo, Ghana.

Improved information and knowledge

• Information and knowledge generated from the project is now being used in policy and practice
• We have started work on strengthening information management systems with a focus on the CEOC cluster facilities.

• The programme’s knowledge management strategy is being closely aligned with the monitoring and evaluation strategy to ensure that what is reported is strongly grounded in evidence.

Increased demand for MNCH services

• The programme’s community mobilisation activities have focused on communities aligned with the CEOC clusters.
• The focus of communication activities has been on knowing danger signs during pregnancy and delivery, and on understanding the importance and timing of immunization.

Improved capacity at Federal Ministry level for state routine immunization

• PRRINN-MNCH supported the National Primary Health Care Development Agency (NPHCDA) in its restructuring exercise. Following this, a strong relationship with NPHCDA has developed.
• The programme also provided assistance to enhance the distribution and accountability of funds from the Global Alliance for Vaccines and Immunization (GAVI).