Detailed Report for RT-3

8/3/2019 Detailed Report for RT-3

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LeadershipDevelopmentand

OrganizationalEffectiveness

Programme

ThirdRoundTable,Ranchi,20-21and23-24Nov2009

REPORT

The Third Round Table (RT3) for the LDOE programme with District teams and NGO

Executives was held in Ranchi, Jharkhand during 20-21 November and 23-24

November 2009 respectively. . It was attended by 17 participants from district health

teams (Jharkhand) in first group and 7 NGO executives from Bihar and Jharkhand in

second group.

The main purpose of the RT3 was to provide a refresher training to the LDOE programpartners on leadership skills and strengthening organizational effectiveness and

efficiency. RT3 was the 4th in a series of training under the LDOE, with two Round

tables and one Advanced training in Malaysia. The training materials and PowerPoint

presentations used during earlier training programmers (1st & 2nd Roundtables and

Advance Training) were used for conducting the sessions. The sessions were

facilitated by Prof. Jay Satia, Senior Consultant, Indian Institute of Public health, New

Delhi and Former Executive Director, ICOMP and Dr. Anant Kumar, Associate

Professor and LDOE Programme coordinator, XISS, Ranchi. The support and

cooperation from the State NRHM Mission office and NGO Executives is highly

appreciated. It paved the way for the enthusiastic participation of the district and block

government health officials.

This report summarizes the details of the sessions for both District Health Teams and

NGO Executives, experience sharing and verbal quotes, Training curriculum and list of

participants with annexure.

Opening Session

Prof Jay Satia opened the session with a warm welcome to participants and a brief

introduction to the LDOE program and an overview of the maternal health situation of

Bihar and Jharkhand states and the NRHM goals and strategies of the Government of


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The LDOE programme is using three indicators

that complements in achieving the NRHM goals

and emphasizes on maternal health, quality ofcare for abortion, and contraceptive prevalence.

In particular, with NRHM focus in the district, the

LDOE programme is using the performance of

the chosen district health teams as conduits for

systemic change in the health system of the

state. Similarly, with the focus on collaboration

with NGOs, the LDOE is involving 12 NGOs in

both states to work with district teams for betterperformance and improving organizational

effectiveness and ensuring sustainability.

Details of the session:

Prof. Satia opened the session with review of detailed session plan for both the Round

Table groups (Health Team and NGO Executives (see annexes 1 and 3). The

sessions have been designed so as to focus more on review and revisiting of earlier

training programmes and experience sharing and learning from each other. The topics

covered at the Round-Table with District Health Teams included: review of leadership

concepts, skills, practices, and experience sharing by participants on self leadership

interventions; Review of District Health system excellence concepts, skills and

experience sharing; Maternal Health issues and review of Janani Suraksha Yojana

(JSY); quality of care concepts and practices; Strategic Planning concepts and reviewof Results-based Management (RBM) concepts, skills and practices; and review of

concepts on implementation and preparation of implementation plan. The participants

were requested to do an exercise on individual leadership challenges and

commitments to leadership practices to meet the challenges. Each District Teams

were also requested to fill in the Worksheets for JSY and individual FP methods in a

process to develop action plans for improving the performance in delivery of maternal

health/JSY and FP services in respective district health systems. The participants

were also briefed on the Community Leadership Program (CLP) being implemented by

XISS in collaboration with two NGO partners, IDF and NBJK in the LDOE districts of

Bihar and Jharkhand with financial support from Jamsetji Tata Trust Fund, India and

sought for cooperation and support from the District Health Teams for successful

implementation of the program activities contributing towards improved FH and RH

i d li h h l d hi d l i l l

ObjectivesofLDOEProgram: Become

better

leaders

Improveperformanceof

NRHM,specifically

maternalhealth,family

Planningandsafeabortion

Progresstowardsexcellence

indistricthealthsystems


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engine, development of action plans and review and discussion on OE support

proposals to be submitted for grant support from the LDOE program.

The details on the Round-Table sessions are as follows:

First day started with the Review of

the Round table 1.

Prof. Satia initiated the session with a

revisit to the concept of Leadershipand a brainstorming among

participants on their views about

leader and Leadership,

Many different views and perceptions

about leader came up. (Refer Box on

right side)

He summarized that the goal of

Leadership is -To take people to a

future they have not seen and a

vision is a key to leadership.

Concepts on Strategic Leadership Framework, the differences and inter-linkages

between leadership and management roles, Concept on shared vision and 4 ways of

creating shared vision were re-visited and discussed in detail. During discussion ProfSatia repeated the quoted statement that:

Vision speaks to heart and engages spirit, goals appeals to mind and shared

vision always has positive effects

At the Round-Table with health teams it was discussed that in a PHC, all staff

members expect to have a shared vision, as they have to perform several activities in a

team. In a PHC, Everyone should know what they have to do and how and why they

have to do; every ANMs should know and ask how many mothers have died during

child birth.

During discussion with NGO Executives, the importance of shared vision with

subordinates and other staff working at the organization was discussed. It was further

emphasized to ensure each member of the organization is able to articulate the same

Leadership Views:

To bring the group together,

Guiding other people,

Team spirit,

Vision for the team,

Takes initiatives proactively

and innovates to reach the

vision,

Take risks and challenges,Leadership makes more


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Beyond imagination), and shared examples from Path finders frame work and Prachar

project to overcome the vision-reality gap through the public-private partnership (PPP),

which is a good example of Govt. and NGO partnership for the best results.

The concept of Motivation and theories of Motivation, including Maslows theory of

Hierarchy of needs, Mac Gregors theory of X, Y, and Herzbergs Hygiene theory were

discussed as a part of this review. Fundamentals of Inspirations and its related terms :

Zone of control and Zone of influence, Concept of Power, Hygiene Theory along with

its 8 point strategies; Conflict Management, Empowerment, Value system, Negotiation

skills were also revisited and discussed in details.

During discussion it came out from NGO Executives that 30% time are spent by their

employees in internet surfing searching for better opportunities, (Ex devnetjobs.com,

share markets etc.), funding sources on the job/off the job. KGVK shared that their

programs are process driven and have time bound plans, and with regularity brings to

action. They plan along with indicators for performance management. They also clarify

the expectations of the employees.

It also came out that 70% time need to be made more productive and should be given

for the organization. 30% time may be personal development and may be appreciated

as a motivational factor. Role of leaders is to clarify the commitments/ job descriptions

of his/her employees at Individual & collective level and motivate to share what the

individual is learning from surfing so a transparency can be developed about what is

being done.

To sum up the discussion on vision, shared vision, motivation and inspiration, it came

out from the house that path has to be developed through incentives as a strongmotivating factor towards shared vision and inspiration to mobilize resources for

achieving the shared vision.

The signpost of inspirational leadership is communicating a shared vision and

being a role model.

Other Key points of discussion with Govt. Health Teams were: Review of District

Health System Excellence concepts, skills and practices, Improved performance of

NRHM (esp. maternal health, Family Planning, safe abortion), Key health Indicators of

Jharkhand, indicators where we are moving slowly, e.g. Institutional Delivery is not

showing much progress, while IMR and MMR has shown some improvement in

Jharkhand.

Session on maternal mortality and Safe Abortion Services was also done Issues of


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JSY payment. The health teams were reminded that most maternal health cases result

in maternal death when those cases do not reach in right place at right time for right

service. It was highlighted with cases from Tamil Nadu state where 94 % deliveries are

institutional delivery and has the lowest maternal mortality rate. However, most

maternal death cases are among the 4th referral cases due to delay in receiving

essential obstetric care services. It followed a group exercise among district health

teams to complete a worksheet on JSY to review performance during last one and a-

half year (April 2008 October 2009) and develop action plan for improving

performance of JSY in institutional delivery. (Annex - - worksheet on JSY).

A Session on Quality of care talked about the concept of quality - Perfection,Consistency, Eliminating wastes, and why quality of services need to be assured. The

quality of health services should be maintained to meet the changing customers

demand, Changing customers quality system, address unacceptable variations in

performances, practices and outcomes, Customer dissatisfaction, Unequal access to

health care services and Public dissatisfaction. A concern was raised on inadequate

quality control in district health systems. A case study on Quality management

initiatives in Himachal Pradesh the Quality Circle was shared with the participants. It

discussed the concept of quality circle - Definition, Functions of Quality Circle, why

quality circle and how to use the quality circle: assessment and identification of

Problems analyses Report Recommend interventions Action and

implementation. It also discussed about the Quality circle framework, principles of

quality management, the quality management triangle and need for developing a

checklist covering all the quality improvement issues.One of the District Health Team

members, Dr. Kamendra Singh, Civil Surgeon, Sadar Hospital, Palamu shared the

experience of introducing quality circle in management of health services in Palamudistrict.

On quality management, the district teams were suggested to use the checklist from

Palamu as a basic sample, see what is there and what more needs to be covered and

develop own checklist for quality improvement, assess the health system based on the

checklist, identify priorities and see what can be improved with existing infrastructure

and what support can be taken from external sources at district and state level. It was

also recommended to develop an action plan at district level on quality management.

Sessions on 2ndday

Result based Management was the opening session. It tells about achieving different

results by thinking differently and doing things differently which can give higher results.

Review and discussion of MMR Institutional delivery family planning service delivery


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Evaluation and its importance was also discussed. Important steps in RBM and

Monitoring and Evaluation of a program were reminded as follows:

Start with the RESULT (GOAL) in mind

Align actions and resources towards the achievement of the GOAL

Motivate those involved so that they will stay focused on the results

Constantly monitor and assess progress to detect deviation

Compare actual and planned results and learn lessons from mistakes and

success.

Exercise on Worksheet on FP methods for SWOT analysis and developing action plans

for improving performance was also done by District officials.

NGO Executives tried to link their work and achievements with Exemplary leadership

practices and shared their experiences with leadership journey.

Sessions on leadership commitment Exercise and Building the Leadership Engine was

taken by Dr. Anant there by session continued with Excellent Assessment Exercise and

development of action plans by all NGOs. A session on Business Planning was also

held for NGO executives. It discussed about why business planning is needed in the

context of reduced donor funding and the business planning framework.

During the process of discussion Prof. Satia put up his thought and facilitated

participants from state and district Teams to set some achievable targets so that they

can jointly work and contribute towards growth of some indicators they set for

themselves for NRHM.

Declaration for JSY

Coverage/

Registration

85% in Palamu

80% in Deoghar

65% in Koderma

Ranchi Declaration

for JSY

Institutional

Deliveries

55% Coverage in

Palamu

40% in Deoghar

45 % in Koderma

NRHM


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District Health Excellence and for Organizational effectiveness respectively and for

improved Reproductive health services together to support NRHM. The experiences

shared were as follows:

A. District Health Teams:

Civil Surgeon (CS), Palamu:

I started to come to office in time, other staff also started coming on time

I stayed available to provide services in the hospital when the concerned health

personnel were not available to provide the service. This inspired the health personnel

to be on time.

I took initiatives and developed strategies and involved people and with Team work we

were able to achieve more.

The reason for not replicating the Chainpur PHC module to other PHCs in Palamu is

because all PHCs are improving their quality, at different rate under different

capacities. Now we have started monthly meetings at PHCs on a rotational basis. More

focus is on FP. Dates have been fixed for sterilizations/operations. 24x7 services being

provided, quality of labour room is being improved and functioning. ANMs trained in

testing BPs, and other skills on own initiatives. Increase in immunization. Referral

transport has been provided. It has build trust in the services provided by health

professionals.

We have also taken initiatives and formed Quality Control Committee in Sadar

Hospital. Parameters were set for the assessment of quality, such as: inspect the

infrastructure, services, sanitation, utilities, sitting arrangement for those who need to

wait for services, etc. A check list/ format have been developed to fill in by each PHCs

and points are given based on the

assessment as motivating factor.

Medical officer In Charge (MO/IC) PHC,

Chainpur

Ensuring the quality of services so that ifone wants to use the service, he/she is

willing to use it

LDOE empowered us to do something and

with the support of community we were able

5 Practices of Exemplary

leadership:

Model the Way

Inspire a Shared Vision

Challenge the process

Enable others to Act


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All new born are provided with immunization of zero polio and BCG vaccine. We felt

need for more beds for delivery and arranged four additional beds so that maximum

deliveries can be done.

In Chainpur PHC our quality improvement team constitutes: MOIC as chairperson,

Nodal medical officer, ANM, cleaning staff, OT person, lab technician, and Account

manager as members. The committee oversees the quality of services provided.

Assess the Infrastructure available, running water supply and sanitation system in

labour room, OT room. The PHC is inspected every 10 15 days by Sadar Hospital

C.S. and Quality Control team and make necessary improvements. We have also

completed SBA training for 50% of SBAs

Quote from a Medical officer in- Charge

Nurses taking interest in delivery, now from 80 deliveries per month, it has gone up to

200 -300 deliveries per month, competition among nurses and opportunity to undertake

the deliveries have encouraged doing more deliveries.

DPM Deoghar says

JSY payments have been mobilized, programs like trainings were not happening. All

training programmes have being conducted. ISO standard was given to hospital.

Reviewed the payments made to JSYs and identified problems and solved them.

Accounting system has been improved. There are only 2 accounting system RCH

account and General/Salary account. It is difficult to maintain record for different funds.

JSY account needs to be separately maintained and for that leadership initiatives need

to be taken.

Once there was Problems with accounting and there shows surplus of 1 crore. I took

initiative and invited all concerned staff who prepare reports from each PHCs and

reviewed individually with them and revised the report. Developed new format for

reporting on accounts and improved reporting..

MO/IC Madhupur PHC says

OPD has become well functional but it has only one doctor. Emergency duty rosterhas been restructured, we have added required staff including guard, fourth grade

staff, male doctor, have put one incubator, made some changes in OT , for

management of operations and autoclaving systems were improved.

MO/IC Sarwan PHC says


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for slide collection. In JSY, since he has taken charge, record payment has been made.

Immunization coverage has increased significantly. Labour room is best with running

water. All work was well appreciated by district.

Mr. Neel Ranjan, State consultant, Cold-chain system says

All PHCs are maintaining the Cold Chain system and it is the main responsibility is of

CS and PHC in- charge. There is no more problem of fuel supply for maintaining the

Cold Chain system. All PHCs are having the refrigerator mechanisms. Request to all

PHC-in-charges has been made to take responsibility in maintaining cold chains at

their level and from state level necessary action will be taken.

CS, Koderma says:

All JSY payments are being made. Only 3 A-grade nurses are posted. Due to lack of

staff, no. of deliveries has not improved adequately. Institutional deliveries have

increased in the hospital. Holy Family is also providing some incentives for institutional

Deliveries. Outdoor services of the hospital have improved. Yet need to get more faith

of the public. The CHC building will be handed over to PHC by March. Health staff is

being improved. Specific actions have been taken to motivate staff.

MO/IC, Markacho PHC says:

Sterilization services - have improved the quality of service, but we need to focus on

whole state rather than focus on specific PHCs. All to be equally treated otherwise the

quality of service will be affected.

MOIC, Deoghar PHC says:

There is a need for a standard health manual for providing quality services.

It was suggested that District Health Teams need to think out-of-box, besides focusing

on JSY and other general issues for excellence in the health systems. The Chainpur

PHC can be used as a role model to follow on resource mobilization and improving

quality of services.

B. NGO Executives:

President, DORD, Raja says:

I took initiative to purchase the land for eye hospital.

Chairman Shantidoot Abhijeet says:


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Secretary, Mahila sevak samaj, Sabiha says:

I focus on community population. I had purchased some land out of community

contribution and now planning to run a school for minority girls.

My vision is to educate all girls. (Especially minority class).

Director, Chetna Vikas, Rani says:

In a village bridge linked to market and city got broken in rain. I took initiative and held

a meeting in the village, with Community contribution collected some fund to pile silts

and make a bridge. Next year government contributed money to build thebridge.

Director Health, KGVK, Shibaji says:

I took initiative and revised our board composition

Secretary KGVK, Jayant says:

Took initiative on Low cost high quality school, a new way of teaching, which is fieldbased. Collaborated with the government, developed health cards to record growth of

children by nurses

Project Officer NBJK, Dilshad says:

I took initiative to launch micro-initiative, have been trying for several years but this

year was successful initially may be no shared vision, now shared a vision..

Secretary SSK, Chhedi ji says:

I took initiative and received a land, splendor motorcycle and building materials, in

cash and some in kind for building organizational building and training hall with a

community contribution

Introducing Community Leadership Programme (CLP):

A Brief introduction on Community leadership Programme was made by Mr. Sant

kumar Prasad, Coordinator, Development Resource Center and team leader at XISS

for the CLP programme, together with Mr. Bhaskar Chakraborty, Programme officer

where they detailed about project outcome, objectives and expected results, the project

i l t ti d it i f k d t ti f t f


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3. Accelerated health service delivery by govt. Health service providers4. Shared vision created among community stakeholders5. Enhanced community based institutional capacity in health program monitoring

6. Quality and coverage of services improved

Program implementation and monitoring Framework:

1. Concept sharing at district level2. Block level convention identify advocacy issue3. Develop a micro plan at community level4. Individual level at Anganwadi level a form being developed to be completed at

household level individual service counseling.

Suggestions came out from the District officials are mentioned below:

1. To develop an IEC material which gives information on all activities run by Govt.or any other sector that are being undertaken at the block level from a singlewindow. The single window concept of information flow has been conceivedunder the program as a best practice. (Palamu CS)

2. Involvement of CDPO (child development program officer, a female officer) is

essential at block level.3. Success of LDOE depends on strengthened community leadership program.

Way Forward for LDOE:

It was discussed on how to maximize the LDOE programme performance with

Govt. and NGO partners as well as LDOE staff.

1. Action Plan to be developed on how to improve performance in the remainingproject period (9 months period).

2. Assessment of the impact of the LDOE program.3. Information collection on Leadership journey. Develop a diary of the LDOE

participants with individual leadership journey what skill have been learnedand what has been utilized or can be utilized in future. Publication of thejourney.

4. Evaluation of the program An end-of-program evaluation will be conducted byinterviewing some of the district health team members and visit to the sub-

centers and NGO partners. The LDOE team expects support and candidresponse from all partners.

5. Action Plans are generally developed only when requested by the program. Itshould be made a norm to develop action plan on regular basis and assess howthe NRHM performance can be improved

6. How should we develop leadership if leadership needs to be developed? CLPis also an experimental leadership development program at community level it


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Participants:

There was a total of 17 participants (2 from state and rest from district and Block team)

at the Roundtable with District Health Teams and a total of 7 participants for the Round

Table with NGO Executives from Bihar and Jharkhand. They were trained in two

separate batches on the above said dates respectively. (Refer list of Participants from

Govt. and NGO in Annex. 2 and 4)

Personnel:

Many people contributed to the RT3, in various capacities.

Course Facilitators:

Prof. Jay Satia, Consultant to ICOMPDr. Anant Kumar, XISSMrs. Neera Shreshtha, ICOMP

Round Table Coordinator/Secretariat:

Mr. Prakash Kumar, XISS


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Annex 1

Programme Schedule for District Team (20-21 Nov. 2009)

Topic SessionPlan Facilitator 20November2009, Friday 9.009:30 Opening IntroductiontotheRoundtable Jay Satia9:3011:00 Reviewleadershipconcepts Reviewofleadershipconcepts,skillsandpracticescoveredin

training

JaySatia

Shareexperienceson

selfleadership

Experiencesharingby participants JaySatia

11:301:00PM Districthealthsystemexcellence ReviewofDistrictHealthSystemExcellenceconcepts,skillsand

practicescoveredintraining

JaySatia

Shareexperienceson

districthealthsystem

Experiencesharingby participants JaySatia

1::002:00PM Lunch2:003:30PM

Maternalhealth Review JananiSurakshaYojna

(JSY)

Anant

Actionplanpreparationby

participants

Anant

3:305:00PM Qualityofcare Review qualityofcareconcepts Anant

Actionstobetakentoimprove

qualityofcarebyparticipants

Anant

21November2009,Saturday9.009:30 Recapofpreviousday 9:3011:00 Strategy planning Review ResultsBasedManagement(RBM)concepts,

skillsandpractices

JaySatia


participants

JaySatia

11:301:00PM

Implementationof

actionplan

Reviewofconceptson

implementation

JaySatia

Preparationofimplementation

plan

JaySatia

1::002:00PM Lunch2:003:00 PM

Finalizationofaction

plan

Finalizationofactionplanby

participants

JaySatia


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Annex 2

Participants from District Health Team (20-21 Nov. 2009)

District Position Block Name Registered

STATE StateNRHMMissionDirector Mr.NitinMadamKulkarni No

StateRCHOfficer Dr.PraveenChandra No

Partially

for1hrs

SPM Mr.RajanKumar No

HRConsultant Mr.VarunKumar Yes

ColdChainOfficer Mr.NeelRanjanSingh Yes

Noofparticipants2

DEOGHAR

Civilsurgeon

ACMO

DPM NazishfaheemAkhtar Yes

DRCHO vacant

MOIC Madhupur Dr ArunGupta Yes

MOIC Palajori Dr SunilKumarSinha Yes

MOIC Sadar Dr DeepakKumarSinha Yes

MOIC

Noofparticipants4

KODERMA

Civilsurgeon DrBalkeshwarSingh Yes

ACMO DrSGMAsarafi Yes

DPM MrRajVardhanPrasad Yes

DRCHO vacant

MOIC Koderma

MOIC Jainagar Dr.S.P.Singh Yes

MOIC Satgawan Dr SatyendraKumarSinha Yes

MOIC

Markacho Dr Subodh

Kumar

Singh

Yes

Noofparticipants6

PALAMAU

Civilsurgeon DrKamendraSingh Yes

ACMO

DPM Mr.PraveenSingh Yes

DRCHO DrAwadheshKumar No

MOIC Patan Dr KrishnaVallashPrasad No

MOIC Chainpur Dr SKPYadav Yes

MOIC Daltonganj Dr MathuraPrasadSingh Yes

MOIC

Hariharganj DrAnil

Kumar

Singh

Yes

Noofparticipants5Abbreviations:NRHM=NationalRuralHealthMission;ACMO=AdditionalChiefMedicalOfficer;DPM=District

ProgrammeManager;DRCHO=DistrictReproductiveChildHealthOfficer;MOIC=MedicalOfficerinCharge


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Annex 3

Programme Schedule for NGO Executives

(23-24 Nov. 2009)

Topic SessionPlan Method Facilitator 23November2009,Monday9.009:30 Opening IntroductiontotheRoundtable Powerpoint Jay Satia9:3011:00 Reviewleadershipconcepts Reviewofleadershipconceptscoveredintraining Powerpoint Jay Satia

Shareexperiences

onselfleadershipExperience

sharing

by

participantsGuidelines

for

experience

sharing

JaySatia

11:301:00PM NGO Reviewofexcellenceconceptscoveredintraining Powerpoint Anant

Shareexperiences

on

NGOExcellence

Experiencesharing by

participants

Guidelinesfor

experience

sharing

1::002:00PM

Lunch

2:002:30 CLPandCBOs BriefonCLPandCBOOrganizationaleffectiveness

activities

Powerpoint Anant

2:303:30PM Excellenceassessment Excellenceassessmentrevisited Blankassessment

form

3:305:00PM Businessplanning Reviewbusinessplanningconcepts Powerpoint Jay

Actionsto

be

taken

on

business

planning

Reviewandcommentsonaction

plansproposedbyNGOs

Guidelinesand

formats

Actionplan

outline

24November2009,Tuesday9.009:30 Recapofpreviousday9:3011:00 Preparingfutureleadersinthe

organization

ReviewofconceptsonBuilding

theLeadershipEngine

Powerpoint

Reading

Anant


participants

Guidelinesand

formats

11:301:00PM Continuedevelopmentof

actionplans

Reviewexcellenceassessment

results

Continuousimprovementin

performance

Guidelinesand

formats

Powerpoint


16/22

Annex 4

Participants List from NGO Executives

(23-24 Nov. 2009)

Organisation District Name Position Registered1 ChetnaVikas Deoghar MrsRaniKumari Director Yes2 NEEDS Deoghar MrsUrmiRay Deputy

Director

Yes

3 Jeevodaya(HolyFamilyHospital)

Koderma SisterJyotiSoren Coordinator No

4 IDF Palamau MrManishRanjan Unitincharge No5 DORD Aurangabad DrMMRaja President Yes6 KGVK Ranchi MrShibajiMandal PrgmMgr Yes7 SSK Gaya MrChhediPrasad Secretary Yes8 OSERD Gaya MrsKumari Anamika Director No9 MSS Sheikhpura MsSabihaNaaz Director Yes10 Shantidoot Sheikhpura MrAvijeetKumar Chairman Yes11 Agragami Patna MrBrijendraNChowdhury PrgmDevMgr No12 LokPrerna Deoghar MrMadhavDas Secretary NoNoofparticipants7


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Annex 5

Detailsofthesessionplan

(Date:20-21Nov2009)

1stDay:

1) Leadership Concepts

2) Review of Round Table 1 and 2.

3) Revisit of Action plan developed

4) Improve performance of NRHM, specifically maternal health, family Planning

and safe abortion

2ndDay:

1. Review of FP Worksheet Actions taken

2. Action Plan for future

3. RH area

4. NRHM goals/objective

5. Results-Based Management

6. Briefing on Community Leadership Program (CLP) and Linkage of LDOE and

CLP


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Annex6

Detailsofthesessionplan

(Date:23-24Nov2009)

1stDay:

1) Leadership Concepts.

2) Review of Round Table 1 and 2.

3) Progress towards excellence

4) Improve performance of NRHM, specifically maternal health, family Planningand safe abortion

5) Review and re-do of excellence assessment

6) Review of Business Planning

2ndDay:

1. 2nd line leadership/ future leaders Leadership engine

2. Action Plan for future.

3. Linkage of LDOE & CLP.

4. RH area NRHM goals/objective.


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Annex 7

WorksheetJSY1fordevelopingactionplantoimproveperformanceinInstitutionalDeliveries

Lastyearperformance(April2008toMarch2009)______________________Deliveries

PerformanceTodate(ApriltoOctober2009) __________________________Deliveries

OutputDesired

performance

this

year

(April

2009

to

March

2010)_________________

Deliveries

Activities(PleasecompleteanalysisofbarriersinworksheetJSY2.Thenlisttheactivitieshere)

1._____________________________________________________________________

2._________________________________________________________________________

3.____________________________________________________________________________

NowcompleteJSYworksheet3WorksheetJSY2

forSWOTanalysistoimproveperformanceinInstitutionalDeliveriesBarriersFinancial Infrastructural (Facilities,Transportetc.)

Humanresource Client related

Pleaseselectwhichbarriersyouwishtoaddressintheabovetable


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WorksheetJSY3forActionplantoimproveperformanceinInstitutionalDeliveries

Activity Whowilldoitandhow How willyoumonitorimplementation


21/22

LDOE Round Table 3 District Team and NGO Executives Report Page 21

PerformanceReviewformat:District___________________________PHC__________________________Name____________________________WewishtoreviewourperformanceinJSYandFamilyPlanning(FP)anddevelopactionplantoincreaseit.Thefollowingtablewillhelpusreviewtheperformance.Item Performanceinlastyear(April2008to

March2009) Cumulativeperformancetodate(April2009toOctober2009 Barrierstoimproveperformance ActionsplannedtoimproveperformanceAchievement Target Achievement

as%oftarget

Achievement Targetfortheyear Achievementas%of

targetMaternalhealthInstitutional

deliveries,numbers

FamilyplanningFemalesterilization

(number)

Malesterilization

(NSV),Number

IUDinsertions,

number

Oralpills,cycle

distributed

Condoms,pieces

distributed

PreparedbyXISSfordiscussionattheRoundtableinRanchion2021November2009


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LDOE Round Table 3 District Team and NGO Executives Report Page 22

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