Quarterly Project ReviewClosing the Gap

Presenter: Stephen Okong’oDate: 9th December 2014

Organization: Lwala Community Alliance

Targets and Outcome –Objective 1Target -Activity based Achievement/outcome

Train 10 health care providers in LTM/PAC. So far a total of 18 service providers have been trained on LTM/PAC since the project began.

Integrate FP and PAC into existing health services by training Comprehensive Care Center (CCC) and Maternal and Child Health Clinic providers on PAC, and FP, focusing on LTM

Integration has been on going as a result a total of 9 rooms have been integrated fully to offer family planning education and 3 rooms offering FP procedures.

Produce guidelines and job aids on PAC and FP (LTM) service provision for dissemination to health providers in 2 engaged health facilities.

Since the beginning of the project a total of 36 job aids have been produced for education purposes t at the community, 8 FP ,6 PAC guidelines and 10 MEC wheels have been donated by the MOH.

Targets and Outcome –Objective 2 oneTarget -Activity based Achievement/outcome

Establish youth friendly corners in 2 health facilities. One youth friendly corner has been established in Minyenya. Lwala is still waiting for the delivery of the container and fabrication to start.

Continuous mentorship support to 10 providers on provision of youth friendly services by 3 TOTs

A total of 21 sessions have been so far conducted

Targets and Outcome – Objective 3 oneTarget -Activity based Achievement/outcome

Provide FP education and counseling services to clients accessing services, including services other than FP and PAC, at 2 facilities

FP education has been ongoing to clients accessing other services at the facility .this has been successful due to integration done in 9 rooms at the facility

In-service clinical mentorship and facilitative supervision of providers by trained trainers, focusing on provision of LTMs

18 In service FP/PAC mentorship sessions have been conducted so far in collaboration with the MOH staff.

Targets and Outcome –Objective 4 oneTarget -Activity based Achievement/outcome

conduct 8 grassroots advocacy campaigns targeting community leaders and other stakeholders to influence social norms that impede access to PAC and FP services, including LTMs

A total, of 5 advocacy campaigns have been conducted since the project begun .

conduct 100 sessions of demand creation activities to inform and educate community members using different forums by the trained CHWs and YPPs.

Total of 48 demand creating activities have been conducted so far since the beginning of the project

Community based facilitative supervision by trainers 30 supervisory visits have been conducted so far.

Targets and Outcome –Objective 4 oneTarget -Activity based Achievement/outcome

Develop and implement service provision reporting systems for health facilities

On job training and mentorship on FP/PAC documentation has been on going .

Develop and implement monitoring plans for CHWs and YPPs

Monitoring of the YPPs and CHWs has been on going through support supervision. A total of 30 sessions have been conducted.

Quarterly review meetings with CHWs and YPPs around engaged health facilities

Monthly meetings for CHWs and YPPs on program implementation has been on going , a total of 16 sessions have been held so far.

Indicators and Quality PerformanceTarget -Indicator based(from Indicator sheet targets)

% Achievement Explanation on achievement

2 health facilities upgraded to provide youth-friendly services and have youth-friendly corners

50% 1 facility upgraded the other one to be done in the coming quarter

1672 STM provided 236% Due to many mobilization forums conducted and integration of services

16800 Number of Condoms Distributed 263% Due to many mobilization forums. 2500 Number of Clients receiving Condoms

131% Due mobilization conducted

1000 IUD Insertions 21% Nature of the procedure800 Implant Insertions 119% Mobilization by YPPs and CHWs 1800 Total LTM insertions 65% Mobilization by YPPs and CHWs

56% Proportion of LTM that are IUD (%) 12% Nature of the procedure 44% Proportion of LTM that are implants(%)

53%

80 MVA (PAC) 45% Referral of SA to other partner facilities

Target -Indicator based(from Indicator sheet targets)

% Achievement Explanation on achievement

80 Total PAC 45% Referral of SA to other partner facilities

56 Post Procedure Contraception 52% Intensified post procedure counseling

70 Proportion of Post Abortion Care Contraception (%)

81% Intensified post procedure counseling

3472 Total contraceptive clients served (new and continuing)

183% Community mobilization

1600 First-time ever contraceptive clients served 216% Integration of services

2000 Youth clients served 170% Youth friendly days

8 Advocacy campaign meetings held 63%

48 Community mobilization and demand creation events conducted

208% Need for demand creation

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year1 year 2

Implants

IUCD

IMPLANTS IUCDS

YEAR 1 388 22

YEAR 2 561 191

GRAPH SHOWING THE UPTAKE OF IMPLANTS AND IUCD FOR YEAR 1 AND YEAR 2GRAPH SHOWING THE UPTAKE OF IMPLANTS AND IUCD FOR YEAR 1 AND YEAR 2

GRAPH SHOWING IMPLANT AND IUCD REMOVALS

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Implants IUCD

Quarter 2 Quarter 3

Implants 7 5

IUCDs 3 1

Gaps AnalysisPlanned Activity not Done Reason/Way Forward

2 advocacy forums We were able to conduct one advocacy forum due to conflicting schedule with the MOH activities( net Distribution activity).

Integration/Partnerships

• LCHC partnered with MOH during World Contraceptive Day and FP Rapid Result Initiative in Migori County

• LCHC in collaboration with KEMSA / MOH ensured steady supply of FP Commodities.

• During the quarter, CTG Program collaborated with MOH, Nyarami and KMET in conducting routine data quality audit and supportive supervision.

• LCHC in collaboration with NAYA Kenya conducted advocacy forum in North Kamagambo to demystify possible myths and misconception on LTFP methods

• The period also realized a comprehensive forum for data quality audit for the family planning indicators. This was done for Nyarami VCT and Lwala Community Health Centre in collaboration with county Health Records Officers form Uriri, Rongo, Awendo and Migori

Challenges and Remedial action Challenges Remedial Action

1. High YPP turn over within the reporting period 9 YPPs left

11 YPPs were recruited training conducted and mentorship on the program is ongoing.

Financial Management ExperienceTimely funds disbursement

Priority activities to achieve the overall targets

LCHC is working in collaboration with small facilities working in N. Kamagambo to realize its targets.

The involvement of Provincial administration during advocacy meetings has seen greater attendance and involvement of both male and female partners and to demystify myths and misconception in N.Kamagambo

Intensify RRI for the long term methods

Photos