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01/08/14

1
Background
• Ngaputaw township is situated in delta region
but most of the areas are mountainous and
hard to reach areas which are difficult to get
health care activities.
• Total population is 313,420 and
• about 90% of the population are residing in
rural and mountainous area.

01/08/14

2
HEALTH SYSTEM ASSESSMENT

• In December 2011, Health System Assessment
team came to Ngaputaw and conduct baseline
assessment on Ngaputaw township Health
System.

01/08/14

3
COORDINATED TOWNSHIP HEALTH PLAN
WITH EVERY RHC

The plan was based on social, economic and physical hardship and plan to conduct
service package tours with group of BHS to these hard to reach areas under each and
every RHC. Supervision and quarterly meeting were also scheduled in the CTHP.

01/08/14

4
PACKAGE TOUR (Near High Way Road)

On conducting package tour activities HAs, LHVs from the responsible RHC
together with midwives from the other subcenters. Some package tour activities
(especially in physically hard to reach areas) conducted together with EPI and they
can cover more.

01/08/14

5
MCH SERVICES

01/08/14

6
CLEAN DELIVERY KITS SUPPLY

01/08/14

7
NUTRITION

01/08/14

8
VITAMIN A SUPPLIMENTATION

Nutrition services – weight monitoring to under 3 children,
Deworming, Vitamin A supplementation and HE.
01/08/14

9
ENVIRONMENTAL SANITATION

01/08/14

10
TT IN PACKAGE TOUR

01/08/14

11
Package Tour-School Health
Service

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12
Package Tour- General Clinic

01/08/14

13
MALARIA

14

01/08/14
CONDOM PROMOTION

01/08/14

15
HE sessions
• Health education for
– birth spacing and methods of contraception
– breast feeding,
– weaning diet and three main group of nutrition
– danger of food abstinence during pregnancy and
breastfeeding period with true histories.
• Also give HE on priority health problems like ARI, TB,
GE, Malaria including methods for prevention.

01/08/14

16
Training
• Refresher and recruitment training of AMWs and CHWs
• Through these trained volunteers the community can get
true information and health knowledge and they can
correct the wrong beliefs
• The communication between these AMWs/CHWs and the
BHS become more in touch so it become better linkages
between the health staff and community
• Can get early referral of emergency cases. (leading to
reduction in IMR, MMR)
01/08/14
AMW/CHW REFRESHER TRAINING

01/08/14

18
Hospital Equity Fund (HEF)
• Since May 2012 with the support of GAVI HSS a hospital
equity fund was developed and used for the poor mother
and under 5 children who are critically ill, under the
management of budgetary sub committee at the township.
• Advocacy about HEF have been make through local
authority up to the village level, the local authority from
the villages can refer directly to the hospital and can get
timely referral.
• In compare to the previous year hospital utilization
increases and early referral of high risk pregnancy also
increased.
01/08/14

19
HOSPITAL EQUITY FUND
Month

Total Patient

Delivery
cases

Under 5 yrs
children

Cost/Kyat

May 2012

2

2

0

144850

June 2012

5

2

3

95860

Comparing Hospital Data with previous year
Duration

Operative cases Deliver y case Total inpatients

From Jan to June(2011)

82

77

464

From Jan to June(2012)

139

101

563

01/08/14

20
WITH HEALTH COMMITTEE

01/08/14

21
Quarterly Review Meeting

01/08/14

22
01/08/14

23

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Ngaputaw ppt

  • 2. Background • Ngaputaw township is situated in delta region but most of the areas are mountainous and hard to reach areas which are difficult to get health care activities. • Total population is 313,420 and • about 90% of the population are residing in rural and mountainous area. 01/08/14 2
  • 3. HEALTH SYSTEM ASSESSMENT • In December 2011, Health System Assessment team came to Ngaputaw and conduct baseline assessment on Ngaputaw township Health System. 01/08/14 3
  • 4. COORDINATED TOWNSHIP HEALTH PLAN WITH EVERY RHC The plan was based on social, economic and physical hardship and plan to conduct service package tours with group of BHS to these hard to reach areas under each and every RHC. Supervision and quarterly meeting were also scheduled in the CTHP. 01/08/14 4
  • 5. PACKAGE TOUR (Near High Way Road) On conducting package tour activities HAs, LHVs from the responsible RHC together with midwives from the other subcenters. Some package tour activities (especially in physically hard to reach areas) conducted together with EPI and they can cover more. 01/08/14 5
  • 7. CLEAN DELIVERY KITS SUPPLY 01/08/14 7
  • 9. VITAMIN A SUPPLIMENTATION Nutrition services – weight monitoring to under 3 children, Deworming, Vitamin A supplementation and HE. 01/08/14 9
  • 11. TT IN PACKAGE TOUR 01/08/14 11
  • 13. Package Tour- General Clinic 01/08/14 13
  • 16. HE sessions • Health education for – birth spacing and methods of contraception – breast feeding, – weaning diet and three main group of nutrition – danger of food abstinence during pregnancy and breastfeeding period with true histories. • Also give HE on priority health problems like ARI, TB, GE, Malaria including methods for prevention. 01/08/14 16
  • 17. Training • Refresher and recruitment training of AMWs and CHWs • Through these trained volunteers the community can get true information and health knowledge and they can correct the wrong beliefs • The communication between these AMWs/CHWs and the BHS become more in touch so it become better linkages between the health staff and community • Can get early referral of emergency cases. (leading to reduction in IMR, MMR) 01/08/14
  • 19. Hospital Equity Fund (HEF) • Since May 2012 with the support of GAVI HSS a hospital equity fund was developed and used for the poor mother and under 5 children who are critically ill, under the management of budgetary sub committee at the township. • Advocacy about HEF have been make through local authority up to the village level, the local authority from the villages can refer directly to the hospital and can get timely referral. • In compare to the previous year hospital utilization increases and early referral of high risk pregnancy also increased. 01/08/14 19
  • 20. HOSPITAL EQUITY FUND Month Total Patient Delivery cases Under 5 yrs children Cost/Kyat May 2012 2 2 0 144850 June 2012 5 2 3 95860 Comparing Hospital Data with previous year Duration Operative cases Deliver y case Total inpatients From Jan to June(2011) 82 77 464 From Jan to June(2012) 139 101 563 01/08/14 20

Notas do Editor

  1. Plan for regular supervision to each and every Sub center from township and RHC level was also included in CTHP and supervisory tours are visiting according to plan.