slide1
Download
Skip this Video
Download Presentation
International conference on PHC and Health Systems in Africa, 28 th – 30 th April, 2008

Loading in 2 Seconds...

play fullscreen
1 / 12

International conference on PHC and Health Systems in Africa, 28 th – 30 th April, 2008 - PowerPoint PPT Presentation


  • 148 Views
  • Uploaded on

Improving the quality of health service delivery at the community level through the VHT strategy, the experience of Mpigi District, Uganda. International conference on PHC and Health Systems in Africa, 28 th – 30 th April, 2008 Ougadougou, Burkina Faso Dr. Ruth Nassanga

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' International conference on PHC and Health Systems in Africa, 28 th – 30 th April, 2008' - calvine-jerom


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Improving the quality of health service delivery at the community level through the VHT strategy, the experience of Mpigi District, Uganda

International conference on PHC and Health Systems in Africa,

28th – 30th April, 2008

Ougadougou, Burkina Faso

Dr. Ruth Nassanga

District Health Officer

Mpigi, Uganda.

why vht strategy
Why VHT Strategy ?
  • Bring services nearer to the people

- Geographical inaccessibility

  • Enhance community mobilization empowerment and participation in management of health services
  • Reduce the gap in health service provision between households and service providers
  • Form linkage between government with CBO involved in health service delivery
how 1 3
How ? (1/3)

National level

  • Defined a package of interventions to be delivered at household level by VHT
  • Developed the implementation guidelines
  • Trained trainer of trainers/supervisors

District level

  • Facilitated establishment of VHT
  • Mapped out and linked VHT to health units
how 2 3
How ? (2/3)
  • District focal person
  • Developed VHT register
  • Facilitated VHT/HF coordination
  • Encouraged collaboration with other departments/programmes
  • Oriented all health unit based staff
  • Provided job aides, drugs and supplies to health units
how 3 3
How ? (3/3)
  • Provided identification badge to each VHT
  • Provided 300 bicycles
  • Provided village pay phones

At health facility

  • Quarterly coordination meetings between VHT and health unit staff
  • Replenish stock, update information, discuss problems
  • Supervise VHT
  • Compile information from VHT registers
slide6
What ?
  • Community mobilization: routine immunization, HIV/AIDS counselling and testing, inform community the available services at health units
  • Health education: during home visits and community gatherings
  • Community distribution of: 1st line antimalarials, Vitamin A, albendazole, ORS, condoms, ITNs
  • Data collection: Maintain registries on the cases seen.
  • Identify, notify and refer cases
observed outcome
Observed outcome
  • Decreasing numbers of malaria cases in the under five reporting at the health facilities
  • Decreasing cases of anaemia diagnosed among the under fives at health facilities
  • Increasing immunization coverage
  • Increasing new ANC attendances
  • Increasing institutional deliveries
challenges 1 2
Challenges (1/2)
  • Coordination of partners and programs

-delivery of community based services

in an integrated manner through the

VHT structure

  • Meeting the demands of the community

- stock outs of drugs

- weak support from health facility to

handle referrals: understaffing, lack of

equipment

challenges 2 2
Challenges (2/2)
  • Ensuring quality of care provided by VHTs

- Lack of translated job aides with key

promotion messages

- Lack of funds for reflesher courses

- Lack of house registers

- Irregular quarterly meetings

  • Sustaining service provision

- Volunterism of the VHT/Loss of VHT

- Irregular supply of drugs and supplies

lessons learnt
Lessons learnt
  • Linking VHT to the nearest health facilities and conducting quarterly meetings create a sense of attachment and improves interaction and working relationship btn h/workers and VHT
  • Involvement of political leadership in meetings strengthens oneness and ownership
  • Flexibility at the district level on the use of vertical progam funds enhance program implementation and facilitate integrated service delivery
recommendations
Recommendations
  • Functional health facilities to support the community based providers and to attend to referrals
  • Matching policy with resources: evidenced by fund allocation and actual provision of funds
  • Strong coordination by Government to ensure integration in delivery of intervention at community level by different programs and development partners
ad