Accountability for Women's and Children's Health and the health sector as a whole

Transcription

1 KENYA Accountability for Women's and Children's Health and the health sector as a whole Minutes of the Steering Committee on follow up of the National Stakeholders Consultation Workshop to Strengthen Results and Accountability for Women's and Children's Health and the health sector as a whole Date: 12/3/2013 Convener: Dr. Shiphrah Kuria Deputy Head DRH Follow up meeting to discuss the outcome of the national accountability meeting held on February, 2013 Present: 1. Dr. Shiphrah Kuria-DRH 2. Hilary Kipruto WHO 3. Stephen Cheruiyot - WHO 4. Dr Joyce Lavussa - WHO 5. Cosmas- Mutunga DRH 6. Dr Khadija Abdalla- UNICEF 7. Annie Gituto DRH 8. Dan Okoro UNFPA 9. Angela Mutunga FCI 10. Tabitha Mwangi- DRH Agenda 1. Review outcome of the national Stakeholders workshop and meeting and define the key milestones 2. Identify the key priorities for the year ; determine the resource requirements using existing plans; map available resources and determine the funding gaps 3. Concept note to attach to the final report of the Roadmap 1 P age

2 The priorities identified at the national workshop were reviewed to guide catalytic funding proposal which will be forwarded to WHO for processing. 1. Civil Registration and Vital Statistics a. Strengthen community reporting of births and deaths How? Births at the community Help the civil registration department fast track the reforms discussions - have them finalized and gazzettment of their outcomes? Utilize the health care workers during Immunization (DVI/MCH) and the community health workers/community midwifes to register births and deaths? The team currently working with civil registration can help come up with a communication plan on how to Integrate Civil Registration into MCH Deaths at the community and at the facilities WHO is currently running a project in Naivasha and Gilgil. The Civil registration is spearheading the project. There is need for Community health service division of primary health care-(mophs) to be brought on board invite them for the next meeting. Key Actions a. Educate /create awareness to the community on importance of notifying birth and deaths in the community and how best to identify a maternal death? b. Package modules and information to help with the sensitization? c. Develop a communication strategy 2 P age

3 d. Prepare a training package for Verbal Autopsy and have the CVRS and MPDRS groups work together in monitoring of vital eventsmaternal/ perinatal deaths e. DRH to look at Data from CRVS on underlying causes of deaths and see how best to use the data or improve. f. ICD 10 trainings to be carried out in training institutions and other in service trainings 2. Monitoring of Results Key areas for the task force discussions a. Are there yearly reports and how best do we strengthen these existing structures for improved quality reporting? b. Use Countdown as a tracking tool for specific MNCH indicators. Use it as part of national data repository and reports platforms c. Monitoring of the national accountability framework deliverables strategy? d. DRH and partners to be part of the health sector M $ E task force? How do we do this effectively? e. Cheruiyot to share the health M & E strategy for use during the task force discussions to clearly pick the areas of need. Document to be circulated to the team before hand. f. High level advocacy for actualization IHP + international health partnership; One M & E framework and one plan of action? Cheruiyot to share the full declaration before the meeting g. Prioritize county score card development and use 3 P age

4 3. Maternal and Perinatal Death Surveillance and Review (MPDSR) Key questions a. Do we have a national MPDSR surveillance system? Is it working as expected? What does a SWOT of the existing system point to as key gaps for action? Weaknesses for reporting by public and private sector? b. In the upcoming MNH bill, what are the issues to be addressed from a legislation point of view to strengthen enforcement and accountability? c. Is the WHY report, understood? How do we stamp out existing misconceptions? d. What trainings do we need? e. Roll out: Dissemination and orientation of health provider s tools countrywide? An urgent priority. f. Strengthen the review system and use of the reports feedback and response. g. Get the Surveillance division to the task force meeting next week? Note: MPDSR documents and trainings to be shared beforehand to this task force for their use in next week s discussions. DRH MOH to consider designing a strategy to have organizations training in Kenya on MPDSR, Use the mentorship strategy to move faster 4. E-Health, M-health and innovations There is an ongoing initiative led by Dr. Sharif on E -health. The task force to link with the ongoing developments to focus on the strategy and avoid duplication of resources and efforts. Share any meetings reports 4 P age

5 Issues to prioritize on are: a. Partners Coordination b. Dissemination of what is already existing E-Health policy etc It was reported that there is a flagship project under the Country s Vision 2030 for the health sector focusing on establishment of E- health hubs. How can we use it to improve and incorporate MNCH issues? This needs to be part of coordination. 5. Monitoring of Resources Key questions; a. In the context of devolution, is it an urgent priority to sensitize and train on NHA production at both national and county level? b. Advocacy Importance of the NHA and tracking of expenditures in the county structures should be strengthened and emphasis given to MNCH c. Disseminate the international treaties/ conventions that Kenya is a signatory/accountable to. d. Cheruiyot to develop a package on SHA 2011 for presentation in the next MNH TWG 6. Advocacy and Accountability a. Health Care Financing - Costing of programs Skewed more towards human resources. Do we want more health for money or more money for health, political will and leadership? b. Advocacy to translate paper and national MNCH policies into action at all levels in need of urgent attention Budget, Political Will and leadership? c. Strengthen CSO S capacity and skills Have DFH attend a session and present the national priorities 5 P age

6 d. Carry out a Count Down advocacy national event. e. Public Expenditure Tracking Surveys (PETS) and Citizen Report Cards? Cheruiyot to share the past PETS report f. Competition strategy for the counties Strengthen coalitions/or stakeholders to conduct Advocacy, use CSO to also advocate for MNH and generate information as a buffer tool for advocacy. At the end of the meeting the steering committee adopted the following activities based on the following criteria 1. Every focus area was allocated USD 20,000 to support urgent catalytic activities in For the focus areas which have detailed existing plans and secured funding ; allocations was based on activities which are not funded 3. The degree of accessing and/or mobilizing flexible funding from other partners was also considered 4. The costing of the top 2-3 priority activities and existing gaps CAF priorities and budget proposal for catalytic funding Focus Area Priorities Budget 1. Monitorin g Results a) Strengthen analysis skills, analytical data and staffing especially at sub-national level. b) Strengthen equity focus of reviews c) Strengthen capacity to conduct annual Data Quality Assurance. d) Improve involvement of key institutions - Academia, private sector and women orgs e) Strengthen national data repository with all relevant data and reports USD: 30,000 6 P age

7 2. Resource Tracking 3. Advocacy Action Plan 4. Innovatio n and E health a) MoH needs to be pro-active and make development partners report on their resources. b) Declare sources of funding. c) NHA be done as per programme- including relevant results expected. d) This can be started at national level then subnational at a later stage. a) Enhance involvement of Private sector, academia and women organizations in the review and planning process. b) Strengthen feedback of national reviews to subnational levels and up to the community c) Strengthening capacity and staffing to improve data analysis and synthesis of relevant health data d) Parliamentarians are informed and encouraged to engage in RMNCH accountability, especially on financing. Advocacy for more budgetary allocation and utilization. Capacity building of parliamentarians and county assemblies. e) support /strengthen coalition, Support capacity to synthesize evidence and disseminate messages Partnership between MOH, NGOs, line ministries, development partners is key. Capacity building of CSOs and service providers. Monitoring and evaluation. Establish national and county coordination mechanisms. National mapping of service providers and CSOs Countdown Down Coordinating Committee to Prepare CD report / profile using all evidence. Quarterly Countdown Down stakeholder meetings. a) Disseminate E-Health policy and strategy; strengthen leadership and buy in. b) Develop/strengthen the use of e-health services to improve information sharing. c) Enhance interoperability through e-health services, and improved resource mobilization. US$: 40,000 US$: 50,000 US$: 20,000 7 P age

8 5. Maternal Death and Surveillan ce Response 6. Civil Registrati on Vital Statistics Systems (CVRS) 7. Country Reviews and Accounta bility Mechanis ms a) Advocate for full enforcement of the national policy on MD notifications i. Lobby and advocate for an MCH Bill to include MD b) Strengthen capacity through training in MDSR i. Mobilize resources for trainings ii. Conduct training of ToTs c) Improve hospital reporting and use of ICD 10 i. Build capacity of hospitals by training on ICD 10 tools ii. Train on dissemination of the tools iii. Distribution of the tools d) Strengthen community reporting and Verbal Autopsy of Maternal deaths i. Train CHW's on Verbal Autopsy ii. Community sensitization through mass campaigns for awareness creation- chief's barazas, media, women's groups iii. Establish MSDR advocacy committee a) Improve hospital reporting. i. Use of electronic reporting system. b) Training of doctors and other clinicians in ICD 10. c) Conduct regular quality control of certification d) Strengthen community reporting of births and deaths through community workers. e) Test new approaches, e.g. cell phones. f) Develop/strengthen use of VA by community workers, test new approaches g) Develop and strengthen a national representative Health Demographic Surveillance System which is government led. h) Improve involvement of key institutions - Academia, private sector and women organizations a) Finalize the country compact in line with the KHSSP III b) Review the existing Code of Conduct and develop a new one c) In liaison with the counties ; put in place health sector governance and partnership structures US$: 50,000 US$: 40,000 US$: 20,000 US$: 250,000 8 P age