LAMU MNCH PROJECT WORK PLAN FOR THE YEARS 2011 TO 2013 Reduce Maternal, neonatal and child mortality in Lamu district thereby accelerating progress to attain the MDGs Overall Objective Specific Objective

Strengthen capacity of communities, civil society organisations and local authorities to improve maternal, newborn and child health (MNCH) for marginalised communities in Lamu district by 2013 Year 2 2011 Year 3 2012 Year 4 2013 J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N

Result 1: Communities, especially women and girls, are empowered with the knowledge to promote health-seeking behaviour, demand and access MNCH services 0.3Support to Project steering teams and Quarterly Regional meetings

6.5.9 Annual review and planning meeting regional 2.2.2 Regional flights (within East Africa) 1.1 Sensitization workshops for the incoming stakeholders and the community members, including men, traditional healers, elders on women's rights, reproductive health and MNCH (including leaders for women and youth) in the remaining areas in Lamu

6.2.5.3 Sensitise men, traditional leaders, elders on women’s rights and MNCH-recurrent 1.1.1 Community dialogue in the areas not visited so far 1.2 Identify and train CHWs in c-IMCI, family planning, birth preparedness, early identification of complications and referrals, antenatal and postnatal

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support, data collection and analysis. Refresher Trainings and support supervision .

6.2.5.4 Identify train & equip CHW in C-IMCI, family planning, birth preparedness, early identification of complications & referral, antenatal & post natal support, data collection & analysis. 1.3 Equip CHWs with health promotion equipments (bicycles, bags, boots and umbrellas) and referral tools

6.2.5.5 Incentives for CHWs 1.4 Implementing Behaviour Change Strategy through CHWs and IEC materials

6.2.5.6 Behaviour Change strategy to address social barriers 1.5 Conduct community peereducation sessions (menmen, women-women, childchild)

6.2.5.6 Behaviour Change strategy to address social barriers

1.6 Develop, test and train Community Health Information Systems (CHIS) for use by CHWs and IEC materials

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6.2.5.7 Develop community Health Information Systems

J 1.7 Analysis and dissemination of CHIS findings with key stakeholders

6.2.5.7 Develop community Health Information Systems

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1.8 Identify and train MNCH audit committee, audit MNCH outcomes and promote community action

6.2.5.8 Form & Support village –CBO to audit MNCH outcomes & promote community action

1.9 Conduct audit reviews and share findings on Maternal and Child death and severe morbidity with stakeholders

6.2.5.8 Form & Support village –CBO to audit MNCH outcomes & promote community action Result 2: Increased capacity of local health systems to manage and deliver inclusive and comprehensive community-responsive MNCH services

2.1 Assess capacity of service providers (government, private, informal)

6.3.6 Assess capacity

2.2 Train health care workers (nurses, clinical officers ,midwives & DHMT) on basic emergency obstetric care, IMCI, pregnancy and HIV. Refresher Trainings provided in subsequent years

6.3.7 Train health workers(nurses, midwives, clinical officers) 2.3 Build capacity of districts and village management structures in planning, budgeting, management, data analysis(including conducting mortality audit)

6.3.8 Build capacity of district, village, etc. 2.4 Establish and train CHWs on use of telecommunication- based system and mobile phones for emergency care and coordination of referral logistics

6.3.9 Establish telecommunicationsbased referral 2.5 Develop understanding among LA of pro-poor policies, implementation and comprehensive provision of patient friendly services (inclusion of HIV and gender dimension of MNCH).

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6.3.10 Develop understanding among local authorities of propoor policies, implementation & comprehensive J

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Result area 3:Strengthened CSOs capacity to participate in decision making and influence MNCH policies

3.3 Capacity building on project and financial management, resource mobilization and M $E

6.4.8 Capacity building to manage sub grants 3.3.1 Provide CSOs with support supervision and monitoring

6.4.7 Select CBO partners and assess 3.4 Joint planning /reviews between CBOs and facility management teams to identify patient determined quality of services

6.4.9 Joint planning review 3.4 Identify and mentor CSO champions to support direct lobbying with national/regional networks and alliances

6.4.10 Identify and mentor champions 3.7 Conduct community level meetings to design strategies for policy analysis & engagement

6.4.11 Design strategies for policy analysis & engagement 3.8 Facilitate CSO exchange visits and peer-peer learning workshops

6.4.12 CBO exchanges and peer-peer learning

3.10 Conduct CSO performance assessment

6.4.7 Select CBO partners and assess

J F M A M J F M A M J J A S O N D 3.11 Support & participate in International events such as International Day of the Child, World AIDS day, White Ribbon etc - 4 per year Result area 4:Regional knowledge base established on community based solutions to improving MNCH

4.1 Document , health outcomes and cost effectiveness of methods

6.5.1 Document impact, health outcomes and cost effectiveness of methods 4.2 Exchange visits to facilitate peer learning (communities, VHCs, CBOs, youth groups and across AMREF country teams)

6.5.7 Exchange visits for CBOs, VHCs, youth groups 4.3 Stakeholder Review meetings- local, regional level

6.5.4 Stakeholder Review meetings- local, regional level. Annual project 4.4 Evaluation- Mid-Term Review AND End term review

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4.7 Conduct Operational Research on MNCH (one in each country)