Common use of Areas of Interest Clause in Contracts

Areas of Interest. FANC - Prevention of complications of pregnancy and childbirth, early detection and treatment of complications, birth planning and complication readiness; malaria prevention and management in pregnancy (prevention, diagnosis, treatment, referrals), procurement and distribution of SP, iron and folate; BCC to improve SP and ITN use among pregnant women; availability of malaria treatment guidelines(ANC Register) Clean & safe delivery - Facility delivery, Use of Partograph, Active Management of Third Stage of Labour, Postpartum monitoring, , emergency trolleys(L/▇▇▇▇ Register) Essential newborn care; Rx of Neonatal sepsis, Care of low birth weight and preterm babies(KMC), Helping Babies Breath (HBB) FP:-No of counselors, Linkage with HHC and MBSM; Commodities available//Logistics (Check FP Registers for No of clients/method-PPFP, Long Acting and other methods Program Effectiveness Social mobilization Community participation BCC/IEC NGO/CBO participation How effective were the various facility and community level activities in promoting access to maternal, neonatal and FP services(MBSM, HHC, ETS, MSS ? Social mobilization - Are there links at health facility level that work with local mobilization networks, change champions Ask for statistics of local service delivery networks, linkages with other sector groups in the state, HHCC? Community participation - Are there links at health facility level with WDCs, VDCs, Community coalitions. Ask for existence of WDCs, VDCs, and Health Facility Management Committee. BCC/IEC - Are there units at health facility level that use BCC/IEC for EmONC/FP activities? NGO/CBO participation - Are there links at health facility level with any NGOs/CBOs working for Maternal and Newborn Health in the area? Policy Program management Resource allocation Relevant needs gaps and weak links identified by the in charge in the Maternal and Newborn health policy and whether the project has been supportive in addressing them and in what ways? What more can be done and how? Probe: Policy - Number of policies (plans, guideline, manuals, protocols or job aides available to improve MNCH/FP at health facility level Program management - Whether trainings on Logistic planning; record keeping and supportive supervision has been attended by the staff of the health facility Resource allocation – Monthly grants to the facility by the SMOH or LG office, SPHCDA etc, and whether this is sufficient or not. ANNEX D.5. COMMUNITY LEVEL INTERVIEW GUIDE #8 How effective were the various facility and community level activities in promoting access to maternal, neonatal and FP services (MBSM, HHC, ETS, MSS)? How effective was the project in expanding access to services and increasing population coverage of key interventions in the target communities? Do you think the project had succeeded in increasing access to maternal and newborn health services to many more people than before? If YES; What evidence do you have to support this? Probe: evidence of community awareness on MNCH services; evidence of community involvement/participation in conduct of MNCH services at the Health facility; More people patronizing the health facility VDCs, CMTs, CCGs WDCs, ETC drivers, HHC, MBSM, Women Groups How did your community/group collaborate in any way with the HF to increase people’s awareness of MNCH services? Is your community/group active in sharing community information with HFs and vice versa? And how did this help in improving access to services? Probe ( if they are involved with health education, messages, announcements, etc.) Probe : evidence of increased demand by the community for MNCH services Evidence of attitudinal changes towards FP What are the various types of community activities that your groups do and what are most effective among them that create demand and promote access to maternal, newborn and FP services? Probe: List of activities (types)- MBSM, Women Loans scheme, ETS, HHC, etc What are some ways that the project has contributed to capacity building/training for your community/group to continue your efforts beyond the project period?? What is your group/community doing for sustainability of these efforts/ services now that the project is over?