copy of wkly surveillance summary
TRANSCRIPT
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8/11/2019 Copy of Wkly Surveillance Summary
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DISTRICT MONTHLY PROGRESS UPDATE
District:______________ Month ___________________ Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
3
Were there anyiron/folate stockouts reported last month in the district?
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
7Did the KEMSA essential drugs kit come late this quarter?
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during
illness).
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
15% of Maternity trained staff who correctly and consistentlycounselsEACH mother on IYCF.
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
Micronutrient Supplementation
Recomm
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
19
Has the national breastfeeding policy been translated into local language
this past month?
20
Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
22Are newborns placed on the breast within to 1 hour after delivery?
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,find out who provides the infant formula and who funds it. Write
these in the observations column.
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in the
observations column.
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
29
Did the District/Provincial Maternitystaff sensitize mothers consistently
and correctlyagainst the use of teats, bottles and other nipples thismonth?
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to
UNICEF__________and when it was received by UNICEF
_______________
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
51 # and (%) of children
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
59
Has the district monthly SFP stock movement report been sent by the
deadline? Specify the date when the report was sent_______________
60
Has the district monthly SFP beneficiary report been sent to WFP by the
deadline?
61 Specify date when report was sent to WFP__________
62
# (and %) of health facilities who have copies of the National Guidelines for
the Management of Acute Malnutrition (one for each health worker and
department).[1]
63
% of trained staff adhering consistently and correctly to protocols for
inpatient management of acute malnutrition.
64
% of trained staff adhering consistently and correctlyto protocols for
outpatient management of acute malnutrition.
65
% of trained staff adhering consistently and correctlyto micronutrient
protocols.
66 % of trained staff adhering consistently and correctlyto IYCF policy.
67
% of trained staff adhering consistently and correctlyto Baby Friendly
Hospital Initiative protocols.
68% who received and completed the Essential Nutrition Services On the JobTraining.
Coordination
69 # of coordination meetings held this past month.
70% of district partners who attended the meeting.
71 Update of the 3Ws among partners (whos doing what where).
72
# (and %) of partners utilizing the standard MOH guideline forms for
Essential Nutrition Services (ie., for management of acute malnutrition,
micronutrient).
73
# (and %) of partners adhering to the information and reporting flow from the
health facilities to the District.
Reporting
74
# of sensitization efforts this past month to health facilities with difficulties for
timely reporting (phone calls/text messages, meetings, personal contact,other) to increase timely reporting rates.
75
Was a solution negotiated this month for transporting reports from the hard
to reach areas this month? (e.g., use of the HMIS data collection system,
use of radio, creation of a monthly plan/schedule and identification of
truckers, health personnel, ambulance, partner, patient, friend, taxi driver,
relative, other who will be traveling and have accepted to drop the report to
the district hospital? If yes, explain in the observations column what was
negotiated and for which health facility.
76
Were funds in the health facility cost-sharing kitties utilized to ensure timely
reporting this month?
77
# of reports received this month from health facilities which normally do not
submit any reports?
78
Which health centers sent their reports late (i.e, beyond the 5 thof themonth)? List all relevant health facilities in the observations column.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
Recom
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12th
of the month)? List all relevant health facilities in the
observations column.
80
% of qualitymonthlyreports received from the health facilities (and
partners) on or beforethe Districts reporting deadline of the5
th
of everymonth.
81
% of qualitymonthlyreports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or beforethe reporting deadline of
the 15th every. Date Sent_________
Budgeting
82
# of attempts to negotiate nutrition program funding through MTEF this
month
83% of nutrition program needs funded through MTEF
84 # of proposals written this month
85
#of proposals which received funding from partners or other government
mechanisms.
[1] Reminder that the Guidelines belong to and must remain at the health facilities.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
Recom
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FACILITY MONITORING SHEET
List of Health facilities
WK 1 WK 2 WK 3 WK4 WK 1 WK 2 WK3 WK4 WK 1 WK2 WK3 WK4
LOWER YATTA DISTRICT
1 NTHONGONI
2 ILIKA
3 KWA VONZA
4 YATTA H/C
5 KANYANGI MISSION
KITUI WEST DISTRICT
6 KAUWI S D HOSP
7 KWA MUTONGA
8 KATUTU
9 KAUMA
10 MUTHALE MISSION
11 IIANI MISSION
MUTOMO DISTRICT12 Ikanga S D Hospital
13 Kyatune Disp
14 Ndatani Disp
15 Mutha Disp
16 Ikutha H/C
17 Kanziku Disp
18 Katyethoka Disp
19 Kasaala
20 Kyoani
21 Ilengi
22 Katilini
KITUI CENTRAL DISTRICT
23 KITUI DIST HOSP
24 KATULANI S D HOSP25 MBITINI H/C
26 MIAMBANI H/C
27 KAVISUNI MISSION
28 KISASI
29 BOMA
MUTITO DISTRICT
30 ENDAU
31 KAUMU
32 KYAMATU
33 MALALANI
34 MWITIKA DISP
35 KASUNGUNI DISP
36 KALIKU
37 AIC ZOMBE38 MUTITO CATHOLIC
39 INYUU DISP
JANUARY FEBRUARY MARCH
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DISTRICT MONTHLY PROGRESS UPDATE
District:______________ Month ___________________ Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
3
Were there anyiron/folate stockouts reported last month in the district?
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
7Did the KEMSA essential drugs kit come late this quarter?
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during
illness).
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
15% of Maternity trained staff who correctly and consistentlycounselsEACH mother on IYCF.
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
Recomm
Micronutrient Supplementation
-
8/11/2019 Copy of Wkly Surveillance Summary
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
19
Has the national breastfeeding policy been translated into local language
this past month?
20
Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
22Are newborns placed on the breast within to 1 hour after delivery?
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,find out who provides the infant formula and who funds it. Write
these in the observations column.
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in the
observations column.
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
29
Did the District/Provincial Maternitystaff sensitize mothers consistently
and correctlyagainst the use of teats, bottles and other nipples thismonth?
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to
UNICEF__________and when it was received by UNICEF
_______________
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
51 # and (%) of children
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
59
Has the district monthly SFP stock movement report been sent by the
deadline? Specify the date when the report was sent_______________
60
Has the district monthly SFP beneficiary report been sent to WFP by the
deadline?
61 Specify date when report was sent to WFP__________
62
# (and %) of health facilities who have copies of the National Guidelines for
the Management of Acute Malnutrition (one for each health worker and
department).[1]
63
% of trained staff adhering consistently and correctly to protocols for
inpatient management of acute malnutrition.
64
% of trained staff adhering consistently and correctlyto protocols for
outpatient management of acute malnutrition.
65
% of trained staff adhering consistently and correctlyto micronutrient
protocols.
66 % of trained staff adhering consistently and correctlyto IYCF policy.
67
% of trained staff adhering consistently and correctlyto Baby Friendly
Hospital Initiative protocols.
68% who received and completed the Essential Nutrition Services On the JobTraining.
Coordination
69 # of coordination meetings held this past month.
70% of district partners who attended the meeting.
71 Update of the 3Ws among partners (whos doing what where).
72
# (and %) of partners utilizing the standard MOH guideline forms for
Essential Nutrition Services (ie., for management of acute malnutrition,
micronutrient).
73
# (and %) of partners adhering to the information and reporting flow from the
health facilities to the District.
Reporting
74
# of sensitization efforts this past month to health facilities with difficulties for
timely reporting (phone calls/text messages, meetings, personal contact,other) to increase timely reporting rates.
75
Was a solution negotiated this month for transporting reports from the hard
to reach areas this month? (e.g., use of the HMIS data collection system,
use of radio, creation of a monthly plan/schedule and identification of
truckers, health personnel, ambulance, partner, patient, friend, taxi driver,
relative, other who will be traveling and have accepted to drop the report to
the district hospital? If yes, explain in the observations column what was
negotiated and for which health facility.
76
Were funds in the health facility cost-sharing kitties utilized to ensure timely
reporting this month?
77
# of reports received this month from health facilities which normally do not
submit any reports?
78
Which health centers sent their reports late (i.e, beyond the 5 thof themonth)? List all relevant health facilities in the observations column.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
Recom
-
8/11/2019 Copy of Wkly Surveillance Summary
11/44
Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12th
of the month)? List all relevant health facilities in the
observations column.
80
% of qualitymonthlyreports received from the health facilities (and
partners) on or beforethe Districts reporting deadline of the5
th
of everymonth.
81
% of qualitymonthlyreports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or beforethe reporting deadline of
the 15th every. Date Sent_________
Budgeting
82
# of attempts to negotiate nutrition program funding through MTEF this
month
83% of nutrition program needs funded through MTEF
84 # of proposals written this month
85
#of proposals which received funding from partners or other government
mechanisms.
[1] Reminder that the Guidelines belong to and must remain at the health facilities.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
Recom
-
8/11/2019 Copy of Wkly Surveillance Summary
12/44
DISTRICT MONTHLY PROGRESS UPDATE
District:______________ Month ___________________ Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
3
Were there anyiron/folate stockouts reported last month in the district?
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
7Did the KEMSA essential drugs kit come late this quarter?
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during
illness).
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
15% of Maternity trained staff who correctly and consistentlycounselsEACH mother on IYCF.
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
Recomm
Micronutrient Supplementation
-
8/11/2019 Copy of Wkly Surveillance Summary
13/44
Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
19
Has the national breastfeeding policy been translated into local language
this past month?
20
Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
22Are newborns placed on the breast within to 1 hour after delivery?
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,find out who provides the infant formula and who funds it. Write
these in the observations column.
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in the
observations column.
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
29
Did the District/Provincial Maternitystaff sensitize mothers consistently
and correctlyagainst the use of teats, bottles and other nipples thismonth?
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to
UNICEF__________and when it was received by UNICEF
_______________
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
51 # and (%) of children
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
59
Has the district monthly SFP stock movement report been sent by the
deadline? Specify the date when the report was sent_______________
60
Has the district monthly SFP beneficiary report been sent to WFP by the
deadline?
61 Specify date when report was sent to WFP__________
62
# (and %) of health facilities who have copies of the National Guidelines for
the Management of Acute Malnutrition (one for each health worker and
department).[1]
63
% of trained staff adhering consistently and correctly to protocols for
inpatient management of acute malnutrition.
64
% of trained staff adhering consistently and correctlyto protocols for
outpatient management of acute malnutrition.
65
% of trained staff adhering consistently and correctlyto micronutrient
protocols.
66 % of trained staff adhering consistently and correctlyto IYCF policy.
67
% of trained staff adhering consistently and correctlyto Baby Friendly
Hospital Initiative protocols.
68% who received and completed the Essential Nutrition Services On the JobTraining.
Coordination
69 # of coordination meetings held this past month.
70% of district partners who attended the meeting.
71 Update of the 3Ws among partners (whos doing what where).
72
# (and %) of partners utilizing the standard MOH guideline forms for
Essential Nutrition Services (ie., for management of acute malnutrition,
micronutrient).
73
# (and %) of partners adhering to the information and reporting flow from the
health facilities to the District.
Reporting
74
# of sensitization efforts this past month to health facilities with difficulties for
timely reporting (phone calls/text messages, meetings, personal contact,other) to increase timely reporting rates.
75
Was a solution negotiated this month for transporting reports from the hard
to reach areas this month? (e.g., use of the HMIS data collection system,
use of radio, creation of a monthly plan/schedule and identification of
truckers, health personnel, ambulance, partner, patient, friend, taxi driver,
relative, other who will be traveling and have accepted to drop the report to
the district hospital? If yes, explain in the observations column what was
negotiated and for which health facility.
76
Were funds in the health facility cost-sharing kitties utilized to ensure timely
reporting this month?
77
# of reports received this month from health facilities which normally do not
submit any reports?
78
Which health centers sent their reports late (i.e, beyond the 5 thof themonth)? List all relevant health facilities in the observations column.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12th
of the month)? List all relevant health facilities in the
observations column.
80
% of qualitymonthlyreports received from the health facilities (and
partners) on or beforethe Districts reporting deadline of the5
th
of everymonth.
81
% of qualitymonthlyreports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or beforethe reporting deadline of
the 15th every. Date Sent_________
Budgeting
82
# of attempts to negotiate nutrition program funding through MTEF this
month
83% of nutrition program needs funded through MTEF
84 # of proposals written this month
85
#of proposals which received funding from partners or other government
mechanisms.
[1] Reminder that the Guidelines belong to and must remain at the health facilities.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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DISTRICT MONTHLY PROGRESS UPDATE
District:______________ Month ___________________ Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
3
Were there anyiron/folate stockouts reported last month in the district?
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
7Did the KEMSA essential drugs kit come late this quarter?
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during
illness).
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
15% of Maternity trained staff who correctly and consistentlycounselsEACH mother on IYCF.
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
Recomm
Micronutrient Supplementation
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
19
Has the national breastfeeding policy been translated into local language
this past month?
20
Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
22Are newborns placed on the breast within to 1 hour after delivery?
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,find out who provides the infant formula and who funds it. Write
these in the observations column.
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in the
observations column.
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
29
Did the District/Provincial Maternitystaff sensitize mothers consistently
and correctlyagainst the use of teats, bottles and other nipples thismonth?
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to
UNICEF__________and when it was received by UNICEF
_______________
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
51 # and (%) of children
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
59
Has the district monthly SFP stock movement report been sent by the
deadline? Specify the date when the report was sent_______________
60
Has the district monthly SFP beneficiary report been sent to WFP by the
deadline?
61 Specify date when report was sent to WFP__________
62
# (and %) of health facilities who have copies of the National Guidelines for
the Management of Acute Malnutrition (one for each health worker and
department).[1]
63
% of trained staff adhering consistently and correctly to protocols for
inpatient management of acute malnutrition.
64
% of trained staff adhering consistently and correctlyto protocols for
outpatient management of acute malnutrition.
65
% of trained staff adhering consistently and correctlyto micronutrient
protocols.
66 % of trained staff adhering consistently and correctlyto IYCF policy.
67
% of trained staff adhering consistently and correctlyto Baby Friendly
Hospital Initiative protocols.
68% who received and completed the Essential Nutrition Services On the JobTraining.
Coordination
69 # of coordination meetings held this past month.
70% of district partners who attended the meeting.
71 Update of the 3Ws among partners (whos doing what where).
72
# (and %) of partners utilizing the standard MOH guideline forms for
Essential Nutrition Services (ie., for management of acute malnutrition,
micronutrient).
73
# (and %) of partners adhering to the information and reporting flow from the
health facilities to the District.
Reporting
74
# of sensitization efforts this past month to health facilities with difficulties for
timely reporting (phone calls/text messages, meetings, personal contact,other) to increase timely reporting rates.
75
Was a solution negotiated this month for transporting reports from the hard
to reach areas this month? (e.g., use of the HMIS data collection system,
use of radio, creation of a monthly plan/schedule and identification of
truckers, health personnel, ambulance, partner, patient, friend, taxi driver,
relative, other who will be traveling and have accepted to drop the report to
the district hospital? If yes, explain in the observations column what was
negotiated and for which health facility.
76
Were funds in the health facility cost-sharing kitties utilized to ensure timely
reporting this month?
77
# of reports received this month from health facilities which normally do not
submit any reports?
78
Which health centers sent their reports late (i.e, beyond the 5 thof themonth)? List all relevant health facilities in the observations column.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12th
of the month)? List all relevant health facilities in the
observations column.
80
% of qualitymonthlyreports received from the health facilities (and
partners) on or beforethe Districts reporting deadline of the5
th
of everymonth.
81
% of qualitymonthlyreports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or beforethe reporting deadline of
the 15th every. Date Sent_________
Budgeting
82
# of attempts to negotiate nutrition program funding through MTEF this
month
83% of nutrition program needs funded through MTEF
84 # of proposals written this month
85
#of proposals which received funding from partners or other government
mechanisms.
[1] Reminder that the Guidelines belong to and must remain at the health facilities.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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DISTRICT MONTHLY PROGRESS UPDATE
District:______________ Month ___________________ Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
3
Were there anyiron/folate stockouts reported last month in the district?
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
7Did the KEMSA essential drugs kit come late this quarter?
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during
illness).
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
15% of Maternity trained staff who correctly and consistentlycounselsEACH mother on IYCF.
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
Recomm
Micronutrient Supplementation
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
19
Has the national breastfeeding policy been translated into local language
this past month?
20
Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
22Are newborns placed on the breast within to 1 hour after delivery?
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,find out who provides the infant formula and who funds it. Write
these in the observations column.
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in the
observations column.
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
29
Did the District/Provincial Maternitystaff sensitize mothers consistently
and correctlyagainst the use of teats, bottles and other nipples thismonth?
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to
UNICEF__________and when it was received by UNICEF
_______________
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
51 # and (%) of children
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
59
Has the district monthly SFP stock movement report been sent by the
deadline? Specify the date when the report was sent_______________
60
Has the district monthly SFP beneficiary report been sent to WFP by the
deadline?
61 Specify date when report was sent to WFP__________
62
# (and %) of health facilities who have copies of the National Guidelines for
the Management of Acute Malnutrition (one for each health worker and
department).[1]
63
% of trained staff adhering consistently and correctly to protocols for
inpatient management of acute malnutrition.
64
% of trained staff adhering consistently and correctlyto protocols for
outpatient management of acute malnutrition.
65
% of trained staff adhering consistently and correctlyto micronutrient
protocols.
66 % of trained staff adhering consistently and correctlyto IYCF policy.
67
% of trained staff adhering consistently and correctlyto Baby Friendly
Hospital Initiative protocols.
68% who received and completed the Essential Nutrition Services On the JobTraining.
Coordination
69 # of coordination meetings held this past month.
70% of district partners who attended the meeting.
71 Update of the 3Ws among partners (whos doing what where).
72
# (and %) of partners utilizing the standard MOH guideline forms for
Essential Nutrition Services (ie., for management of acute malnutrition,
micronutrient).
73
# (and %) of partners adhering to the information and reporting flow from the
health facilities to the District.
Reporting
74
# of sensitization efforts this past month to health facilities with difficulties for
timely reporting (phone calls/text messages, meetings, personal contact,other) to increase timely reporting rates.
75
Was a solution negotiated this month for transporting reports from the hard
to reach areas this month? (e.g., use of the HMIS data collection system,
use of radio, creation of a monthly plan/schedule and identification of
truckers, health personnel, ambulance, partner, patient, friend, taxi driver,
relative, other who will be traveling and have accepted to drop the report to
the district hospital? If yes, explain in the observations column what was
negotiated and for which health facility.
76
Were funds in the health facility cost-sharing kitties utilized to ensure timely
reporting this month?
77
# of reports received this month from health facilities which normally do not
submit any reports?
78
Which health centers sent their reports late (i.e, beyond the 5 thof themonth)? List all relevant health facilities in the observations column.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12th
of the month)? List all relevant health facilities in the
observations column.
80
% of qualitymonthlyreports received from the health facilities (and
partners) on or beforethe Districts reporting deadline of the5
th
of everymonth.
81
% of qualitymonthlyreports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or beforethe reporting deadline of
the 15th every. Date Sent_________
Budgeting
82
# of attempts to negotiate nutrition program funding through MTEF this
month
83% of nutrition program needs funded through MTEF
84 # of proposals written this month
85
#of proposals which received funding from partners or other government
mechanisms.
[1] Reminder that the Guidelines belong to and must remain at the health facilities.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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DISTRICT MONTHLY PROGRESS UPDATE
District:___KITUI___________ JUNE Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
100,000 IU out of stock 100,000 IU capsules. Last
delivery had seven tins only
while other deliveries lack the
100,000 IU caps.
Follow u
other dru
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
NO District facilities have been
relying on the parallel supply
Calculat
3
Were there anyiron/folate stockouts reported last month in the district? YES. Iron has been out of stock for along
period of time
KEMSA kit has been
delivered severally without
Iron despite orders from the
facilities.
KEMSA
forward
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
NO
Calculat
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
YES Drugs delivered in smaller
quantities than ordered for
hence shortages before end
of quarter
Follow u
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
NO Drugs are delivered late
hence services are slowed
downRecomm
7Did the KEMSA essential drugs kit come late this quarter? YES
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
NO N o Iron was in the kit
Recomm
of suppli
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
NO ECD activity was postponed
to July due to unavailability of
funds
Support
campaig
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
N/A
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
NO Support
campaig
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
N/A
Support
impleme
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding during
illness).
4 They have started but not
completed yet
Support
impleme
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
6 Training still on going. There
has been a change over of
nurses in the hospital hence
we have to start the session
again
Continue
in the ho
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
Recomm
Micronutrient Supplementation
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15
% of Maternity trained staff who correctly and consistentlycounsels
EACH mother on IYCF.
N/A Individual counseling not done
for all mothers, only one nurse
is trained on IYCF
Continu
in the h
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
N/A Individual counseling not done
for all mothers, only one nurse
is trained on IYCF
Continu
in the h
17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
NO
Suppor
sensitiz
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
N/A
19
Has the national breastfeeding policy been translated into local language
this past month?
YES Translation has been done
only in the District Hospital
Suppor
Langua
20
Has the breastfeeding policy been placed visibly in the Hospital in sevenstrategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
YES The sub district hospitals donthave the policy in place. The
same with the dispensaries
and health centres
Requescirculat
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
10 Staff movement with new staff
not trained posted to the
wards hence implementation
of the process lags behind
Continu
in the h
22
Are newborns placed on the breast within to 1 hour after delivery? YES For CS deliveries, initiation
takes a little longer since
general anaesthesia is most
preffered as opposed toepidural
Follow
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___2 - 3 hours
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
YES, through demonstration on
hand expressing , rooming in,
attachment and positioningFollow
help su
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,
find out who provides the infant formula and who funds it. Write
these in the observations column.
NO Infant feeding policy not
routinely communicated to
health workers
Suppor
commu
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in theobservations column.
NO Infant feeding policy not
routinely communicated to
health workers Suppor
commu
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
NO Health workers not aware of
the code of marketing
breastmilk substitutesSuppor
commu
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
NO Infant feeding policy not
routinely communicated to
health workers. Health
education sessions done once
a week hence not adequate to
broadly cover all relevant
topics Suppor
commu
29
Did the District/Provincial Maternitystaff sensitize mothers consistently
and correctlyagainst the use of teats, bottles and other nipples this
month?
YES Infant feeding policy not
routinely communicated tohealth workers. Health
education sessions done once
a week hence not adequate to
broadly cover all relevant
to ics
Suppor
commu
PROCESS INDICATORS CHALLENGES AND
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30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
NO Infant feeding policy not
routinely communicated to
health workers. Health
education sessions done once
a week hence not adequate to
broadly cover all relevant
to ics
Suppor
commu
31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to UNICEF_11
june 2010_________and when it was received by UNICEF _11 june 2010
YES
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
YES. Multiple micronutrients and
sprinkles in the district storesare expiring this month Suppor
higher c
use in t
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
Reports for the month not yet in
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
NONE
51 # and (%) of children
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
59
Has the district monthly SFP stock movement report been sent by the
deadline? Specify the date when the report was sent_______________
NO Reports from the facilities are
not yet in. Reporting deadline
for SFP is on 10th of every
month
Timely
reportin
enhanc
60
Has the district monthly SFP beneficiary report been sent to WFP by the
deadline?
61 Specify date when report was sent to WFP__________
62
# (and %) of health facilities who have copies of the National Guidelines for
the Management of Acute Malnutrition (one for each health worker and
department).[1]
11 One copy in each facility.
Reques
and circ
63
% of trained staff adhering consistently and correctly to protocols for
inpatient management of acute malnutrition.
NONE Some of the trained staff
transferred to other wards,
temperature not routinely
taken, recording of feeds and
amounts given not done,
standard clinical signs not
monitored every daySuppor
protoco
64
% of trained staff adhering consistently and correctlyto protocols foroutpatient management of acute malnutrition.
NONE Standard clinical tests are notdone on every visits,
recording of findings and
treatment given not done, Suppor
protoco
65
% of trained staff adhering consistently and correctlyto micronutrient
protocols.
NONE Vit A given alongside
immunizations is recorded
while any other for whichever
purpose more often than not
is not recorded Suppor
protoco
66
% of trained staff adhering consistently and correctlyto IYCF policy. NONESuppor
of the p
67
% of trained staff adhering consistently and correctlyto Baby Friendly
Hospital Initiative protocols.
NONE Staff movement is a
challenge,Suppor
Implem
68
% who received and completed the Essential Nutrition Services On the JobTraining.
NONE Suppor
action p
Coordination
69
# of coordination meetings held this past month. NONE Partners are not sensitized on
the need for district
coordination meetings,
meetings not held on a regular
basis Suppor
sensitiz
70% of district partners who attended the meeting. N/A
71 Update of the 3Ws among partners (whos doing what where). YES
72
# (and %) of partners utilizing the standard MOH guideline forms for
Essential Nutrition Services (ie., for management of acute malnutrition,
micronutrient).
2 ACF, CDK
Suppor
guidelin
73# (and %) of partners adhering to the information and reporting flow from thehealth facilities to the District.
2 ACF, CDK Supporguidelin
Reporting
74
# of sensitization efforts this past month to health facilities with difficulties for
timely reporting (phone calls/text messages, meetings, personal contact,
other) to increase timely reporting rates.
6 - personal contact during
monitoring visitsSuppor
timely r
NO
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75
Was a solution negotiated this month for transporting reports from the hard
to reach areas this month? (e.g., use of the HMIS data collection system,
use of radio, creation of a monthly plan/schedule and identification of
truckers, health personnel, ambulance, partner, patient, friend, taxi driver,
relative, other who will be traveling and have accepted to drop the report to
the district hospital? If yes, explain in the observations column what was
negotiated and for which health facility.
NONE Most facilities sited workload,
transport and being not
conversant with all reporting
tools as being hindrances to
timely reporting
Suppor
timely r
76
Were funds in the health facility cost-sharing kitties utilized to ensure timely
reporting this month?
YES Most facilities use to cater for
transport costs
77
# of reports received this month from health facilities which normally do not
submit any reports?
N/A
78
Which health centers sent their reports late (i.e, beyond the 5thof the
month)? List all relevant health facilities in the observations column.
N/A
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12thof the month)? List all relevant health facilities in the
observations column.
N/A Received so far, ilika disp,
kyamatu disp, mutitu disp,
kaumu, mwitika, mbitini H/C,
kaliku disp, kisasi
disp,muthale mission,
nthongoni dispSupportimely r
80
% of qualitymonthlyreports received from the health facilities (and
partners) on or beforethe Districts reporting deadline of the5th
of every
month.
N/A
81
% of qualitymonthlyreports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or beforethe reporting deadline of
the 15th every. Date Sent_________
N/A
Budgeting
82
# of attempts to negotiate nutrition program funding through MTEF this
month
N/A
83% of nutrition program needs funded through MTEF N/A
84
# of proposals written this month 1 A proposal to train health
workers on IYCF in the district Develo
brigde t
85
#of proposals which received funding from partners or other government
mechanisms.
N/A
[1] Reminder that the Guidelines belong to and must remain at the health facilities.
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
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DISTRICT MONTHLY PROGRESS UPDATE
District:___KITUI___________ JUNE Numbe
If you have smaller districts for which you are responsible within a greater district, please complete ONE monthly report per district.
Write N/A (not applicable) for all activities and consequently indicators which do not apply to your district work plan. Date___
Current progress of ACTIVITIESYES/NO/not Applicable, #, % (specify
1
Were there any vitamin A stockouts reported last month in the district
(from health facilities, a community outreach activity or campaigns)?
100,000 IU out of stock 100,000 IU capsules.Most
deliveries dont have the
100,000 IU caps.
Follow u
other dru
2
Has the amount of vitamin Aneeded for the next quarter been calculated
and budgeted at this time?
NO District facilities have been
relying on the parallel supply
Calculat
3
Were there anyiron/folate stockouts reported last month in the district? YES. Iron has been out of stock for along
period of time
KEMSA kit has been
delivered severally without
Iron despite orders from the
facilities.
KEMSA
forward
4
Has the amount of vitamin A, iron/folate needed for the next quarter been
calculated and budgeted at this time?
NO
Calculat
5
Have the district essential drugs been ordered this month by the monthly
deadline (using the pull system)?
YES Drugs delivered in smaller
quantities than ordered for
hence shortages before end
of quarter
Follow u
6
Have health facilities received their essential drugs kit from KEMSA for this
quarter? If yes, Specify date_________________
NO Drugs are delivered late
hence services are slowed
downRecomm
7Did the KEMSA essential drugs kit come late this quarter? YES
8
Were all the micronutrients (iron folate, vitamin A) in the KEMSA kit?
Specify, what was missing (nutrition related items like vitamins, deworming
meds, antibiotics) in observations column.
NO N o Iron was in the kit
Recomm
of suppl
9
Were there any sensitization campaigns on micronutrients conducted this
past month?
NO ECD activity was postponed
to July due to unavailability of
funds
Support
campaig
10
# of sensitization campaigns conducted this past month regarding
micronutrients.
N/A
11
Were there any surveys conducted this month with questions related to
micronutrients (use of iodized salt or other)?
NO Support
campaig
Infant and Young Child Feeding and Baby Friendly Hospital Initiative
12
# of PMTCT, ANC/MCH staff ward staff who received and completed
IYCF and HIV on the job training (infant feeding counseling options in the
context of HIV, energy needs, ARV and food intake.
N/A
Support
BFHI
13
#of Pediatric ward staff who received and completed IYCF on the job
training this month (IYCF counseling, position, latching and optimal
breastfeeding, breastfeeding in the context of HIV, AFASS, Feeding duringillness).
N/A
Support BFHI
14
# of maternity, nursery and labor and delivery staff who received and
completed IYCF on the job training this month (IYCF counseling,
positioning, latching and optimal breastfeeding, counseling options in the
context of HIV, AFASS, energy needs, ARV and food etc).
N/A
Support
BFHI
15
% of Maternity trained staff who correctly and consistentlycounsels
EACH mother on IYCF.
N/A Support
BFHI
16
% of PMTCT labor and delivery trained staff who correctly and
consistentlycounsels EACH mother on IYCF options in the context of HIV,
AFASS.
N/A
Support
BFHI
Micronutrient Supplementation
PROCESS INDICATORS CHALLENGES ANDOBSERVATIONS
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17
Did the District Health Management Team receive an orientation or
sensitization session to BFHI this past month or in the recent past? Specify
date___________
NO
Suppor
BFHI to
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
18
How many DHMT members were present at this BFHI
presentation/orientation? (for DHMTs who have never been sensitized in
BFHI)
N/A
19
Has the national breastfeeding policy been translated into local language
this past month?
NO Facilities do not have copies
of the policy and are neither
aware of it.
Reques
facilities
20
Has the breastfeeding policy been placed visibly in the Hospital in seven
strategic points (i.e., maternity, MCH, Labor & Delivery, PMTCT, pediatrics,
nursery and ANC this past month?
NO The sub district hospitals dont
have the policy in place. The
same with the dispensaries
and health centres
Reques
circulat
21
# (and %) of staff who received on the job training this past month to
implement the BFHI policy?
N/A Staff movement with new staff
not trained posted to the
wards hence implementation
of the process lags behind
Suppor
implem
22
Are newborns placed on the breast within to 1 hour after delivery? YES For CS deliveries, initiation
takes a little longer since
general anaesthesia is mostpreffered as opposed to
epidural
Follow
23
How long are mothers and babies separated after a C-section delivery?
Specify duration in hours___2 - 3 hours
24
Does the hospital support mothers to breastfeed in the first six hours
following delivery? Specify activities in the observations column.
YES, through demonstration on
hand expressing , rooming in,
attachment and positioning
Suppor
implem
25
Did the District Hospital have, promote, use or offer infant formula this
month to its patients? If yes, specify in which context is the formula
used (where/which ward) and who are the target beneficiaries). Also,
find out who provides the infant formula and who funds it. Write
these in the observations column.
N/A Mutomo mission hospital is
used as the referral point for
the district, as the gok one is
not fully equipped.Suppor
commu
26
Did the District hospital use pre-lacteal feeds for premature babies, babies
born through C-section, or other this month? Specify make or brand of the
feed, who provides the feed and who funds it. Specify in the
observations column.
N/A Mutomo mission hospital is
used as the referral point for
the district, as the gok one is
not fully equipped.
Suppor
commu
27
Are there any Breastmilk Code violations observed this month in the
Maternity, ANC, MCH?
NO
Suppor
commu
28
Did the District/Provincial ANCstaff sensitize mothers consistently and
correctlyagainst the use of bottles, teats and other nipples this month?
N/A Mutomo mission hospital is
used as the referral point for
the district, as the gok one is
not fully equipped.
Suppor
implem
29
Did the District/Provincial Maternitystaff sensitize mothers consistentlyand correctlyagainst the use of teats, bottles and other nipples this
month?
N/A Mutomo mission hospital isused as the referral point for
the district, as the gok one is
not fully equipped.
Supporimplem
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctlyagainst the use of teats, bottles and other nipples this month?
N/A Mutomo mission hospital is
used as the referral point for
the district, as the gok one is
not fully equipped.
Suppor
implem
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31
# of mother support groups with the majority of mothers
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Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
37
Have the District nutrition supply needs for next quarter been ordered by the
UNICEF deadline? Specify date when the order was sent to UNICEF_11
june 2010_________and when it was received by UNICEF _11 june 2010
YES
38
Were there any nutrition related products which will expire within the next
month? If so, please make recommendations (i.e, return products to districtfor redistribution to health facilities with shortages or near shortages,
provide technical assistance on better forecasting etc.)
YES All have been distributed to
the facilities depending onneed. No tools available to
capture data on multiple
micronutrients.
Suppor
micronu
needs.
39
Percentage of severely malnourished children under 5 years screened and
referred for management of acute malnutrition (target 50%)
Reports for the month not yet in
40
Percentage of moderately malnourished children under 5 years who are
screened and referred for management of acute malnutrition (target 50%)
41
# (and %) of severely and moderately malnourished children under 5 who
accessed treatment and recovered from acute malnutrition.
42(# and %) Default rate for severely acute malnourished this month.
43 (# and %) Default rate for moderately acute malnourished this month.
44 (# and %) Death rate for severely malnourished this month.
45(# and %) Death rate for moderately malnourished this month.
46 # (and % ) non-recovered during management of acute malnutrition
47 # (and %) of children under 5 who were weighed this month.
48 # (and %) of children under 5 who are underweight this month.
49 # (and %) of children under 5 who are normal weight this month.
Monitoring and Evaluation
50
% of District and Provincial MCH, pediatric and maternity staff who received
and completed the Essential Nutrition Services On the Job Training.
NONE
Suppor
51 # and (%) of chil