kachule: scaling up to a continuum of facilty based and community kmc

7/28/2019 Kachule: Scaling Up to a Continuum of Facilty Based and Community KMC

1/13

Th

irteen

years

ofKMC

Practic

einM

alawi

S

calingup

toacontin

uumo

f

facil

ity-basedandcomm

unityKMC

EnelesiKa

chule

MinistryofHealth

Malawi


2/13

Bac

kground

KMCint

roducedinMalawiin1999

ZombaCentral

Hospital

2001-20

05:Trainingandsupportto6hospitals(SNL1)

KMCintroducedinallCentral/referralhospitals

2005:NationalKMCguidelines

2007:RetrospectiveevaluationofKMC

2008-20

11:

KMCincludedinintegratedmaterna

landnewborn

trainin

gmanuals(SN

L2&MCHIP)

KMCestablishedinm

ajorityofdistricthospitals

7learningdistricts

expansionto

communityKM

C


3/13

Year

#facilities

1999

1

2002

2

2003

1

2004

1

2005

1

2006

1

2007

0

Total

7

KMCFAC

ILITIES

GOVT-10

4

CHAM-17 C

entral

teaching

hospitals

Slow

up-take

7

Pre-2008

121

4

5

5

4

1

4

1

1

#fac

ilities

20

10

20

09

Ye

ar

20

08

20

11

TOTAL

Country-wide

scale-up


4/13

0246810

12

14

16

18

20

22

24

26

28

30

1.

1.CCreatea

wareness

reatea

wareness

2.

2.Comm

ittoimplement

Comm

ittoimplement

3.

3.Preparetoimplem

ent

Pr

eparetoimplem

ent

4.

4.Implement

Implement

5.

5.Inte

grateinto

Inte

grateinto

rou

tinepractice

rou

tinepractice

6.

Sustainnew

6.

Sustainnew

practices

practices

(2)

(2)

(4)

(7)

Cumu

lativescore

Score

perstage:

(7)

(6)

Prog

resswithimplementatio

n

14facilitiesfrom

centralhospital

tocom

munity

healthcentres

evaluated


5/13

0246810

12

14

16

18

20

22

24

26

28

30

1.

1.CCreatea

wareness

reatea

wareness

2.

2.Comm

ittoimplement

Comm

ittoimplement

3.

3.Preparetoimplem

ent

Pr

eparetoimplem

ent

4.

4.Implement

Implement

5.

5.Inte

grateinto

Inte

grateinto

rou

tinepractice

rou

tinepractice

6.

Sustainnew

6.

Sustainnew

practices

practices

(2)

(2)

(4)

(7)

Cumu

lativescore

Score

perstage:

(7)

(6)

Prog

resswithimplementatio

n

MEAN

SCORE:16.33

Maximumscore

30

Scorerange

:

10.3420.0

7


6/13

KMC

practic

e

KMCisroutinec

areforLBW/preterm

babiesinMalawi

Lowercadrestaffprovidem

ostofthe

servicesinKMCunits

There

isalinkwithHSAson

dischargefor

contin

uumofcare

LBW/pretermbab

iesdeliveredathome

are

referre

dtothefacilityforKM

C


7/13

Typeso

fKMC

ContinuousKMC.

IntermittentKMC.

Criterion:

FacilityKMC-Birth

weight

kachule: scaling up to a continuum of facilty based and community kmc

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