Where have you been,Where are you,Where are you going?

Melinda Potgieter – PreussSAMEA Conference15 October 2015

“A little knowledge that acts is worth infinitely more than much knowledge that is idle.”

Kahlil Gibran

Where were we ?International ContextTargets for the millennium development goals (MDG) relevant to the Reproductive Maternal and Child Health (RMCH) programme in South Africa:

• MDG 4: Reduce under 5 mortality rate by two-thirds• MDG 5: Reduce maternal mortality ratio by three-quarters

Where have we been?South African context

Where we are

Where we are going

Where have we been?South African context

Where we are

Where we are going

‘SEED’ Model

Meeting clients needs

DemandSupply

Staff supported in delivering

quality services(accessible, acceptable,

and accountable)

Knowledgeable Individuals, families, and communitiesseeking care

Policy, program, and community environment, coupled with social and gender norms, support functioning health systems and facilitate healthy behaviours

Enabling Environment

Where, What, When, Who, WhyFEUTURES/COMPONENT

Gaps and bottlenecks

To identify gaps and identify key bottlenecks

Bottleneck Analysis

Key componentIndicatorBaselineKey challenge

Root causeType of support requiredAction PlanOutcome

Responsible PersonTimelinePriority

Enabling environmentLeadership and Governance

Policies, resources and budgets

Evidence-based decision-making

Commodities

Advocacy and Communication

Transport

Integration and referrals

Implementation

To track or monitor implementation of the identified intervention stages over time in an endless improvement cycle

Dashboard

Green: the indicator has reached its target value.

Yellow: the indicator has improved compared to the previous financial year, but has not yet reached its target value.

Red: the indicator’s Performance 2012/13 (FY 1) has worsened compared to the previous financial quarter, and has not reached its target value.

Implementation stages

Pre-implementation

4. Implementation

6. Institutionalisation

1. Creating awareness

2. Commitment to implement

3. Getting ready to implementImplementation

5. Integration into routine practise

Institutionalisation

Technical Implementation Status

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Implementation stages

Level of effort