Wkly Surveillance Summary

DISTRICT MONTHLY PROGRESS UPDATE
District:______________ Month ___________________ Number of health facilities visited_________

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_____________ Submitted by ______________
Current progress of ACTIVITIES
YES/NO/not Applicable, #, % (specify
facility)
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 A needed for the next quarter been calculated
and budgeted at this time?
3
Were there any iron/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_________________
7
Did 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 consistently counsels
EACH mother on IYCF.
16
% of PMTCT labor and delivery trained staff who correctly and
consistently counsels 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___________
By
when
Status PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
Micronutrient Supplementation
Recommendations/Action Points By
whom
facility)
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 seven
strategic 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?
22
Are 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 ANC staff sensitize mothers consistently and
correctly against the use of bottles, teats and other nipples this month?
29
Did the District/Provincial Maternity staff sensitize mothers consistently
and correctly against the use of teats, bottles and other nipples this
month?
30
Did the district/Provincial PMTCT staff sensitize mothers consistently and
correctly against the use of teats, bottles and other nipples this month?
31
# of mother support groups with the majority of mothers <2 years old
established this month in the district.
32
# of active mother support groups with the majority of mothers <2 years in
the district.
33
# of mothers reached this month.
Emergency and Preventive Nutrition
34
# (and %) of Pediatric ward staff who received on the job training in the
management of severe acute malnutrition.
35
Have there been any stockouts this past month of nutrition supplies for the
inpatient and outpatient services? If yes, specify which products in the
observations section (e.g., F-75, F-100, RUTF, other).
36
Have the nutrition supply needs for inpatient management of malnutrition
been calculated (F-75, F-100, RUTF etc.) for the next quarter?
PROCESS INDICATORS By
whom
CHALLENGES AND
OBSERVATIONS
when
Status
facility)
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 district
for 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 <5 who were underweight this month
52
Are the malnourished consistently screened for HIV upon admission or
before discharge? Specify health facilities observed this month in
53
# (and %) of the severely malnourished who are HIV positive.
54
Were there any active case finding activities this month? (If yes, specify the
areas and health facilities in the observations column).
55
Have there been any stockouts in the District this past month of foodstuffs
for the Supplementary Feeding Programme? If, yes, specify which products
in (e.g., CSB, oil, pulses, other) AND for which health facility) in the
56
# ( and %) of health facility staff who received on the job training in
Outpatient and Supplementary Feeding Programme management of
moderate acute malnutrition.
57
Have the foodstuff needs (RUTF) for the Outpatient Therapeutic
Programme been calculated for the next quarter?
58
Have the OTP nutrition supply needs been ordered by the UNICEF
deadline? Specify date when the order was sent to UNICEF
____________ and when the order was received by
UNICEF________________
PROCESS INDICATORS CHALLENGES AND
OBSERVATIONS
whom
By
when
Status
facility)
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
outpatient management of acute malnutrition.
65
% of trained staff adhering consistently and correctly to micronutrient
protocols.
66
% of trained staff adhering consistently and correctly to IYCF policy.
67
% of trained staff adhering consistently and correctly to Baby Friendly
Hospital Initiative protocols.
68
% who received and completed the Essential Nutrition Services On the Job
Training.
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
th
of the
month)? List all relevant health facilities in the observations column.
By
when
OBSERVATIONS
whom
facility)
79
Which health centers did not send reports at all this month (i.e., no reports
received by the 12
th
of the month)? List all relevant health facilities in the
80
% of quality monthly reports received from the health facilities (and
partners) on or before the Districts reporting deadline of the 5
th
of every
month.
81
% of quality monthly reports sent to the Province, the Division of Nutrition,
UNICEF and WFP from the district on or before the 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.
OBSERVATIONS
whom
By
when
Status
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 DISTRICT
12 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 HOSP
25 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 ZOMBE
38 MUTITO CATHOLIC
39 INYUU DISP
JANUARY FEBRUARY MARCH
facility)
1
2
3
4
5
6
7
8
9
past month?
10
micronutrients.
11
12
13
illness).
14
15
16
AFASS.
17
date___________
OBSERVATIONS
whom
By
when
Status
facility)
18
BFHI)
19
this past month?
20
21
22
23
24
25
26
27
28
29
month?
30
31
32
the district.
33
34
35
36
Status By
when
OBSERVATIONS
whom
facility)
37
_______________
38
39
40
41
42
43
44
45
47
48
50
52
53
54
55
56
57
58
UNICEF________________
Status CHALLENGES AND
OBSERVATIONS
whom
By
when
PROCESS INDICATORS
facility)
59
60
deadline?
61
62
department).[1]
63
64
65
protocols.
66
67
68
Training.
Coordination
69
70
72
micronutrient).
73
Reporting
74
75
76
77
submit any reports?
78
th
of the
By
whom
By
when
OBSERVATIONS
Recommendations/Action Points
facility)
79
received by the 12
th
80
th
of every
month.
81
Budgeting
82
month
83
84
85
mechanisms.
By
whom
By
when
OBSERVATIONS
facility)
1
2
3
4
5
6
7
8
9
past month?
10
micronutrients.
11
12
13
illness).
14
15
16
AFASS.
17
date___________
OBSERVATIONS
whom
By
when
Status
facility)
18
BFHI)
19
this past month?
20
21
22
23
24
25
26
27
28
29
month?
30
31
32
the district.
33
34
35
36
Status By
when
OBSERVATIONS
whom
facility)
37
_______________
38
39
40
41
42
43
44
45
47
48
50
52
53
54
55
56
57
58
UNICEF________________
OBSERVATIONS
whom
By
when
PROCESS INDICATORS
facility)
59
60
deadline?
61
62
department).[1]
63
64
65
protocols.
66
67
68
Training.
Coordination
69
70
72
micronutrient).
73
Reporting
74
75
76
77
submit any reports?
78
th
of the
By
whom
By
when
OBSERVATIONS
facility)
79
received by the 12
th
80
th
of every
month.
81
Budgeting
82
month
83
84
85
mechanisms.
By
whom
By
when
OBSERVATIONS
facility)
1
2
3
4
5
6
7
8
9
past month?
10
micronutrients.
11
12
13
illness).
14
15
16
AFASS.
17
date___________
OBSERVATIONS
whom
By
when
Status
facility)
18
BFHI)
19
this past month?
20
21
22
23
24
25
26
27
28
29
month?
30
31
32
the district.
33
34
35
36
Status By
when
OBSERVATIONS
whom
facility)
37
_______________
38
39
40
41
42
43
44
45
47
48
50
52
53
54
55
56
57
58
UNICEF________________
OBSERVATIONS
whom
By
when
PROCESS INDICATORS
facility)
59
60
deadline?
61
62
department).[1]
63
64
65
protocols.
66
67
68
Training.
Coordination
69
70
72
micronutrient).
73
Reporting
74
75
76
77
submit any reports?
78
th
of the
By
whom
By
when
OBSERVATIONS
facility)
79
received by the 12
th
80
th
of every
month.
81
Budgeting
82
month
83
84
85
mechanisms.
By
whom
By
when
OBSERVATIONS
facility)
1
2
3
4
5
6
7
8
9
past month?
10
micronutrients.
11
12
13
illness).
14
15
16
AFASS.
17
date___________
OBSERVATIONS
whom
By
when
Status
facility)
18
BFHI)
19
this past month?
20
21
22
23
24
25
26
27
28
29
month?
30
31
32
the district.
33
34
35
36
Status By
when
OBSERVATIONS
whom
facility)
37
_______________
38
39
40
41
42
43
44
45
47
48
50
52
53
54
55
56
57
58
UNICEF________________
OBSERVATIONS
whom
By
when
PROCESS INDICATORS
facility)
59
60
deadline?
61
62
department).[1]
63
64
65
protocols.
66
67
68
Training.
Coordination
69
70
72
micronutrient).
73
Reporting
74
75
76
77
submit any reports?
78
th
of the
By
whom
By
when
OBSERVATIONS
facility)
79
received by the 12
th
80
th
of every
month.
81
Budgeting
82
month
83
84
85
mechanisms.
By
whom
By
when
OBSERVATIONS
District:___KITUI___________ JUNE Number of health facilities visited_________
facility)
1
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 up with KEMSA to supply regularly with all
other drugs
District
Pharma
cist
End of
Quarter Pending
2
NO District facilities have been
relying on the parallel supply
Calculation of the district needs for the next quarter DNO
and
NSO
End of
Quarter
Not done
3
Were there any iron/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 to shed light on the supplies and way
forward
Pending
4
NO
Calculation of the district needs for the next quarter
DNO
NSO
End of
quarter On going
5
YES Drugs delivered in smaller
quantities than ordered for
hence shortages before end
of quarter
Follow up with KEMSA to supply regularly
District
Pharma
cist
End of
quarter On going
6
NO Drugs are delivered late
hence services are slowed
down
Recommendation to KEMSA to deliver drugs on time
District
Pharma
cist
7
Did the KEMSA essential drugs kit come late this quarter? YES
8
NO N o Iron was in the kit
Recommendation to KEMSA to advise on the status
of supplies
District
Pharma
cist
9
past month?
NO ECD activity was postponed
to July due to unavailability of
funds
Support DNO to develop proposals for funding
campaigns NSO
End of
Quarter On going
10
micronutrients.
N/A
11
NO Support DNO to develop proposals for funding
campaigns NSO
End of
Quarter On going
12
N/A
Support DNO to continue with action plan on
implementation of IYCF activities
DNO
NSO
Hosp
Incharge
End of
July On going
13
illness).
4 They have started but not
completed yet
Support the continuation of the action plan
implementation
DNO
NSO
Hosp
Incharge
14
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 with action plan on implementation of BFHI
in the hospital DNO
NSO
Hosp
Incharge
OBSERVATIONS
whom
By
when
Status
15
N/A Individual counseling not done
for all mothers, only one nurse
is trained on IYCF
in the hospital DNO
NSO
Hosp
Incharge
16
AFASS.
N/A Individual counseling not done
for all mothers, only one nurse
is trained on IYCF
in the hospital DNO
NSO
Hosp
Incharge
17
date___________
NO
Support DNO to develop action plan for DHMT
sensitization NSO
End of
July
facility)
18
BFHI)
N/A
19
this past month?
YES Translation has been done
only in the District Hospital
Support the other facilities to translate it into local
Language
DNO
and
NSO
20
YES The sub district hospitals dont
have the policy in place. The
same with the dispensaries
and health centres
Request for copies of policies from division and
circulate to all facilities,
DNO
and
NSO
End of
July
On going
21
10 Staff movement with new staff
not trained posted to the
wards hence implementation
of the process lags behind
in the hospital
DNO
End of
July On going
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 to
epidural
Follow up with the HMT on adoption of the epidural
Hosp
Incharge
, DNO,
NSO
End of
July
23
Specify duration in hours___2 - 3 hours
24
YES, through demonstration on
hand expressing , rooming in,
attachment and positioning
Follow up on continued OJT for health workers to
help support mothers
Hosp
Incharge
, DNO,
NSO
End of
July On going
25
NO Infant feeding policy not
routinely communicated to
health workers
Support code compliance and ensure routine
communication of the policy to health workers
Hosp
Incharge
, DNO,
NSO
End of
July On going
26
health workers
Hosp
Incharge
, DNO,
NSO
End of
July On going
27
NO Health workers not aware of
the code of marketing
breastmilk substitutes
Hosp
Incharge
, DNO,
NSO
End of
July On going
28
health workers. Health
education sessions done once
a week hence not adequate to
broadly cover all relevant
topics
Hosp
Incharge
, DNO,
NSO
End of
July On going
29
month?
YES Infant feeding policy not
topics
Hosp
Incharge
, DNO,
NSO
End of
July On going
Status By
when
OBSERVATIONS
whom
30
topics
Hosp
Incharge
, DNO,
NSO
End of
July On going
31
N/A Most facilities have
psychosocial groups catering
only for the exposed and none
to support infant feeding
Support DNO facilitate facilities in formation of
support groups as the linkage points to the
community
32
the district.
N/A
33
# of mothers reached this month. N/A
34
NONE Staff movement has affected
delivery of services in the
ward
Follow up on OJT progress from ACF DNO NSOEnd of July On going
35
NO
36
YES
facility)
37
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
YES. Multiple micronutrients and
sprinkles in the district stores
are expiring this month
Support DNO to redistribute them to facilities with
higher catchment and develop a tool to capture there
use in the facilities
DNO
NSO
End of
July On going
39
Reports for the month not yet in
40
41
42
43
44
45
47
48
50
NONE
52
NO Unless other symptoms are
present, screening for HIV is
not routinely done.
Support DNO to explore on how to integrate HIV
screening fomalnourished children to enable cater
for co - morbidities
DNO
NSO
DPHN
End of
quarter On going
53
# (and %) of the severely malnourished who are HIV positive. N/A
54
NO CHV's do not have action
days for carrying out case
finding Support facilities to utilise the CHV's for these
activities
DNO
NSO
End of
Quarter On going
55
YES All facilities implementing SFP
have not had a supply of CSB
this month and old stock has
been depleted
Follow up with WFP on the status of the supply
CDK
DNO 9th July Done
56
NONE ACF is phasing out there
capacity building program this
month
Follow up with ACF on progress and status of
facilities
DNO
NSO
End of
July On going
57
YES
58
deadline? Specify date when the order was sent to UNICEF __11 June
2010__________ and when the order was received by UNICEF__11 June
2010______________
YES
OBSERVATIONS
whom
By
when
PROCESS INDICATORS
facility)
59
NO Reports from the facilities are
not yet in. Reporting deadline
for SFP is on 10th of every
month
Timely reporting by facilities will enable SFP
reporting deadline. Explore on possible ways of
enhancing timely reporting with the facilities
DNO
NSO
End of
July On going
60
deadline?
61
62
department).[1]
11 One copy in each facility.
Request for copies of the guidelines from division
and circulate to all facilities
DNO
and
NSO
End of
July
Request
done
63
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 day
Support staff to routinely and consistently follow the
protocols through continued OJT and CME sessions
DNO,
NSO
End of
quarter On going
64
NONE Standard clinical tests are not
done on every visits,
recording of findings and
treatment given not done,
DNO,
NSO
End of
quarter On going
65
protocols.
NONE Vit A given alongside
immunizations is recorded
while any other for whichever
purpose more often than not
is not recorded Support staff to routinely and consistently follow the
DNO,
NSO
End of
quarter On going
66
% of trained staff adhering consistently and correctly to IYCF policy. NONE
Support routine communication and implementation
of the policy in all facilities
DNO,
NSO
End of
quarter On going
67
NONE Staff movement is a
challenge,
Support Hosp Nutritionist and DNO on
Implementation of BFHI action plan NSO
End of
quarter On going
68
Training.
NONE
Support DNO to develop ENS On the Job Training
action plan NSO
End of
quarter On going
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
Support DNO to hold a stakeholders forum for
sensitization
NSO
ACF July On going
70
% of district partners who attended the meeting. N/A
71 Update of the 3Ws among partners (whos doing what where). YES
72
micronutrient).
2 ACF, CDK
Support DNO to enhance adherence to MOH
guidelines by partners
NSO
DNO
DHMT
End of
Quarter On going
73
2 ACF, CDK
Support DNO to enhance adherence to MOH
guidelines by partners
NSO
DNO
DHMT
End of
Quarter On going
Reporting
74
6 - personal contact during
monitoring visits
Support DNO in exploring on ways of enhancing
timely reporting by the facilities NSO End of July
By
whom
By
when
Status
NO
OBSERVATIONS
75
NONE Most facilities sited workload,
transport and being not
conversant with all reporting
tools as being hindrances to
timely reporting
timely reporting by the facilities NSO
End of
July On going
76
YES Most facilities use to cater for
transport costs
77
submit any reports?
N/A
78
th
of the
N/A
facility)
79
received by the 12
th
N/A Received so far, ilika disp,
kyamatu disp, mutitu disp,
kaumu, mwitika, mbitini H/C,
kaliku disp, kisasi
disp,muthale mission,
nthongoni disp
End of
July On going
80
th
of every
month.
N/A
81
N/A
Budgeting
82
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 Develop more proposals to fund various activities to
brigde the gap in funds
DNO
NSO
End of
Quarter
Awaiting
Response
85
mechanisms.
N/A
By
whom
By
when
OBSERVATIONS
District:___KITUI___________ JUNE Number of health facilities visited_________
facility)
1
100,000 IU out of stock 100,000 IU capsules.Most
deliveries dont have the
100,000 IU caps.
Follow up with KEMSA to supply regularly with all
other drugs
District
Pharma
cist
End of
Quarter Pending
2
NO District facilities have been
relying on the parallel supply
Calculation of the district needs for the next quarter DNO
and
NSO
End of
Quarter
Not done
3
Were there any iron/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 to shed light on the supplies and way
forward
Pending
4
NO
Calculation of the district needs for the next quarter
DNO
NSO
End of
quarter On going
5
YES Drugs delivered in smaller
quantities than ordered for
hence shortages before end
of quarter
Follow up with KEMSA to supply regularly
District
Pharma
cist
End of
quarter On going
6
NO Drugs are delivered late
hence services are slowed
down
Recommendation to KEMSA to deliver drugs on time
District
Pharma
cist
End of
Quarter
7
Did the KEMSA essential drugs kit come late this quarter? YES
8
NO N o Iron was in the kit
Recommendation to KEMSA to advise on the status
of supplies
District
Pharma
cist
9
past month?
NO ECD activity was postponed
to July due to unavailability of
funds
Support DNO to develop proposals for funding
campaigns NSO
End of
Quarter On going
10
micronutrients.
N/A
11
NO Support DNO to develop proposals for funding
campaigns NSO
End of
quarter
12
N/A
Support DNO to develop action Plan onIYCF and
BFHI NSO August On going
13
illness).
N/A
14
N/A
15
N/A Support DNO to develop action Plan onIYCF and
16
AFASS.
N/A
By
whom
OBSERVATIONS
Recommendations/Action Points Status By
when
17
date___________
NO
BFHI to include sensitization of DHMT NSO August On going
facility)
18
BFHI)
N/A
19
this past month?
NO Facilities do not have copies
of the policy and are neither
aware of it.
Request and distribute copies of the policy, Support
facilities to translate it into local Language
DNO
and
NSO
End of
quarter On going
20
NO The sub district hospitals dont
have the policy in place. The
same with the dispensaries
and health centres
Request for copies of policies from division and
circulate to all facilities
DNO
and
NSO
End of
July
On going
21
N/A Staff movement with new staff
not trained posted to the
wards hence implementation
of the process lags behind
Support DNO to develop action plan for
implementation of BFHI and IYCF
NSO
End of
JUly On going
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 to
epidural
Follow up with the HMT on adoption of the epidural
Hosp
Incharge
, DNO,
NSO
End of
July On going
23
Specify duration in hours___2 - 3 hours
24
YES, through demonstration on
hand expressing , rooming in,
attachment and positioning
NSO
End of
July On going
25
N/A Mutomo mission hospital is
used as the referral point for
the district, as the gok one is
not fully equipped.
Hosp
Incharge
, DNO,
NSO
End of
July On going
26
not fully equipped.
Hosp
Incharge
, DNO,
NSO
End of
July On going
27
NO
Hosp
Incharge
, DNO,
NSO
End of
July On going
28
not fully equipped.
Hosp
Incharge
, DNO,
NSO
End of
July On going
29
month?
not fully equipped.
implementation of BFHI and IYCF Hosp
Incharge
, DNO,
NSO
End of
July On going
30
not fully equipped.
implementation of BFHI and IYCF Hosp
Incharge
, DNO,
NSO
End of
July On going
OBSERVATIONS
whom
Status By
when
31
N/A Most facilities have
psychosocial groups catering
only for the exposed and none
to support infant feeding
Support DNO facilitate facilities in formation of
support groups as the linkage points to the
community NSO
End of
July On going
32
the district.
N/A
33
34
NONE
Follow up on OJT progress from ACF
DNO
NSO
End of
July On going
35
NO
36
YES
facility)
37
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
YES All have been distributed to
the facilities depending on
need. No tools available to
capture data on multiple
micronutrients.
Support the development of a tool to capture flow of
micronutrients and help in calculation of district
needs.
DNO
NSO
End of
quarter
39
Reports for the month not yet in
40
41
42
43
44
45
47
48
50
NONE
Support DNO to develop action plan on ENS OJT NSO
End of
Quarter On going
52
NO Unless other symptoms are
present, screening for HIV is
not routinely done.
Support DNO to explore on how to integrate HIV
screening fomalnourished children to enable cater
for co - morbidities
DNO
NSO
DPHN
End of
Quarter On going
53
# (and %) of the severely malnourished who are HIV positive. N/A
54
NO CHV's do not have action
days for carrying out case
finding Support facilities to utilise the CHV's for these
activities
DNO
NSO
End of
Quarter On going
55
YES All facilities implementing SFP
have not had a supply of CSB
this month and old stock has
been depleted
Follow up with WFP on the status of the supply
CDK
DNO 9th July Done
56
NONE ACF is phasing out there
capacity building program this
month
Follow up with ACF on progress and status of facilities
DNO
NSO
End of
July On going
57
YES
58
deadline? Specify date when the order was sent to UNICEF ___11 june
2010_________ and when the order was received by UNICEF__11 June
2010______________
YES
By
when
OBSERVATIONS
whom
PROCESS INDICATORS
facility)
59
NO Reports from the facilities are
not yet in. Reporting deadline
for SFP is on 10th of every
month
Timely reporting by facilities will enhance SFP
reporting deadline. Explore on possible ways of
enhancing timely reporting with the facilities
DNO
NSO End of July On going
60
deadline?
61
62
department).[1]
4 One copy in each facility.
Request for copies of the guidelines from division
and circulate to all facilities
DNO
and
NSO
End of
July
Request
done
63
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 day
DNO,
NSO
End of
quarter On going
64
NONE Standard clinical tests are not
done on every visits,
recording of findings and
treatment given not done,
DNO,
NSO
End of
quarter On going
65
protocols.
NONE Vit A given alongside
immunizations is recorded
while any other for whichever
purpose more often than not
is not recorded
DNO,
NSO
End of
quarter On going
66
% of trained staff adhering consistently and correctly to IYCF policy. NONE Most facilities dont have and
are not aware of the policy
Support routine communication and implementation
of the policy in all facilities
DNO,
NSO
End of
quarter On going
67
NONE Staff movement is a
challenge,
Support Hosp Nutritionist and DNO on
Implementation of BFHI action plan NSO
End of
quarter On going
68
Training.
NONE
Support DNO to develop ENS On the Job Training
action plan NSO
End of
quarter On going
Coordination
69
# of coordination meetings held this past month. NONE District has not established
coordination meetings as yet
Support DNO to update 3W's, sensitize DHMT on
the need for the meetings and set dates for meeting
to take place NSO
End of
July On going
70
% of district partners who attended the meeting. N/A
71
Update of the 3Ws among partners (whos doing what where). NO
Support DNO to update the 3W's
DNO
NSO
End of
July On going
72
micronutrient).
2 ACF, CDK
Support DNO to update the 3W's NSO
End of
July On going
73
2 ACF, CDK
Support DNO to update the 3W's NSO
End of
July On going
Reporting
74
N/A
End of
July On going
whom
By
when
Status
NO
OBSERVATIONS
75
NONE Most facilities sited workload,
transport and being not
conversant with all reporting
tools as being hindrances to
timely reporting
End of
July On going
76
YES Most facilities use it to cater
for transport costs
77
submit any reports?
N/A All facilities report albeit late
Support DNO to enhance timely reporting NSO
End of
July On going
78
th
of the
N/A Not all reports have been
received
Support DNO to enhance timely reporting NSO
End of
July On going
facility)
79
received by the 12
th
N/A Reports have not all been
received in the facilities
80
th
of every
month.
N/A
81
N/A
Budgeting
82
month
N/A
83
% of nutrition program needs funded through MTEF N/A
84
# of proposals written this month N/A
Support DNO to develop proposals to facilitate
various activities in the district NSO
End of
Quarter
Awaiting
Response
85
mechanisms.
NONE
By
whom
By
when
OBSERVATIONS
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 DISTRICT
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
23 KITUI DIST HOSP
25 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 ZOMBE
38 MUTITO CATHOLIC
39 INYUU DISP
ADMISSIONS - MAY
TOTAL
BENEFICIARIES
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 DISTRICT
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
23 KITUI DIST HOSP
25 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 ZOMBE
38 MUTITO CATHOLIC
39 INYUU DISP
STOCK
CONTROL
OTP
REGISTER
SFP
REGISTER
OTP
REPORT
SFP
REPORT
STOCK
SUMMARY

Wkly Surveillance Summary

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Wkly Surveillance Summary

Uploaded by

Copyright:

Available Formats

DISTRICT MONTHLY PROGRESS UPDATE

District:____ Month _ Number of health facilities visited_

You might also like