National Group Recommendations Theme: Every Child Counts USAID FH - - PowerPoint PPT Presentation

National Group Recommendations USAID FH IP Symposium

Theme: “Every Child Counts” 25th-28th March 2019

Leadership, Management and Governance

Gaps:

• Slow and inadequate trickling of policies from National government to

County Government

• Weak Intergovernmental relations – National and County Government
• Communication
• Slow and Lengthy process from national to county governments
• Formal channel - DMS to write to counties through the COG
• Timelines on communication (signed within 21days before the

activity) - What informed the 21days?

• Coordination of partner activities
• Complaints from CoG that National government is reaching counties

directly.

• Limited resources at government level – partners should disclose plans

and resources for coordination

• Competing priorities
• Unclear Communication channel from county to National level when

counties require support from National MoH; No Circular referenced

• Email; request from County or CoG to National MoH
• Activities should be in annual work plan
• Partner timelines

Recommendations:

• Coordination of partner activities through MoH
• DFH can begin in supporting the coordination – 1 coordination meeting

within the DFH – Nutrition, Child health, RH

• The DFH should have a master plan fed by plans from all units
• Revive Integrated child health ICC and include all stakeholders– RMNCH,

HIV, Malaria, HMIS, CHS, etc

• Integration of programs
• One review and planning meeting, Stop fragmentation, Integrated package
• Integration of dissemination of policies; Pool resources for dissemination
• Government must take the lead
• Partners tow the line
• Activities should be in annual work plan
• There should be coordination among the donor community to avoid funding

duplication for technical support to MoH at national and county level - UNICEF, WHO , USAID, etc

• Reinforcing that partners provide coordinated support to MoH

HSS M&E Gaps and Recommendations

Gaps

• Coordination of M&E activities
• Coordination at DFH
• Parallel DFH M&E systems which operate

separately

• Coordination at MoH
• DFH M&E is disjointed with division of M&E,

research and informatics

• Many tools under review at the same time
• Uncoordinated county and stakeholder involvement during

tools review

• Different version of tools in use at county level -

Management of version control

• Where there’s need for addition of indicators onto existing

tools there’s lack of wide communication on indicators for inclusion to enable all stakeholders lobby for inclusion onto HMIS

Recommendations

• Coordination
• Improve M&E coordination within DFH units
• Improve Coordination of DFH M&E with division of M&E,

research and informatics and partners

• Hold DFH tools coordination meeting Circular to all partners

not to introduce new tools

• Tools that need to be revised are revised should be revised in a

timely manner to meet the data demands. Tools should be reviewed after 2 years as good practice

• HMIS team to participate in other programs
• Stakeholder involvement in tools review process with timelines
• Hold Joint review and feedback meetings with the counties; Cluster

counties during dissemination and county consultation processes.

HSS Budget Gaps and Recommendations

Budget Gaps

• Inadequate health budget allocation
• Devolved health budget, inadequate

allocation for national level Recommendations

• Budget
• Flexibility in donor budgets
• Partner coordination in budget allocation

support to national level and counties

• UHC Approach
• Advocacy
• Identify budget decision makers and

activities for justification of increased resources – at national and county level

• Evidence based advocacy
• New-born and Child health strategy is

under development – Embed advocacy strategy on resource mobilization

HSS Supply Chain in Gaps and Recommendations

Supply Chain Gaps

• Disconnect between commodity

need and what is ordered at county level

• Inadequate capacity in

quantification and ordering in some counties Recommendations

• There’s need Metrics for orders

based on need and demand; County meetings to track commodity metrics

• Supervision and mentorship

Next xt Steps

• Meeting with DMS to share findings from Family Health symposium.
• DMS to convene meeting with HODs to disseminate findings from the Family health

symposium