Field monitoring and facilitation visit District Shirani - FFPPP
Objectives of the visit:
- To visit OTPs established under FFP Project for monitoring quality of data management and service delivery
- To capture key bottlenecks and issues hindering the pace and quality of project activities at the field level by meeting with key project stakeholders
- To hold meetings with District Stakeholders and District Health Team.
- To hold Meeting with District Nutrition Coordinator and other project staff
On 13th and 15th March 2019 the Provincial Monitoring team along with District Nutrition Coordinator, FFP Project, District Shirani has visited the following OTP sites jointly and hold meeting with District Health Officer, District Shirani:
- OTP Site, Basic Health Unit Aghbrgai
- OTP site, Basic Health Unit Khan Alam Kapeep
- OTP Site, RHC Mani Khawa.
- OTP Site, Sharan Abdul Sattar.
- OTP Site, BHU Kowri Wasta.
- Debriefing meeting held with District Health Officer, District Shirani.
- Short term and Ad-hoc CMAM programs with partial services in government OTPs should be avoided as the abrupt closure of services can badly shatter the trust of communities on government’s ability to provide and continue nutrition services in its health facilities. Mobile OTPs can be used as alternative for such short term and emergency programs
- Utility of monitoring formats in FFP Project and standardization for PND should be considered across the board
- Proper storage of RUTFs should be ensured in OTPs with use of pallets
- Causes for having no SAM defaulter cases in Sherani should be rationalized and at-least 25% of SAM children should be randomly verified catered by each OTP
- Strong social mobilization and BCC campaign to motivate PLWs and caregivers to bring children to OTP and children bringing children are avoided
- Antibiotic should be given to SAM children with RUTF which currently is not practiced.
- Strict disciplinary actions should be taken against the staff engaged in misuse/theft of RUTF.
- Drug Inspectors should be activated through a letter from DG-HS to all target districts DHOs to inspect and prohibit sale of Nutrition commodities provided by the program in medical stores
- OTP staff should be deployed in their own areas in the polio campaigns, so that they are able to see the situation of malnutrition in their catchment areas
- Module for on-job training should be developed for all OTP staff to standardize and properly record the quality and delivery of “On-job training” to the trainees.
- Screening of children with polio campaign should be considered and integrated in all target districts to save time and resources
- The surplus IFA should be given to PLWs in FFP Project in its target districts
- Screening of children both at OTP and outreach level should be maintained separately avoiding overlapping.