Major Constraints Faced during Q2 FY18 Sample Clauses

Major Constraints Faced during Q2 FY18. The major constraint faced by HFA regarding LLIN distribution in 2018 was the very long delay by the DNSP/NMCP to decide how to replace the LLINs needed for phase 3 of the Mass Distribution Campaign, since the previously agreed nets had been redirected to all DPS of the country earlier in the year by the MOH. HFA had to wait until negotiations between the MOH and funding partners were completed, and new sources defined. Because of the delay in finding a replacement for the LLINs to cover phase 3, a rescheduling of distribution had to take place and three provinces were left out of the Distribution Campaign in 2018: Cabinda, Bie, and Bengo.
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Major Constraints Faced during Q2 FY18. Case management: Inconsistent supply of ACTs and RDTs During the assessment visits of Health Units (HU) in the six PMI provinces and supervision visits in Zaire and Uige, it was observed that in some of the municipalities the confirmatory diagnosis of malaria was not being done, allegedly for lack of RDTs. Therefore, in those HUs, most cases were being treated based on clinical symptoms only. It was also noticed that the correct use of ACTs, in accordance with the National Protocol for Treatment of Simple and Severe Malaria, was not being appropriately followed. For some patients, for example, simple malaria cases being treated with severe malaria treatment regimens, also allegedly due to inconsistent supplies of ACTs at those HUs. Many simple cases were being treated with injectable artemether and oral quinine. The situation was discussed with DPS and NMCP, who confirmed the inconsistent supply of RDTs and ACTs in some provinces. A more detailed report on the findings of the assessment and supervision visits will be submitted together with Q3 Report. Note: Important to also note that all assessment and supervision visits were done jointly with DPS malaria officers and, sometimes, with NMCP members. Therefore, all information gathered during those visits was shared among the participants, who jointly completed the reports and submit them to DPS and NMCP. ➢ MIP: Inconsistent supply of IPTp (SP) makes demand creation and adherence to ANC visits challenging During supervision visits to ANC units, a common situation was observed in regard to the use of sulfadoxine/pyrimethamine (SP): frequent stockouts. Most HU informed visiting supervisors that ANC services have been prescribing SP (following the national protocol - attached) for purchase outside the health system (in private pharmacies), without assisted use (directly observed treatment - DOT). It’s been reported that most ANC clients have not been taking the correct dosages of SP, either for lack of funds to purchase the drug, or for having forgotten to take the drugs when prescribed. Note: * Same comment as above - a more detailed report on the supervisions carried out in the 24 HU during Q2 will be submitted together with Q3 Report. * Important to also note that all supervisions are done jointly with DPS malaria officers and, sometimes, with NMCP members. Therefore, all information gathered during the supervisions is shared with the supervision participants, who jointly complete the supervision report a...
Major Constraints Faced during Q2 FY18. In the second quarter of the FY18, the major constrains were related to: • Delay in obtaining response from decision makers: partners from the GRA usually take long to answer requests for meetings and trainings. To overcome that, requests are being placed up to two months prior the planned activities. • Political Changes in Leadership: the change of department heads directly affected some activities. For example, the National Communication Strategy in FP is pending on approval from the new head of Health Promotion’s Office. To overcome this situations, meetings and work sessions were scheduled for finalization of the strategy during Q3.
Major Constraints Faced during Q2 FY18. In the third quarter of the FY18, the major constrains were: • Lack of appropriate transportation to reach difficult areas where some health units are located, especially during dry season, in Huambo and Luanda provinces (Icolo e Bengo and Quiçama

Related to Major Constraints Faced during Q2 FY18

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