LECTURE 5

7. DETERMINATION OF RESOURCE REQUIREMENTS Translating planned activities into resource needs. Purpose: To identify to what extent existing resources cover planned intervention packages and to what extent additional resources shall become necessary. 1.How does one determine resource needs: inventory should be established for each program. All major program activities need to be listed and type and no of required resources What is available? Additional resources required? Are additionally required resources potentially available?

In determining resource needs, change in resource deployment is required. e.g. .using an under utilized MCH nurse to be a TBA trainer and supervisor In determining resource requirement, look at service inputs, support systems and M& O (trainers, supervisors) Identify alternative, less costly strategies to bring about the same effect Identify alternative sources

Reducing/cutting out other non essential or less essential programs. Cost of consumables Funds may also be required for overtime pay, patient and health worker transport. Resources from community, private and multilateral organizations may be made available for health services. As long as it does not affect the efficiency and effectiveness, the one who has access to special resources should plan to take on task for which the other has none.

Resources can be raised through re-training, careful deployment, motivation schemes etc. and by cutting costs and eliminating waste and efficiency.

8. ADJUSTING THE M & O SYSTEMS M & O is the coordinating center for the health service activities. Purpose: To ensure maximal efficiency and effectiveness of health care delivery system. Serves and monitor health needs, problems, health service inputs, distribution, service outputs, outcomes and community involvement. 1.Establishing M & O functions and activities

1. 1 Monitoring of activities 1.1 Monitoring of activities. Quantity, quality, overall staff performance?? Measure of staff appraisal 1.2 Supervision of different programs? No. of supervisory visits? Who will carry out supervision and for which program? supervisory schedules? 1.3 Collection/analysis/reporting of HMIS data – internal consistency, quality and continuity? Continuous analysis, Interpretation and use of information. How to summarize data ? What indicators to be selected. Mapping and plotting information of the facility geographically and administratively.

1.4 Ensuring a functional Referral system ( Is it in place ,is it operational, have referral sited been identified, and is community aware of need and nature of referral. •1.5 Coordination of activities of all actors. liaison with other sectors(agriculture, water, education, local government ruling party, leaders) coordination with vertical programs e.g. EPI, TB Working and scheduling activities like training

Community survey, out reach services 2.Community mobilization Where to involve community? Action expected from community? Monitoring community involvement. Frequency and time of meeting community representatives? Ongoing financial management according to govt. or donor, monitoring the infrastructure, communication of objectives and plan of implementation to all concerned.

3. Ensuring and monitoring functioning of support systems Ensure a system for maintaining equipment and materials(report and repair defects, maintain at functional level, ensure cleanliness and accountability in case of neglect or loss, regular inspection. Drug management(educate staff and patients, drug quality, expiry, storage conditions, maintaining cold chains)

4. Coordinating different organizations or sectors(responsibility need to be specified and recorded. Monitoring devices and procedures so that shortcomings are detected early shall be designed and agreed upon together.