Bottleneck Analysis BEmOC and CEmOC

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Presentation transcript:

Bottleneck Analysis BEmOC and CEmOC Group -2 Nepal, Bangladesh, Pakistan, Afghanistan , Sri Lanka, Indonesia

BEmONC Priority Bottlenecks Possible Solutions Supply side Policy and Strategic Plan and Poor Governance Inappropriate allocation of Fund Insufficient HR/ Skilled Person/Distribution /Retention/Accredit Policy Document need to be updated and scaled up Proper allocation of fund and planning for MNCH services Ensure 24/7 , task shifting Production of SBA ( Mid wives) /strengthening Performance based Incentive /enabling environment to address those issues

BEmONC Bottle Neck Possible Solution Monitoring and Supervision MIS No structural or Poor Referral Mechanism Strengthening of E-monitoring and supervision Strengthening of MIS with analysis and action Strengthening Accountability of all service providers Referral Guidelines must be implemented and provision of Vehicle /PPP (Referral HUB) Coordination between service delivery levels (mobile phone, Maternity waiting home etc)

BEmONC Bottle Neck Possible Solution Demand side: Lack of knowledge and decision power to use the BEmONC facilities. Lack of Accessibility , acceptability and affordability of BEmONC facilities In Equity Geographical (Urban rural, poor-rich) Economic Cultural Women empowerment through education /BCC through communication (C4D) Equitable availability of quality B & CmONC of care in the facility/PPP Equity focused , evidence based LLP Equitable resources allocation

Additional Bottleneck CEmONC Additional Bottleneck Possible Solutions Supply Side Infrastructure Diagnostic OT (Operation Theater) HR Maintenance Blood Transfusion Need based planning Ensure trained manpower in place Readiness of the facility according to the checklist Ensure diagnostic and blood transfusion facility Demand side Financing and PPP

Unique Problem Bottleneck Possible Solutions Pakistan Nepal Natural Disaster Geographical and sociocultural and Female Education Nepal Cultural Geographical Afghanistan Financial Allocation Security Indonesia Decentralization No policy to support sustainability of BEmOC and CEmOC Readiness for Emergency preparedness and response plan for Mother and Child Culture appropriate need based plan Establish policy for the functioning all public and private hospital to provide EmOC