1. Overview of MCHIP activities (Program Year 3) 1

2. Outline 1.Background 2.Objectives for P Y 3 3.Key achievements 4.Difficuties and constraints 5.Moving forward 2

3. Background 3

4. Since October 2009, MCHIP is operational in Burkina Faso. Overall goal: to support the National Malaria Control Program (NMCP) as well as the Mother and Child Health Directorate (former Family Health Directorate) to build national, regional and district level capacities and strengthen health system to accelerate scale-up for malaria prevention and control. 4

5. Background During program year 1 and 2, key achievements included Update, validation of training materials as well as national guidelines and supervision tools Assessment of use of Rapid Diagnosis Test Training of 165 trainers nation wide Training of 1095 providers from 20 districts Training of 60 instructors from national school of nurses and midwifery (ENSP) Training of 16 Peace Corps Volunteers and 8 counterparts Supervision of more than 350 providers from 17 districts Development of 9 job-aids / brochure for both health care providers and community 5

6. Objectives - PY3 6

7. Objectives  Objective 1: To improve health care providers' knowledge and skills in integrated malaria prevention and control based on current policy, guidelines and training materials.  Objective 2: To improve regional and district level supervisors’ capacity to provide integrated malaria supervision to frontline providers, as well as national capacity to lead and manage malaria programming.  Objective 3: To develop and disseminate appropriate communication materials to improve knowledge, attitudes and practices of two key target groups, health service providers and health facility clients, through the use of job aids and culturally appropriate posters and related materials.  Objective 4: To strengthen pre-service education; specifically, updating malaria training content and teaching methods in national nursing and/or midwifery schools.  Objective 5: To document best practices and lessons learned in malaria programming in Burkina Faso. 7

8. Key achievements from Oct. 2011 to date 8

9. Objective 1. Training of providers 9

10. Objective 2. Supervision 10

11. Objective 3. Communication 11

12. Objective 4. Curricula update at ENSP 12

13. Objectif 5. Documentation 13

14. Major achievements 14

15. 15

16. 16

17. 6 17

18. Comments 18

19. 1. Training of providers  Prior to training, we developed a transfert of learning module to facilitate cascade Orientation  In collaboration with NMCP, and district management teams, we planned and trained at least one provider from each health facility within each district. A total of 1560 providers have been trained  For larges districts (number of health facilities >35, we organized two training sessions).  Each training has been organized during 6 days with theoritical and clinical sessions ( RDT)  Cascade orientation were conducted in 41/44 districts and covered 4867 providers 19

20. 2. Supervision  One round of supervision covered 49 districts from 13 health regions  Cascades (3/3), Hauts Bassins (2/7)Nord (4/5), Centre Est(4/7), Sud Ouest(4/4), Boucle du Mouhoun (4/6), Est (4/6) Plateau Central (3/3), Centre Sud (4/4), Centre Nord (4/4) Centre (5/5) Centre Ouest (4/5), Sahel (4/4). 20

21. Supervisions key findings Cascade orientation has been done and reported in many health facilities RDT are available in all districts since April 2012 and are more and more used for diagnosis Communication tools are available at health facilities ACT are used for uncomplicated cases management 21

22. Supervisions key findings Stock-outs of SP in some facilities due to lack of SP stocks management capability at health facility level Although orientations for providers occurred, in some facilities, there is a lack of documentation of this cascade orientation. Lack of communication tools; in approximately 40% of the facilities visited the job-aids and leaflets developed by MCHIP have not reached the facilities. Lack of gloves for RDT 22

23. 3. Communication  Two workshop for NMCP’s Integrated Communication Plan ( ICP) achieved  Communication tools developped during PY 2 have been updated during the last PIC workshop ( oct. 12)  Partnership with PCV has been enhanced through training of trainers and supervision of trained volunteers 23

24. 4. Curricula update process  Steering commitee formed  Timeline developed  ETS workshop held (May 12)  Curricula updated during a 5 day workshop ( July 12) 24

25. 5. Documentation  The documentation started since feb 2012: data collection (desk review, interviews, analysis, report writting…)  The final version sent to USAID and NMCP to request their inputs since end of August 2012  A french version was sent to PNLP  During a meeting on Sept 25th the document of best practices has been presented to PNLP staff for their inputs. 25

26. Difficulties and constraints 26

27. Difficulties/constraints Traning of trainers sessions for newly created districts have not yet been completed because news districts management teams are not yet officially created Second round of supervision has been delayed because the last training session occured in Gaoua district by sept. 15th Communication tools have not been reproduced due to the delay in achieving the Integrated Plan for Communication Due to holydays in ENSP, the process of curricula review has been temporarily suspended 27

28. Moving forward Organize the next round of supervision scheduled from Oct. 29th to Nov. 10th with a focus on cascade orientation assessment Follow up of PNLP capacity building from Nov 13th to 16th. Support PCV activities/strengthen partnership- follow-up to trainers trained in conjunction with Stomp Out Malaria (A new PCV has been assigned to work with MCHIP through December) Organize ENSP curricula validation (TBD by the steering committee) 28

29. Moving forward Reproduce revised job aids, updated curricula, M&E tools, demonstration materials for the ENSP schools Finalize the documentation of malaria program in Burkina Faso Write success stories regarding MCHIP activities in Burkina Faso 29