1. Implementing Partners:Funded by: 2011 – 2015; What have we achieved? Increasing Access to Quality Basic Primary Health Care in 6 Coastal Districts in the Western Region Joyce Ablordeppey Team Leader STAR CHPS / Jhpiego 1 April 2015

2. 2 Jhpiego: Innovating to Save Lives Jhpiego prevents the needless deaths of women and their families.  Founded 1973  Affiliate of Johns Hopkins University  Currently working in more than 50 countries  Experience working in 154 countries  More than 2,000 employees worldwide

3. 3 Jhpiego in Ghana  20-year history in Ghana  Technical areas:  Pre-service Education (Midwifery, Community and Public Health Nursing)  Quality improvement  Infection Prevention  Basic Emergency Maternal Obstetric and Newborn Care  Family Planning  HIV/AIDS and TB  Malaria  Cervical Cancer

4. Project Background  Project Goal: Increase Access to Quality Basic Primary Health Care in 6 Coastal Districts in the Western Region  Project Life:  1 May 2011 – 30 April 2016  Project Sponsors: Jubilee Partners Tullow Oil Ghana Limited Anardarko Oil KOSMOS Energy PetroSA Ghana National Petroleum Company (GNPC)

5. Location 6 coastal districts  Ahanta West  Ellembelle  Jomoro  Nzema East  Shama  Sekondi-Takoradi Metropolitan Authority

6. Community-Based Health Planning and Services A process of health care provision in which health workers and community partners are actively engaged as partners in the delivery of Primary Health Care The Community Health Officer (CHO) CHPS Compound / CHPS Zone District Health Management Team (DHMT) Community Health Volunteer (CHV) Community Health Committee (CHC)

7. CHPS Stakeholders Community Health Nurse Community Health Volunteer Community Health Management Committee Sub-District & District Management District Assembly Community & Chiefs

8. Phased Project Approach WE ARE HERE

9. Outputs 61 213 401 CHPS ZONES Community Health Management Committees Community Health Officers trained – 100% Community Health Volunteers – selected and trained 413 Community Health Management Committee members selected and trained

10. Outcomes 18 CHPS Zones achieving 80% performance standards 52 NHIS accredited CHPS % of STAR CHPS Zones with ACTIVE Community Health Management Committees 100% % of STAR CHPS Zones with ACTIVE Community Health Volunteers

11. Improving Performance target

12. Clients Served at Quality CHPS 266,753

13. Family Planning Acceptors

14. Malaria cases confirmed 130,077 TARGET

15. Children Under 1-year fully immunized (Penta-3) 28,877

16. SBM-R Recognition Criteria Gold Award: Highest Performing CHPS Zone Silver Award: 2 nd highest performing CHPS Bronze Award: 3 rd Highest Performing CHPS CRITERIA: SBMR follow-up performance SBMR level of improvement between baseline and follow-up Percentage increase in average service delivery performance in 12 consecutive months between baseline and follow-up SBMR assessment Functional CHPS (i.e. registered in DHIMS)

17. Recognition 43 CHPS

18. Client Satisfaction Survey – Why do you seek care at CHPS? Phase 2 sites - 2013 “Nurses pay attention to everything u say” “…nearer to house, no bother about car…” “…bcos it is in my community…”

19. Health Systems Strengthening 6 DHMTs HMIS Systems 6 DHMTs HMIS Systems

20. Achieve healthier communities 430 Communities 395,583 Population 430 Communities 395,583 Population

21. Demarcated CHPS Zones DISTRICT # OF DEMARCATED ZONES # OF ACTIVE ZONES # OF DEMARCATED ZONES LEFT Jomoro20128 Ellembelle361224 Sekondi Takoradi Metro 49938 Nzema East1183 Shama17116 Ahanta West17107 TOTAL1506288

22. Next Steps  Finish bringing all 61 CHPS to standard and accreditation  Continue supporting DHMTs/SDHTs for sustainability  Considering final evaluations to review:  Qualitative and/or  Comparison with other CHPS districts and/or  Costing analysis

23. Thank you You have invested in better health for the communities in the Western Region!