Jhpiego Mini-UniversityAgenda

Monday, June 24, 2013 Baltimore Marriott Waterfront Hotel Baltimore, MD

Mini-University Sessions
SESSION ONE 9:30 AM 10:20 AM FALKLAND Fighting Malaria from the Capital to the Compound: Examples from Nigeria and Burkina Faso Bill Brieger US Emmanuel Otolorin Nigeria TWO 10:30 AM 11:20 AM Quality Assurance: Who Says It Cant Scale? GALENA We Want Universal Coverage: Increasing Immunization and ART Uptake HERON Harmonized or Not? A Review of MIP National Documents in Five Countries IRON WHO Guidance on PPFP: Whats New? LAUREL A Educational Regulation Matters! Practical Experiences in Task Analysis and Licensure Dbora Bossemeyer Mozambique Phelelo Marole Botswana They Expose and Shave You and Leave You Alone: Providing Respectful Care at Birth Hannah Gibson Ethiopia Maria da Luz Vaz Mozambique Community Health Workers Role in Increasing Access to Services in Kenya and Mozambique Debora Bossemeyer Mozambique Muthoni Kairuki Kenya LAUREL B Women Deserve Quality: Quality Improvement of MNH and PMTCT LAUREL C The Aha! Moment: mHealth Integration in Tanzania and Indonesia LAUREL D Health Extension Workers: Bringing VMMC Clients to Your Door

Isaac Malonza Kenya Kwame Asiedu Zambia Opportunistic Health Services: Integration Key for Increasing Universal Coverage

Elaine Roman US

Holly Blanchard US

Kiyali Ouattara Cte dIvoire Yolande Hyjazi Guinea Strengthening Health Systems: Examples From India and Ethiopia

Anne Hyre Indonesia Maryjane Lacoste Tanzania Role Models: Systems That Work!

Adrian Musilge Botswana Tadele Bogale Ethiopia Pre-Eclampsia Prevention

You Did What, Exactly? Incorporating Effective Program Learning in Projects Jim Ricca US Theresa Norton US

Nasrat Ansari Afghanistan Rosemary Kamunya Uganda THREE 11:30 AM 12:20 PM Malaria and Pregnancy in East Africa

Marion Subah Liberia Adetiloye Oniyire Nigeria Improving The Health of Pregnant Women in Communities in Nigeria and Rwanda Emmanuel Otolorin Nigeria Jrmie Zoungrana Rwanda

Learning Stations Technical Directions - HIV: Getting to Zero - Helping Mothers Survive - Postpartum IUCD

Damtew Dagoye Ethiopia Somesh Kumar India Integration of FPRH Services in West Africa: Whats Being Done?

Anne Hyre Indonesia Patricia Arana Bolivia From Pilot to Coverage: Taking MNH Best Practices to Scale

Kusum Thapa Nepal John Varallo US Mobile Phones Do More Than Drop Calls: Mobile Technology Strategies to Support Implementation Chantelle Allen Ghana Gassim Cisse Guinea

Prevention and Management of Preterm Birth

Putting It to the Test: Use of a Spacing and Testing Learning Platform for Health Professionals Catherine Carr US

Bill Brieger US Marya Plotkin Tanzania/Zanzibar

Jeffrey Smith US

Kiyali Ouattara Cte dIvoire Yolande Hyjazi Guinea

Jean Pierre Rakotovao Madagascar Maryjane Lacoste Tanzania

SESSION 12:30 PM 1:20 PM FOUR 1:30 PM 2:20 PM

FALKLAND LUNCH Misoprostol: Safe at Home Evidence-Based Interventions to Reduce PPH with Lessons from Afghanistan Nasrat Ansari Afghanistan Sheena Currie US

GALENA

HERON

IRON

LAUREL A

LAUREL B

LAUREL C

LAUREL D

Voluntary Medical Male Circumcision: A Platform for Reaching Men with Health Services?

Sharing What Works from Far and Wide: New Media Technology

Joseph Nikisi Zambia Virgile Kikaya Lesotho Making Change When Change Is Hard: Social and Behavior Communication Change Strategies and Resources Chelsea Cooper US Comfort Gebeh Liberia

Theresa Norton US

Learning Stations Strategic Directions - mHealth strategies and applications - Linking learning and performance - Bringing BEmONC to the frontline Information and Communication Technologies: Taking Jhpiego to the Frontline

Nurses: We Do It All! Task Shifting Towards Universal Coverage

Lessons on the Implementation of Quality Care & SBM-R

Protecting Those at Risk: Case Studies from Tanzania and Mozambique

Innovative Technologies: A Few Case Studies

Jhony Juarez Angola Beata Mukarugwiro Rwanda Postpartum Women Need More Than Rest: Increasing Use of PPFP in India and Pakistan

Barbara Rawlins US Kwame Asiedu Zambia The Preventive Reach of Male Circumcision: From Infancy to Adulthood

Fatma Kabole Tanzania Alicia Jaramillo Mozambique What Do Chlorhexidine and NonCommunicable Diseases Have in Common? New Technical Areas for Jhpiego Jean Pierre Rakotovao Madagascar Moses Kitheka Kenya

Deepti Tanuku US Cyndi Hiner US

FIVE 2:30 PM 3:20 PM

Mentoring: Jhpiego's New Approach to Sustainable Capacity Building

Whats Next in Education and Training?

Simple Strategies to Save Lives

Tambudzai Rashidi Malawi Kwame Asiedu Zambia

Peter Johnson US

Alice Liu US

Rashmi Asif India Shabana Zaeem Pakistan

Edgar Necochea US Hally Mahler Tanzania

Adetiloye Oniyire Nigeria Dunstan Bishanga Tanzania

SESSION ONE9:30 AM10:20 AM

Fighting Malaria from the Capital to the Compound: Examples from Nigeria and Burkina Faso Bill Brieger, Senior Malaria Specialist, United States Emmanuel Otolorin, Country Director, Nigeria Moderator: Pam Lynam Since 2009, Jhpiegowith support from the USAID Malaria Program and MCHIPhas worked to accelerate malaria prevention in both Burkina Faso and Nigeria, with a focus on nationwide scale up. This session will explain steps involved in building a national-level program at scale, looking at nationwide coverage in Burkina Faso and describing lessons learned and the community interventions approach to increase access to critical malaria in pregnancy interventions. It will also describe use of Jhpiegos Standards-Based Management and Recognition approach to improve the quality of focused antenatal care in Nigeria, and challenges and opportunities for the prevention and control of malaria in pregnancy. We Want Universal Coverage: Increasing Immunization and ART Uptake Isaac Malonza, Country Director, Kenya Kwame Asiedu, Country Director, Zambia Moderator: Stacie Stender This session presents results from using the reaching every district (RED) approach for immunization in order to improve the uptake and retention of PMTCT services. Results from Zambia on use of couple counseling as an effective strategy to encourage ARV uptake by pregnant women will also be presented. Harmonized or Not? A Review of MIP National Documents in Five Countries Elaine Roman, Malaria Team Leader, United States While most countries in sub-Saharan Africa have made important strides in supporting malaria in pregnancy (MIP) programming, the majority of countries are far from achieving their target goals for intermittent preventive treatment during pregnancy (IPTp) and insecticide treated bed-net coverage. WHO recently reviewed and updated its IPTp policy and this session will describe the WHO updated MIP policy for IPTp, explain how national level documents (reproductive health and malaria) are working (and what gaps remain) to support scale up of MIP programming. Room: Falkland

Theme: Increasing Access and Quality Track: Infectious Disease

Room: Galena Theme: Increasing Access & Quality/Implementation Track: Community Interventions

Room: Heron Theme: Implementation Track: Infectious Disease

WHO Guidance on PPFP: Whats New? Holly Blanchard, Senior FP/RH Advisor, United States Jhpiego/MCHIP, USAID, UNFPA, and WHOs Department of Reproductive Health and Research have been collaborating with a number of global institutions over the past year and a half to produce a new WHO document entitled Programming Strategies for Postpartum Family Planning. The WHO Programming Strategies guidance provides a comprehensive review of the methods by which family planning can be integrated into the maternal and newborn health continuum of care, expanding upon the goals outlined in the Statement for Collective Action. It is intended for program managers and planners. This session will provide a short overview of the document and then engage in an interactive discussion around advocacy for PPFP within health systems. Education Regulation Matters! Practical Experiences in Task Analysis and Licensure Dbora Bossemeyer, LLAC Regional Director, Mozambique Phelelo Marole, Pre-Service Education Advisor, Botswana Moderator: Maleshoane Monethi Jhpiego Botswana has been tasked with the responsibility to provide technical leadership for the establishment of licensure examinations for the nurses practicing in Botswana. Jhpiego and Nurses and Midwifery Council of Botswana used task analysis as a mechanism for developing an examination blueprint that is linked to the Essential Health Services Package for Botswana. In Mozambique, the MOH developed a task analysis that would allow the MOH to obtain evidence for nursing curriculum reform. In these two presentations, you will be given details on the findings of the task analysis for Botswana, the methodology for task analysis, and the process for developing a blueprint for licensure examinations.

Room: Iron Theme: Integration Track: FP/RH

Room: Laurel A Theme: Implementation/ Innovation

Track: Program Innovations/ Human Resources for Health

Women Deserve Quality: Quality Improvement of MNH and PMTCT Kiyali Ouattara, Project Director, Cte dIvoire Yolande Hyjazi, Country Director, Guinea Moderator: John Agbodjavou The quality improvement program in PMTCT in Cte dIvoire demonstrated improvements in HIV outcomes as well as in basic maternal and newborn care. In Guinea, there have also been improvements with SBM-R in both regular internal follow up and strong leadership with collaboration between the public and private sectors. In this session, the presenters will review the key steps of the SBM-R implementation in PMTCT, describe the effect of SBM-R implementation on PMTCT in maternal and newborn health (MNH) services, and explain the impact of the process with the service indicators. The Aha! Moment: mHealth Integration in Tanzania and Indonesia Anne Hyre, Chief of Party, Indonesia Maryjane Lacoste, Country Director, Tanzania Moderator: Alice Liu This session will review ICT (information and communication technology) innovations being used in Tanzania and Indonesia. From Tanzania, this session will include the use of provider job aids and mechanisms for improving referral processes as well as plans to improve facility and community linkages. From Indonesia, the session will cover the Expanding Maternal and Neonatal Services (EMAS) program, which is maximizing the use of technology to improve referral processes, solicit and receive citizen feedback, and update provider knowledge. Come learn more about how these innovations are being rolled out and scaled up.

Room: Laurel B Theme: Increasing Access and Quality Track: HIV/AIDS & FP/RH

Room: Laurel C Theme: Innovation

Track: mHealth/ICT

Health Extension Workers: Bringing VMMC Clients to Your Door Adrian Musilge, Safe Male Circumcision Master Trainer, Botswana Tadele Bogale, Deputy County Director, Ethiopia Moderator: Virgile Kakaya An insight into approaches for bringing VMMC services closer to your clients and bringing the clients to your door in the context of Jhpiego VMMC projects in Botswana and Ethiopia. In Botswana, a focused outreach activity demonstrated that bringing services to people could improve the uptake and also generated valuable lessons on the dynamics of running VMMC services in a multi-organizational partnership. Ethiopias experiences in implementing VMMC in low demand settings and the role of local HEWs in increasing demand for VMMC will also be explored.

Room: Laurel D Theme: Increasing Access and Quality/Implementation

Track: Voluntary Medical Male Circumcision/HIV/ AIDS

SESSION TWO10:30 AM11:20 AM

Quality Assurance: Who Says It Cant Scale? Nasrat Ansari, Country Director, Afghanistan Rosemary Kamunya, Training Advisor, Kenya/for Uganda Moderator: Leah Thayer Understanding quality assurance (QA) in health care is significant in relation to cost-effective measures for quality care. These presenters will provide insight into how to improve delivery of care. They will discuss the Health Services Support Projects implementation approaches to progressively scaling up the QA process in Afghanistan and the trend of average performance scores of the health facilities. You will also hear about Ugandas efforts to improve quality of basic emergency obstetric and newborn care using an on-the-job approach for BEmONC training to take BEmONC training to scale in a rural population. Opportunistic Health Services: Integration is Key for Increasing Universal Coverage Marion Subah, Senior Technical Advisor, Liberia Adetiloye Oniyire, Project Director, Nigeria Moderator: Boniface Maket This session will highlight Jhpiegos work in integration of EPI and FP services with PMTCT services in FP/Immunization Integration in Nigeria, as well as MCHIP's efforts to integrate family planning and immunization service delivery in Liberia. Presenters will share the rationale for integration, implementation considerations, challenges and lessons learned related to integrated service delivery in these areas. You Did What, Exactly? Incorporating Effective Program Learning in Projects Jim Ricca, Senior Program Learning Advisor, United States Theresa Norton, Knowledge Management Director, United States There is increasing emphasis on use of real world data and implementation science, not just large randomized controlled trials of simple interventions. This session will define program learning and present a practical framework for working with partners to identify relevant questions, formulate answerable questions, and develop workable plans for collecting, analyzing, and disseminating the knowledge gained through program learning. Room: Falkland Theme: Implementation/Innovation Track: Human Resources for Health/ Maternal Health

Room: Galena Theme: Integration

Track: FP/RH & HIV/AIDS

Room: Heron Theme: Implementation

Track: MER

Learning Stations Technical Direction Moderator: Leah Hart Interested in Jhpiegos latest technologies? This learning station offers three hands-on stations for you to visit, some provide hands-on skill practice others feature new products or strategies. - Getting to Zero: Come see (and touch) key HIV prevention, care, and treatment tools, including rapid HIV test kits, ARVs in fixed dose combinations and (hopefully) a PIMA point-of-care CD4 machine. - Helping Mothers Survive: Meet Mama Natalie and practice your skills managing a postpartum hemorrhage. Learn about low-dose, high-frequency training. - Postpartum IUCD: Healthy timing and spacing saves lives! Come watch and practice your postpartum IUCD insertion skills. They Expose and Shave You and Leave You Alone: Providing Respectful Care at Birth Hannah Gibson, Country Director, Ethiopia Maria da Luz Vaz, MCHIP Mozambique Technical Deputy Director Moderator: Jane Otai In spite of being perceived as providing poor quality of care at facilities and care that is not women-friendly, both Ethiopia and Mozambique have developed measures to improve respectful care at birth and have supported increased skilled attendance at birth in order to reduce the maternal mortality ratio (MMR). This session will review how poor quality of care contributes to low uptake of facility births; the concepts of women-friendly care and importance of cultural practices surrounding birth.

Room: Iron

Room: Laurel A Theme: Implementation/ Increasing Access and Quality Track: Maternal Health/ Newborn Health

10

Strengthening Health Systems: Examples from India and Ethiopia Damtew Dagoye, Chief of Party, Ethiopia Somesh Kumar, Director, Programs, India Moderator: Joseph Nikisi

Room: Laurel B Theme: Implementation/ Impact at Scale

This session will discuss how to assess existing human Track: Human Resources resource management capacity and performance of health for Health management organizations at national, regional, zonal, and district levels, assess the performance and capacity of human resource information systems, including data managements at health management organizations. The session will also cover the performance and capacity of midwifery, anesthesia and HEWs pre-service training institutions in Ethiopia. You will also learn about the experiences of the Indian Nursing Council, the Government of India, and the USAID/MCHIP project to strengthen the pre-service education system for nurse-midwives in India. Role Models: Systems That Work! Anne Hyre, Chief of Party, Indonesia Patricia Arana, Program Manager, Bolivia Moderator: Iswandi Evodia This implementation-themed session on MNH will cover ways to improve quality of emergency obstetric and neonatal care (EmONC) services and how integration of health network systems is being strengthened in Bolivia. The session will describe an innovative approach of a USAID bilateral partnership and will review five key features of good clinical governance being promoted though the Expanding Maternal and Neonatal Services (EMAS) project in Indonesia. Pre-Eclampsia Prevention Kusum Thapa, ANE Regional Technical Advisor, Nepal John Varallo, Senior Technical Advisor, United States Moderator: Bulbul Sood This session will cover WHOs recommendations of magnesium sulfate (MgS04) for the management and treatment of pre-eclampsia and eclampsia (PE/E), the decline in MMR as it pertained to the proportion of maternal deaths due to PE/E, and the 2009 Nepal Maternal Mortality and Morbidity Study, which demonstrated that eclampsia is the leading cause of maternal death. The presenters will explain the three-prong approach for PE/E management, provide a list of Jhpiegos initiatives in Nepal for PE/E management, describe the challenges facing universal and consistent use of MgS04 for treatment of PE/E, summarize the review findings indicating that MgS04 is a safe and effective drug, and provide lessons learned and programmatic context. Room: Laurel C Theme: Implementation

Track: Maternal Health

Room: Laurel D Theme: Implementation

Track: Maternal Health

11

SESSION THREE11:30 AM12:20 AM

Malaria and Pregnancy in East Africa Bill Brieger, Senior Malaria Specialist, United States Marya Plotkin, Monitoring and Evaluation Director, Zanzibar Moderator: Brenda Rakama In order to measure the public health impact of malaria in pregnancy (MIP) and address policy around ANC services in Rwanda and Zanzibar, research was conducted to obtain measures of the prevalence of malaria among pregnant women, costs projected for continuation of intermittent preventative treatment in pregnancy (IPTp), and intermittent screening and treatment of malaria in pregnancy (ISTp). This session will present findings from these studies on prevalence of placental malaria infection and discuss the findings in the context of policy and service delivery guidelines for ANC services. The session will focus on appropriate interventions and policies to prevent MIP in a low prevalence setting, starting with recent WHO guidance on IPTp and including a discussion on understanding cost implications associated with IPTp compared to ISTp. Improving the Health of Pregnant Women in Communities in Nigeria and Rwanda Emmanuel Otolorin, Country Director, Nigeria Jrmie Zoungrana, Country Director, Rwanda Moderator: Nancy Ali Recent efforts to implement both community-based and facility-based interventions focused on improving the quality of care in several areas of health care, such as antenatal and safe delivery care, emergency obstetric and newborn care, to name a few, has been successful in Nigeria with the implementation of the Household to Hospital Continuum of Care (HHCC) project. Similarly, the Rwandan Ministry of Health implemented a community health program that recognized CHWs as a necessity in order to improve access to health in rural communities. This session will describe the implementation of the HHCC framework for maternal and newborn health care in Nigeria and the maternal and newborn component of the Rwanda community health program. Room: Falkland Theme: Implementation

Track: Infectious Disease

Room: Galena Theme: Increasing Access and Quality/ Implementation Track: Community Interventions

12

Prevention and Management of Preterm Birth Jeffrey Smith, Maternal Health Technical Team Leader More than 1 million children die each year from complications resulting from preterm birth. As highlighted by the Born Too Soon report, multidisciplinary approaches to prevention and management of preterm births are required before and during pregnancy. Maternal interventions to prevent preterm birth include use of antenatal corticosteroids, screening and treatment for reproductive tract infections, and prevention and management of pre-eclampsia and eclampsia. The MCHIP maternal health team provides global leadership, technical assistance, and advocacy around maternal health interventions to promote newborn health, and during this session they will present resources and toolkits for use by country programs working to improve newborn health. Putting It to the Test: Use of a Spacing and Testing Learning Platform for Health Professionals Catherine Carr, Senior Technical Advisor Qstream is a learning platform delivered via smart phone or internet that uses the principles of interactive, repetitive, spaced testing as a learning methodology. Content areas included BEmONC, effective teaching skills, PMTCT, and malaria in pregnancy. The study examined the feasibility and acceptability of the method in a group of 30 health professionals participating in the MNH Africa Champions program. Community Health Workers Role in Increasing Access to Services in Kenya and Mozambique Debora Bossemyer, LLAC Regional Director, Mozambique Muthoni Kairuki, Project Director, Kenya Moderator: Alicia Jaramillo Kenya is piloting effective systems that would enable roll out of a community health system that uses CHWs to increase access to ANC services, including quality malaria in pregnancy (MIP) interventions. The role of district health teams and CHWs in MIP services will be reviewed. In Mozambique, HIV testing and counseling is recognized as the entry point to care and treatment but has been underutilized for referral to prevention services, including voluntary medical male circumcision (VMMC). The national goal for VMMC and the role of lay counselors to increase demand and access for VMMC in urban areas will be reviewed.

Room: Heron Theme: Integration Track: Maternal Health

Room: Iron Theme: Innovation Track: mHeatlh/ICT

Room: Laurel A Theme: Innovation/ Increasing Access and Quality Track: Infectious Disease/Community Interventions

13

Integration of FPRH Services in West Africa: Whats Being Done? Kiyali Ouattara, Project Director, Cte dIvoire Yolande Hyjazi, Country Director, Guinea Moderator: Tsigu Pleah With funding from the CDC through PEPFAR, Jhpiego has been tasked with providing technical leadership for the implementation of a pilot phase of cervical cancer screening in women living with HIV in Cte dIvoire. Jhpiego is now supporting Cte dIvoires MOH to develop policies and guidelines as well as a strategic plan for cervical cancer prevention scale up. In Guinea, where the contraceptive prevalence rate and the use of IUD are very low, the MOH has prioritized the use of long acting and permanent contraceptives methods (LAPM) and postpartum family planning (PPFP). Jhpiego has supported the integration/strengthening of LAPM services since 2011. This session will describe key steps for a CECAP program start up, the challenges encountered in CECAP and HIV/AIDS integration, and the integration/ strengthening of FP/LAPM process, the results and lessons learned, and also constraints and challenges to scale up. From Pilot to Coverage: Taking MNH Best Practices to Scale Jean Pierre Rakotovao, Chief of Party, Madagascar Maryjane Lacoste, Country Director, Tanzania Moderator: Blami Dao This session will address best practices for developing strategies and models for improving maternal and newborn health in Madagascar and Tanzania. One presentation will review how Jhpiego/MCHIP Madagascar uses focused maternal and newborn health care to lower the burden of the main causes of maternal and neonatal deaths. The other will describe Tanzanian efforts, both national and local, to support successful implementation of BEmONCat scale at selected health facilities in all districts of the country. Mobile Phones Do More Than Drop Calls: Mobile Technology Strategies to Support Implementation Chantelle Allen, Country Director, Ghana Gassim Cisse, Program Operations Manager, Guinea Moderator: Joyce Ablordeppey The integration of mobile phone use with health programs has increased in both Ghana and Guinea over the past several years. This session will discuss the basic design of an eMentoring intervention, the implementation steps of a mobile phone fleet for integrated health services, and monitoring and evaluation of tools and methods.

Room: Laurel B Theme: Integration/ Implementation Track: Cervical Cancer/ FP/RH

Room: Laurel C Theme: Increasing Access and Quality/ Implementation Track: Community Interventions/Maternal Health

Room: Laurel D Theme: Implementation/ Innovation Track: Maternal Health/Child Health

14

SESSION FOUR1:30 PM 2:20 PM

Misoprostol: Safe at homeEvidenced-Based Interventions to Reduce PPH with Lessons from Afghanistan Nasrat Ansari, Country Director, Afghanistan Sheena Currie, Senior Maternal Health Advisor, United States Moderator: Jeff Smith Because postpartum hemorrhage (PPH) continues to be the leading cause of maternal death globally, maternal health programs work to reduce PPH within their communities. This session will focus on sharing recent evidence on the most effective approach to PPH reduction programs at the community level. Lessons from the expansion phase of the PPH program in Afghanistan will be shared to highlight how educating women and their families on PPH and distributing misoprostol improved access to the prevention of PPH. Sharing What Works From Far and Wide: New Media Technology Theresa Norton, Knowledge Management Director, United States Room: Falkland

Theme: Increasing Access and Quality/ Implementation Track: Community Interventions/Maternal Health

Room: Heron Theme: Innovation

Regional technical conferences and meetings often engage Track: Maternal Health and ultimately influenceonly in-person participants. This limited sphere of influence can lead to challenges of the cost effectiveness of conferences and meetings. This presentation examines a case study of a 2012 regional maternal health conferences sponsored by MCHIP and held in Bangladesh. The conference organizers made innovative use of new media technology to increase access to key messages and to facilitate knowledge exchange among a wider audience than the 500 in-person attendees. Voluntary Medical Male Circumcision: A Platform for Reaching Men with Health Services? Joseph Nikisi, Deputy Country Director, Zambia Virgile Kikaya, Voluntary Medical Male Circumcision Technical Director, Lesotho Moderator: Melusi Ndhlalambi Jhpiego, in collaboration with the MOH, has been conducting VMMC campaigns at MOH health facilities for men in both Zambia and Lesotho. The session will explore how these successful campaigns contribute to increases in VMMC service delivery, will review a combination of service delivery models (static and outreach) with diverse demand creation strategy, and will discuss how to increase access, coverage, and opportunity to use VMMC for HIV testing and treatment. Galena Theme: Increasing Access and Quality/ Implementation Track: Community Interventions/ HIV/AIDS

15

Learning Stations Strategic Directions Moderator: Supriya Sarkar Interested in Jhpiegos latest strategies? This learning station offers three stations for you to visit and hear more about new strategies and tools for use in Jhpiego programs.
-

Room: Iron

mHealth strategies and applications: Get a quick update on Jhpiegos mHealth strategies and play with some useful apps. Linking Learning and Performance Support at the Point of Care: Explore a tablet application for linking performance standards to performance support. Bringing BEmONC to the frontline: Explore Intels nocharge content delivery solution and new e-learning modules focused on the top causes of maternal death.

Nurses: We Do It All! Task Shifting towards Universal Coverage Jhony Jaurez, Program Director, Angola Beata Mukarugwiro, Team Leader, Rwanda Moderator: Lastina Lwatula Participants will be able to identify key elements for successfully establishing services, the challenges of establishing new services, and the implementation of the PMTCT services in Angola. This session will also explain the importance of task shifting in the context of a scarce human resource setting and describe the task shifting implementation for long acting family planning methods in Rwanda. Lessons on the Implementation of Quality Care & SBM-R Barbara Rawlins, Senior Monitoring and Evaluation Advisor, United States Kwame Asiedu, Country Director, Zambia Moderator: Linda Fogarty Meeting Millennium Development Goals 4 and 5 will require not only increased coverage of MNH services in developing countries but improvement of their quality. Observational studies give the most accurate assessment of the quality of clinical practices. This session will describe how to best develop and adapt existing quality of care tools to collect highest quality data and improve evaluation design, describe the advantages and challenges of conducting observational quality of care assessments using mobile technology. The session will provide updates on various survey findings, and also explain the implications of the study for improving quality of care in the survey countries and conducting future observational studies using mobile technology. It will also review how Zambia launched SBM-R intervention in four facilities in September 2010.

Room: Laurel A Theme: Innovation/ Implementation Track: HIV/AIDS & FP/RH

Room: Laurel B Theme: Increasing Access and Quality/ Implementation Track: FP/RH & HIV/AIDS

16

Protecting Those at Risk: Case Studies from Tanzania and Mozambique Fatma Kabole, Chief of Party, Uhai, Tanzania Alicia Jaramillo, Deputy Director, Mozambique Moderator: Rouguiatou Diallo Come learn how two countries are engaged in protecting those at risk. The presenters will review their work with most at risk populations (MARPs) in Tanzania, and they will share their findings on victims of sexual violence from a large facility in Mozambique. Innovative Technologies: A Few Case Studies Deepti Tanuku, Senior Program Officer, United States Cyndi Hiner, Technical Development Officer, United States Moderator: Dan Wendo This session will discuss technology innovations advancement from early stage innovations to market introduction. It will include information on the importance of user feedback in the development process and addressing barriers to implementation.

Room: Laurel C Theme: Implementation

Track: HIV/AIDS/Gender

Room: Laurel D Theme: Innovation

Track: Maternal Health/Cervical Cancer

17

SESSION FIVE2:30 PM3:20 PM

Mentoring: Jhpiegos New Approach to Sustainable Capacity Building Tambudzai Rashidi, Country Director, Malawi Kwame Asiedu, Country Director, Zambia Moderator: Margarita Gurdian-Sandoval Room: Falkland Theme: Innovation/ Implementation

With the many efforts to increase post-training supervision Track: Child Health/ and long-term mentorship in Zambia and Malawi, the Community Interventions MOH, donors, and implementing partners have been focusing on improving the performance of service providers. This session will define mentoring, approaches to mentoring technologies, key competencies for mentoring, and explain that mentorship is an effective model of increasing providers knowledge and skill to provide quality service and that the benefits of mentorship help motivate nurses and midwives. Making Change When Change is Hard: Social and Behavior Communication Change Strategies and Resources Chelsea Cooper, Behavior Change Communication Advisor, United States Comfort Gebeh, FP/RH Advisor, Liberia Moderator: Marion Subah MCHIP uses social and behavior change (SBCC) and demand generation activities to increase acceptability and utilization of family planning and other MNCH services. Such activities include engagement of religious leaders and other behavior influencers. This presentation will provide guidelines and lessons learned to assist you in your efforts. You will also learn of the challenges experienced in Liberia as the presenter details the challenges and opportunities of working with religious leaders to increase FP awareness. You will learn the rationale for taking a strategic approach to SBCC activity design and implementation, and also key considerations for designing and implementing SBCC activities for PPFP. Whats Next in Education and Training? Peter Johnson, Director of Global Learning, United States The Global Learning Office recently completed two integrative reviews, one on pre-service education and its links to health outcomes, and another on effective training approaches for health worker continuing professional education. The new strategy for education and training based on these findings will be reviewed. Room: Galena

Theme: Innovation/ Implementation

Track: FP/RH

Room: Heron Theme: Implementation Track: Human Resources for Health

18

Information and Communication Technologies Taking Jhpiego to the Frontline Alice Liu, ICT4D Director, United States ICT4D stands for Information and Communication Technologies for Development. Jhpiego is using these technologiessuch as mobile phones, multimedia, laptops, and tablet computersto support health system functions, service delivery, and patient case management. This session will cover the burgeoning body of evidence that suggests that many ICT4D interventions can improve efficiency and quality of healthcare delivery. Postpartum Women Need More Than Rest: Increasing Use of PPFP in India and Pakistan Rashmi Asif, Director, Clinical Services and Training, India Shabana Zaeem, Country Director, Pakistan Moderator: Nabeel Akram This session will list basic factors to explore the need for postpartum family planning (PPFP) and postpartum IUCD (PPIUCD) services in a country and describe the strategic approach for scaling-up the PPFP/PPIUCD program. Experiences from India and Pakistan will be shared. The Prevention Reach of Male Circumcision: From Infancy to Adulthood Edgar Necochea, Director, Health and Organizational Performance, Mozambique Hally Mahler, HIV/AIDS Director, MCHIP, Tanzania Moderator: Kelly Curran VMMCs are priorities in Tanzania and Mozambique. In this presentation you will learn how both countries are attempting to take VMMC to scale. With more than 190,000 VMMCs already completed, MCHIP Tanzania is now introducing infant circumcision with Jhpiego support. Opportunities for enhanced integration of MCH and HIV prevention exist as a result of early introduction. You will also learn about Mozambiques CDC-supported implementation and evaluation using nurses as primary VMMC providers for at least 140,000 VMMCs and how they have evaluated and ensured safety and quality.

Room: Iron Theme: Innovation Track: mHealth/ICT

Room: Laurel A Theme Increasing Access and Quality/ Implementation Track: FP/RH

Room: Laurel B Theme: Implementation/ Integration

Track: Voluntary Medical Male Circumcision/Child Health

19

What Do Chlorhexidine and Non-Communicable Disease Have in Common? New Technical Areas for Jhpiego Jean Pierre Rakotovao, Chief of Party, Madagascar Moses Kitheka, Deputy Chief of Party, Kenya Moderator: Ricky Lu

Room: Laurel C

Theme: Implementation/ Integration

Track: Community Jhpiego Madagascar through MCHIP and with its partners Interventions/Non(Mahefa/JSI and PSI) implements an introductory program Communicable Diseases to prevent newborn infection through the use of chlorhexidine for umbilical cord care, a new intervention effective in reducing death due to newborn sepsis. The Kenya MOH and global bodies have prioritized noncommunicable diseases (NCDs), which claim 18 million lives of women and children annually, representing 65% of all womens deaths globally. +In Kenya, NCD annual deaths top 100,000 per year based on conservative estimates. What strategic opportunities exist for Jhpiego to incorporate NCD programming and chlorhexidine into our programs? Simple Strategies To Save Lives Adetiloye Oniyire, Project Director, Nigeria Dunstan Bishanga, Maisha-Chief of Party, Tanzania Moderator: Rosemary Kamunya Nigeria will share how they are implementing a CDCfunded HIV prevention project focusing on HTC/PMTCT in 31 hospitals. These hospitals identified HIV+ clients from their point of testing using its HTC program linking clients to treatment and management. Also, with funding from USAID, the Jhpiego-led Mothers and Infants, Healthy, Safe, Alive (MAISHA) program is working with the Ministry of Health and Social Welfare (MoHSW) to reduce maternal and newborn morbidity and mortality in Tanzania and will share results of integrating FANC and other MNH initiatives at a large scale. Room: Laurel D Theme: Innovation/ Implementation Track: Community Interventions

20