Modified - IMOP

Phase 1

Debriefing Report for National

Supervisors
Jigawa State
NPHCDA – National Primary Health Care Development Agency
 Outline

• Team Composition and implementation status

• Activities conducted

• Outstanding challenges/intervention plan

Insert action picture
• Conclusion

NPHCDA – National Primary Health Care Development Agency

 Team Composition and implementation status
Team Composition Date of implementation Percentage of implementation

• Dr. A. B. Garba – Nat. Supervisor

• Dr. E. W. Chidama – Nat. Supervisor
• Hassan Shuaibu - SIO
5th – 9th October, 2020 • XXX
• Shehu Ibrahim – PM SERICC
• Dr. Okezie – TA SERICC
• Sanusi Saidu – DPM1
• Ibrahim Ngoshe – DPM2
• M. M. Mohammed – SC NPHCDA
• Abdullahi Ibrahim – ZTO RI
• Mohammed – SCCO
• Ibrahim Yahuza – SHEO
• Mohammed Kani – DHIS2 FP
• Dr. S. Audu – SC WHO
• Dr. Idris Bomoi – STL AFENET
• Ali G. Moh’d – VSLC UNICEF
• Hassan M. A. Kano – STL UNICEF

NPHCDA – National Primary Health Care Development Agency

 Summary of implementation activities

Conduct of Conduct
Entry Conduct of pre Conduct of supportive of daily Conduct
level – modified modified IMOP supervisory visits for review of
State briefing IMOP spot planning modified IMOP meetings debriefing
checks meeting meeting

Jigawa

NPHCDA – National Primary Health Care Development Agency

 State: Jigawa
Summary Of Activities (Spot checks(State/LGA/HFs) and Supervisory Visits
S/N Activities Conducted Key Outputs from the activities Next Steps
1. State level planning meeting Schedule of activities, training agenda and
state supervision plan developed

2. State level re-orientation of LGA EPI Managers on Pool of trainers re-oriented on mI-MOP key
mI-MOP strategies and updated on the
modifications introduced in I-MOP

3. LGA level training/re-orientation on mI-MOP Health workers trained/re-oriented on mI-

MOP modifications and implementation

4 Advocacy visits/engagement meetings with mI- Secured buy-in and support of mI-MOP key
MOP key stakeholders stakeholders in the state

NPHCDA – National Primary Health Care Development Agency

 State: Jigawa
Summary Of Activities (Spot checks(State/LGA/HFs) and Supervisory Visits
S/N Activities Conducted Key Outputs from the activities Next Steps
5. Spot check visit to state cold store and State cold store assessed for storage space
assessment for storage space and availability of and vaccines/devices/commodities
vaccines/devices and other commodities availability

6. Ward level orientation/sensitization, development Detailed microplans and daily

of microplans and daily implementation plan implementation plan developed

7. Distribution of vaccines/devices and other Vaccines/devices and other commodities

commodities to LGA cold stores and PHC facilities distributed to all implementing LGAs and
service provision points

8 Assessment of final state of preparedness All the 9 implementing LGAs received

logistics support and adjudged ready to
implement 5th- 9th Oct, 2020

NPHCDA – National Primary Health Care Development Agency

 State: Jigawa
Summary Of Activities (Spot checks(State/LGA/HFs) and Supervisory Visits
S/N Activities Conducted Key Outputs from the activities Next Steps
9. State flag-off at the Palace of HRH Alh. Abubakar Activity flagged-off by Hon. Isyaku Adamu,
Abdullahi, District Head of Shuwarin, Kiyawa LGA Executive Chairman, Kiyawa LGA on behalf
of the Executive Governor’s wife

10. mI-MOP implementation All eligible populations reached with

interventions

11. Daily state level evening review meeting (mixed All national/state supervisors met daily to
physical and virtual) discuss challenges from the field and
proffered solutions to guide
implementation on subsequent days

NPHCDA – National Primary Health Care Development Agency

 State: Jigawa Challenges reported and intervention plan
S/N Challenge Action Plan Responsible Timeline Status
Person
Continuous advocacy for funds and
Lack of state counterpart funds for explore possibility of leveraging the ED, NPHCDA / Continue till
1 commodity purchase and other state free MNCH programme hoping ES, JGSPHCDA November Ongoing
logistics support that November round will include the round
free medical mission approach
Non-release of approved funds to PHC Managers to continue follow up
PHC Managers by LGA Chairmen for with their respective LGA Chairman for
the purchase of commodities, the release of the approved funds to ES / PHC Continue till
2 November Ongoing
leading to shortage of commodities purchase more commodities for the Managers
(especially ACTs) in most LGAs – only next round of I-MOP in November round
3 out of 9 LGAs released the funds. 2020.
Missing/destroyed CHC as a result of
3 flood. 15 settlements in 12 LGAs PHC Managers of affected LGAs to Continue till
affected (6 mI-MOP LGA) with 16 IDP provide CHCs to PHC facilities in SIO November Ongoing
camps already in place. affected areas for replacement. round

NPHCDA – National Primary Health Care Development Agency

 State: Jigawa Challenges reported and intervention plan
S/N Challenge
Vaccine labels peeling off as
4 result of dampness in SDD
at PHC Sara, Gwaram LGA
Poor uptake of ANC across
5 all the LGA from quick
analysis of the call-in data
Action Plan Responsible Timeline Status
Person
• Train the Ward Technical Officer on
proper operation of the SDD.
SCCO / LCCO 9th Oct
• Provide zip-lock bags/transparent Overdue
santana leather to keep vaccines in
the SDD and avoid dampness
• Discuss this during state level post
implementation engagement to
identify the reasons
• Advocacy for engagement of more
female health workers (even from ES November Open
health training institutions to Round
provide ANC services during
implementation periods)
• Increase sensitization of women.

NPHCDA – National Primary Health Care Development Agency

 State: Jigawa Challenges reported and intervention plan

S/N Challenge Action Plan Responsible Timeline Status

Person
Increasing flood leading to complete
inaccessibility to some settlements:
Miga LGA (1 settlement in Koya PHC Managers Anytime water
ward), Kafin Hausa LGA (3 • To mop up affected of affected recedes before
6 areas/settlement when the November Open
settlements in Mezan ward), Auyo LGAs
LGA (9 settlements in Unik ward, 1 flood recedes round
settlement in Tsidir ward and 1
settlement in Gamafoi)
Uncovered settlements in the DIP
due high workload: Miga LGA (3
7 settlements in 3 wards), Kaugama • Teams to line list and mop up
WFP 10th Oct Open
LGA (15 settlements in 3 wards), uncovered settlements
Kafin Hausa LGA (3 settlements in 2
wards), Gwaram and Kiyawa LGA

NPHCDA – National Primary Health Care Development Agency

 Action Pictures
Meeting with Plateau State traditional rulers council Meeting with Plateau State traditional rulers council

NPHCDA – National Primary Health Care Development Agency

 Action Pictures
Meeting with Plateau State traditional rulers council Meeting with Plateau State traditional rulers council

NPHCDA – National Primary Health Care Development Agency

 Action Pictures
Meeting with Plateau State traditional rulers council Meeting with Plateau State traditional rulers council

NPHCDA – National Primary Health Care Development Agency

 Action Pictures
Meeting with Plateau State traditional rulers council Meeting with Plateau State traditional rulers council

NPHCDA – National Primary Health Care Development Agency

 Conclusion/Recommendations

i. The management of NPHCDA and Jigawa SPHCDA to advocate for high-level political commitment for health
care delivery in the state.

ii. Ministry of health and/or SPHCDA to sensitize and encourage female enrolment in health training institutions
to fill the identified gap of female health workers in the state.

iii. SPHCDA to conduct human resource audit with the view of redistributing staff to underserved communities in
the state.

iv. If iii above did not address the identified gaps in HRH, the state should consider task-shifting, engagement of
volunteer health worker while sustaining advocacy to state government for recruitment of more health
workers (especially female health workers) in the PHC space.

NPHCDA – National Primary Health Care Development Agency

 Thank you!!

NPHCDA – National Primary Health Care Development Agency