Implementing an Integrated Nutrition Programme - Health Systems ...
Implementing an Integrated Nutrition Programme - Health Systems ...
Implementing an Integrated Nutrition Programme - Health Systems ...
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Chapter Two: M<strong>an</strong>agement of the INP<br />
1 The role of the Provincial Office<br />
The provincial <strong>Nutrition</strong> Sub-directorate falls under the Provincial <strong>Programme</strong> <strong>an</strong>d Support<br />
Directorate. M<strong>an</strong>agement of nutrition services in the province was traditionally extremely<br />
centralised with all pl<strong>an</strong>ning <strong>an</strong>d budgeting being done in the provincial office. Following<br />
implementation of the District <strong>Health</strong> System, m<strong>an</strong>agement of the INP has been<br />
decentralised to the districts. Attempts were made to ensure that the decentralisation<br />
process occurred in a pl<strong>an</strong>ned <strong>an</strong>d logical way.<br />
As a first step in this process, the respective roles of the provincial <strong>an</strong>d district offices were<br />
defined as follows:<br />
PROVINCIAL FUNCTIONS<br />
Determine policy; st<strong>an</strong>dards, norms<br />
<strong>an</strong>d identify indicators<br />
Monitor, evaluate <strong>an</strong>d m<strong>an</strong>age information on<br />
programmes (e.g. PSNP, PEM-scheme <strong>an</strong>d<br />
CBNP) to make decisions regarding the<br />
budget, staff allocation etc.<br />
Conduct research <strong>an</strong>d development.<br />
Initiative, develop <strong>an</strong>d co-ordinate training<br />
programmes according to needs of personnel.<br />
Provide a comprehensive advisory service e.g.<br />
budgets.<br />
DISTRICT FUNCTIONS<br />
Implement policies according to the needs of<br />
the district.<br />
Develop operational objectives <strong>an</strong>d pl<strong>an</strong>s to<br />
achieve set indicators.<br />
Process <strong>an</strong>d summarise data to make <strong>an</strong> input<br />
to provincial office regarding nutrition<br />
surveill<strong>an</strong>ce PEM-scheme (monitoring tool).<br />
Monitor <strong>an</strong>d evaluate CBNP according to<br />
suggested work programme.<br />
Submit quarterly progress reports on CBNP to<br />
Provincial office.<br />
Monitor <strong>an</strong>d improve reliability of nutritional<br />
data collected.<br />
Initiate surveys by indicating which areas need<br />
to be investigated.<br />
Participate in surveys.<br />
Identify training needs of personnel <strong>an</strong>d PHC<br />
workers in district.<br />
Train personnel <strong>an</strong>d PHC workers in order to<br />
implement policies; gather information <strong>an</strong>d<br />
monitor programmes <strong>an</strong>d do nutrition<br />
education.<br />
Pl<strong>an</strong> district budget according to pl<strong>an</strong>ned<br />
activities.<br />
Countercheck monthly expenditure of<br />
programmes.<br />
M<strong>an</strong>age decentralised budgets of <strong>Nutrition</strong><br />
<strong>Programme</strong>s.<br />
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