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MANGOCHI ICEIDA PARTNERSHIP IN PUBLIC HEALTH – PROGRAMME DOCUMENT 2012-2016 Preface The following document describes the cooperation between Mangochi District and the Icelandic International Development Agency (ICEIDA) in the health sector, as stipulated in the Country Strategy Paper (CPS) for Iceland’s development cooperation in Malawi 2012-2016. This programme document forms a part of the Mangochi Basic Services Programme (MBSP) Master Programme Document – MAL16050-1201. The overall programme approach and management structures are stipulated in the Master Programme Document. The ICEIDA Mangochi Partnership in Public Health Programme is subject to the tripartite partnership agreement on funding, management, implementation and monitoring, between the Ministry of Local Government and Rural Development (MoLGRD) and Mangochi District Council on behalf of the Government of Malawi (GoM) and ICEIDA on behalf of the Government of Iceland. This Programme Document was prepared in cooperation between the District Health Management Team in Mangochi with participation from DHO Mangochi; DHMT Mangochi; ZHSO in Zomba; MoH Malawi; ICEIDA Malawi and ICEIDA HQ. The programme is based on the priorities and strategies identified by national and local health authorities. 4
MANGOCHI ICEIDA PARTNERSHIP IN PUBLIC HEALTH – PROGRAMME DOCUMENT 2012-2016 Table of Contents EXECUTIVE SUMMARY ..................................................................................................................................... 7 ABBREVIATIONS AND ACRONYMS ................................................................................................................... 9 1. INTRODUCTION TO MANGOCHI DISTRICT .............................................................................................. 11 1.1. DEMOGRAPHIC AND SOCIOECONOMIC PROFILE .............................................................................................. 11 1.2. ACCESS TO HEALTH SERVICES ...................................................................................................................... 12 1.3. CURRENT HEALTH SITUATION AND TRENDS.................................................................................................... 13 2. NATIONAL AND LOCAL POLICY AND STRATEGY IN THE HEALTH SECTOR ................................................ 14 2.1. INSTITUTIONAL FRAMEWORK ...................................................................................................................... 14 2.1.1. Community Level ......................................................................................................................... 14 2.1.2. Health Services Level ................................................................................................................... 15 2.1.3. Referral Systems and Ambulance Services .................................................................................. 16 2.1.4. District Health Management ...................................................................................................... 16 2.1.5. National Level ............................................................................................................................. 17 2.2. HEALTH PERSONNEL .................................................................................................................................. 17 2.2.1. Health Surveillance Assistants .................................................................................................... 18 2.2.2. Voluntary sector .......................................................................................................................... 19 2.3. PUBLIC HEALTH PROGRAMMES ................................................................................................................... 19 2.3.1. Maternal and Child Health .......................................................................................................... 19 2.3.1.1. Child survival .......................................................................................................................................... 19 2.3.1.2. Reproductive health ............................................................................................................................... 20 2.3.1.3. Family planning ...................................................................................................................................... 20 2.3.1.4. Antenatal care ........................................................................................................................................ 20 2.3.1.5. Delivery care ........................................................................................................................................... 21 2.3.2. Control of Communicable and Vector-borne Diseases ................................................................ 22 2.3.2.1. Malaria ................................................................................................................................................... 22 2.3.2.2. 2.3.2.3. HIV/AIDS/STI ........................................................................................................................................... 22 Tuberculosis/HIV .................................................................................................................................... 23 2.3.2.4. Water-borne and Diarrheal diseases (including Cholera) ....................................................................... 23 2.3.3. Health Support Systems .............................................................................................................. 24 2.4. BUDGET AND FINANCING ........................................................................................................................... 24 2.5. OTHER DONORS AND PROJECTS IN THE HEALTH SECTOR IN MANGOCHI ................................................................ 25 3. PREVIOUS ICEIDA SUPPORT TO THE HEALTH SECTOR IN MANGOCHI ..................................................... 26 4 BACKGROUND AND RATIONAL .............................................................................................................. 28 4.1. THE HEALTH SECTOR STRATEGIC PLAN: MOVING TOWARDS EQUITY AND QUALITY ................................................ 28 4.1.1 The District Health Plan ................................................................................................................... 29 4.2 PROGRAMME STRATEGY AND PRIORITY AREAS ............................................................................................... 30 4.3 TARGET GROUPS AND STAKEHOLDERS ........................................................................................................... 31 4.4 CROSS CUTTING ISSUES.............................................................................................................................. 31 5 THE HEALTH PROGRAMME .................................................................................................................... 32 5.1 OVERALL OBJECTIVE .................................................................................................................................. 32 5.2 SPECIFIC OBJECTIVE (OUTCOME) ................................................................................................................. 32 5.3 EXPECTED RESULTS (OUTPUTS) ................................................................................................................... 32 5.4 ACTIVITIES ............................................................................................................................................... 33 5.5 INPUTS ................................................................................................................................................... 34 5.5.1 Construction .................................................................................................................................... 34 5.5.2 Equipment ....................................................................................................................................... 34 5.5.3 Training ........................................................................................................................................... 34 5.5.4 Input to funds operating under the progamme .............................................................................. 35 5.6 INDICATORS AND MEANS OF VERIFICATION .................................................................................................... 35 5
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Annex 6: Needs assessment for impro
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Annex 6 (p.3) Need for intervention
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Annex 6 (p.5) Need for intervention
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Annex 7 (p.2) Zone Chilipa Mangochi
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Annex 9. Governance structure at di
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Annex 11. Operational guidelines fo
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course as the district council may,
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On behalf of the district council N
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The resultant of the situation has
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