Joint Annual Performance Review 2007 - Ministry of Health

• Insufficient resources and capacity for CPA
level
• Staff motivation and attitudes
• Lack of competencies and skills for neonatal
care at MPA and community level (neonatal
resuscitation, cord care, temperature
management, detection of infection…)
Training of Updated IMCI, included low-osmolarity ORS and
zinc supplementation) iii
− Strengthen IMCI Follow-up after training
− Integration and implementation of IMCI into medical and nursing
and midwifery education
− Policy update for vitamin A distribution
− Enforcement of Sub-decree of marketing on IYCF products
• Strengthen implementation of CPA Guidelines (including supplies,
equipment and human resources)
• Capacity building on pediatric care, including neonatal care at RH
− Emergency Triage Assessment and Treatment (ETAT)
− Essential Pediatric Care
o Newborn resuscitation iv
o Treatment and care for neonatal sepsis
o Treatment and care for severe infections
• Development of clinical management guideline for children and
newborn
• Performance-base incentive
• PMG
• Enforcement of the implementation of the Professional Ethic
• Capacity building and implementation on:
− Early initiation of breastfeeding within 1 hour after birth
− Neonatal resuscitation
− Temperature management, including kangaroo mother care
− Early detection of neonatal infection
− Antibiotic for premature rupture of membranes
• Continue Government and donor support for better infrastructures
and resources:
− supplies, equipment, medical materials (MPA Kits)
• OD level
• MPA level
• CPA level with
close monitoring
and supervision
from specialized
institutions
• Central
• CPA/MPA level
• Public and
Private
• MPA level with
close
supervision
from OD/RH
• Community
with close
monitoring and
supervision
from health staff
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