JOINT SUPPORTIVE SUPERVISION VISIT OUTCOMES TO SHF PROJECT IN BAIDOA RURAL AREA

Essential information      

Type of facility:	Health	Implementing Partner	DMO
District:	Baidoa	Supporting Agency:	SHF
Region:	Bay region
Supervision Start Date: 20th  October 2024		Supervision End Date:	24th October 2024

          

Joint Supportive Supervision Visit  Report
Date of Supervision Visit:	20th to 24th October 2024
Location of Visit:	Aragaduud, Buulo jay, Reebey, Beerjiroon,Qeydar Edde,Gooyaale and  Baadi Cade,Salbuuy,Lafaale
Project Title:	Provision of lifesaving support to communities with high inter-sectoral severity of needs, that have experienced climatic shocks in Baidoa rural areas
Objective of the supervision	The main objective of this supportive supervision is one of the indicators requiring joint supportive supervision DMO and MoH to oversee the SHF supported health project and see the progress of health project day to day activities and see community leaders for exception of the activities supporting SHF and implementing by DMO team started their supervision to see the fallowing. 1-     All registers OPD, under five and over five, ANC/PNC registers and EPI each register team cross checked the data and see if there is any data errors and discussed the team individually team realized that they don’t see any data error. 2-     Drugs team checked all drugs and their expire date all the drugs were in good condition.
Field visit participants:	1.Abdirahim Mohamed Ibrahim-Program Manager 2. Abdullahi Isack Amin- M&E Officer 3. Abdi Rahim Mohamed Nor- HMIS Officer 4. Abdi Aziz Mohamed Nor- Health Supervisor 5. Dahir Hassan Moalim Ibrahim-Ministry of health(MOH) Southwest State of Somalia
Compiled by:	Abdullahi Isack Amin-M&E Officer

DMO organized spate meeting to discuss the joint supervision one day before supervision meeting was chaired by the executive director and deeply discussed the best way team can carry out the joint supervision and prepare report finally team agreed supervision to complete five days and each day to visit two different sites the meeting was closed and agreed action points.

  General Observations:

In generally during the three days supervision DMO and MoH team site infrastructure which was two different types facility shelter constructed by SHF in the past project implemented by DMO and other who was community shelters provided by the community all of them was in a good condition well organized good shade.

Water and Sanitation of the visited sites:

All the health sites visited the hygienically was very good beneficiaries receive water for drinking DMO provide enough drinking water and hand washing CHWs instruct beneficiaries to wash their hands once they inter the health facility this will improve to reduce diseases team observed health education session conducting by the health team

 Latrines and hand washing:

Sites we visited there was clean Latrines which separated to male and female, some of them are VIP latrines and others are emergency latrines with their hand washing stations with soap to minimize the communicable diseases and long site with key messages of hygiene and health promotions that were given to the beneficiaries before and after they receive all their services

 

Medical drugs:

For the all sites visited by the team seen there was enough drugs we contra check the essential drugs available each facility and their expire date we seen the drugs were available we also discussed several patient who visiting the sites where told that drugs were available since DMO started implementing health project and people reduced to travel and travel cost for looking for medical assistance also beneficiaries told us in case they need to refer complicated cases who need higher facility DMO provide ambulance to carry the patient to higher facility.

Non-medical equipment:

All the health sites we visited we have seen that DMO provides non-medical equipment including tablets plastic ones, plastic chairs all sites we don’t see any shortage of materials also we seen other chairs and mats using the beneficiaries  to wait the consultation and health education massages all rooms where well ventilated and enough space.

  OPD consultation:

We cross checked the OPD registers both under five and over five and filled correctly and updated the data there was quite number of beneficiaries register each day only one site was fixed other sites where mobile each team covers many different sites all registers were printed out by DMO with assistance for SHF, we have seen medical guidelines and policies using the nurses, we also seen one medical doctor who works different team and different locations for supporting the nurses, midwifes for treatment and consulting in case there is complicated case to refer DMO supports ambulance for referral complicated cases.

ANC/PNC Services:

During our visit we also sit with the midwifes after concluded their consolations we cross checked the registers ANC, PNC and delivery registers most of the mothers come to the health facilities as they can’t reach main hospitals due transportation cost and distance most of the normal deliveries were managed at facility in case there is complicated cases they refer to higher facility and DMO support ambulance for referral.

DMO midwifes  and traditional midwives of the rural village have strong relationship that they work together for the safety of mothers and her babies who give birth in the rural villages where DMO operates midwives works very closely the TBAs once notified  there is mother on labor they immediately inform the midwives during a night time midwifes told us some times TBAs call at night asking support for normal delivery  but if the mother is unable to give birth normally or complicated, she is urgently taken to the  Hospitals or MCHs by ambulance.

EPI Section:

As a team we also check EPI section  vaccines available and vaccine vial monitoring VVM as the team goes outside and spend hours there quite number of children were vaccinated different vaccine preventable diseases vaccinators with support of the other team members carried out vaccination and health massages most of the children were vaccinated measles which was the remaining shits also all children under one years we seen where fully immunized some of the beneficiaries  informed as they get easily vaccination on door step before SHF health project caretakers who can met the cost vaccinated their children in Biadoa MCHs but likely vaccination is available on door step and thanked DMO and SHF for their commitment , we seen also the CHWs are working and mobilizing the community for vaccination session and  tracing those who missed second shots along site with mothers who need to vaccinate tetanus vaccine.

  Supplies:

All essential drugs were procured by DMO with funding support for SHF while the nutrition supplies provides by UNICEF when the team visited there was integrated response sites team cross checked the drugs and nutrition supplies it seems that there is no shortage of supplies all sites where team visited.

1. Drugs were properly arranged and clean, Free from dust, sunlight exposure and moisture
2. Checked all drugs and found no expiry
3. Safe and appropriate storage for the medications

DMO managed the storage and distribution of essential medicine and medical consumables through a systematic pull system of procurement. Staff members at the healthcare facilities request specific medicines and supplies as needed, and these requests are fulfilled from the centrally located warehouse. This ensures that the required medications are readily available whenever there is a demand, minimizing delays in treatment and improving overall healthcare services.

  Referral procedure: 

DMO team were trained several times including GBV all document related case referral and management was in place cases need to refer will handle and refer to the higher  facility for treatment DMO provides ambulance for complicated cases on time.

 Community Participation and Health Education:

DMO works very closely to the village committee who over sees the implementation and response this committee participate community mobilization along site with CHWs this makes effective to involvement of the community for project also CHWs conduct health education sessions to the communities health massages.

 

   IEC materials:

 

All health and nutrition sites where we visited were posted different IEC materials also there was IEC health posters and manuals seen this IEC materials is important to educate the beneficiaries different topics, including EPI, IYCF, and surveillance for epidemic disease.

      Challenges:

·         Shortage of latrines in Bulo jaay and Reebey those two locations need to construct latrines as they have only one latrine each site.

·         During the rainy season the access of some HF is difficult due to running.

·         There is water shortage in some areas during the dry season because they use water catchments.

      Recommendation:

1.      To construct latrines both for staff and the beneficiaries which is need to be classified into male and female.

2.      DMO needs to come up other attentive way to reach the beneficiaries in case there is heavy ruin.

3.      Most of the villages where we visited people use water catchment in case there is water shortage people may need water trucking this issue needs to share wash cluster to advocate.