PeaCe Health 2021-2022
Insats-ID : SE-0-SE-6-12883På denna webbplats visas öppna data om det svenska biståndet, som visar när, till vem och för vilket ändamål svenskt biståndsmedel betalas ut, samt vad det har gett för resultat. Denna sida innehåller information om en av de insatser som finansieras med svenskt bistånd.
PeaCe Health-programmet är utformat med avsikt att sätta människor och deras behov i centrum för att uppnå hållbara hälsoresultat för kvinnor, barn och ungdomar i Eastern och Southern-provinserna i Zambia. Programmet ska genomföras av det zambiska hälsoministeriet och kommer att baseras på en individinriktad modell, utvecklad av WHO, som sätter människors rätt...
Läs hela beskrivningenFrån
- C01 - Projektstöd
Mer om insatsen
PeaCe Health-programmet är utformat med avsikt att sätta människor och deras behov i centrum för att uppnå hållbara hälsoresultat för kvinnor, barn och ungdomar i Eastern och Southern-provinserna i Zambia. Programmet ska genomföras av det zambiska hälsoministeriet och kommer att baseras på en individinriktad modell, utvecklad av WHO, som sätter människors rättigheter och individuella behov i fokus. Detta tillvägagångssätt ligger bakom förkortningen PeaCe Health (People at the Center of Health). De övergripande förväntade målen för PeaCe Health är att bidra till: 1. Ett motståndskraftigt och ansvarsfullt hälsosystem som tillhandahåller god primärhälsovård i människors närsamhälle; 2. En rättighetsbaserad primärhälsovård som integrerar vårdtjänster och sätter människan i centrum; och 3. Ett ökat utnyttjande av primärhälsovårdstjänster och information bland kvinnor, barn och ungdomar. Den föreslagna förändringsteorin utgår från att programmet ska leda till att kvinnor, barn och ungdomar kommer att ha tillgång till och använda primärhälsovårdstjänster av god kvalitet vid programmets slut. Insatsen har en total budget om 95 MSEK för programperioden som löper från maj 2021 till och med december 2022. Den finansieras av Sida och implementeras av Zambias hälsoministerium på nationell, provinsiell och distriktsnivå (primärvård) i de två provinserna.
Här visas alla aktiviteter kopplade till insatsen. Klicka på en enskild aktivitet för att se fördjupad information.
Totalt 0 SEK fördelat på 0 aktiviteter
Här presenteras en lista över alla utbetalda transaktioner för en specifik insats. Varje betalning kan spåras till en särskild aktivitet. Negativa belopp indikerar att det skett en återbetalning.
0 transaktioner
Inga transaktioner tillgängliga för denna insats
0 insatsdokument
Nedladdningslänk |
---|
Inga insatsdokument tillgängliga för denna insats
Resultat
Examples of results per thematic area in the PeaCe Health program: Maternal and Sexual Reproductive Health The program conducted capacity building activities to improve the skills and knowledge of Health Care Workers (HCWs) and Community-Based Volunteers (CBVs). Training packages which included Antenatal Care (ANC) guidelines, Emergency Obstetric Newborn Care (EmONC), Comprehensive Abortion Care (CAC), Post Abortion Care (PAC) and Long-Acting Reversible Contraception (LARC). Due to the above trainings, there were improvement in some selected indicators such as Percent of eligible facilities with at least 1 eligible HCW trained in EmONC which increased from 36% at baseline to 69% surpassing the annual target of 50%. Furthermore, the percentage of eligible women receiving Post Abortion Care (PAC) services increased from 41% to 53% between 2021 and 2022 against the annual target of 55%. Through the programme support 4,540 complicated cases were referred from various health facilities to high levels of care for further management within Eastern and southern province. 7650 units of blood were collected and distributed. Various equipment, supplies and consumables were procured, for example, adult weighing scales, blood pressure machines, and haemacue machines as well as consumables such as ferrous sulphate and folic acid. Despite implementing several interventions, HMIS data shows that the facility maternal mortality ratio increased from 82.5/100,000 live births in 2021 to 100.2/ 100,000 live births for both Eastern and Southern Provinces in 2022. The main drivers of mortality were obstetric haemorrhage, puerperal sepsis, hypertensive disorders, and indirect causes such as complication of HIV. Newborn and Child Health The neonatal mortality rate is at 10.2 per 1000 live births for both Eastern and Southern Provinces against the national target of 12 per 1000 live births according to the National Health Strategic Plan. Despite the continued prioritization of high impact interventions to tackle neonatal and child morbidity and mortality, the ministry has continued to record high perinatal deaths around Macerated and Fresh Still Births. The MoH through the PeaCe health program advocated for an independent review of perinatal deaths away from Maternal and Perinatal Death Surveillance Review (MPDSR). This led to the holding of the first ever National Perinatal Review Meeting to review perinatal deaths, identify gaps and make recommendations, supported by UNICEF. The identified gaps included skills among HCWs and inadequate equipment for managing neonates with complications. This is a great example of collaboration between Sweden supported programmes to contribute to achievement of overall results. In addition, 4 MPDSR meetings were held in 4 districts to review perinatal deaths and come up with action points/recommendations targeted towards the reduction of the increasing number of preventable perinatal and neonatal deaths. During the visit to St Francis hospital in Katete district, it was noted that interventions to address improvement in newborn health had resulted in a decrease in newborn deaths from 22% Q4 2021 to 11.9% in Q4 of 2022, even if the number of deliveries at the hospital had increased during the same period. This improvement was also because of the technical and equipment support that was provided by UNICEF with support from Sweden. Adolescent Health (ADH) In 2022, at least 5,260 boys and 7,457 girls plus 765 adolescents (sex not disaggregated) were reached through adolescents-led outreach campaigns for social mobilization in the target provinces. These platforms provided an opportunity for creating awareness on family planning services, the health risks of alcohol and substance abuse, and child marriages, which include high risk of HIV infection, Gender Based Violence (GBV) and risks associated to teenage pregnancies. As a result, there was a marked increase in the percentage of new FP acceptors aged 15 19 years, which stood at 0% at the start of the program (data was not yet available) to 31% of 2022, surpassing the 24% target set for 2022. A documentary was produced about ADH activities, highlighting the key roles that health care workers, parents and trained peer educators play in determining adolescent health outcomes. The documentary, once aired on national television, is expected to reach a national audience of 5.2 million people in at least 640,000 households across Zambia. This is expected to translate into positive change among adolescents and their guardians. Nutrition The program recorded cure rates for Severe Acute Malnutrition (SAM) of 75% against a target of 45%. However, this was a decrease from 2021 (86%). The decrease was attributed to stockouts of therapeutic feeds in the 1st 2nd and 3rd quarter of 2022. There was an increase in the number of children under the age of five years measured for weight and height from 66.5% in 2021 to 72% in 2022 above the annual target of 60%. A total of 947 Health Care Workers (HCW) and Community Based Volunteers (CBV) were trained in Growth Monitoring and Promotion (GMP), Maternal, Infant and Young Child Feeding Nutrition (MAIYCN), Integrated Management of Acute Malnutrition (IMAM) and Baby-friendly Hospital Initiative (BFHFI). Furthermore, all nutrition program officers in the 27 districts across the target provinces and some selected hospitals met to review data, identify gaps, and find solutions to ensure effective nutrition program implementation under the program. Some of the challenges identified were unavailability of data collection tools and inaccurate data that could be addresses through quality improvement projects. Gender A total of 1,328 HCWs and CBVs were oriented and mentored in gender sensitive services across the program. In addition, the sub-national levels conducted gender sensitization, awareness meetings, radio sessions and community activities integrated into polio and covid-19 campaigns facilitated by various stakeholders and experts. These engagements did not only provide opportunities for community members to access quality information but also resulted in identifying strategies to reduce gender related challenges especially at the beginning of the year under review. However due to data gaps owing to nonavailability of registers the overall performance dropped. The percentage of women and girls provided with Emergency Contraceptives (EC) decreased from 30% in 2021 to 15% in 2022 against the annual target of 20%. In addition, the percentage of women provided with Post Exposure Prophylaxis (PEP) after sexual assault also dropped from 64% to 40% against the annual target of 80% in the same period 2021 and 2022 respectively. Crosscutting The MoH implemented activities aimed at improving data quality and usage. In line with this, key activities implemented during 2022 included 14 Data Quality Audits (DQAs), 16 data review meetings across all levels and 17 District Integrated Management (DIM) meetings. Additionally, staff capacity building was also conducted in HMIS and Navision. As a result of these interventions, the proportion of facilities with at least one HCW trained in Integrated People-Centered Health Care Services (IPCHS) was estimated at 100% against the target of 70%. Also, the reporting rate on time for HIA2 was estimated at 82% as of January 21, 2023. This was higher in comparison with 68% for 2021. Other activities included commencement of the tender process for infrastructure development, procurements of assorted medical and nonmedical equipment, drugs and consumables as well as repairing and servicing of ambulances and utility vehicles and training of staff in Navision.
The objectives of the PeaCe Health Program are: By the end of 2024, the health systems, including the community health systems in Eastern and Southern provinces will be better equipped to deliver quality, people-centred, rights-based and equity focused SRMNCAH/N services which will lead to an increased uptake of services and prevention practices resulting in improved health outcomes, particularly among the most marginalized. The specific overall expected outcomes/objectives of the PeaCe Health programme are to contribute to: 1. Resilient and accountable health systems at primary health care and community level that ensure continued delivery of quality SRMNCAH/N services that address inequities in health and target the underserved, the poorest population and marginalized people in the target districts by 2024. 2. Integrated people-centred and rights-based SRMNCAH/N services provided throughout the continuum of care in the target districts and communities that focus on addressing the quality of care using evidence based and gender sensitive approaches by 2024. 3. Increased utilization of integrated SRMNCAH/N services and information through increased access to equity focused and rights-based people centred services, health promotion and supportive environment by 2024. Despite significant progress made in reducing in particular maternal and child mortality during the RMNCAH/N programme, improvements have fallen short of meeting all intended targets and have not affected everyone equally. Many women, children and adolescents in the target provinces still lack access to quality essential health care despite implementation of high-impact interventions. The midterm review of the RMNCAH/N programme in early 2019 revealed inadequate attention for the reduction of inequities and efforts to reach the poorest and most underserved populations. The review also highlighted the need to address gaps in the implementation of adolescent sexual and reproductive health, nutrition, newborn care and community health interventions. These gaps have been exacerbated during the covid-19 pandemic with the health system having to re-focus to deliver specialized hospital care for covid patients, ensuring access to oxygen supply and high-tech equipment. The current focus on covid-19 has strained the capacity of the sector to provide basic essential services and diverted attention away from primary and community health provision. A key consequence has been a continued chronic lack of essential medicines coupled with people shunning health facilities for fear of covid, negatively affecting health outcomes. Based on the above, the follow-up PeaCe Health programme, calls for continued expansion of high impact primary health care interventions targeting women, children, newborn babies and adolescents, with more attention to SRHR behaviours, norms and human rights, gender dynamics and male involvement and a wider reach to the under-served and marginalized populations. The programme will be based on a people-centred approach, developed by WHO, that puts people's rights and individual needs at the forefront while planning and implementing interventions. This approach lies behind the PeaCe Health acronym - People at the Centre of Health. The target population of PeaCe Health include women, adolescents and children in Eastern and Southern provinces, which together make up about 3 million people.
Svenskt bistånd i siffror och berättelser
Vill du läsa mer om vilka resultat svenskt bistånd leder till?
Rapporter från Expertgruppen för biståndsanalys och Sidas strategi- och korruptionsrapporter Berättelser om biståndets resultat Sidas årsredovisning