NEPAL WORKING GROUP PRESENTATION
Discussion topics:
Replenishment mechanism
Accounting and financing
Activity Plans
I. Through December 1996
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Finalization of draft proposal for submission to Nippon Foundation |
DHS |
1 Dec. 1996 |
Draft proposal sent |
| 2. |
Receive comments (if any) from Nippon Foundation, make necessary revisions, finalize, re-submit |
DHS |
End of Dec. |
Final proposal sent off for approval |
| 3. |
Ongoing CDP activities in three districts: |
|
By end of Dec. |
Activities completed |
| → establishment of village health management committee |
DHO, IU |
| → training of committee members in management, accounting and financing procedures |
DHO |
| → procuring and distributing adequate drugs and supplementary equipment in the three districts |
LMD |
II. 1996-1997
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Formulation of DDMC: |
IU, DHS, RHD, DHO |
By Jan. 1997 |
DDMC formed, members oriented |
| → develop procedure guidelines for formulation of committee |
| → DDMC formulation and orientation of DDMC members |
| 2. |
Formation of health management committees: |
DHO, DDMC |
Jan. 1997 |
HMC formed, members oriented |
| → organize teams for carrying out HMC formation and orientation activities |
| 3. |
Review and revise protocol previously developed |
IU |
Jan. 1997 |
Reviewed and printed |
| 4. |
Review and revise already developed training materials |
IU, DHS |
Jan. 1997 |
Training materials printed |
| 5. |
Formulation of training plan |
IU |
Feb. 1997 |
Training plan made |
| 6. |
Activities briefing for steering committee and related line agencies |
IU |
Feb. 1997 |
Meeting held |
| 7. |
Training for health staff, related district officials and selected HMC members |
IU, DHS |
Mar. 1997 |
Health staff trained |
| 8. |
Internal evaluation of training and orientation |
IU, NHTC |
Apr. 1997 |
Evaluation completed |
| 9. |
Procurement of drugs: |
LMD |
May1997 |
Drugs procurement |
| → estimation of health facilities' drug requirement |
| → processing for procurement |
| 10. |
Supervision and monitoring: |
IU, DHS, RHD |
Mar. 1997 to Jul. 1997 |
Each health facility visited at least twice a year |
| → develop tools for supervision |
| → prepare supervision plan |
| → make field visits for supervision |
| → review meetings at district level for feedback |
| 11. |
Recording and reporting: |
LMD, IU, RHD, OHO |
|
Recording and reporting format prepared. All information recorded |
| → develop recording and reporting format |
| → distribute format to health facilities |
| → collect and compile information for periodical reports |
Action Plans: Replenishment Mechanism
I. Establish a framework for the review and development of policies governing the replenishment of RDFs
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1 |
Collect all related documents regarding replenishment policies |
IU |
Nov. 1996 |
Materials collected and shared |
| 2 |
Establish working groups to review collected documents and develop proposed guidelines |
DHS, IU |
Dec. 1996 |
Groups established and guidelines developed |
| 3 |
Organize workshop meetings for reviewing and finalizing proposed guidelines |
DHS, IU |
Jan. 1996 |
Guidelines reviewed and workshop held |
| 4 |
Revise guidelines based on recommendations of workshop towards final approval |
IU |
Jan. 1997 |
Guidelines approved |
II. Establish and implement drug replenishment mechanism with input from district CDP committees, VDC committees, LMD and MO
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1 |
Set up a group with representatives from CDP, DDC, VDC, and LMD to establish policy guidelines for replenishment mechanism |
DHS |
Jan. 1997 |
Replenishment mechanism established |
| 2 |
Draft document forms and procedures for implementing replenishment mechanism |
IU, step 1 group |
Feb. 1997 |
Documents, forms and procedures drafted |
| 3 |
Develop timetable for implementing replenishment mechanism |
IU |
Feb. 1997 |
Timetable developed |
| 4 |
Carry out periodic monitoring of performance |
DHS |
|
Monitoring done |
III. Establish mechanism for coordinating donor, NGO/INGO, and private sector activities (logistics management development)
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1 |
Distribute replenishment guidelines to all line agencies |
LMD |
Feb. 1997 |
Approved guidelines shared by all line agencies |
| 2 |
Hold periodic meetings at central and district levels with private sector parties, NCDA, and NGOs/INGOs involved in logistical activities |
DHS, IU |
|
Meetings held |
IV. Adapt LMD's logistics management system currently under development to needs of drug replenishment system
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1 |
Review, revise and develop already prepared guidelines of LMIS on drug supply and replenishment |
LMD |
Mar. 1997 |
LMIS guidelines revised |
| 2 |
Conduct workshop meetings with agencies experienced in or involved with management information systems for the development of necessary tools |
DHS |
Apr. 1997 |
|
| 3 |
Instruct health personnel on new LMIS system adapted to drug replenishment |
LMD |
May 1997 |
Health personnel oriented |
