Child Health Programme Manager’s
Guidelines
Experiences from Bangladesh
Kathmandu, 17 Nov’2011
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Background
• In Bangladesh a number of maternal, neonatal and child
health programmes and initiatives in existence
– MNHI, a joint Government of Bangladesh-WHO, UNICEF and UNFPA
initiative expanded to 11 districts.
– MNCH supported by DFID through UNICEF and BRAC implemented in
10 districts.
– MNCS supported by AusAid through UNICEF and NGOs is being
implemented in 40 upz of 8 districts.
– SMPP supported by JICA through GoB in 3 districts
– MaMoni by Save the Children in 2 districts
– TMNCP supported by KOICA through unicef in 1 district
• These programmes aim to provide a continuum of care by
integrating the efforts of these three interconnected areas
• Programme managers, therefore, need to be equipped with
programme planning and management skills to deal with this.2
Objectives of Programme Management
guidelines
• To equip managers with essential knowledge and it’s
execution to improve programme management.
• To develop skills of the managers for advocacy, planning,
management, monitoring and resource mobilization for
effective implementation of interventions.
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Adaptation of Generic WHO Training
Package
• To adapt the generic WHO training package for Bangladesh,
two 1-day consultation workshops were organized.
• The technical workshops involved the input and participation
of a number of experts and programme managers.
• It was decided to change the title from “Managing
programmes to improve child health” to “Managing
programmes to improve maternal, newborn and child health”
• Relevant information on maternal health incorporated within
the 5-day training course.
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Target Audience
• Programme managers working in maternal, newborn
and child Health sector at national/ district/ subdistrict levels both from DGHS and DGFP.
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Adaptation process in Bangladesh
Time period
Activities
Nov 27 to Dec 01, 2010 International workshop to adapt
the WHO generic modules for
Bangladesh and conduct TOT
Sept 20 to 22 2011
Orientation workshop for the
health and family planning
managers from district and three
Sub-districts in Tangail
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Participants in the International Workshop in 2010
From Government side:
• Director Primary Health Care and Line Director (Essential Service Delivery)
• Programme Manager from
– IMCI
– Reproductive Health, DGHS
– In- service training, DGHS
– (CA & SS), DGFP
• Deputy Programme Manager from
– Maternal Health
– Neonatal Health
– In- service training
• Deputy Chief, MIS
• Civil Surgeons from Moulavibazar, Narail and Bandorban districts
• UH& FPO from Bandarban, Shirajganj, Rangpur and Dhaka( Dhamrai)
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Participants in the workshop_continued
From Non Government organizations:
• Health Specialists and Programme experts and scientists from
WHO, UNICEF, UNFPA and icddr,b
Facilitators:
• Programme Manager, IMCI, DGHS
• Coordinator, Country Support team Child and Adolescent
Health and Development, WHO, HQ
• Medical officer, SEARO, WHO
• Medical Officer, Child Health, WHO-Bangladesh
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International Workshop 2010
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10
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Observations from the International Workshop
Duration:
5 days. However, the duration was perceived as too long by
GoB managers
Course Content:
– Inclusion of maternal section was commended
– Reading section perceived as rather large and monotonous
– Texts comprising bullets or diagrams were recommended
– Inclusion of more ‘role play’ and examples was proposed
– Bangladesh specific examples, goals, objectives and targets
was suggested
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Further adaptations following the International
Workshop
Duration :
Duration reduced to 3 days from 5 days
Course contents:
Incorporation of:
– Bangladesh related health System information
– Country specific health service provider information
– Goals and objectives of ongoing Maternal, Newborn and Child
Health Programmes of Bangladesh
– Current status, targets and achievements of ongoing MNCH
programmes
– Coverage indicators of these MNCH programmes
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Orientation workshop for 3 sub-district
managers in 2011
Target audience:
• Programme managers, Upazila Health and Family Planning
Officer (UH&FPO) under DGHS and Upazila Family Planning
Officers (UFPO)under DGFP from three sub-districts of Tangail
District.
• Medical Officers from these sub-Districts
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Orientation workshop in 2011
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Observations from the 2011 orientation
Workshop
Duration:
– 3 days. Well accepted by the programme managers
– However, covering course content was a challenge
Course Content:
– Some of the reading sections had to be facilitated instead of
self-reading
– All ‘role play’ and examples could not be covered
– Some exercises in the “workbook” e.g. resource mobilization,
had to be skipped
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Comparison of the course contents
Topic
5 days package
3 days package
Module 1:
Introduction
Duration: 2 and half hours
•More focus given on understanding the
Content:
planning cycle
•Review MNCH Epidemiology
•Review Intervention Packages
and the continuum of care
•Review Planning terms and
concepts
Module 2:
Planning
implementat
ion
Duration: 2 days
Content:
•Preparation for planning
•Review programme goals
and objectives
•Review coverage of
interventions and compare it
to targets
•Review status of indicators
Duration: 1 day
Content: summarized as;
•Review preparation for planning
•Review implementation status
•Decide on programme activities
•Plan activities to implement
intervention packages and set a priority
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Comparison of the course contents
Module
5 days package
3 days package
Module 2:
Implementation
Planning
•Review major activities and assess how well
they are implemented
•Review implementation Status
•Review coverage of interventions and
compare it to targets
•Set a target to improve quality of care
•Plan activities to implement intervention
packages
•List tasks in activities and types of resources
needed
•Choose priority indicators for monitoring
results of activities
•Plan monitoring of implementation of
activities
•Plan for next review of implementation
•Decide how to scale up implementation.
•Review resources available, work plan and
timetable
•List tasks in activities and
types of resources needed
(Cont.)
•Planning for next review
of implementation
•Decide how to scale up
implementation
•Review resources
available, work plan and
timetable
•Write a work plan and
budget
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Comparison of the course contents
Module
5 days package
3 days package
Module 3:
Managing
implementation
Duration: 2 days
Content:
•Advocacy for Maternal, Newborn
and Child Health
•Assessment of potential strategic
partnerships and ask for support
•Mobilization of funds from donor
•How to manage medicines and
supplies
•How to manage financial supports
•How to improve organization of
supervision
•Analysis of common problems
•Feedback and solve problems
Duration: 1 day
Content:
summarized as
•Advocacy for Maternal, Newborn
and Child Health
•Mobilization of funds from donor
•How to manage medicines and
supplies
•How to improve organization of
supervision
•Feedback and solve problems
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Evaluate
programme
(every 5-10 years)
Eg. DHS, MICS

Manage
implementation

This
implementation
planning cycle is
taught in these
guidelines:
Managing
Programmes
to Improve
Maternal,
Newborn and
Child health
including coverage and
health impact (e.g. using
DHS, MICS surveys)
(Ongoing)
 Advocate
 Mobilize resources
 Manage human, material
and financial resources
 Manage supervision
 Monitor progress and use
results
Develop strategic plan
(every 5-10 years)
Prepare for the
review of
implementation
status
(every 1–2 years)
 Prepare for planning
 Do situation analysis
 Prioritize and package
interventions
 Decide how to deliver interventions
 Select indicators and set targets for
evaluation
 Write and disseminate plan
 Mobilize resources
Strategic
planning is
usually
performed at the
national level.
It is taught in the
WHO guidelines:
Strategic
Planning
For Child Health
Develop
implementation plan
(every 1-2 years)
 Prepare for planning
 Review implementation
status
 Decide on programme
activities
 Plan monitoring of
implementation of
activities
 Plan for the next review
of implementation status
 Write a workplan and
budget
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