Ensuring Continuity of Essential Health Services in Zombo District During the COVID-19 Pandemic

This presentation outlines the efforts made in Zombo District to maintain essential health services during the COVID-19 pandemic, including strategies employed, performance indicators, lessons learned, challenges faced, and the way forward. The district profile, COVID-19 situation updates, health worker infections, vaccination progress, and performance indicators are highlighted, showcasing the commitment to providing quality healthcare despite the challenges presented by the pandemic.

• Healthcare services
• COVID-19 response
• Zombo District
• Health workers
• Performance indicators

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1. CONTINUITY OF ESSENTIAL HEALTH SERVICES. Zombo district Dr. Bramali Mark Bonny Ag. DHO 21stMay 2021

2. Presentation outline District Profile District COVID-19 situation Strategies employed to ensure CEHS during the COVID-19 pandemic Performance of the CEHS Indicators Lessons learnt and best practices Challenges Way forward Conclusion 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 2

3. District profile Catchment Population 285,854 Administrative Units Sub-Counties - 11 Town councils - 4 Parishes/Wards - 68 Villages - 825 Hospital 1[PNFP] HC IV 1[GOV T] HC III 8[3PNFP & 5GOV T] HC II 9[2PNFP & 7GOV T] CLINICS 3PFP Health Facilities 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 3

4. Covid-19 situation update Cumulative clients Tested for COVI19 8103 Cumulative Cases tested positive 94 Cumulative Deaths 4 Tested in 2021 24 Tested positive in 2021 3 Deaths in 2021 0 Observed significant reduction in community alerts 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 4

5. Covid-19 situation update Number of health workers infected by COVID-19, disaggregated by occupational group, including health or care workers in nursing homes and long- term care facilities Total = 6 Medical Officer = 01 Nurses = 03 Laboratory Assistant = 01 HIA/Data Clerk = 01 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 5

6. Covid-19 Vaccination situation update Priority Group: Health Workers Priority Group: Teachers 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 6

7. Performance of the 20 CEHS Indicators Jul to Sep Jul to Sep Dec 2019 Dec 2020 Jun 2019 Jun 2020 Mar 2019 Mar 2020 Apr to Apr to Jan to Jan to Oct to Oct to Total T0tal 2019 2020 2019 2020 Total number of outpatient attendances or primary care visits Number of pregnant women with at least one ANC visit 69559 48173 89212 69594 79281 51126 48697 48003 286749 216896 3344 3540 2982 3693 2731 2684 2525 2842 11582 12759 Number of facility births 1601 1794 1773 1856 2065 2228 2010 1971 7449 7849 Perinatal Deaths Maternal deaths Incidence of low birth weight (<2500 g) among newborns Number of children younger than 1 year receiving their third dose of diphtheria tetanus pertussis (DPT3) or their first dose of measles vaccine Number/proportion of HIV exposed infants (HEI) receiving ARVs at birth Number/proportion of HIV positive pregnant & lactating women receiving ARVs for PMTCT Number of children 0 59 months of age who received an age-appropriate dose of vitamin A in each semester 45 35 43 43 51 60 35 54 174 192 3 3 3 0 0 2 4 2 10 7 168 161 249 250 256 262 156 218 829 891 2812 2805 2479 2500 2811 2723 2324 2873 10426 10901 43 54 53 49 65 43 60 36 221 182 89 73 79 96 83 58 69 75 320 302 4896 5771 25025 11291 4571 5965 6711 35324 41203 58351 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 7

8. Performance of the 20 CEHS Indicators Apr to Jun 2019 Apr to Jun 2020 Jan to Mar 2019 Jan to Mar 2020 Oct to Dec 2019 Oct to Dec 2020 Jul to Sep 2019 Jul to Sep 2020 Total 2019 T0tal 2020 Percentage of confirmed malaria cases treated with artemisinin-based combination therapies 95.9 98.1 93.9 96.1 99.6 81.3 92.5 99.3 95.5 93.7 Number of cases of violence against women and girls (physical, sexual, other), by type of perpetrator, recorded at the health facility level (SGBV) 72 36 81 66 58 108 57 191 268 401 Number of women and girls receiving (a) oral and (b) injectable contraceptives (FP users) 480 570 399 823 336 525 852 600 2067 2518 Number HIV +ve women/mothers who receive a method of FP(FP users in high risk population) 18 10 36 17 13 10 9 30 76 67 Number of patients attending OPD with one underlying NCD condition (disaggregated by type e.g. hypertension, diabetes, Asthma/Chronic Obstructive Airway Diseases, obesity, CVDs, Cancer, Mental illness, etc.) 1186 1489 884 1412 1136 1762 1185 1511 4391 6174 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 8

9. Strategies employed to ensure CEHS Stakeholder engagement/support Development Partners Implementing Partners Political and Religious leaders Strengthened/Improved Coordination Mechanism DTF members Health Facility Mgt LLG Community structure Improved support supervision/ Monitoring District Team LLG 9 21st May 2021 Zombo District Local Government "Agada yil ku Wadi"

10. Challenges 1. Inadequate Space at HF level social distancing difficult 2. Inadequate PPEs & health supplies 3. Complacency among the masses No wearing of facemasks Hand washing in Public Places Gatherings and social amenities 4. Fewer health facilities providing Maternal services 4 Sub-counties without Level III and above HF 5. Frequent breakdown of the district ambulance Affected patient evacuation 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 10

11. Challenges Inadequate funding/logistical support for EHS at the peak of pandemic response Declining support from Dev t partner/IPs 21st May 2021 Zombo District Local Government "Agada yil ku Wadi" 11

12. Way forward. 1. Scale up community sensitization and mobilization on COVID19 SOPs and Generally MCH services 2. Scale up Maternity services in high volume HC II in SC without HC IIIs and above 3. Strengthen and increase integrated outreaches to reach out the community in sub counties without maternal services 4. Improve supplies of PPEs & other EMHS 5. Continued engagement with key stakeholders through regular meetings 6. Increase finance support to the district 12 21st May 2021 Zombo District Local Government "Agada yil ku Wadi"

13. Requests to MoH and partners Construct and Upgrade of Health Facilities in 4 LLGs without any Health Facility of Level III Increase IPF to the DHOs Office Provide wage bill to recruit of Substantive DHTs and other Critical Cadres IPs to second staffs to the health facilities as the staffing norm is very restrictive visa a vis the scope of health care service delivery Support surveillance & and the home base care activities 13 21st May 2021 Zombo District Local Government "Agada yil ku Wadi"

14. Appreciation MOH UNICEF UNFPA IDI AVSI Local NGOs/CBOs Zombo DLG 14 21st May 2021 Zombo District Local Government "Agada yil ku Wadi"