1 |
Technical support unit (TSU) from Mekelle University |
• Leading the research activities |
• Revision of the community-based neonatal care (CBNC) training materials to reflect the new WHO guideline [14] |
• Supporting Save the Children, the implementing partner in training of health workers |
• Orientation of women development group (WDG) members |
• Monitoring and evaluation to assure quality |
• Provision of technical support to Health Extension Workers (HEW), RHB and Save the Children |
• Data management and analysis |
• Dissemination of the progress of the implementation research through meetings and reports |
• Document lessons and experiences regarding implementation of community-based treatment of possible serious bacterial infection (PSBI) |
• Identify barriers and provide solutions to overcoming barriers. |
2 |
Regional Health Bureau (RHB) |
• Implementation of the PSBI management guideline in the selected districts |
• Leading the quarterly review meetings at region/district levels |
• Provide advices for adjustments as necessary and monitored progress through its regular reporting systems |
• Fulfil the logistic and human resource needs |
• Ensure health posts are open during working hours |
• Mobilize HEWs and other health workers, as well as relevant stakeholders, to participate in trainings and review meetings |
• Mobilize stakeholders to support the smooth implementation of community-based management of PSBI |
• Conduct periodic supportive supervision |
• Ensure the availability of essential CBNC supplies at the health posts and health centres. |
3 |
Save the Children |
• Implement the CBNC interventions, which included the training and post training follow-up of HEWs and other health workers |
• Provide supportive supervision, performance review and clinical mentoring as per the CBNC protocol |
• Ensure implementation issues identified during monitoring are communicated and acted upon in a timely fashion |
• Support the implementation of strategies to improve newborn health care-seeking practices |
• Report on the CBNC activities as per the nationally-agreed monitoring tools and indicators |
• Share relevant information about training, and periodic monitoring and supervision |
• Conduct joint supervision with the TSU and the RHB |
• Participate in meetings at district/primary health care unit (PHCU) levels. |
4 |
District Health Offices |
• Ascertain the readiness of the implementation research sites |
• Commit their time and human resources to support the implementation of the study in their respective communities |
• Conduct joint supervision with the TSU, Save the Children and RHB |
• Ensure the active participation of WDGs, maternal and child health experts, cluster supervisors and HEWs from the two districts |
• Ensure the HEWs assessed, treated, referred and followed-up sick young infants and conducted scheduled postnatal visits |
• Ensure the supervisors and clinical mentors visited the young infants being treated and provided technical support and on-site mentoring in addition to follow-up on days 5 and 8. |