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FRONTLINE FELTP

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FRONTLINE FELTP
Conclusion of the first two Cohorts of the FETP-Frontline in Nigeria

Kano
Residents training in Kano Cohort (C1) took part in a workshop in April 2016 in which they presented results of their field work. The workshop was attended by the Commissioner of Health Kano, State who closed the workshop by presenting the certificates of completion of training to the trainees.

With the Kano State Commissioner of Health and graduate of NFELTP (in the middle in white robes), Public Health Officials and FETP-Frontline Graduates at the Closing Ceremony of the Kano Cohort (C1)

Rivers
The training workshop for the Rivers Cohort (C2) took place during the week of 25 April 2016. After presenting the results of their second field posting, trainees received their certificates of completion of training. The certificates were presented by the Executive Secretary of the Primary Health Care Management Board, which supervises the surveillance focal persons.

One of the FETP-Frontline Graduates Receiving his Certificate from the Permanent Secretary of the Rivers State Primary Health Care Management Board during the Closing Ceremony

The Rivers FETP-Frontline Graduates Holding their Certificates in a Photograph with Facilitators, Mentors and Public Health Officials

Recruitment of the 3rd and 4th Cohort of the Frontline Training Program
The third and fourth cohorts comprised trainees from Benue (North-Central) and Lagos (South-West) States respectively.
 
Training workshops

Benue State

Workshop 1

The workshop took place in the week of May 9 in Makurdi, the capital of Benue State. It was attended by officials of the Ministry of Health such as the Director of Public Health and the State Epidemiologist (SE). FETP) graduates. Table 1. Breakdown of FETP-Frontline Participants in Benue State (C3) 

Administrative level

Designation

Number

Percentage

District (LGA) level

DSNO

24

45.2

(86.8%)

 

 

 

 

Assistant DSNO

22

41.5

State level (13.2%)

State DSNO

1

1.9

 

Health Officer

1

1.9

 

Veterinary Officer

5

9.4

TOTAL

 

53

100

Field Work 1
Front line participants resumed field work from 16 May to 6 June 2016, the participants were back at their usual posts. During this period, under the guidance of their mentors, they worked on their field deliverables for presentation during the next workshop. This phase was particularly challenging because of a lack of computers to use in data management and preparation of surveillance reports, poor computer skills and poor internet access.
 

Workshop 2
The trainees returned for the second workshop which took place in the week of June 13.During this workshop, the trainees presented their field work and got feedback from theircolleagues, mentors and workshop facilitators. After the presentations, they were takenthrough the learning materials of the second workshop.Field Work 2This started in the week of June 20 and is ongoing.
 

Lagos State Workshop 1
The workshop was officially opened on 16 May 16 with an insightful speech by the Permanent Secretary of the Lagos State Primary Health Care Board, the State Epidemiologist and other senior public health officials. The state officials sat through some of the sessions on the first day of the workshop, which took place at Ikeja, the state capital.

Breakdown of participants at the first Workshop in Lagos (C4)

Administrative level

Designation

Number

Percentage

District (LGA) level

DSNO

19

19.8

(91.7%)

 

 

 

 

MOH

20

20.8

 

Assistant DSNO

24

25

 

Environmental Health

5

5.2

 

Officer

 

 

 

M&E Officer

20

20.8

State level (8.3%)

Deputy State

1

1

 

Epidemiologist

 

 

 

State DSNO

1

1

 

Assistant State DSNO

1

1

 

M&E Officer

1

1

 

Community Health Officer

1

1

 

Veterinary Officers

3

3.1

TOTAL

 

96

100

 


Field Work 1
This phase lasted from the week of May 23 through the week of June 13. They were guided in the field work by assigned mentors.
 

Workshop 2
This workshop took place in the week of 20. 2 health workers from Ministry of defense (MOD) joined the training. The trainees presented their field work and got critical responses from each other and from the facilitators. After the presentations they had didactic sessions.

FETP-Frontline Implementation Indicators

Indicator

Number

Number of unique cohorts enrolled

4

Number of persons enrolled

393

Number of persons who completed training

244

Number of unique districts (LGAs) represented

110

Number of districts (LGAs) in Nigeria

774

Proportion of districts (LGAs) reached so far

14%

 KADAIS Activities

  1.  First and second tranche assessment of laboratories in 23 local government areas of Kaduna State took place on 4-8 April and on 25-30 April respectively. In all, 23 laboratories were assessed including ABUTH and NEQUAL, one of which will eventually be chosen as the central quality control laboratory of KADAIS. All assessment teams included representatives form CIHP and the Kaduna state government.
  2. External assessment of 6 of the internally pre-assessed laboratories was conducted by CDC Atlanta (HQ) and CDC Nigeria representatives in week of 11th April. AFENET team led these external assessors to and through these laboratories.
  3. Residents and graduates of N-FELTP participated in the SOP development finalization workshop held between 20-26 March. The SOP finalization workshop became necessary so as to align the SOPs to certain changes in the survey protocol.
  4. AFENET has been supports the monthly joint meetings of the KADAIS Survey
    Management Committee (SMC) and Survey Technical Committee (STC). The last two were held in April 25 – 29, 2016 and week May 30 – 2 June, 2016 in Kaduna.
  5. The AFENET and CIHP teams undertook and advocacy visit to the Kaduna State ministry of Health in week of 13 June 20. This was to update the principal officers in the Ministry of Health on KADAIS activities with emphasis on those who were recently appointed or reassigned to positions that are critical to KADAIS success.
  6. AFENET participated in KADAIS communication workshop which held in Kaduna during week of June 6th 2016. The workshop brought stakeholders and communication experts together for the development of KADAIS communication materials for social and electronic media. Emphasis was to introduce local content, indigenous ownership, and community participation in marketing and information preparatory and during the survey.
  7. In week of 13 June 2016, AFENET began the KADAIS research assistant recruitment exercise with short listing of interested candidates following online applications received after a well-advertised recruitment. In all, a total of 1,445 candidates applied for the various positions.

HIV Data Quality Assurance Exercise
AFENET has been assigned by the CDC to over HIV data quality at the HIV service offering health facilities across the country. A team of 50 NFELTP graduates and residents were trained and deployed to Benue State in the weeks of 15 – 27 May 2016. The teams are currently covering Federal Capital Territory (FCT) and Nasarawa State validating data submitted in the 1st and 2nd quarters of FY 2016.
 

NSTOP Update
Quarterly Review Meeting
The National Stop Transmission of Polio (NSTOP) held a quarterly review meeting for 4th quarter of 2015 and 1st quarter of 2016 during 25th – 26th April, 2016 at Barcelona Hotels, Abuja. The objectives of the meeting were to review NSTOP National and State level activities for the 4th quarter of 2015 and 1st quarter of 2016, and to provide feedback to State officers on key programme activities. The meeting was attended by all NSTOP staff at the National and State levels including the DHIS 2 implementation officers. The meeting provided a unique opportunity for staff to network and share experiences and best practices. In addition to presentations by the National coordinator and programme officers at the national level, there were presentations from all the State team leads and State DHIS 2 implementation officers on key activities, achievements and challenges during Quarter 4 of 2015 and Q1 of 2016. There was a special presentation on the progress towards malaria elimination in Nigeria by Dr Kwame Asamoa – from CDC Atlanta, to inform staff of diverse efforts at the national, regional and global levels to address the scourge of malaria, the progress recorded so far and the remaining challenges. Dr Oladayo Biya – from CDC Atlanta also presented the preliminary findings of the NSTOP Internal assessment at the meeting.


Routine Immunization 2015 Data Quality Survey
The NSTOP National Routine Immunization (RI) focal person and the State FCs participated in the conduct of the RI 2015 DQS organized by NPHCDA in collaboration with partners from 23 of March to 3 April 2016. The activity ended with a report writing workshop at the national level.


Pneumococcal Congugate Vaccine Phase 3 Introduction
NSTOP participated and supported the planning meeting and national TOT (4 – 5 April 2016) towards PCV introduction in the remaining 16 PCV phase3 States. NSTOP RI focal person also supported and facilitated in the training of State personnel from both the Northern cluster (April 6 – 7) and Southern cluster (April 8 -9) in Abuja. The NSTOP Field coordinators from the phase 3 States were also in attendance at the training. At the end of the training, States were given the task to develop their implementation plans and commence the implementation of activities that will culminate in the introduction of PCV in the State.

Routine Immunization Retreat with Vulnerable Local Government Areas
The National Polio Emergency Operation Center in 2016 reviewed and identified 56 LGAs across the country as vulnerable as it relates to routine immunization activities and performance. These LGAs were then invited to a retreat to find out the reason for poor performance and to support them in developing strategic plans to improve their overall performance. The meeting took place on the 25 and 26 of May 2016 at Assa Pyramid Hotel Kaduna. NSTOP State Team Leads and NSTOP LGA Officers in the affected states and LGAs joined their colleagues from government and partner agencies in the same LGAs in the meeting. The states are Adamawa, Bauchi, Kaduna. Kano, Katsina, Sokoto and Taraba states. Two NSTOP staff; a Field Coordinator and a Data Manager attached to the EOC were also in attendance.

Cross section of participants Cross-section of some facilitators

NSTOP Malaria Local Government Officers Interview
NSTOP Malaria Program is to begin in the two states to be used as pilot. This informed recruitment of officers who will work in the LGAs to carry out the planned activities. As a result of this, A 10 member team from the central office went to the implementing states to conduct interviews in order to fill the positions. The interview in Kano took place on the 31May 2016 at Royal tropical Hotel Kano. The team was joined by 4 Kano state NSTOP staff and a staff of Kano state ministry of health. The 10 member team after completion of the interview in Kano proceeded to Zamfara state to for the same purpose. Three other NSTOP staff from neighboring states including the NSTOP team lead for Zamfara state and 4 staff from the ministry of health participated in the interview process which took place on the 2nd of June 2016 at Karma Hotel Gusau.


The NFELTP First Malaria Research Dissemination Workshop

The first Malaria Research Dissemination Workshop organized by NFELTP in collaboration with the National Malaria Elimination Programme (NMEP), Federal Ministry of Health, Nigeria with the theme: Collaboration to support malaria operations research in Nigeria. This held from 25 – 26 May 2016 at Reiz Continental Hotel Abuja. The primary purpose of the workshop was to provide a forum to show case the efforts of NFELTP at contributing to malaria research by Residents and graduates on malaria related projects. The workshop provided opportunity to disseminate findings of malaria research projects to relevant stakeholders for evidence-based decision and policy review. Also the workshop provided opportunity for stakeholders to identify areas of malaria research needs and collaboration. It also provided a training venue for residents and graduates to improve their scientific presentation and communication skills. Participants were representatives from the academia (University of Ibadan and Ahmadu Bello University Zaria), NMEP, NFELTP, NSTOP and partner agencies (USAID, PMI, SFH, MAP).


NSTOP Routine Immunization Thematic Refresher Training
Nigeria marked one polio free year on Friday 24th July, 2015, was delisted from Polio endemic countries by the WHO same year and has remained wild polio virus-free till date. To maintain this status quo and achieve eradication by 2017, effective, efficient and optimum routine immunization (RI) service delivery must be attained and sustained. As part of its RI capacity strengthening initiative, NSTOP trained greater than 760 LGA EPI staff on nine (9) RI thematic modules and greater than 3000 RI providers/health facility in-charges on selected modules in three phases between 2013 and 2015 in 184 LGAs of 12 Northern Nigeria states which were considered high risk for polio. To sustain the gains of the thematic training, NSTOP in collaboration with the National Primary Health Development Agency (NPHCDA) is conducting refresher training on areas of identified gaps at the LGA and health facility levels. The first refresher training on Service Delivery and Supportive Supervision (SD&SS) is currently ongoing. The 2-day training, which targeted LGA Local Immunization Officer (LIO), Cold Chain Officer (CCO), Health Educators (HE), NSTOP LGA Officers (NSLO) and other LGA level EPI partners began on 4 May with Katsina state. Facilitators at the training were NSTOP field Coordinators, State level partners (WHO, UNICEF etc), NFELTP Residents and International Stop members in respective states.
 

Cross section of participants at the Katsina State refresher training


 NSTOP RI Follow-up Assessment for Phase 3 LGAs
The routine immunization (RI) follow-up assessment for the NSTOP supported LGAs in Northern Nigeria was planned as a follow up assessment to the baseline RI assessment conducted during the commencement of NSTOP support to the LGAs. Following one year of NSTOP support in strengthening RI in the LGAs in collaboration with other RI partners, the follow-up assessment was conducted to assess the progress made in the LGAs. The o bjectives were: to assess the reach of RI activities in the communities/settlements, to assess the status of key RI components in the LGAs and HFs, to compare the current status of RI indicators/components with the baseline data obtained a year ago and to identify opportunities for additional improvement in RI activities. Prior to this activity, a training was organized for NFELTP residents on the conduct of this activity. This took place on the 23rd of May 2016 followed by deployment and field activities from May 24th to 4th June 2016. Activities conducted in the field included advocacy to the State and LGA, data collection, LGA and State debriefing on preliminary findings and data collation at the national. A comprehensive data analysis and report writing will be conducted once the assessment is completed in all the Phase 3 LGAs.


Enhance Surveillance Project
The certification process of a polio free status requires Enhanced Polio Surveillance (EPoS) to be carried out across the country. One of the activities in the EPoS workplan for the year 2016 is to conduct a monthly supervisory visit to the selected states. In line with this, supervisory visits were conducted in Kwara, Oyo and Osun states. The Objectives of the EPoS supervisory visits and supportive supervision were:


  • To assess progress on EPoS activities and documentation process towards achieving certificate in states.
  • To assess the extent to which surveillance personnel at each level are carrying out their respective responsibilities
  • To ensure that surveillance staff have the knowledge, attitude and skills needed to effectively carry out surveillance
  • Identify gaps and challenges towards EPoS activities in states
  • To provide on the job training


The outcome of the supportive supervision were

  • Quality supervision conducted at the State and LGA level
  • Proper data documentation and archiving of all surveillance activities across the state, LGAs, wards towards achieving certification
  •  Capacity building of State, LGA and Health Facility Surveillance Focal Persons During the course of the visit, an EPoS stakeholders meeting with Lagos state team in preparation of the EPoS kick off Project was convened on the 17 May 2016 at the Lagos state secretariat, Alausa. The NSTOP surveillance team, CDC Surveillance Lead and the Acting WHO state coordinator were present in the meeting.

Meeting with the state team, Kwara state and Supportive supervision at Ilorin West LGA, Kwara state


 

 

 

Last Updated ( Thursday, 15 September 2016 12:28 )  
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