Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697707925045.pdf (Zimbabwe)
Case Management Updates 2 JUNE 2020 Introduction • Membership – 42 entities inclusive of MOHCC • Government institutions - (HCH, PGH, All PMD’s, UZ-CHS, City of Harare, ZDF) • 6 Multilaterals & Bilaterals - (WHO, UNICEF, UNFPA, UN WOMEN, US-CDC, Africa CDC) • 8 NGO partners - (CHAI, MSF, PSI, FHI360, Africa CDC, Chemonics, ZIMTTECH, JFKapneck Trust) • 4 Private sector organizations - (MARS, PHAZ, PSMI, ZiMA and Affiliates) • 9 Specialist associations - All main Clinical & Public Health Specialties - (PAZ, ZAA, NAPAZ, ZSOG, CPCPZ, ZiMA, ZCPH, ZIDA, SSZ) • Daily meetings @ 3pm by ZOOM (UNICEF) • Long meetings - Monday and Wednesday • Brief meeting - Tuesday, Thursday and Friday Progress on Pillar Priority Actions Priority Area Status Remarks 1 Mapping populations; identification of facilities Harare 2 units 95-99% completed Bulawayo Provinces 2 Assess intensive care unit capacity ICU/HDU status report completed HR numbers inadequate Equipment requirements submitted to Procurement 3 Continuously assess burden on local health for PHC Working with the Directorate of Performance Monitoring and Evaluation Wilkins (40) and PGH (3 June) Of the 80 assessed facilities 7 are being funded under HDF for renovations including medical gas installations, plumbing, remodeling, leaving a deficit of the rest.
Equipment for Case Management still to be procured Equipment Commitments from AfDB, GFF, UNICEF, Global Fund Gweru - AngloAmerican A comprehensive framework for continuity of essential health service has been developed as part of the operational plan.
Reporting on a weekly basis through the MOHCC M&E Office Progress on Pillar Priorities Priority Area 4 Review case Management protocols, standards/ Reg frameworks Status Done 5 Train and refresh medical/ambulatory teams Restructuring incorporating integrated training with IPC Remarks NMTPAC COVID guidelines signed and now in electronic media Audit due 1047 staff trained as ToT Training material for Intergrated training with IPC ready Training material for lower level still being worked on Pvt teams identified.
Awaiting review and signing of SLA 6 7 8 9 Establish dedicated/equipped teams and ambulances Teams due to be trained Provide comprehensive medical/nutritional/ psychosocial care for patients and care-providers • Concept notes with guidance budgets for nutrition/psychosocial completed PSS, Nutritional and rehabilitation guidelines included in the main guidance USD150000 UNICEF Assess diagnostics, therapeutics and vaccines for compassionate use • Radiology Diagnostic assessment report completed Financing required for remediation of gaps-mostly equipment procurement.
Evaluate Case Management implementation & effectiveness Monitoring framework developed Monitoring of Pillar activities ongoing Progress on Pillar Priorities Priority Area Status Remarks Support hospitals develop/update BCP’s Develop/strengthen institutional arrangements with private providers • • Planning process Private Practioners’ concept note being worked on WIP Establish financing mechanisms for COVID- 19 specific health services & essential services Identify indicators, data sources & report formats on status of essential health service delivery • Budget in place Financing required for implementation • Planning with Dr Kangwende’s Office Rapid Assessment to be carried out soon.
SOA As above Conduct rapid assessments to understand needs for chronic patients continuity of care • As above Next steps….. • Equipping the identified Isolation and treatment sites • Oxygen Supplies (UNICEF 130 Oxygen Concentrators) • Monitoring equipment • Room loading of ICU’s in Harare • Commitments (Slide3) • HRH • Numbers • Training Continues • PPE • Case Audits • Ambulance Service for referral of critically ill patients