2. Urban Health Extension Providers in Ethiopia x.pptx

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1. Urban Health Extension Professional Managed Community ART Refill Group   Module 1, Session 3: T he Urban Health Extension Program September 2022

2. At the end of this session, you will be able to: List down the objectives of the HEP, Identify the implementation strategies and the guiding principles of the HEP, Identify challenges of the HEP and suggested solutions. Session objectives

3. Introduction Objectives of the UHEP Implementation strategies Guiding principles Structure and operation Monitoring and evaluation Challenges of the HEP and suggested solutions Presentation outline

4. Ensuring universal primary health coverage is one of the primary agenda of the Government of Ethiopia. The HEP has been the principal vehicle in expanding access to essential health services packages to all Ethiopians, with specific focus on women and children . HEP is underpinned by the core principle of community ownership that empowers communities to manage health problems specific to their communities, thus enabling them to produce their own health. Introduction

5. FMOH developed the urban health extension program based on the experience of the rural health extension program. Prior to the implementation of urban health extension program, female health extension professionals previously trained as clinical nurses were recruited and trained for three-months . Con’t

6. Packages: 18 packages under four major themes: Promotion of hygiene and environmental sanitation Prevention and control of major communicable diseases Promoting and providing family health services First aid and injury prevention. Core principle : Provision of family and community centered services . Focus : Preventive, promotive , and rehabilitative services targeting households, youth centers and the schools. Con’t

7. 8 Health Extension Packages S.no Packages 1 Family planning 2 Nutrition 3 Youth reproductive health 4 Maternal and child health 5 Immunization 6 Malaria prevention and control 7 Tb and leprosy prevention and control 8 HIV/AIDS and STI prevention and control 9 First AID and Injury prevention 10 Non communicable disease prevention and control 11 Mental health 12 Personal hygiene and environmental sanitation 13 Latrine construction and proper utilization 14 Solid and liquid waste management 15 Food and drinking water hygiene and handling

8. 9 Implementation areas/sites What are the implementation areas of urban health extension program?

9. 10 Implementation areas House to house School Youth centre Work place Homeless

10. General Objective Expand equitable access to quality primary health services to the urban population through family and community-centered approaches. Specific Objectives Ensure universal coverage of quality essential health services Enhance the health promotive and disease prevention skills of the community through improving the health literacy of the community and improve health care utilization. Build community-based referral system Objective of the HEP

11. Community engagement Planning, monitoring and evaluation Continuous professional development & vocational training Partnership, collaboration and coordination Equitable and quality health care services. Implementation Strategies

12. Prevention-focused Family-centered Team approach Community engagement Equity Innovation Quality services Guiding principles

13. The Family Health Team Is a model designed to address the complex health needs in urban settings. 3 FHT (Each containing 8-12 members) lead by Health Facility- Health Post Linkage Officer. Each team have two sub-teams: one that goes to the community and another one that stays at the health center to provide service to the community members referred to the health center by the other team. Is composed of both clinical and public health professionals .

14. The Family Health Team Each team is supposed to be composed of: Two physicians/ health officers/BSc nurses, Two diploma nurses, Three to five urban health extension professionals and A team of other professionals (mental health nurses, environmental health specialists, and social professionals). The family health team participates in the p revention and control of common communicable diseases , including HIV , sexually transmitted diseases, tuberculosis, and hepatitis both at the health facility level and the community. Catagorization

15. FHT and CAG ቫይረሱ በደማቸው የሚገኝ የቤተሰብ አባላትን መለየትና የሕክምና አገልግሎት መጀመራቸውን በቤት ለቤት ጉብኝት ወቅት ማረጋገጥ በሕክምና ላይ ያሉትን ሰዎች ዝርዝር ከጤና ጣቢያ/ሆስፒታል ኤች አይ ቪ ፎካል ጋር በመሆን ለይቶ መያዝ በሕክምና ላይ ያሉትን በመኖሪያ አከባቢ መለየትና ፈቃደኛ የሆኑትን በቡድን /CAG/ ማደራጀት የሚያስፈልጋቸውን መድሃኒት ከ ጤና ጣቢያ/ሆስፒታል ማምጣትና ለተጠቃሚዎች መስጠት በሕክምና ላይ ላሉ ሰዎች በየጊዜው ክትትል ማድረግ መድሃኒት በትክክል እየወሰዱ መሆናቸውን የጤና ሁኔታቸውን

16. Monitoring and evaluation Aims To monitor the implementation of the UHEP. To inform planning. To promote evidence-informed decision-making.

17. M and E framework (Logic Model) INPUT: Trained HEPs, supplies, HEP implementation documents, finance, ambulance services, infrastructure, community participation Process: ensure availability of supplies, training HEPs, identifying and scaling up best practices, strengthening monitoring and evaluation, providing quality services, strengthening referral system, providing integrated services. OUTPUT: Improved skills of HEPs, standardized health care service guidelines and manuals, improved referral linkage. Outcome: Access and utilization of key health interventions improved. Impact: Create a healthy society. Create a community that is able to produce its own health

18. Thank You!