Steps

• Target population estimates, broken down by age group and Morbidity trends (NCD, communicable diseases, nutrition, immunization, ANC cases etc.)

• Names and locations of schools, and if possible, the approximate number of students enrolled in each school within the target age groups; or check with the teachers

• Health facility map as developed using the Community Mapping ‘How to Guide’.

• Available transportation in your clinic including potential sources for filling the gaps (Council)

• A detailed cold-chain inventory showing functional and non-functional equipment with respect to numbers, storage capacities and gaps.

• Number of staff needed, available and staffing gaps (Public health nurses, community volunteers, nurse aid)

• List of community leaders to proactively engage in social mobilization

• How many outreach sites, child health days, health promotion, home visits, etc.

• Identify all types of communities and groups such as disabled persons, women, elders, children and others (Annex 1)

• Understand relationships and inter-dependency among the communities

• Invite all types of communities and groups to the meetings and introduce the micro planning

• Conduct separate meetings for those who can’t participate in general meetings and introduce the micro planning and ensuring in meeting all communities without any exclusion, particularly marginalized (Please see ‘How to conduct a community dialogue’)

(Annex 4)

• Create lists and descriptions of hard-to-reach areas, and suggested strategies to reach them (this is critical as it is often these groups that are missed by the PHC programmes)

• Identify an at-risk populations based on the home visits register, attendance book and during clinic visits (Please see ‘How to identify at-risk Population’).

• Identification of areas with low immunization coverage, malnutrition cases, ANC, NCD, FP, TB, etc.

Analysis of PHC data includes:

• Vaccination coverage rates and dropout rates

• NCD cases with or without Cardiovascular risk level

• Exclusive breastfeeding rates of 0-5 months babies and adequate complementary feeding.

• Numbers of unvaccinated target population by health facility/community

• Key health and nutrition indicators of adolescents, women and children

• Service delivery strategies and results: frequency of fixed, outreach and other PHC services and results when compared to targets

• Management indicators: frequency of supportive supervision visits and monitoring/review meetings, presence of updated monitoring charts in health facilities

• PHC supply: frequency of PHC stock-outs, overstocks, and wastage rates

• Cold chain and logistics: health facilities without adequate cold chain, temperature monitoring, transport material, etc.

• Surveillance data: cases of vaccine preventable diseases (VPD’s), deaths, locations of epidemics

• Community involvement: frequency of review meetings with the community, presence of defaulter and newborn tracking, types of health education materials and activities, quality of health worker communications with communities and families

• List PHC objective and annual targets (DPNO to share the list aligned to National Health Strategic Plan)

• The program goal should be to reach all eligible populations with PHC services according to the RDP package of services related to your clinic.

See Annex 2 for template

• Problems should be prioritized based on the severity of the problems and the number of people suffering with that problem

• Ensure the prioritization of the problem for implementation because it is impossible to take up all the work at the same time.

• Committee members should engage with the community and facilitate the process of finding solutions

Effective micro-planning requires an accurate estimate of resource needs and a detailed budget. While estimating your resource needs, consider these questions:

• Can the activities be implemented with non- financial, in kind resources locally mobilized?.

• Are there ongoing activities that you can piggyback on at no additional financial cost?

• Were sufficient funds received last year and what was spent?

• Is funding expected next year?

• What resources are needed to implement the proposed activities?

• What resources are available for these activities and from whom?

• Are there any opportunities for sharing costs among other PHC services?

• How can financial resources required be generated within the community itself?

• Use the final questions to complete the budget template in the annex for your micro-plan;

o WHAT - What do we want to do?

o HOW – How are we going to do it?

o WHO – Who will be responsible?

o WHEN? – When will each step take place?

o WHERE? – Where will the action take place?

o COST? – What will it cost and where will the financing come from?

o FUNDING SOURCE? - Expected source of funding should specify rom the community itself, from the local authority and from external sources (specify names of individuals or institution)

• Be familiar with key coverage indicators

o Practice how to calculate

o Practice how to analyse indicators

• Be familiar with key tools to determine actions

• It’s also helpful to set up basic indicators for monitoring that are not included in the MS1 but crucial for implementation of activities to achieve indicators in MS1

• Share minutes with colleagues at the clinic and national office once they are finalized.

• Follow up and implement actions agreed upon during the meetings.

• Include actions taken, achievements and challenges in progress reports.