Operationalizing One Health in pastoralist settings One Health for Humans, Environment, Animals and Livelihood Module 3: Practice of One Health in HEAL sites HEAL Standard Operation Procedure Welcome to Day 2 Video Your facilitator will play a video Video 2: One Health for Humans, Environment, Animals and Livelihoods (OH4HEAL) https://www.youtube.com/watch?v=MBQuVh5mHfM Re-cap Day 1 Reflection Write down your key lessons from yesterday Be prepared to share your responses in plenary 30 minutes MSIP and OHTF in depth; OHU services, procurement and financing; and other elements Intended learning outcomes By the end of today, you will be able to: describe the composition of the MSIP and OHTF and their different roles and responsibilities; guide the process of establishing and maintaining MSIPs and OHTFs in intervention areas; describe the role of HEAL partners with respect to MSIP and OHTF; identify the sector-specific and cross-cutting services provided by OHUs in intervention areas; describe guiding principles and processes for procuring pharmaceutical products and medical equipment; Intended learning outcomes (continued) describe current and expected future contributions of the project, government and community to sustainably financing OHUs; describe the roles and responsibilities of the CBON; discuss the process of establishing and maintaining CBON; describe the roles and responsibilities of CRHWs; and discuss the process of establishing and maintaining CRHWs Topics The following chapters of the SOP are covered in this session: Chapter 4: Multi-stakeholder Innovation Platform (MSIP) Chapter 5: One Health Task Force (OHTF) Chapter 6: Operationalising the integrated health service delivery model Annex 1: Community-based Observation Network Annex 2: Community Rangeland Health Workers Multi-stakeholder innovation platform (MSIP) in depth Study circle Your facilitator will: Divide you into 3 groups of people from different sectors Distribute definitions in the HEAL SOP In groups: Study the topics assigned, enriching them with your HEAL project implementation experience Record your understanding/interpretation/experience of the topics on flipcharts Be ready to teach others what you learned in plenary 60 minutes Multi-stakeholder Innovation Platform (MSIP) in depth Group 1 Group 2 Group 3 Composition (4.2) Dedicated roles (4.2.1) Roles and responsibilities (4.5) Roles of HEAL partners (4.6) Establishment (4.3) Maintenance (4.4) MEAL indicators (4.7) What is the composition of the MSIP? What are the dedicated MSIP roles? Do similar groups already exist in this area which could form the basis of an MSIP? What are the roles and responsibilities of MSIPs? Do you foresee any challenges with MSIPs discharging these responsibilities? How could these challenges be addressed? What is the role of HEAL partners with respect to MSIPs? How are MSIPs established? What steps are followed? What is the frequency of MSIP meetings and what are the guiding agenda of the meetings? What challenges could be faced in the establishment and maintenance of an MSIP in your area? How could these challenges be addressed? 60 minutes Multi-stakeholder Innovation Platform (MSIP) Plays a key role in designing, implementing and monitoring OHUs Meets monthly to analyze health-related problems, discuss data, and collectively identify solutions COMMUNITY-BASED PLATFORM comprising: Local and religious leaders Service providers Traditional healers Teachers/educators Women representative Youth representative Businessmen/women MSIP One Health Taskforce (OHTF) in depth Study circle Your facilitator will: Divide you into 3 groups of people from different sectors Distribute definitions in the HEAL SOP In groups: Study the topics assigned, enriching them with your HEAL project implementation experience Record your understanding/interpretation/experience of the topics on flipcharts Be ready to teach others what you learned in plenary 60 minutes One Health Taskforce (OHTF) in depth Group 1 Group 2 Group 3 Composition (5.2) Dedicated roles (5.2.1) Roles and responsibilities (5.5) Roles of HEAL partners (5.6) Establishment (5.3) Maintenance (5.4) MEAL indicators (4.7) What is the composition of the OHTF? What are the dedicated OHTF roles? Do similar groups already exist in this area which could form the basis of an OHTF? What are the roles and responsibilities of OHTFs? Do you foresee any challenges with OHTFs discharging these responsibilities? How could these challenges be addressed? What is the role of HEAL partners with respect to OHTFs? How are OHTFs established? What steps are followed? What is the frequency of OHTF meetings and what are the guiding agenda of the meetings? What challenges could be faced in the establishment and maintenance of an OHTF in your area? How could these challenges be addressed? 60 minutes One Health Taskforce (OHTF) Provides overall steering and support by: Appointing and supervising staff Providing supplies Maintaining relationship with community Addressing challenges GOVERNMENT PLATFORM comprising: Health department Livestock department Agriculture department NRM department District administration OHTF Study circle Your facilitator will: Divide you into 4 groups of people from different sectors Distribute topics in the HEAL SOP In groups: Study the topics assigned Revisit the flip charts developed yesterday and: Strike through any services that are not provided by the OHU Add any additional services provided by the OHU on a sticky note Services delivered by the OHU Group 1 Group 2 Group 3 Group 4 Human health services (6.1.1) Animal health services (6.1.2) Rangeland health services (6.1.3) Cross-cutting services (6.1.4)   30 minutes Services delivered by the OHU CROSS-CUTTING SERVICES COMMUNICATION COLLABORATION COORDINATION CAPACITY BUILDING ANIMAL HEALTH HUMAN HEALTH RANGELAND HEALTH HUMAN HEALTH Antenatal care Postnatal care Family planning Growth monitoring Nutrition screening Medical consultations ANIMAL HEALTH Disease surveillance Vaccination Disease treatment Animal husbandry Animal products CROSS-CUTTING SERVICES Environmental health WASH, waste management, plastic removal Capacity building Education & awareness, gender integration Data driven decision making Community based observation network, MEAL Outbreak response RANGELAND HEALTH Grazing management Rangeland restoration 16 Procurement and financing Study circle Your facilitator will: Divide you into 4 groups of people from different sectors Distribute definitions in the HEAL SOP In groups: Study the topics assigned, enriching them with your HEAL project implementation experience Record your understanding/interpretation/experience of the topics on flipcharts Be ready to teach others what you learned in plenary 60 minutes Procurement and financing Group 1 Group 2 Group 3 Group 4 Logistics, resources management and procurement (6.3) Pharmaceutical products (6.3.1) Logistics, resources management and procurement (6.3) Medical equipment (6.3.2) Project contribution (6.4.1) Government contribution (6.4.2) Community contributions (6.4.3) Insurance schemes (6.4.4)   Who is responsible for procurement and distribution of animal and human health supplies? Why is this important? What principles guide the procurement of pharmaceutical products? How do they align with the guiding principles discussed on Day 1? What role do HEAL partners play in the procurement of animal and human health supplies? What principles guide the procurement of medical equipment? How do they align with the guiding principles discussed on Day 1? In what ways does the HEAL project contribute to the integrated health service delivery model? Is this sustainable? In what was does the government contribute to the integrated health service delivery model? How is this expected to change over time? In what ways do communities contribute to the integrated health service delivery model? How is this expected to change over time? What insurance schemes are expected to contribute to the integrated health service delivery model? Are these available in this area? 60 minutes Logistics and resources management OHU will align and integrate with the supply chain present in each country Different arrangements in each country: OHU supplies are procured by local authority with OHU team responsible for stock records and onward movements. Local authority manages stock outs HEAL may support supply chain system to function without interruption when the country faces procurement issues (e.g. training, supportive supervision) Financing Government contribution Community contribution Time Project/donor contribution $ As OHUs become the preferred model for service delivery in pastoralist areas, government and community investment is expected to increase to ensure sustainable financing. Other elements CBON 1 CBON 2 CRHW 1 CRHW 2 Establishment of CBON Roles and responsibilities of CBON Maintenance of CBON Roles of HEAL partners Establishment of CRHWs Maintenance of CRHWs Roles and responsibilities of CRHWs Roles of HEAL partners How are CBON’s established? What steps are followed? Do you foresee any challenges with establishing a CBON in this area? How might these challenges be overcome? What are the roles and responsibilities of the CBON? How are CBON’s maintained? What steps are followed? Do you foresee any challenges with maintaining a CBON in this area? How might these challenges be overcome? What is the role of HEAL partners and TRiM with respect to the CBON? How are CRHWs established and maintained? What steps are followed? Do you foresee any challenges with establishing and maintaining CRHWs in this area? How might these challenges be overcome? What are the roles and responsibilities of CRHWs? What is the role of HEAL partners with respect to CRHWs? 60 minutes Summary of key points Management and governance is a shared responsibility of the community (through the MSIPs) and the local government (through the OHTF) OHTF appoints 3 coordinators (from animal, environment, and human health) who will be responsible for the day-to-day management of the OHUs Communities nominate 5 members of the MSIP to be contact persons for OHU coordinators OHUs provide both sector-specific and cross-cutting services Summary of key points Government and community contributions are central to maintaining the quality of services and sustainability of the OHUs beyond the project duration HEAL will support/promote existing mechanisms and insurance schemes e.g., Community-Based Health Insurance (CBHI) Co-payments and cost sharing by individuals Action plan Small group discussion In groups by woreda/district: Make action plans to apply the training Record your discussion on a flipchart Place flip chart on wall Be prepared to review and vote on the best action plan 15 minutes Evaluation Your facilitator will distribute two forms: Post-training evaluation – measures the level of learning achievement relative to the baseline you completed on day 1 End-of-training survey – gathers participant feedback on the relevance, effectiveness of the content and training process Both forms are anonymous and will help us improve the training 5 minutes Thank you for your active participation አመሰግናለሁ mahadsanid galatoomaa asante merci danke grazie image4.png image5.png image6.png image7.png image8.png image10.png image11.svg image12.png image13.png image14.svg image15.png image16.svg image17.png image18.svg image22.png image23.png image19.png image20.png image21.png image1.png image2.png image3.png