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Training, Supervision & Clinical Services

Achievements | Activities | Child Health

The DISH II Project supported the Ministry of Health (MOH) strategies on Child Health with a special focus on developing sustained technical and operational capacity within the 12 DISH II-supported districts and their health sub-districts to contribute to the reduction of infant and child mortality by the end of the project. Specifically, the objective was to work with the MOH, as well as with USAID cooperating agencies (especially BASICS and MOST) and other international partners (WHO, UNICEF, EDF) to:

  • Build district and health sub-district capacity for child health activities;
  • Improve the growth and development of children;
  • Reduce the frequency and severity of illness in children under five years of age; and
  • Reduce death among the under fives.

To review the complete Child Health Strategy, click here

Selected Interventions

  1. Home Based Management of Fever/Malaria: The project supported the distribution of pre-packaged anti-malaria for under-fives through community distributors in selected sub-county of Kamuli, assisted the Ministry of Health, WHO and UNICEF design a national communication strategy for malaria and to prepare and develop media materials.
  2. Immunisation: The DISH II Project assisted the MOH to develop and implement a communication strategy for revitalisation of routine immunisation including the addition of new vaccines against Hepatitis B and Haemophilus influenzae type b. DISH II also participated in a massive effort to orient all health workers about the additional vaccines during 5-day training courses. The project also worked with the district of Masaka to improve micro planning for immunisation outreaches and is supporting 10 districts to sensitise leaders about routine immunisation.

  3. Infant/Child Nutrition: In this category, the strategy focused on 4 main elements including exclusive breastfeeding for the first 6 months of life, complementary feeding from 6 months to 2 years, growth monitoring/promotion and Vitamin A supplementation. The DISH II Projected supports its 12 districts to implement these programs through various channels including printing materials,radio programs and spots, child health days, training for community based health workers to conduct growth monitoring and promotion, community drama, television spots and programmes. DISH II also worked hand in hand with the MOST Project and the Ministry of Health to introduce Vitamin A months every May and November, beginning in 2002.
  4. IMCI Case Management: There are three components of IMCI including: 1) improving health worker skills for managing sick children; 2) improving health facility support systems for child care and 3) the community and household component. The project supported the district in all three areas.

  5. Private Health Sector: When project evaluation surveys indicated that most parents use private health providers when their children are sick, the project turned its attention to developing an approach to orient private providers to the IMCI approach. In January and February 2002, the project assisted the MOH to pilot test a curriculum to help private providers discover their own strengths and weakness and define a plan of improvement. A copy of the training guide and guidelines for monitoring and documentation are below.