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EU.2001.A.33.E

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EU.2001.A.33.E Powered By Docstoc
					Tacis - North West Health Replication Project




                        Logframe on "Strengthening Prevention of Infant Mortality in Kaliningrad Region"
                                              Intervention logic                                Indicators                       Risks & Assumptions
  Objective                 D   To strengthen prevention of infant mortality
  Result 1                 D.1 The prenatal diagnosis is strengthened (12/02)
  Activities              D.1.1 Analyse organisation of the prenatal          Analytic report                               expert available
                                diagnosis in Kaliningrad region (03/02)
                          D.1.2 Write Regional goal oriented programme        Program available and approved by             Lack of fundin by regional
                                "Organization of the Centre of Prenatal       regional legislative administration           assembly
                                Diagnostics" (located in the Regional Family
                                Planning Centre) (06/02-08/02)
                          D.1.3 Make recommendation on Establishment of a Members for the council are selected and          Lack of committment of
                                council for decisions on medical abortions    the council is functional, the members are    council members
                                (03/02)                                       aquaintant with ToR
                          D.1.4 Make recommendation on development of         Standards are developed and approved by       lack of commitment of the
                                regional standards for testing of biochemical the Regional Department of Health (RDoH)      family planning centre
                                markers during pregnancy (03/02)

                          D.1.5 Make recommendation on including these      65% of institutions use the markers             lack of commitment
                                markers in MoMax (minimal median shifting)
                                (03/02)
                          D.1.6 Introduce the application of new markers to 1 seminar carried out, 96 physicians are        High motivation of the family
                                the prenatal specialists (12/02)            trainedmarkers are distributed to the           planning centre
                                                                            specialists
                          D.1.7 to print and distribute standards for       96 physicians received the standards            no
                                biomedical markers (11/02-12/02)
                          D.1.8 Make recommendation on introduction of      Ultra-sound data is standardised and 50%        Lack of adequate technical
                                standards for ultra-sound examinations in   of existing institutions use the standard       equipment
                                pregnant women (03/02)                      testing method, 1 seminar is carried out

                          D.1.9 Make recommendation on establishment of         Decree on the newly established position is Suitable candidate is
                                the position of chief specialist for prenatal   available and a chief specialist nominated available
                                diagnosis and nominate appropriate
                                candidate (03/02)



2nd Progress Report prepared by EPOS Health Consultants, July 2002                                                                                  Page 1 of 4
Tacis - North West Health Replication Project




                         D.1.10 Organise the participation of a chief              chief specialist for prenatal diagnosis    time commitment
                                specialist at a conference for prenatal            participates a conference in Astrakhan,
                                diagnosis in Astrachan (05/02)                     Report on Conference is available
                         D.1.11 Make recomendation on nomination                   Order by the RDoH is avalable and the 22   Lack of the specialist in the
                                responsible specialists for prenatal diagnosis     specialists are nominated                  region
                                in every municipality (03/12)
                         D.1.12 Provide training for responsible specialists for   22 specialists are trained                 time commitment
                                prenatal diagnostics on organisation of the
                                prenatal diagnostics (10/02; 11/02)
                         D.1.13 Provide training for specialists on ultra-sound    32 physicians are trained                  time commitment
                                diagnosis of congenital disorders (03/02)

                         D.1.14 Provide training for gynaecologists on cardio- 32 physicians are trained                      time commitment
                                monitoring of embryos during pregnancy
                                (09/12)
  Result 2                D.2 The professional skills of gynaecologists at secondary level are improved (11/02)
  Activities             D.2.1 Analyse training needs (07/02-08/02)            Training needs are defined                 lack of co-ordination of the
                                                                                                                          New Born Houses
                          D.2.2    Develop a training programme (08/02-09/02) Curricula/training programme is available lack of co-ordination of the
                                                                                                                          New Born Houses
                          D.2.3    Identify trainers (09/02)                    5 trainers are selected                   lack of co-ordination of the
                                                                                                                          New Born Houses
                          D.2.4    Select specialists to be trained (09/02)     A minimum of 10 specialists are selected lack of co-ordination of the
                                                                                for training                              New Born Houses
                          D.2.5    Conduct and evaluate training (10/02-11/02) A minimum of 10 specialist are trained and lack of co-ordination of the
                                                                                evaluation report is available            New Born Houses
  Result 3                 D.3     The professional skills of feldshers at the primary level are improved (02/03)
  Activities              D.3.1    Analyse training needs (05/02)               Training needs are defined                no
                          D.3.2    Develop a training programme (05/02)         Curricula/training programme is available no

                          D.3.3 Identify trainers (05/02)                          10 trainers are selected                   trainers available
                          D.3.4 Conduct and evaluate training (06/02-10/02)        All 220 feldshers are trained and          lack of commitment of
                                                                                   evaluation reports are available           districts' main physichians



2nd Progress Report prepared by EPOS Health Consultants, July 2002                                                                                    Page 2 of 4
Tacis - North West Health Replication Project




                          D.3.5 Write recommendations for the feldshers                                                  no
                                (06/02-09/02)
                          D.3.6 Print recommendations (10/02-12/02)            300 recommendations are printed           lack of funding
                          D.3.7 Distribute recommedations among feldshers 220 feldshers received recommendations no
                                and polyclinics (01/03-02/03)
  Result 4                 D.4 Pofessional Skills of Pediatricians working with new borns and infants are improved (07/02)
  Activities              D.4.1 Carry out a two weeks' seminar on              22 Pediatrics participated                time commitment
                                improvment of medical services for one years
                                old children (06/02-07/02)
                          D.4.2 to participate Conference on Infant Surgery 15 Pediatrics participated                   time commitment
                                and Orthopedics (05/02)
  Result 5                 D.5 Public information on issues of reproductive health and family planning are improved (02/03)
  Activities              D.5.1 Publish articles on reproductive health in the A minimum of 5 publications in the mass   Lack of journalists' motivation
                                mass media (09/02-01/03)                       media on the topic of reproductive health

                          D.5.2 Select suitable promotion material on          4 leaftlets selected (hypertension, nutrition, A choice of promotion
                                reproductive health from completed projects    physical activity, STD prevention in           material is available
                                (06/02)                                        pregnancy)
                          D.5.3 Reprint a selection of promotion material      4000 leaflets printed                          Promotion material on
                                (09/02-01/03)                                                                                 reproductive health is
                                                                                                                              available
                          D.5.4 Disseminate promotion material (02/03)         4000 leaflets disseminated                     Promotion material is
                                                                                                                              available with all major
                                                                                                                              institutions involved in
                                                                                                                              reproductive health




2nd Progress Report prepared by EPOS Health Consultants, July 2002                                                                                       Page 3 of 4
Tacis - North West Health Replication Project




  Result 6                 D.6     The co-ordination of regional health care facilities active in the field of reproductive health and prevention is
                                   strengthened (03/03)
  Activities              D.6.1 Provide an overview with facilities active in   A scheme with health care facilities active   lack of motivation of heads of
                                the area of reproductice health (06/02)         in the area of reproductive health is         health care facilities active in
                                                                                available                                     the field of reproductive
                                                                                                                              health
                          D.6.2 Analyse the co-ordination activities between    Analytic report                               lack of motivation of heads of
                                these institutions (06/02)                                                                    health care facilities active in
                                                                                                                              the field of reproductive
                                                                                                                              health
                          D.6.3 Make recommendations for nomination of co- The coordinators are nominated, ToR are            lack of motivation of heads of
                                ordinators in medical institution working in the writen and approved                          health care facilities active in
                                field of reproductive health (06/02)                                                          the field of reproductive
                                                                                                                              health
                          D.6.4 Make recommendations for the improvment         Recommendations are submitted to the          lack of motivation of heads of
                                of co-ordination activities between selected    RDoH                                          health care facilities active in
                                institutions (09/02)                                                                          the field of reproductive
                                                                                                                              health
                          D.6.5 Organise regular meetings between the           Monthly meetings are held, protocols          Institutions are motivated to
                                institutions (09/02-03/03)                      available                                     improve interaction




2nd Progress Report prepared by EPOS Health Consultants, July 2002                                                                                     Page 4 of 4

				
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