SOMLPforR

Saving One Million Lives Progammme for Results

The Saving One Million Lives Programme for Results (SOMLPforR) is a World Bank assisted Federal Government initiative aimed at strengthening States’ health systems through improvement in Maternal Child Health (MCH) indicators. These indicators include but not limited to Immunization, Nutrition/Vitamin A Supplementation, Use of Long-Lasting Insecticide Treated Nets, Elimination of Mother to Child Transmission of HIV, Use of modern contraceptive methods and Skilled Birth Attendance.

The Federal Government and the States through the respective Ministries of Health and the State Primary Health Care Development Agencies can by various means at their disposal, influence the uptake/utilization of these and other services at the primary health care level by members of the community and ensure also that the services are of good quality.

Being a results-based intervention, States are encouraged to invest in activities that ensure healthy outcomes for mothers and children and are rewarded for good performances measured by specific qualitative and quantitative indicators. Funds earned are re-invested to ensure better health outcomes.

Rationale/Sectoral and Institutional Context for the programme are as follows:

  • About 900,000 mothers and children die annually in Nigeria with Nigeria contributing Substantially to Global Under-Five and Maternal Mortality.
  • Low Quality of Care.
  • Accountability Mechanisms are Weak.
  • Limited Progress on Health Service Delivery.

SOMLPforR in Rivers State

Management Structure

The programme is supervised by the Programme Steering Committee headed by the Honourable Commissioner, Rivers State Ministry of Health and comprising of stakeholders from the Ministries of Health and Finance, the Rivers State Primary Health Care Management Board, Development Partners and Professional Groups.

The Program Management Unit (PMU) is in charge of the day-to-day implementation of SOMLPforR and responsible for the coordination of SOML activities in the State through a “Technical Consultative Group” chaired by the Permanent Secretary, Rivers State Ministry of Health. The PMU is headed by the State Program Manager. The PMU is domiciled in the department of planning, research, and statistics of the Rivers State Ministry of Health.

Achievements of Rivers State SOMLPforR from 2017 till date:

With the first seed money given to all 36 States plus Federal Capital Territory, investment was made select intervention which yielded measurable results.

S/N INTERVENTIONS/PERFORMANCE 2015 2018
1 PENTA 3 67.7 82.6
2 MALARIA (LLINs) 29.0 24.1
3 CONTRACEPTIVE PREVALENCE RATE/FAMILY PLANNING 20.3 27.4
4 SKILLED BIRTH ATTENDANCE 81.6 52.7
5 VITAMIN A/NUTRITION 54.8 60.1
6 EMTCT/HIV 50.7 48.0

Further earnings have been invested smartly as follows:

IMMUNIZATION

  • Logistics support for routine immunization activities (PUSH of vaccines).
  • Logistics support for Outreach activities
  • Sponsorship of Ward Development Committees
  • Maintenance/repair of Cold Chain Equipment
  • Training/Capacity Development of health care providers

VITAMIN A/NUTRITION

  • Funding of Maternal and Child Health Weeks since 2016
  • Capacity development of State/LGA/Facility staff

EMTCT

  • Procurement and distribution of 1st, 2nd and 3rd line HIV Test Kits for Elimination of Mother To Child Transmission of HIV
  • Funding for Capacity Development training for Volunteer testers
  • Funding support for Advocacy activities
  • Funding support for World AIDS Days commemoration
  • The orientation of Traditional Birth Attendants on the importance of HIV Testing for pregnant women

MALARIA

  • Procurement and distribution of Long-Lasting Insecticide-treated Nets (LLINs)
  • Providing Incentives for children who sleep under LLINs
  • Funding support for Advocacy and Community Mobilization activities
  • Monitoring/Spot checks on use of LLINs

FAMILY PLANNING

  • Procurement and distribution of Family Planning Consumables
  • Logistics support for distribution of Family Planning Commodities
  • Funding support for Advocacy and Community Mobilization activities

SKILLED BIRTH ATTENDANCE

  • Procurement and distribution of MAMA Packs to encourage Health Facility delivery
  • Funding of IPC Agents/Community Influencers

SOCIAL/COMMUNITY MOBILIZATION

  • Community mobilization and advocacy
  • Funding for media messages/activities
  • Procurement and distribution of Information Education Communication (IEC) materials (Posters, flyers, banners with health information)

QUALITY OF CARE

  • Procurement and distribution of Basic Medical Equipment to PHCs and SHFs
  • Procurement and distribution of Maternal and Child Health Equipment
  • Training of Frontline Health Workers on IMCI Guidelines
  • Implementation of quarterly Integrated Supportive Supervision (ISS) of Health Facilities
  • Procurement of essential drugs

MONITORING & EVALUATION

  • Funding of Data Collection activities including printing of tools
  • Funding of Lots Quality Assessments
  • Funding for Data Quality improvement activities
  • Use of Innovation/Technology for monitoring mechanisms for routine and non-routine PHC and SOML Programmes (eg use of ODK phones, computers, etc)
  • Implementation of quarterly Integrated Supportive Supervision (ISS) of Health Facilities
  • Implementation of Impact Assessment of PHC interventions among households in the communities

HYGIENE & WASTE MANAGEMENT

  • Revitalization of State Incinerator
  • Procurement of Colour-Coded Bins for select PHCs
  • Installation of Hand Washing points in 200 low resource settings
  • Procurement of Soap, Bleach and Hand Sanitizers

HEALTH SYSTEM STRENGTHENING & ACCOUNTABILITY MECHANISMS

  • Implementation of quarterly Integrated Supportive Supervision (ISS) of Primary and Secondary Health Facilities
  • Implementation of Impact Assessment of PHC interventions among households in the communities
  • Capacity Development and Training of Frontline Health Workers on IMCI Guidelines
  • Support of Supply Chain and Logistics of Public Health Commodities in the State
  • Support/funding of stakeholder meetings and participation in PHC activities and programmes
  • Installation of signposts in select PHCs
  • Produce and print price list for PHCs
  • Produce and print Standard Operating Procedures (SOPs) for PHCs
  • Hosting of Technical Consultative Group and Program Steering Committee meetings as required
  • Hosting of Workplan Development Retreat as required.
  • Repairs/maintenance of ambulances and mobile hospital trucks (GMC)

GOING FORWARD

Rivers State SOMLPforR is relentless in its mission to ensure the achievements of SOML objectives and mandate by continued investment in result-oriented activities and programmes guided by data from the field and best practices in health. Yearly work plans that address the SOML-specific gaps and needs identified are developed with performance constantly appraised and constantly reviewed.

Quick Contact

  • Address Block 'A', 2nd Floor, State Secretariat Complex, Ministry of Health, Port Harcourt, Rivers State.
  • Phone 888-123-4567 / 888-321-7654