Data to Action The CHAMPS Journey

Submitted by bjibendi on Sat, 02/27/2021 - 10:17

Data to action is the last action point of the CHAMPS Journey. It is to use the CHAMPS data for its intended use at family, community, health facility, local and regional health offices, national and international policy and advocacy in preventing avoidable death and promoting child health in sub-Sahara and south-east Asian countries.  In the following table the CHAMPS Ethiopia data to action key points are stipulated

DTA Plan objectives

D2A Opportunity - CHAMPS findings / DeCoDe Recommendations

Root Cause(s)

Level of Targeted Action

Potential Partner/Responsible Party

Funding Consideration

Sepsis & Meningitis is one of the top causes of death among our Decoded cases

Family & Community: Failure to identify sick babies and visit health facilities at the right time.

Facility:   failure to identify symptomatic cases at lower HF level, inappropriate referral system, lack of appropriate confirmatory diagnosis tool to identify cases and initiate treatment at the right time, unhygienic delivery, lack of proper IPC

Family, community and facility level

CHAMPS site, community leaders, HEWs, health centres and hospital level action at the NICU & pediatrics, EPHI.

One-time funding from Gates foundation

  1. With EPHI: meningitis surveillance at Hiwot Fana hospital
  2. With EPHI: Generating and sharing knowledge of meningitis from the existing meningitis surveillance data at EPHI
  3. Study on carriage of N meningitidis
  4. Capacity building: PhD and MSc program focusing in meningitis/sepsis

Abruption placentae being the main maternal factor contributing to intrauterine asphyxia and stillbirths

Lack of identification and/or follow-up of preeclampsia in pregnant mothers at ANC.

Pregnant women seeking behavior

Inappropriate intrapartum obstetric management at hospital

Facility, community and individual level through PS

CHAMPS site, MoH, HF hospital, HCs and HEWs

EMBEDED IN CHAMPS ACTIVITIES

  1. Site immediate action as we return results to the family,
  2. Regular check up with HEW
  3. Technical briefing developed and provided to lower level health professionals
  4. Hospital case study session with maternity staff
  5. Data sharing with EPHI and MoH

Deaths under reported through the hospital system compared to CHAMPS

Failure to document and report by hospital staff

Different criteria to report deaths

Facility

CHAMPS site and HF hospital HMIS (data quality department) and staff at NICU, maternity and pediatrics

EMBEDED IN CHAMPS ACTIVITIES

  1. An informative session with all hospital management and data quality unit and unit heads
  2. Sharing CHAMPS unit data monthly with unit heads
  3. Share CHAMPS data with HMIS quarterly
  4. Case study to be published

High proportion of Neural tube defect among Decoded cases  

Maternal folic acid deficiency

 Policy level

Community

CHAMPS site,  MoH, EPHI and community leaders, families.

EMBEDED IN CHAMPS ACTIVITIES

  1. Provide evidence of the burden of NTDs at MoH and EPHI and promote food fortification of folic acid
  2. Promotion of good diet and folic acid supplementation for women expecting pregnancies

APPLYING FOR FUTURE GRANTS

  1. Implementation research on producing seeds and seedling rich in folic acid to be distributed in Kersa and Haramaya DSS

Malnutrition the main underling cause for most of children out of neonatal period

Lack of exclusive breast feeding, lack of adequate weaning diet, lack of community knowledge on proper child nutrition, inappropriate follow-up of SAM & MAM.

At home, community and facility level

CHAMPS site and community leaders, HEWs, HCs, MoH, NGOs (Care, Goal), HU-Agriculture department

EMBEDED IN CHAMPS ACTIVITIES

  1. Health Education sessions with community (HCs and hospital) and leaflet distribution
  2. Research and case study on community perception on malnutrition to be published

COLLABORATION WITH NGOs

  1. Food demonstration activities for villagers

COLLABORATION WITH HU-Agriculture

  1. Provided Fortified seeds & seedling to affected families

APPLYING FOR FUTURE GRANTS

  1. Promoting homestead agriculture to improve Maternal and Child nutrition

Vaccine preventable diseases are one of the leading cause of child death over neonatal period

Failure to initiate and complete childhood vaccines (community and health system barriers)

Household Community and facility level

 CHAMPS site and MOH

EMBEDED IN CHAMPS ACTIVITIES

  1. Radio session and TfD on VPDs
  2. Case study on VPDs

APPLYING FOR FUTURE GRANTS

  1. Research on community and health system barriers to vaccinate children, quality of vaccines
  2. Research on vaccination coverage-serosurvey
  3. Improve site capacity to attract vaccine clinical trials

Multi drug resistant K pneumonia in neonates dying at NICU of HF

Lack of proper IPC

Failure identifying pathogens causing sepsis

Inappropriate microbiology facilities at hospital level

Inappropriate antimicrobial policy – no stewardship program

Facility

CHAMPS site, HF hospital, EPHI, MoH

EMBEDED IN CHAMPS ACTIVITIES

  1. Swabbing NICU and data sharing with hospital stakeholders
  2. Punctual support IPC implementation at NICU
  3. Offering CHAMPs lab to do BC for cases with suspicion of sepsis

DATA-TO-ACTION GRANT (BMGF)

  1. K pneumonia meningitis cases

MBIRA (BMGF-LSHTM-separated grant)

  1. Identify sepsis due to K pneumonia
  2. Identify AMR and associated mortality to <15 years old admitted children at HF