FIXED AMOUNT REIMBURSEMENT AGREEMENT (FARA) V2.0: VERIFICATION REPORT QUARTER II OF YEAR TWO (October-December 2017) Draft: May 8, 2018 This publication was produced for review by the United States Agency for International Development. It was prepared by Social Impact, Inc.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
FIXED AMOUNT REIMBURSEMENT AGREEMENT
(FARA) V2.0: VERIFICATION REPORT
QUARTER II OF YEAR TWO
(October-December 2017)
Draft: May 8, 2018
This publication was produced for review by the United States Agency for International Development.
It was prepared by Social Impact, Inc.
i
Contents ACRONYMS ........................................................................................................................................... ii
EXECUTIVE SUMMARY ........................................................................................................................ iii
Means of Verification Persons to interview Questions and documents to
ask and collect at central
level
Questions at County and Facility Level
Verification # 1:
Updated RMP that
includes any applicable
audit findings and
mitigating measure from
the FY16/FY17 FARA
EPHS Contracts with
Bong, Lofa and Nimba
Counties
Central Level
a) FARA Compliance
Officer
b) FARA Accountant
County Level
a) County Accountant
b) CHSA
Was there any audit (internal or
external) conducted during year
one (FY2016/2017) of the
project?
What were some of the key
findings and recommendations
from the RMP review report?
What are the risk detection
mitigation procedure in place to
control project assets?
The mitigation procedure been
enforced.
Has there been a follow-up visit
to the counties to verify or do
spot check?
Does MOH/FARA conduct a
regular Fixed Asset review at the
central and county levels?
How useful are mitigation
measures to your system?
Was there any audit (internal or external) conducted
during year one (FY2016/2017) of the project?
What were some of the key findings of the RMP
review?
What were some of the measures put in place to
resolve those review findings?
How useful are those measures to your County?
What is missing that needs to be included in the future
review of this document?
10
Means of Verification Persons to interview Questions and documents to
ask and collect at central
level
Questions at County and Facility Level
Verification #8:
Generate PBF
Scorecard for Service
Delivery, including
evidence of timely
calculation and payment
of Service Delivery
incentives to facilities and
healthcare workers, per
the PBF Manual
Provide evidence of
timely payment of NGO
and CHT PBF
Administrative incentives
(for the previous two
quarters), in compliance
with PBF manual
Central Level
a) Performance Based
Financing Unit
b) FARA Accountant
c) IRC & Africare
County Level
d) PBF/FARA Focal
person
e) M&E
f) IRC & Africare
Health Facility Level
a) OIC
Were bonuses given for the
period under review?
Who benefit from the bonus
payment?
How are they calculated? What
does the manual say about
timely payment of bonus
(schedule)?
May we see the documents for
the quarter? (NGOs and the
administrative bonus)
When were the calculation of
those bonuses was made and
what were the precise dates of
payment for the period under
review?
Were bonuses given for the period under review?
Are bonuses given to deserving staff as required in
your County/Facility?
Do you have a copy of the PBFM?
Are the staff of this County/Facility aware of how their
bonuses are calculated?
Did you receive your bonuses for the period under
review as required in the manual?
Were the calculations properly done as you expected?
What are your doubts and how would you like to see
it done during the next quarter?
Verification #9: Receipt
of iHRIS Reports from
MOH containing a list of
at least 33 Reproductive
Health Supervisors from
Bong, Lofa and Nimba,
who received two-week
training on EmONC, with
a focus on hemorrhage,
sepsis, helping baby’s
breath and asphyxia, and
chlorhexidine,
Central Level
a) iHRIS
Manager/Personnel
unit
b) Training Director
c) Family Health
Director
d) IR & Africare
County Level
a) HR Manager
b) IRC & Africare
c) RH Supervisors
Were in-service trainings
conducted for the period under
review on EmONC?
Is there a training report that
entails a list of trainings
conducted, persons that
attended the trainings and dates
of trainings?
What is the total number of staff
you have trained in EmONC this
quarter?
How many in-service trainings were conducted for the
period under review?
Were in-service trainings conducted for the period
under review on EmONC?
Did any of the staff from the county/Facility participate
in the EONC trainings?
How long was the conducted for?
Were handouts/training manuals given?
How useful was the trainings to those that
participated?
What were some other benefits gained from the
trainings?
Have those skills acquired been fully utilized?
11
Means of Verification Persons to interview Questions and documents to
ask and collect at central
level
Questions at County and Facility Level
countersigned by CHTs
and NGOs.
.
May we have both hard and
electronic copies of the trainings
reports?
How were training participants selected?
How would you like the selection process to be done
next time?
Is there any other contribution on the way forward
regarding future trainings?
Verification #10: Bi-
annual EPHS Joint
Integrated Supportive
Supervision (JISS)
Report for Bong, Lofa
and Nimba – in
coordination with the
CHTs and NGOs—to
include:
a. Monitoring and
supportive supervision
visits to 25% of health
facilities in each county,
with an emphasis on
RMNCHA/FP, WASH
and Malaria
b. Documentation and
resolution of major
challenges of a County or
cross cutting issues
affecting multiple
Counties in the
implementation of the
EPHS
County Level
a) County M&E Officers
b) IPs M&E Officers
c) Clinical Supervisors
d) Reproductive Health
Supervisors
Facility Level
a. OIC
Did the CHT conduct 25% of
HFs quarterly JISS during
quarter? … request for the report Check for achievements,
successes and challenges
identified in those reports.
Has there been a joint integrated
Supportive Supervision done for
the quarter under review by the
CHT?
What were the challenges/issues
that the JISS addressed regarding
the implementation of EPHS for
the quarter under review? ......
request for the completed tool/report What have been some of the
challenges identified?
Has there been a joint integrated Supportive
Supervision done for the quarter under review by the
CHT?
What were the challenges/issues that the JISS
addressed regarding the implementation of EPHS for
the quarter under review? ...... request for the completed tool/report Check for achievements, successes, and challenges identified in those reports What have been some of the challenges identified?
Verification #15: Quarter 2 Report outlining
progress to accelerate focused RMNCHA/FP outcomes in
Central Level Is FARA quarter two
(October to December)
Is FARA quarter one
(October to December)
12
Means of Verification Persons to interview Questions and documents to
ask and collect at central
level
Questions at County and Facility Level
Bong, Grand Bassa, Lofa, Margibi, Montserrado and
Nimba, against the achievement of the following:
a) Analysis of all Maternal and Newborn Death
Reports and Reviews, conducted as per Ministry
policy and protocols, and evidence of follow up
b) Report on district contraceptive outreach days
conducted in each district for that quarter,
indicating the number of beneficiaries reached per
district population
c) $5 weekend bonus for midwives or healthcare
worker that keep at least 190 facilities open and
operational over the weekend to assist with
facility-based delivery
d) Adolescent health services protocols developed,
and standards finalized
a) Family Health Division
Director
b) PBF Manager
c) M&E Officer
County Level
a) Reproductive Health
Supervisor
b) IP County Managers
c) M&E Officers
d) Clinical
Supervisors/Surveillance
Officers
Facility Level
a) OIC
report available outlining
progress to accelerate
focused RMNCHA/FP
outcomes at county
levels? … request for the report
• Check for the
analysis of all
maternal and
newborn
deaths?
• Check on
timeliness of
reviews
conducted for
maternal and
newborn deaths
• Request for
updated version
of the protocol
Is there a contraceptive
outreach report
available for the quarter
under review? …request for the report
• Check for the
number of
outreach
report available outlining
progress to accelerate
focused RMNCHA/FP
outcomes at county levels?
… request for the report
• Check for the
analysis of all
maternal and
newborn deaths?
• Check on timeliness
of reviews
conducted for
maternal and
newborn deaths
• Request for
updated version of
the protocol
Is there a contraceptive
outreach report available
for the quarter under
review? …request for the report
• Check for the
number of outreach
conducted and the
number district
reached?
13
Means of Verification Persons to interview Questions and documents to
ask and collect at central
level
Questions at County and Facility Level
conducted and
the number
district reached?
Have facility staff
members (midwives)
been paid for weekend
deliveries for the
quarter under review?
How many districts
benefited from the
weekend delivery
payment for the quarter
under review per
county? [request for the report]
Has the Adolescent
health services protocol
been developed and
finalized?
Request for updated version of the protocol
Have facility staff members
(midwives) been paid for
weekend deliveries for the
quarter under review?
a) Is the payment
made per delivery
or number of staff
that attend the
delivery?
How many facilities
benefited from the
weekend delivery payment
for the quarter under
review? …. request for the report
14
ANNEX 6: LIST OF HEALTH FACILITIES
No. FACILITY NAME HF TYPE DISTRICT
Bong County
1 Zebay Clinic Clinic Penta-Kpaai
2 Yolota Clinic Clinic Kokoya
3 Gbartala Clinic Clinic Suakoko
4 Haindi Clinic Clinic Fuamah
5 Kpaai Clinic Clinic Penta-Kpaai
6 Jorwah Clinic Clinic Penta-Kpaai
7 Bah-ta Clinic Clinic Kokoyah
8 Zowieta Clinic Clinic Penta-Kpaai
9 Tokpaipolu Clinic Clinic Salala
10 Kelebei Clinic Clinic Sanoyea
Lofa County
1. Gorlu Clinic Clinic Salayea
2. Zolowo Clinic Clinic Zorzor
3. Leingbamba Clinic Clinic Foyah
4. Sorlumba Clinic Clinic Foyah
5. Worsonga Clinic Clinic Foyah
6. Zenalormai Clinic Clinic Voinjama
7. Barkedu Clinic Clinic Voinjama
8. Sacromu Clinic Clinic Salayea
9. Yarpuah Clinic Clinic Salayea
10. Borkeza Clinic Clinic Zorzor
Nimba County
1. Bonlay Clinic Clinic Tappita
2. Diallah Clinic Clinic Tappita
3. Toweh Town Clinic Clinic Tappita
4. Buutuo Clinic Clinic Zoe-Geh
5. Lepula Clinic Clinic Zoe-Geh
6. Gbloulay Clinic Clinic Zoe-Geh
7. Lugbehyee Clinic Clinic Sanniquellie-mah
8. Youhnlay Clinic Clinic Gbehlay-geh
9. Garplay Clinic Clinic Gbehlay-geh
10. Gbeivonwea Clinic Health Center Gbehlay-geh
15
ANNEX 7: LIST OF PERSONS CONSULTED AND INTERVIEWED