HEALTH - PROGRAMME & PLANNING TOOLS

(Ref. HTP-1) Health Sector: Objectives - Outputs - Indicators (Examples)
(Ref. HTP-2) Essential Drugs and Medical Supplies
(Ref. HTP-3) Checklist for Assessing and Monitoring HIV/AIDS Programmes
(Ref. HTP-4) Healthcare for Urban-based Caseloads and Referral Systems
(Ref. HTP-5) Health Related Activities in Repatriation Operations
(Ref. HTP-6) Health and Nutrition Services: Proposed Long-term Planning - Exit Strategy
(Ref. HTP-7) Psycho-social and Mental Health Programmes Resources and Information

(Ref. HTP-8) Clinical Management of Rape Survivors

HEALTH - MONITORING & EVALUATION TOOLS

(Ref. HTM-1) Health Information System Reporting
(Ref. HTM-2) Health Sector Monitoring Form (Staff and Infrastructure)
(Ref. HTM-3) Health Sector Monitoring Form (Budget)
(Ref. HTM-4) Supervision Checklists for Health and Reproductive Health Services


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(Ref. HTP-1) Health Sector: Objectives - Outputs - Indicators (Examples)
A Matrix of health objectives, outputs and indicators that can guide programme design, and the preparation of COPs, project descriptions and sub-agreements.

(Ref. HTP-2) Essential Drugs and Medical Supplies
Two forms for ordering drugs and medical supplies

(Ref. HTP-3) Checklist for Assessing and Monitoring HIV/AIDS Programmes
A checklist that provides key questions to assess HIV/AIDS prevention and care programmes. A table format allows opportunity to describe the current situation of HIV/AIDS as well as plan and monitor if improvements in services have been achieved over time.

(Ref. HTP-4) Healthcare for Urban-based Caseloads and Referral Systems
An overview of issues revolving around health care of urban based caseloads with practical guidance on how to set minimum acceptable services and procedures. Five annexes provide samples of agreements that should be drawn up with referral facilities as well as sample list of services and drugs that UNHCR will cover at each level of referral. Referral and special drugs/hospitalisation forms are included.


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(Ref. HTP-5) Health Related Activities in Repatriation Operations
A summary of health issues to consider when repatriation begins. Provides ideas of planning repatriation even before the refugees start moving back to their country of origin.

(Ref. HTP-6) Health and Nutrition Services: Proposed Long-term Planning - Exit Strategy
This document describes steps to eventual turnover of health programmes to other entities, especially to government health services. It discuss issues of staffing, cost recovery or fee for service, the importance of capacity building, co-ordination and supervision throughout the turnover. This case is based on experience in Uganda.

(Ref. HTP-7) Psycho-social and Mental Health Programmes Resources and Information
Detailed experience of a mental health programme established in Kenya in the late 1990s. It discusses the strategy, objectives and activities of the programme including clinical case management of mental illness to community based counselling services.

(Ref. HTP-8) Clinical Management of Rape Survivors
This is a draft document produced in conjunction with WHO and the Inter-agency Working Group on Reproductive Health in Refugee Situations. It is a draft for field testing. Its purpose is to assist field actors in developing a protocol for the clinical management of survivors of rape based on international standards and host country laws and procedures.

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(Ref. HTM-1) Health Information System Reporting
A number of useful tools to design and implement a health information system. Included are the following Excel worksheets for reporting on health services delivered on a monthly basis and are designed with formulas for calculating indicators, such as Crude Mortality Rates, and number of consultations per refugee per year (these worksheets would obviously need to be adapted to each refugee situation): (a) HIRF reporting checklist, (b) Resources monitoring form for health programmes , (c) English version HIRF, and (d) French version HIRF. Instructions on how to complete a HIRF are included as are case definitions from WHO.

(Ref. HTM-2) Health Sector Monitoring Form (Staff and Infrastructure)
An Excel spreadsheet assists in calculating the ratio of staff and health facility per population as well as the breakdown of staff by sex and by origin. With this information the Health Co-ordinator or Programme Officer can ascertain if the staffing table and health infrastructure is in accordance with expected norms as well as if it is adapting to the population of refugees which may be changing regularly. This form should be completed every six months.

(Ref. HTM-3) Health Sector Monitoring Form (Budget)
This document contains instructions for analyzing health budgets and calculating per capita costs for health and expenditure (percentage of total budget) by line item or activity codes. The purpose of the tool is to facilitate financial monitoring of activities as well as allow comparisons between agencies working in one country or between countries.

(Ref. HTM-4) Supervision Checklists for Health and Reproductive Health
Three tools are provided as examples of checklists for supervising health and RH services in refugee situations. The Supervision Checklist for Peripheral Health Units highlights the need to look into all aspects of health care delivery including availability of trained staff, adequacy of essential drugs and quality of lab services. The RH supervision/assessment checklist describes all supplies, equipment and drugs that are needed to implement RH programmes. Discussion Guides are also provided to assist in discussing RH issues with the refugees, specifically the Trained Birth Attendants (TBAs), community leaders and youth. The tools should be adapted to each situation.


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