Example of integrated bundle of HRM and health systems strategies from Kwahu West district, Ghana
| Problem identified | HR/HS strategies to address the problem | Activities |
| Poor implementation of new vaccine schedule leading to high dropout rate of pneumococcal (46.9%) and rotatix (19.1%) vaccination in the municipality | Improve data management at all levels Improve supportive supervision to subdistrict Reward (certificate and material) best performing facilities (drop rate of PCV and ROTA 10% and below) | Train and retrain all staff on new vaccine |
| Conduct monthly data validation per facility by comparing tally books | ||
| Enforce use of separate log books for drop-in and drop-out | ||
| Train all staff in logistics management | ||
| Obtain standard EPI supportive supervision checklist from DDPH/RHA | ||
| Input from subdistrict staff effected and final checklists circulated to all facilities | ||
| On-site supportive supervision in general but EPI in particular (two visits per facility per year) | ||
| Hold quarterly meetings to review performance and share best practices Award prize to best performing health facilities |
DDPH, Deputy Director of Public Health; EPI, Expanded Programme for Immunisation; PCV, pneumococcal conjugate vaccine; RHA, Regional Health Administration .