Annex 1 – Self-assessment progress tracker
Use the self-assessment progress tracker to assess where you and your team (or organization) currently are, and track your progress over time. It is suggested you complete this tracker at baseline and repeat it periodically. For example:
- at baseline, i.e. before implementing the operational guide
- after 3 months of implementing the operational guide
- every 6 months during a protracted emergency and recovery period
- annually during stable (preparedness) periods.
Score each statement according to how truly it reflects your situation
0 – not at all |
1 – partly true |
2 – mostly true |
3 – very true |
Date of assessment - |
EXAMPLE |
0 |
1 |
2 |
3 |
Coordination My team understands humanitarian structures, has a clear role within the health cluster and actively contributes to the child and adolescent (CAH) working group. |
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We understand the local and national humanitarian structures, and our role within them, particularly the health cluster. |
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We know the other humanitarian actors in our local area and are working collaboratively with them, including government, nongovernmental organizations, UN, civil society and other groups |
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We are part of an active RMNCAH/CAH working group that meets regularly and coordinates CAH activities, and is formally linked to the health cluster. |
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We have a communication plan, and contribute to CAH communication through the RMNCAH/CAH working group and health cluster. |
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We work with others to advocate for the needs of children and adolescents to decision-makers in government, UN agencies, nongovernmental organizations, other institutions and communities. |
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Assess and prioritize My team fully understands the situation of children and adolescents in our region, and has clearly prioritized specific areas for our particular context at this time. |
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We have supported the RMNCAH/CAH working group and health cluster to incorporate CAH fully into the initial needs assessment (including disaggregation of data by age) and report results to stakeholders. We understand the general needs and gaps and the capacity required to respond. |
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We have supported the RMNCAH/CAH working group and health cluster to: (i) conduct additional CAH needs assessment as necessary; (ii) review and update CAH clinical guidelines, policies and medical lists; and (iii) map existing CAH capacities within the health service. We understand CAH needs and capacity required to respond. |
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We have supported the RMNCAH/CAH working group and health cluster to: (i) review available data, and (ii) prioritize CAH activities. We understand the priority CAH activities and our role in addressing them in our local area. |
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Respond My team understands the full breadth of CAH activities and actively works with other sectors to address the priority needs at this time. |
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We have supported the RMNCAH/CAH working group and health cluster to develop a service delivery plan (based on identified needs and capacity) with the participation of the affected community, including structures for triage and referral. We provide safe and ethical health care using standardized guidelines. |
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We have supported the RMNCAH/CAH working group and health cluster to develop an essential services package. |
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Our service package addresses the needs of all children. |
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Neonates/newborns (< 28 days) |
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Young children (< 5 years) |
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Older children (5–9 years) |
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Younger adolescents (10–14 years) |
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Older adolescents (15–19 years) |
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Our service package adequately addresses all CAH areas and has clearly specified priorities. |
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Acute conditions – prevention and treatment of common acute infections, injuries, and obstetric and neonatal conditions |
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Chronic conditions – identification of and treatment for epilepsy, asthma, diabetes and other chronic conditions |
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Child safety and protection – work with protection cluster to integrate child protection into all CAH activities and agencies[1] |
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Disease outbreaks and immunization – emergency and ongoing immunization; early warning outbreak systems. |
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Nutrition and food security – work with nutrition cluster; prevention and treatment of acute malnutrition; infant and young child feeding in emergencies[2] |
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Child development and education – work with education and other clusters to integrate nurturing care into all activities |
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Disability – work with other clusters to integrate disability-inclusive approaches into all activities[3]. |
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Psychosocial distress and mental health – promote good mental health; treat mental illnesses and substance misuse. |
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Sexual and reproductive health – child and adolescent friendly services; Minimum Initial Service Package[4] (pregnancy and birth care, gender-based violence and sexually transmitted infections). |
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WASH – work with WASH cluster for safe water, hygiene, and sanitation for children/adolescents; WASH in health facilities. |
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We have supported the RMNCAH/CAH working group and health cluster to: (i) evaluate CAH workforce capacity and needs and (ii) prepare a CAH health workforce plan. We work with partners to coordinate recruitment and training, providing quality care in safe[5] environments. |
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We have supported the RMNCAH/CAH working group and health cluster to: (i) assess current CAH medical supply needs and supply chains and (ii) standardize CAH medicines lists. We manage our medical supplies efficiently and responsibly (including donated items) and avoid stock-outs. |
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We have supported the RMNCAH/CAH working group and health cluster to: (i) identify funding needs and opportunities and (ii) proactively apply for funding from a range of sources. We provide free CAH services to children and adolescents and mobilize internal resources to the best of our ability. |
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Monitor, evaluate and review My team participates actively in health sector monitoring and evaluation activities, including supporting the CAH monitoring and evaluation plan and strengthening health information systems. |
[1] Including having child protection policies and procedures in your organization.
[2] Infant and young child feeding in emergencies.
[3] Including having disability-inclusion policies and procedures in your organization.
[4] Minimum Initial Service Package (MISP). New York: Inter-Agency Working Group on Reproductive Health in Crisis; 2011 (https://iawg.net/resources/minimum-initial-service-package-misp-resources).
[5] Safe for children, families, and health care workers.