Ag Cho Moi Ta Plan 20 Nov 14 Adjusted
Ag Cho Moi Ta Plan 20 Nov 14 Adjusted
Ag Cho Moi Ta Plan 20 Nov 14 Adjusted
USAID/SMART TA
Technical Assistance
Period
Date of assessment
August,19/2014
Site information
OPC Ch Mi
To
SERVICE PROVIDED
ARV on Adult
ARV on Pediatrics
HIV testing
MMT
PMTCT
Out-reach
TB
SERVICE PROVIDED
City
Rural
Mountainous
Patients in Prison
Others
Ethnics people
% Percentages estimated)
( % Percentages estimated)
Name
Position
Total: 08
Ph
a g H g
Hu h h Hu h S g
Phm h
h g
h
h g
Huynh Thanh Vu
Contracted
Gov
Chief of OPC
Doctor
Doctor
Nurse/Data
management
Pharmacist
Counsellor
Support group
Support group
x
x
x
x
x
x
x
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HUMAN
RESOURCES
STRUCTURE AND
ACCESS
DRUG SUPPLY
LABORATORY
CAPACITY
DATA
MANAGEMENT
CASE
MANAGEMENT
ART/PRE-ART
DELIVERY ART
Rate of
achievement
100%
95%
93%
100%
100%
67%
70%
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No
1
2
3
4
5
6
7
8
9
10
11
12
Name of indicators
Results at
the time
SMART TA Previuos
The
of
standard
result
difference
evaluatio
n
Achieve
SMARTTA
standard
80%
80%
50%
-30%
No
75%
44%
86.96%
43%
Yes
75%
80%
89.47%
9%
Yes
5.26%
5%
No
80%
85%
96.08%
96.26%
0%
Yes
95%
100%
99.07%
-1%
No
75%
93.75%
29.17%
-65%
No
90%
89.19%
100%
11%
Yes
80%
95.65%
100%
4%
yes
85%
84.62%
92.03%
7%
Yes
85%
96.30%
60%
-36%
No
63.64%
64%
No
80%
Improving
File nh gi d n
USAID/ SMART TA
3|Page
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No
A
1
B
Situations
HUMAN RESOURCE 100%
No current issues. Need to
increase from GOV
Solution
Who in
charge
Dr.H , Cho
Moi OPC
Who support
Other
resources
PAC AG
FHI 360
Date to
complete
Date actual
completion
Notes
QI PDSA Activity #1
Plan: Implement active TB infection
control and prevention
Do:
- Triage nurse distributes medical mask
for needed patient (TB
suspected/coughing patients)
- Counselor provides counseling session
for the TB suspected/coughing patients
to understand the importance of
medical mask wearing.
See:
After 1 month, the OPC counts how
many medical masks have been
distributed and if they are provided
appropriately for the TB
suspected/coughing patients.
Act:
Triage nurse leads discussion of data
and team provides feedback,
solutions, and plan for ongoing
monitoring.
he e s t notice board
about working days, hours
of OPC
Ms.S g/
Ms.Tin
H h
Moi OPC
25/8/2014
5|Page
DRUG SUPPLY
INH supply is not stable in past
time.
1
F
H h
Moi OPC
H h
Moi OPC
PAC AG
30/8/2014
Cho Moi
Hospital
PAC AG/
FHI 360
CASE MANAGEMENT
Patient Follow-up: Follow-up
f efe al ases pat e ts late
re-examination, and poor
treatment adherence must be
improved.
Pharmacist.
g
QI PDSA Activity #2
Plan sufficient INH to provide IPT for
new registered patients and those
continuing IPT.
Do:
OPC estimates an IHN planning sent
it to PAC AG monthly (end of month)
based on number of expected
number new patients and those
continuing IPT.
See:
Number of new registered patients
and those continuing IPT gets IPT.
Act:
Nurse and pharmacist report and
make an INH plan for next month.
QI PDSA Activity #3
Plan: Increase the rate of alive and
retention in care of the all the patients
including Pre-ART and ART
Do:
Triage nurse make a book records for
lost follows up, death, late reexamination, referral cases, and make
a plan for contacting to patients and
their families: phone to them to
remind for re-examination, confirm
the successful referral.
Counselor provide counseling session
to the patients on benefits of early
Ms S g/
Ms.Tin
H h
Moi OPC
Start from
30/8/2014
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QI PDSA Activity #4
Plan: Increase the proportion of
patients who were newly registered at
OPC was prescribed INH to 80%
Do:
Estimates amount of INH for IPT
Update / attend training courses on
INH prophylaxis for OPC staff.
Enhanced benefits counseling on INH
prophylaxis for patients.
Doctor indicates IPT for Pre-ART and
ARV patients according to the IPT
guideline of VAAC.
See:
Number of newly registered at OPC
will be prescribed IPT
Act: Continue with the action above
H h
Moi OPC
Ms S g/
Ms.Tin
PAC AG/
FHI 360
PAC AG/
FHI 360
Start on
30/8/2014
s g
PAC AG
FHI 360
Start on
30/8/2014
Ms S g/
Ms.Tin
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QI PDSA Activity #5
Plan: Proportion of patients were
initiated ART within 15 days after
eligible ART in last 6 months will be
achieve >75%
Do:
See:
Number of receiving ARV in 15 days
after ART eligible
Act: Continue with the action above
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SMART TA indicators
Survival rate after 12
months on ART: 60% to
85%
Retention rate after 12
months on the program:
63.64% to 80%
Peers
Ms S g/
Ms.Tin
H h
Moi OPC ,
And
commune
health station
PAC AG/
FHI 360
Start on
30/8/2014
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