Column1 Column2 Column3 Column4 Column5 Column6 Column7 Column8

Column B: Name of facility, project title, Aim statemement, change ideas, predictions and Do, study and act part of each PDSA
Column L: it could be week or month when the outcome indicator is measured
Column M: Neumerator of the outcome indicator
Column N: Denominator of the outcome indicator
Column O: outcome indicator
Column P: Median of the baseline data.

Column Q: place for any anotations including the change idea

Column L: it could be chart number based round, week or month when the process indicator is measured

Column M: Neumerator of the Process indicator

Column N: Denominator of the process indicator

Column O: process indicator

Column P: Median of six consequetive data points of the process indicator.

Celss: W3, AD3, and AK3 are median of six consequetive data points
Column Q: annotate change idea
Under each indicator measurement table, there are respective graphs which illustrate the progress of the indicator.
 Column9 Column10 Column11 Column12

dy and act part of each PDSA.

s of the indicator.
 Institute for Healthcare Improvement QI project Docume
Name of Facility deremo H/C Problem Statement:

Project Title low early ANC coverag

we deremo H/C aim to improve a low early ANC coverage from the baseline of 10% to
Aim tikmit
Change Idea Tested 1 health profionals daily superted H/E/W
Change Idea Tested 2 to improve the activity of kebele confernce and support HEW by weekly supervision a
Change Idea Tested 3
Change Idea Tested 4

Plan 1

early ANC utlization form 5% to40%.

Plan 2

SBA attnedant utlization form10%to 33%

Plan 3

Prediction 1
Prediction 2
Do: Narrate what you Do testing the haelth woreker has homome to home supportive suppervision
did based on you plan 1
Do testing to give adivaces&counsel all risk of PxW&all risk delivery women
2
during ANC visits
Do testing MDW's give haelth post task shiftting
3

Do testing
4
Summary OF study1 health worekers day to day suported to the commnunty interventio
Summary OF study2 to improve number of confernce coundacted at kebele
Summary OF study3 to improve tea&coffee cermony at kebele during conferen
Summary OF study4
Act 1
Act 2
Act 3
Act 4
 Out come Indicator
ANC 1st
t QI project Documentation Name:
over the paset six month in d/h/c early ANC utilazio

Round/
Date Numerator Denominator
R-1 6 70
age from the baseline of 10% to atarget 40by from hamely up to
R-2 9 70
R-3 5 70
rt HEW by weekly supervision about ANC regestration R-4 8 70
R-5 2 70
R-6

R-7

R-8

R-9

R-10

R-11

R-12
R-13
R-14
pportive suppervision R-15
R-16
all risk delivery women

ANC 1st
100%
90%
80%
70%
to the commnunty intervention to the women 60%
nfernce coundacted at kebele level 50%
40%
30%
20% 13% 11%
9% 7%
 80%
70%
60%
50%
mony at kebele during conferenc time 40%
30%
20% 13% 11%
9% 7%
10% 3% 0%
0% 0% 0% 0% 0
R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R-9 R-10

ANC 1st Median

 Process indicator Testing 1
1st SBA
Name:

Anotation/Change Round/ Numerat

ANC 1st Median idea Date or ANC 1st Median
9% 20% R-1 1 3 33%

13% 20% training R-2 0 3 0% 0%

7% 20% R-3 0 4 0% 0%
11% 20% R-4 1 2 50% 0%
3% 20% R-5 0 #DIV/0! 0%
#DIV/0! 20% R-6 #DIV/0! 0%

#DIV/0! 20% R-7 3 8 38% 0%

#DIV/0! 20% R-8 5 8 63% 0%

#DIV/0! 20% R-9 1 2 50% 0%

#DIV/0! 20% R-10 1 5 20% 0%

#DIV/0! 20% R-11 1 4 25% 0%

#DIV/0! 20% R-12 2 5 40% 0%

#DIV/0! 20% R-13 4 10 40% 0%
#DIV/0! 20% R-14 1 3 33% 0%
#DIV/0! 20% R-15 1 2 50% 0%
#DIV/0! 20% R-16 2 4 50% 0%

ANC 1st ANC 1st

100%
90%
80%
70%
60% 63%
50% 50%
50% 50%
40% 40%
40% 33% 38% 33%
30% 25%
20% 20%
10%
0% 0%
 70%
60% 63%
50% 50%
50% 50%
40% 40%
40% 33% 38% 33%
30% 25%
20% 20%
10%
0% 0%
% 0% 0% 0% 0% 0% 0% 0% 0%
0% 0% 0% 0% R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R-9 R-10 R-11 R-12 R-13 R-14 R-15
5 R-6 R-7 R-8 R-9 R-10 R-11 R-12 R-13 R-14 R-15 R-16

ANC 1st Median ANC 1st Median

 Process indicator Testing 2
Name:

Number
of days
Mgso4
stockout
recorded
Round/ per Denomina Anotation/
Date month tor 0 Median Change idea
R-1 1 1 1 1

R-2 5 5 1 1 training
R-3 1 1 1 1
R-4 2 1 2 1
R-5 1 1 1 1
R-6 1 0 1

R-7 1 0 1

R-8 1 0 1

R-9 1 0 1

R-10 1 0 1

R-11 1 0 1

R-12 1 0 1
R-13 1 0 1
R-14 1 0 1
R-15 1 0 1
R-16 1 0 1

t 0
1 1 1 1
1

%
50% 50%
50%
40% 40% 1
33%
25%
20%
%
50% 50%
50%
40% 40%
1
33%
25%
20%

-9 R-10R-11 R-12 R-13 R-14 R-15 R-16 0 0 0 0 0 0 0

0 0 0 0 0
R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R-9 R-10 R-11 R-12 R-13 R-14 R-15 R-16

Median 0 Median
 Process indicator Testing 3 Process indicator Testing 4
Name: Name:

Round/ Denomina Anotation/Change Round/ Numerat Denomin

Date 0 tor 0 Median idea Date or ator
R-1 1 1 1 0 R-1

R-2 1 0 0 training R-2

R-3 1 0 0 R-3
R-4 1 0 0 R-4
R-5 1 0 0 R-5
R-6 1 0 0 R-6

R-7 1 0 0 R-7

R-8 1 0 0 R-8

R-9 1 0 0 R-9

R-10 1 0 0 R-10

R-11 1 0 0 R-11

R-12 1 0 0 R-12
R-13 1 0 0 R-13
R-14 1 0 0 R-14
R-15 1 0 0 R-15
R-16 1 0 0 R-16

0 0
1
1 100%
90%
80%
70%
60%
1 50%
40%
30%
20%
 80%
70%
60%
1 50%
40%
30%
20%
10%
0 0 0 0 0 0 0 0 0 0 0 0% 0% 0% 0% 0% 0%
0 0 0 0 0 0% 0% 0%
R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R-9 R-10 R-11 R-12 R-13 R-14 R-15 R-16 R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R

0 Median 0 M
 0 Median Anotation/Change idea
#DIV/0! #DIV/0!

#DIV/0! #DIV/0! training

#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!

#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!

0
0% 0% 0% 0% 0% 0% 0% 0% 0%
0% 0% 0% 0%
R-4 R-5 R-6 R-7 R-8 R-9 R-10 R-11 R-12 R-13 R-14 R-15 R-16

0 Median