Qual

it
yImpr
ovement
pr
ojectofGi
lgel
bel
es
Heal
thCent
er

G/
bel
es

Jul
y2021

Vi
si
onandMi
ssi
on
Vi
sion
Toseeaheal
thyandpr
oduct
ivecommuni
ty

Mi
ssi
on
Topr
ovi
deHeal
thpr
omot
ion,
andqual
i
tycur
ati
veandr
ehabi
l
itat
ionser
vice
t
othecommuni
tyf
ocusi
ngondi
seasepr
event
ionandheal
thpr
omot
ion

Pr
ojectTi
tl
e:-r
educeDef
aul
terofANC1t
oANC4
Team Member
• Desal
gnAl
kader Team Head

• Ni
ber
etEmbi
ale Vi
ceTeam Head

• D/
ryar
egal
Ami
sal
u Member

• Mul
uget
aKuma Member

• TsgayEmbi
ale Member

• Tadel
eBabe member
e

• Yemsr
achSwangi
zaw member

• Asmamawki
ndnew member

• Abr
ham Der
esa member

• Sembet
aTadel
e member

• ShasheBekel
e Recor
der

Li
stofI
dent
if
iedPr
obl
ems
1.Hi
ghdr
opoutr
ateofANC1-4

2.Lowcov
erageofski
l
lbi
rt
hat
tendance

3.Lowcov
erageofPNC

4.Lowcov
erageofSy
phi
l
ist
estf
orPr
egnantwomenwhoat
tendANC

Pr
ior
it
izat
ionMat
ri
x
Li
stOfPr
obl
ems I
mpor t
antAf f
ordabl
e Easyt
o Undercontr
olTotal
topati
ent i
ntermsof measure(
1oft eam score
outcomes t
imeand - 5) member s
(4-
20)
(1-
5) r
esources
(1-
5)
(
1-5)

.Hi
ghdropoutr
ateof 4 5 5 5 19
ANC1-4

Lowcover
ageofski
l
l 5 4 4 4 17
bi
rt
hatt
endance

Lowcov
erageofPNC 4 3 4 4 15

Lowcov erageof 5 3 4 4 16
Syphil
istestf
or
Pregnantwomenwho
att
endANC

Pr
obl
em st
atement
•Ful
lyAnt
iNat
alCar
e(ANC):
-ist
hekeyent
rypoi
ntf
orpr
egnant
womant
orecei
veabr
odr
angeofheat
hpr
omot
ionandpr
event
ion
ser
vices

Thedr
opoutr
ateofANC1-
4ingi
l
gel
bel
esCent
erov
ert
hel
astoney
ear
was35%whi
chwi
l
lresul
tinhi
ghr
ateofdr
opoutr
ateandi
mpor
tantt
est
l
eadi
ng l
owcov
erageofmat
ernal
ski
l
ldel
i
ver
y
AI
M
Decr
easi
ngDef
aul
terof ANC1t
oANC4f
rom Augest
1201335'
/.
to
Januar
y30,
201415'
/.atGi
l
gel
bel
esHeal
thCenet
ert
hroughpanel
desi
ccat
ion

ChangeI
dea
 Cr
eat
eawar
enesscr
eat
ionofANCser
vice

i
mpr
ovecommi
tmentofANCser
viceHeal
thpr
ovi
der

I
mpr
ovi
ngcont
inuesandr
egul
arpanel
desi
ccat
ion

 St
rengt
henEar
lyi
dent
if
icat
ionofpr
egnantwoman’
s

 I
mpr
ovi
ngmot
ivat
ionMCCHwor
kfor
ce

 I
mpr
ovi
ngandest
abl
i
shi
ngt
radi
ti
onal
Ambul
ance

 St
rengt
henI
nfor
mat
ionRev
olut
ionanddat
aforact
ion

 St
rengt
henmat
ernal
wet
ti
ngr
oom

 I
mpr
ovi
ngAwar
enessofHADl
eaderandkebel
eleder

 Pr
ovi
dingt
rai
ningf
orheal
thwor
ker
s

 Awar
enesscr
eat
iononcul
tur
albar
ri
ersandat
ti
tudechange
 pr
obl
em anal
yses

l
eader
shi
p Dat
a Heal
thf
aci
l
ity

Knowl
edgeaboutpr
ogr
am ski
l
landknowl
edge
at
tent
ionandNocommi
tment Poorr
ecor
d st
affcommi
tment

Nof
und Notdat
ausedf
oract
ion cl
ass/
uni
t
Highdr
opout
r
atofANC1-4

Cul
tur
ebar
ri
er Fearoff
aci
l
ity Di
stancef
rom Hc
awar
eness
Per
missi
onoff
ami
l
yhead at
ti
tude Ambul
ance

Communi
t I
nfr
ast
ruct
ure
Cl
i
nt
y

Act
ionpl
an
What When Where How Who
Awar
enesscreat
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or 10- Atkebel
e Conduct PMT,Cl
ust
er
HADleader
s 13/
12/
201 l
evel or
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on sup,
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Regul
arl
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ccat
ion PMT,MCH
desi
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ionbyschedul
e schedul
e team
Sensi
ti
zi
ngkebel
eli
eder 15/
12/
201 PHCU/
lev
el Conduct PMT,Healt
h
aboutpr
ogr
am 3 sensi
ti
zat
ion of
fi
cehead,
MCHof f
icer
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yident
if
icat
ionof Ev
erday All
kebel
e I
dent
if
icat
ion HEWs,HAD,
pregnant atPHCU 1/
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Provi
dei
mpor
tantt
est
ing By HC Provide MCHt
eam
duri
ngANC schedul
e test
ing
Pr
ovi
dingt
rai
ningand 22/2/
2014 Cl
uster Conduct MCHof f
icer
,
or
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path l
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aini
ng Focal
,
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wayforPHCU
Speci
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suppor
ti
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Motiv
etcompet
ent Ev
eryt
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aci
l
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och St
aff
compassat
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thwor
k
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ce
Eval
uati
ngpr
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am mont
hly HC Byusing PMT
Qual
ity eval
uation
checkl
ist
I
nfor
mat
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evol
uti
on mont
hly HC Dat
a PMT
Reviewmeet
ingpr
ogr
am Endof2nd Cl
uster Review PMT
progress Q l
evel program
 Pr
ior
it
izi
ngi
nter
vent
ionf
ocusi
ngChangeI
dea
1 Cr
eat
eawar
enesscr
eat
ionofANCser
vicef
orheal
thwor
ker
s

2 i
mpr
ovecommi
tmentofANCser
vicef
orHeal
thpr
ovi
der 1st

pr
ior
it
ize

3 I
mpr
ovi
ngcont
inuesandr
egul
arpanel
desi
ccat
ion

A i
mpor

nt
ta

4 St
rengt
henEar
lyi
dent
if
icat
ionofpr
egnantwoman’
s

5 I
mpr
ovi
ngmot
ivat
ionMCCHwor
kfor
ce

6 I
mpr
ovi
ngandest
abl
i
shi
ngt
radi
ti
onal
Ambul
ance

7 St
rengt
henI
nfor
mat
ionRev
olut
ionanddat
aforact
ion 2ndpr
ior
ti
ze

B
8 St
rengt
henmat
ernal
wet
ti
ngr
oom

9 Awar
enessofHADl
eaderandkebel
eleder

10 Pr
ovi
dingt
rai
ningf
orheal
thwor
ker
s Har
dest
11 Awar
enesscr
eat
iononcul
tur
albar
ri
ersandat
ti
tudechange
C and
Takest
ime

I
ndi
ctor
s

 NOofawar
enesscr
eat
iononANCser
viceconduct
ed

 NO,
ofANCSer
vicepr
ovi
ded

 No,
ofpanel
desi
ccat
ionpr
ovi
ded

Do
Awar
enesswascr
eat
edr
egar
dingt
oser
vicequal
i
ty
Provi
dingor
ient
ati
onandonj
obt
rai
ningaboutANC
serv
ice
Awarenesscreat
ionprovi
deatt
it
udeandbehav
ior
al
changeregar
dingtocult
ural
barri
er
I
nfor
mati
onrev
olut
ionanddat
aforact
ionwas
i
mplement
ed
St
rengt
henPHCUl
i
nkage
Act
Tobeper
for
m al
ltheabov
eini
ti
ati
ve