Bilate zuria woreda health office woreda transformation verification

report
In 2016 first and second quarter
Name of PHCU Dilaanole Health center
Date of verification 18/6/2016
Verification team name

 Yonas yosef
 Anteneh tadele
 Abriham lalima
Back ground of health center

 Total popn =17818

 1yrs children =568
 Surviving infant=568
 2yrs children=999
 5yrs children=2785
 Pregnancy women=616

AIM OF VERIFICTION
 Accelerate of progress of universal health coverage through
resilient PHCU system
 To provide quality and equitable health servers.
 To confirm Community engagement
 Strength of PHCU directly leadership management system.
 Improve data use culture
 QUALITY AND EQUITY SCORE(45)
SNO INDICATORS WEIGHT PLAN ACH % PERF
WEIGHT
1 CAR 1 2060 2394 100 1
2 ANC LESS THAN 12 1 91 88 96 0.96
WEEKLY
3 ANC8 COVERAGE 1 92 39 42 0.42
4 SBA 1 306 202 66 0.66
5 PNC 1 306 273 89 0.89
6 ANC DROP_OUTRATE 1 270 202 25 0
SBA
7 PMTCT 1 306 270 88 0.88
8 SYPHILLIS 1 306 270 88 0.88
9 FULLY IMM 1 282 286 101 1
10 PENTA1 TO MCV1 1 291(pent <5 1
286
MCV
11 PNEUMONIA 2 355 362 100 2
12 IFA+90 1 270 282 100 1
13 VAS SECAND DOSE 1 2465 2586 100 1
14 GMP 1 916 721 79 0.79
15 SAM 1 8 7 88 0.88
16 ALL TB CASES 1 10 5 50 0.5
17 NEW AND RELAPSE 1 18 12 66 0.66
TB SAME PERIOD
18 TB RX SUCCESS RATE 1 7 7 100 1
19 EQA 1 2 1 50 0.5
20 CERVICAL CA 1 849 0 0 0
21 HPN 1 656 772 100 1
22 DM 1 119 20 17 0.17
23 OPD PER CAPITA 1 13262 14011 105 1
24 PATIENT SATIFACTIN 1 45 0 0 0
 SCORE
25 100%PRESCIBED 1 100 71 71 0.71
DRUD FILLED
26 LABORATORY TEST 2 31 13 41 0.41
AVAIBILTY
27 CLINICAL AUDIT 2 152 120 80 1.6
SCORE
28 EPHCG 5 8 6 75 3.75
IMPLEMENTATION
SCORE
29 AVERAGE HP KEBELE 6 45 27 60 3.6
SCORE
30 TOTAL 29.11
SCORE

INFORMATION REVOLUTION (15%)

1 IR HIS SCORE 3 30 0 0 0
2 IR DATA QUALITY 3 30 0 0 0
SCOR
3 IR DATA QUALITY 4 30 0 0 0
SCOR
4 AVERAGE HP 5 9.25 2.31
IRSCORE
MC AND CHW FORCE(10%)
1 STAFF 5 28 20 71 3.57
SATISFACTION RATE
2 HEALTH 5 28 27 96 4.82
PROFESSINAL
LICENSE
TOTAL SCORE 8.39
 LEADERSHIP AND GOVERNANCE (25%)
1 EHCRIG IMPLEMENTION 15 100 78 78 11.7
SCORE
2 CSC 5 30 28 93 4.8
3 AVERAGE HP KEBELE LG 5 4.05
SCORE
TOTAL SCORE 25 20.55

HEALTH FINANCING (5%)

1 REIMBURSED AMUNT 5 646000 480000 74 3.75
FROM TOTAL
TOTAL SCORE 3.75

1 TOTAL QUALITY AND EQUITY SCORE 29.11

2 TOTAL IFR SCORE 2.31
3 TOTAL MCCHW SCORE 8.39
4 TOTAL LG SCORE 20.55
5 TOTAL HEALTH FANINCING SCORE 3.75
6 GROUND SCORE 64.11
STRENGH OF PHCU
 CAR PERFORMANCE
 EARLY ANC PERFORMANCE
 FULLY IMMUNTION PERFORMANCE
 PNEUMNIA RX
 VAS PERFORMANCE
 SAM PERFORMANCE
 TB RX SUCCESS RATE
 ADULT SCREENED FOR HPN
 OPD PER CAPITA

WEAKNESS OF PHCU
 SBA PERFORMANCE
 ANC8 COVERAGE
 ANC TO SBA DROP OUT RATE
 GMP PERFORMANCE
 ALL FORM TB RX
 EQA PERFORMANC
 PATIENT SATISFATION RATE
 ESSENITIAL LABORATORTY TEST AVIALBLTY
 DATA QUALITYSCORE
 DATA USE SCORE
 HIS SYSTEM
 Health post verification
Hariro badalicha health post
Quality and equity score(50%)
sno indocator weight plan no % Weight
ach
1 Model household 20 1274 144 11 8.8
2 HH basic sanitation facilties 6 1274 420 33 1.97
3 Penta1 to mcv1 6 <5 -7 0
4 Pneumonia rx 6 93 78 84 5
5 HP OUTPATIENT PER 6 3122 714 22 1.37
CAPITA
6 ESSENTIAL DRUGS FORHP 6 100 38 79 4.74
7 TOTAL SCORE 21.88

INFORMATION REVOLUTION SCORE (20%)

1 REPORTING TIMELINES 8 100 4 50 4
2 LQAS 4 100 0 0 0
3 REPORTING COMPLETENESS 8 100 8 100 8
4 TOTAL SCORE 12

Leadership/governance score (30)

1 HPREFORM IMPLEMENTATION 30 36 27 75 27
SCORE
TOTAL LG SCORE 27
1 QUALITY AND EQUITY SCORE 21.88
2 INFORMATION REVOLUTION 12
SCORE
3 LEADERSHP/GOVERNANCE 27
4 GRAND TOTAL SCORE 60.88

Health post verification

DILA ANOLE health post
Quality and equity score(50%)
sno indocator weight plan no % Weight
ach
1 Model household 20 914 817 89.4 17.9
2 HH basic sanitation facilties 6 914 850 93 5.6
3 Penta1 to mcv1 6 <5 8.6 0
4 Pneumonia rx 6 236 51 21.6 1.30
5 HP OUTPATIENT PER 6 5600 1583 28.3 1.7
CAPITA
6 ESSENTIAL DRUGS FORHP 6 100 896 89.6 5.4
7 TOTAL SCORE 31.99

INFORMATION REVOLUTION SCORE (20%)

1 REPORTING TIMELINES 8 100 0 0 0
2 LQAS 4 100 0 0 0
3 REPORTING COMPLETENESS 8 100 81 100 6.5
4 TOTAL SCORE 6.5
 Leadership/governance score (30)
1 HPREFORM IMPLEMENTATION 30 36 26 72.2 21.67
SCORE
TOTAL LG SCORE 21.67

1 QUALITY AND EQUITY SCORE 31.99

2 INFORMATION REVOLUTION 6.5
SCORE
3 LEADERSHP/GOVERNANCE 21.67
4 GRAND TOTAL SCORE 60.07

STRENGH OF HEALTH POST VRIFICATION

 REPORTING COMPLETENESS PERFORMANCE
 HP OUTPATIENT ATTENDANCE PER CAPITA
 AVAILABILIITY OF ESSENTIAL DRUGS FOR HPS

WEAKNESS OF HEALTH POST VERIFICATION

 LOW MODEL HHS HOLD PERFORMANCE
 LOW BASIC SANITITION PERFORMANCE
 LOW PNEUMONIA RX PERFORMANCE
 REPORTING TIMELINESS
 ZERO LQAS PERFORMANCE
 ABSENCE OF REFORM IMPLEMENTION SCORE INDICATER
BASED ON WORK FOR MORE RESULT MONITORING
STRENGH OF UNDER THIS
 Presence of governing board
 Pregnant mother home construction
 Integrated supportive supervision
 Reform implementation system
 Staff recognition
 HR audit and need assessment conducted
 External audit conducted
 Internal audit conducted
 Early and timely initiation of budget approval
 CBHI SERVICE documentation
 EPAQ cluster meeting
 Implementation of EPHCG
 Continuous pregnant women conference
 Functional triage, liaison, referral service
 HEP optimization
 EPI MICRPLAN

WEAKNESS OF IN THIS
 Absence of public forum
 Absence of inter sectorial collaboration meeting
 Absence of functional RRT
 Absence of strategic plan
 Absence of HCF guideline
 Absence of adequate voucher
 Absence of regular mobilization like blood collection
 Absence of regulatory and inspection system