Bullen health centcer

Quality improvement(QI)project on
ANC-4

july,2021
Bullen Hc.
 Bullen health centcer
QI team members
1. BamanoAbebe-------health center head(team leader)

2. Baharu Dinsa---technique head (quit meeting minutes)

3. BirtukanGessesse------------MCH focal (time keepers)

4. AbiyotNegash------------------------lab focal (members)

5. AbebeAdisu--------------------->5 under five(members)

6. TilahunBelew--------------------------EPI focal(members)

7. MeseretMamo----------------------------HMIS(members)
 Bullen health centcer
• Introduction

• Bulen Health Center was established in 1991 EC and located in the

western part of Ethiopia in Benishangul Gumuz Regional in Bullen

Woreda at the distance of 580 km from Addis Ababa. Bullen health

Center that serves Bullen Town population & the neibouring Kebeles

population or 24995 as well as people from refugee camps in the Town.

 Bullen health centcer
• Mission
To promote health and wellbeing of its catchment
population through providing and regulating a
comprehensive package of promotive, preventive,
curative and rehabilitative health services of the
highest possible quality in an equitable manner.
• Vision
To see healthy productive and prosperous of Bullen
Town and near by kebele community
 Problem statement
 Bullen HC To Increase ANC4
performance from 37% to 50 % in the
last nine months by providing Quality
service to the Pregnancy mother.
 Aim statement

 We Bullen HC QI team members aim To

Increase ANC4 performance from 37% to 50
% in the last nine months by providing Quality
service to the Pregnancy mother. at the end of
March 2022.
ROOT CAUSE ANALYSIS: FISHBONE DIAGRAM

communication Facility

Man power
Mentorship
Equipment
Poor referral linkage Lack of room

Data quality Increase

ANC4
from 37
Bad raods % to
Lack of awarness 50%

Distance Transport

Geography community
 Driver diagram
aim 1°driver 2°driver Change idea
To increase anc-4 coverage from 37%--50% by end of March 2022
 Measures
Aim Outcome Change Process measures Balancing
measures idea measures
indicator numerator denominat Data
or source

indicator % of women training % of trained # of # of HW unseen

who trained planned to
attended HW train - medical
e nd of this fiscal year(March

ANC-4 patients

purchase # of
equipment
purchased - - - -

numerat # of women Rearrange # of room

rearranged
- - - -
who rooms
or attended
ANC-4 Appropriate % of full # of full total # of ANC
recording records records records registration
book -

denomi # of women
who
Health # of
individualize
- -
education
nator attended d HE given - -
ANC-1
leaflet # of leaflet
distributed
- - - -

Data ANC
registration
Start
mentorship
% of HC
monitored
#of HC
monitored
l #of HC in
catchment
Improves HC
service
source book area - quality
by the

Referral % of # of Total # of Improves

022)

linkage appropriate appropriate referral feedback

referral referral -
 Plan for PDSA cycle
intervention Measure Responsible When Where
person
start End

Training Percent of trained Staff PHCUD ,WOH 11/11/13 14/11/13 B/ HC

O
P/W/Conference Preparing HW & HEW & Conduct PHCU MGT 10/12/13 output End At Each
PW Conference team, QI of magabit Kebele
teams

Health Education #of pregnant women got health QI teams 15/12/13 output End At Each
education of magabit Kebele,
HC
Appropriate % of fully recorded MCH head 20/12/13 output End Deliver
recording of magabit y room
Community Forum #of Peoples attended Community QI team 30/12/13 output End At Each
Forum of magabit Kebele

Start mentorship %of HP mentored QI team 1/1/14 output End HP

of magabit
 Plan of data collection
Aim Data source Data collection Time(when) Responsible
(where) method(how) person(who)

To increase anc-4 ANC Count Bi-Weekly QI Team

coverage from Registration
37%--50% by end book
of March 2022
Thank You!