Indicators | CSC round | Reason | ||||
---|---|---|---|---|---|---|
 | 1 | 2 | 3 | |||
Provider scorecard | ||||||
Broken water pump | 5 | 10 | 10 | Water pump repaired | ||
Non-use of ICE materials | 8 | 10 | 9.5 | Additional IEC materials and old copies replaced with new | ||
Damaged roof | 9 | 8 | 10 | Clinic’s metal roof repaired | ||
Medical equipment | 7 | 6 | 7 | Outdated medical equipment needs to be replaced | ||
Clinic cleanliness | 7 | 9 | 9.5 | Guard knows to prepare cleaning solution, but incinerator not available | ||
Waiting time | 9 | 10 | 10 | Low patient load; Separate outpatient department for males and females | ||
Clinic management | 9 | 9.5 | 10 | Function well as a team and the clinic is responsibly managed | ||
Accurate clinical exam | 7 | 9 | 9.5 | If patient volume is high then consultation time is inadequate, explaining poor quality for Antenatal care, Post natal care and IMCI | ||
Staff attitudes/behavior | 10 | 10 | 10 | No issues identified | ||
Community scorecard | ||||||
Water | 5 | 10 | 10 | Water pump repaired and safe water accessible to all | ||
Electricity | 3 | 6 | 10 | Initially, no electricity. PRT installed solar panels | ||
Medicines | 7 | 10 | 10 | Good quality, poor quantity. ‘White tablets’ given to all. Realized based on BPHS | ||
Staff competencies | 10 | 10 | 10 | Capable staff with good attendance record | ||
Waiting area | 5 | 10 | 10 | Patients forced to stand in the OPD until additional chairs were provided | ||
Staff punctuality | 10 | 10 | 10 | They are always present | ||
Staff behavior | 10 | 10 | 10 | Patients expressed satisfaction with staff interactions | ||
Patient counseling | 10 | 10 | 10 | Good medication management and counseling | ||
Waiting times | 10 | 10 | 10 | Reduced patient wait time | ||
Clinic cleanliness | 10 | 10 | 10 | Clean (i.e. no flies and garbage is disposed of regularly) | ||
Action plan | Â | Â | Â | Â | Â | Â |
Indicator | Action proposed | Who? | Time | Observations | ||
Water supply | Health council request to NGO. Supervisor will coordinate with Yakawlang governor and local NGO | supervisor, NGO,shura PPHD | 3m | Multiple negotiation meetings and follow up. Staff paid for pump from salary and eventually reimbursed | ||
IEC materials | Supervisor requests staff to prepare a list of IEC materials and forward the request to NGO | supervisor NGO | 1m | Follow-up requests, but materials not received | ||
Physical condition, roof repair and electricity | Supervisor address issue with NGO and PPHD | supervisor, NGO, PPHD | 1-6m | DHO and District Governor also engaged in processing the request. Community member assist in roof repair. Installation of solar panel for electricity with council and NGO | ||
Equipment | Supervisor submits all departments’ requests for equipment needs to NGOs | Supervisor NGO | 3m | Discovered chairs in storage and transferred to waiting area. Although shura not identified in AP, remained involved in all decisions | ||
Clinic hygiene | Supervisor to train staff on infection prevention , create a plan for the clinic, and follow up | Supervisor, HF staff | Ongoing | NGO trained staff and assisted in developing action plan. Followed-up until 100% compliance | ||
Medicines, exams and wait time | Patient triaging to avoid ‘noise’. Time spent with patient considered | HF staff | ongoing | BPHS: ≥ 9 min with patient. Guard engaged in patient triaging and guides patients to specific area |