Indicators | CSC round | Reason | ||||
---|---|---|---|---|---|---|
 | 1 | 2 | 3 | |||
Provider scorecard | ||||||
Clinic building | 9 | 5 | 5 | Request for clinic wall was not processed. Clinic was informed that the PPHD and NGO only had a budget for minor repairs. | ||
Ambulance | 0 | 0 | 0 | Expectation for all clinics to have an ambulance. Later learned that BPHS does not provide ambulances for BHC, but indicator remained in CSC. | ||
Equipment | 9.5 | 5 | 4 | Although usable, the delivery table is damaged. A request for a new one has not been processed. RHO and MOPH delegations are aware of the problem, but have failed to address it. | ||
Staff punctuality | 10 | 10 | 10 | Supervisor and midwife reside at clinic and are available at all times. | ||
Patient consultation | 10 | 10 | 10 | Appropriate care provided in each department. | ||
Patient wait time | 10 | 10 | 10 | Only patients with complex conditions wait an extended time period. | ||
Community scorecard | ||||||
Medicines | 0 | 0 | 0 | Previously, the medicines arrived late and community members were not aware of options. Now all medicines are available and effective. | ||
Ambulance | 0 | 0 | 0 | Urgent need for an ambulance, as clinic is located in a remote area. However, the BHC remains ineligible for an ambulance due to BPHS regulations. | ||
Clinic building | 9 | 5 | 7 | Clinic has no wall, but it is fairly large and now has more rooms. | ||
Patient beds | 5 | 4 | 10 | Beds available, but staff does not admit patients. Only one bed in delivery room. Additional beds were provided for patients and escorts. | ||
Laboratory | 0 | 0 | 0 | Clinics staff do not have access to laboratories, but this is not a requirement for BHCs under the BPHS guidelines. | ||
Waiting time | 10 | 10 | 10 | Patients do not wait and are examined in the order of arrival | ||
Patient counseling | 10 | 10 | 10 | Patients counseled in a sympathetic manner and provided treatment plans. | ||
Accurate exam | 10 | 10 | 10 | Patients are examined accurately. | ||
Staff punctuality | 10 | 10 | 10 | Staff arrives at clinic at 7:30Â AM daily and serves the community throughout the night. Doctor and nurse are both present at all times. | ||
Clinic cleanliness | 10 | 10 | 10 | Support staff maintains a clean clinic. Sandals provided for patient use. | ||
Action plan | Â | Â | Â | Â | Â | Â |
Indicator | Action Proposed | Who? | Date | Observations | ||
Availability of medicines | Staff raised community awareness of the types of medicines and ensured there were no stock outs | Staff, CHS, shura | … | Staff discussed BPHS guidelines and shared list of medicines with shura to ensure sufficient supply | ||
Infrastructure, Clinic wall | Governor, PPHD and NGO, processing request. | PPHD | 6Â m | Insufficient resources to meet construction requests | ||
Laboratory facilities | Shura request to supervisor Governor; PPHD and NGO process request. | Supervisor shura, NGO, PPHD | 3Â m | Mediation held with community and shura to illustrate that this was not required in guidelines | ||
Replace old equipment | Supervisor submit request to NGO to replace delivery table and extra bed for escorts | supervisor midwife, NGO | 1 m | Ongoing negotiations and new equipment promised for next year. Midwife/supervisor’s wife facilitated five more beds. |