The Site Capacity Assessment (SCA) Tool and other Mechanisms to Monitor Transition Status
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Transcript of The Site Capacity Assessment (SCA) Tool and other Mechanisms to Monitor Transition Status
Bobby Jefferson Senior HMIS Advisor
Futures Group
The Site Capacity Assessment (SCA) Tool and other Mechanisms to Monitor Transition Status
Track 1 Implementers MeetingMaputo, Mozambique
August 2010
Olivier Byicaza SI Advisor Rwanda
Futures Group
Transition
“Begin with the end in mind.” Steven Covey
Emerging Program Environment
1. Flat-line budgets
2. Increasing number of patients
3. Period of Transition Aligning with MOH
4. Sustainability capacity and strengthening local organizations
NOT BUSINESS AS USUAL
Environment led toward development
SCA enables targeted technical assistance (TA)
Cost Efficiencies When to provide targeted TA
Site Capacity Assessment (SCA)
Program Monitoring tool
Monitor Site Progress Toward Sustainability
Targeting 12 Component toward Sustainability
12 Components Adult HIV Care Nursing Community
Based Treatment Services
Quality Improvement Program
Adolescent Care Maternal and
Child Health (PMTCT)
Finance and Compliance
Health Care Management
Pharmacy Laboratory Strategic
Information Advocacy,
Fundraising Public Relations
7 Functional Areas
Physical Infrastructure and Equipment
Human Resources
Planning and Budgeting
Practice/Activities
Management, Supervision, and Communication
Commodities and Supplies
Record Keeping and Reporting
Scoring
1.0-1.9 2.0-2.9 3.0-4.5 4.6-5.0
Red Flag
Significant support needed
Yellow Flag
Targeted Assistance Needed
Approaching Sustainability
Green Flag
Sustainable
Blue Flag
Exceeds Expectations
Consider for training purposes
Components and Functional Areas Matrix
Hea
lth C
are
Man
agem
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Fisc
al C
ompl
ianc
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Adu
lt M
edic
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Nur
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Phar
mac
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Com
mun
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ased
Tr
eatm
ent S
ervi
ces
Labo
rato
ry
Mat
erna
l & C
hild
H
ealth
Pedi
atric
s
Stra
tegi
c In
form
atio
n
Qua
lity
Impr
ovem
ent
Prog
ram
Sco
re
Physical Infrastructure & Equipment
Human Resources
Planning & Budgeting
Record Keeping & Reporting
Practices (Activities)
Mangement, Supervision & Communication
Commodities & Supplies
Score
Provides clear guidelines to sites
Identify areas fortargeted technical assistance to support transition process/ site self
sustain
Allows us to provide tangible data anddescriptive goals to sites
Provide information for decision on Workplan and Action Plans
A key area for successful transition use of cost efficient tools that builds ownership
Identifying and sharing best practices
SI Action Plan Progress
Action Plan Items vs. Completed
Facility A.
Total Action Plans
Total Action Plans Completed
Action Plan
Follow-up and Action Planning
1. Schedule follow-up meeting with the health facility and appropriate component experts.
2. Work with health facility and relevant component experts to develop action plans.
3. Identify and schedule component expert technical assistance needed to implement action plans.
4. Coordinate and monitor capacity strengthening.
Use SCA Dashboard to monitor health facility status relative to sustainability benchmark
Monitoring
SI Scope Of Work
M&E
HMIS
DDIUSupportive Supervision
Transition SI Activities
SCA Rwanda Carried out assessments 10 sites
Provided feedback to facility
Collaboratively develop specific work plan
Targeted Technical assistance
Example: RwandaKey performance program Indicators for DDIU
have been used as measurement for site readiness for transition
Olivier BYICAZA, Strategic Information Advisor
AR/Futures Group International
Site Activities
ARV Missed Pickup Reports
Numbers of Patients Missing Clinics Visits
Number of Patients Missing CD4
Use of Integrated Clinical Data Management
system (IQChart software)
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
0.4%0.3%
1.2%
0.4%
0.3%0.3%
0.2%
0.3%0.4%
0.2%
% OF Missed ART pickup in 10 days, Feb-ruary 28, 2010; N= 4017
% OF Missed ART pickup in 10 days
Data clerks and nurses were in solidarity camp
0
500
1,000
1,500
2,000 1972
13011209
13741297
1032
870 885
614618
502 471508
477
648
# OF ACTIVE PATIENTS WITH NO CD4 CONTROL > 6 MONTH_ALL SITES As of
February 28, 2010# OF ACTIVE PATIENTS WITH NO C...
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
19.8%
14.1%12.8%
13.5%12.5%
8.1%8.0%
7.9%
5.4%5.4%
4.1%3.8% 4.0%
3.1%3.0%
% patients who missed their clinical follow up as of February 28, 2010; N= 6500
% patients who missed their clin-ical follow up
Conclusion Collaboration between data managers,
community support team and clinical team has resulted to a consultative informed decision making for program improvement.
Key performance program Indicators for DDIU have been used as measurement for site readiness for transition
We will continue support MOH and Districts
HMIS, M&E, DDIU
Thank You