|
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 7:30 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
| | | | | | |
|
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
|
6 m
|
Insufficient resources to meet construction requests
|
|
Laboratory facilities
|
Shura request to supervisor Governor; PPHD and NGO process request.
|
Supervisor shura, NGO, PPHD
|
3 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.
|
