Table 3 Distribution of micro-interventions proposed to address the top 10 problems
General Category & Subcategory of micro-interventions | Top 10 problems identified in A&F meetings | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
1. Weak diagnosis/management of EmOC | 2. Low coverage of 2nd/4th dose of IPTp | 3. Low coverage of 4th ANC | 4. Low testing/ retesting of HIV or syphilis | 5. Low coverage of 1st ANC < 12 weeks | 6. Weak diagnosis/inclusion of other risk factors in CCR | 7. Weak attendance of partners in ANC | 8. Low coverage of PCR < 8 weeks of life | 9. Low promotion/use of long-lasting methods of FP | 10. Weak delivery of supplements in ANC | |
Information, Education & communication | 4% | 18% | 47% | 11% | 53% | 7% | 70% | 35% | 67% | 6% |
a. Education of patient’s activities | 48% | 50% | 52% | 5% | 26% | 92% | 18% | 98% | 55% | 63% |
b. Community education activities | 32% | 20% | 22% | 4% | 49% | 4% | 18% | 1% | 20% | 13% |
c. Other IEC activities for patients | 20% | 30% | 26% | 91% | 25% | 4% | 64% | 0% | 25% | 23% |
Health Services Organization | 8% | 1% | 2% | 1% | 2% | 1% | 10% | 1% | 2% | 1% |
a. Activities related to changes in patient flow | 6% | 11% | 13% | 72% | 10% | |||||
b. Activities related to changes in service schedules | 9% | |||||||||
c. Other activities to improve facility organization | 100% | 91% | 94% | 89% | 88% | 100% | 28% | 100% | 90% | 100% |
Commodities stock management | 2% | 16% | 0% | 7% | 0% | 0% | 1% | 2% | 5% | 14% |
a. Actions to improve medicine management | 6% | 30% | 75% | 6% | 50% | 83% | 17% | 69% | ||
b. Actions to improve surgical supplies management | 14% | 79% | ||||||||
c. Other activities related to the management of materials and goods for the regular operation of the facility | 80% | 70% | 25% | 94% | 100% | 50% | 17% | 100% | 3% | 31% |
Information system management | 4% | 25% | 5% | 2% | 2% | 2% | 2% | 4% | 1% | 29% |
a. Data record improvement activities | 79% | 40% | 36% | 31% | 31% | 57% | 59% | 67% | 42% | |
b. Data quality audit activities | 5% | 12% | 4% | 6% | 6% | 29% | 25% | 33% | 20% | |
c. HIS file improvement activities | 1% | 1% | ||||||||
d. Activities related to the regular sending of information | 1% | 23% | ||||||||
e. Other activities to improve the availability, quality, and use of data | 16% | 46% | 36% | 63% | 63% | 14% | 75% | 41% | 37% | |
Inter- and intra-institutional coordination and collaboration | 81% | 36% | 31% | 78% | 17% | 84% | 4% | 53% | 12% | 50% |
a. Intra-institutional coordination activities | 2% | 4% | 3% | 1% | 17% | 24% | 31% | 16% | 9% | 5% |
b. Actions to strengthen compliance with clinical standards and protocols | 40% | 68% | 58% | 96% | 58% | 60% | 38% | 53% | 42% | 89% |
c. Actions to discuss clinical cases or institutional deaths | 18% | 0% | 1% | 0% | 0% | 0% | ||||
d. On-the-job training activities | 19% | 26% | 35% | 1% | 16% | 1% | 8% | 32% | 5% | |
e. Other activities to improve the quality of patient care (includes additional supervision) | 21% | 2% | 3% | 2% | 9% | 14% | 31% | 23% | 17% | 1% |
Community Involvement | 1% | 4% | 13% | 0% | 25% | 5% | 13% | 4% | 13% | 0% |
a. Coordination and collaboration activities with the community | 47% | 62% | 47% | 45% | 11% | 53% | 9% | |||
b. Community involvement activities in the management and organization of HF | 53% | 38% | 53% | 100% | 55% | 89% | 47% | 100% | 91% | 100% |