CAM Presentation template, final, to Dr Gashu 6 month 11.pptx

Case managers template

1. CAM Report Presentation Template Name of health facility_ Maraki H/C Presenter________ Date 21/10/15—20/4/16___________ Place___________

2. ማራኪ ጤና ጣቢያ በጎንደር ከተማ አስተዳደር ጤና መምሪያ ካሉት ከ 8ቱ ጤና ጣቢያዎች አንዱ ጤና ጣቢያ ሲሆን ከዋናዉ ከተማ በስተደቡብ አቅጣጫ ይገኛል ፡፡ በሰሜን ማራለም 1ኛ ደረጃ ት/ ቤት በደቡብ አስፓልቱ በምስራቅ 3ኛ ፖሊስ ጣቢያ በምዕራብ አድያም ሰገድ እያሱ 2ኛ ደረጃ ት/ ቤት ያዋስኑታል ፡፡

3. አጠቃላይ በክፍለ ከተማዉ ዉስጥ ያለዉ የህዝብ ብዛት የከተማ ነዋሪ ህዝብ ብዛት 100144 - የገጠር ነዋሪ ህዝብ ብዛት 4383 ህፃናት ከ1ዓመት በታች 3244 - ህፃናት ከ 5ዓመት በታች 14108 ሴቶች ከ15-49 ዓመት 24561 - ነፍሰ ጡር እናቶች ብዛት 2633 ጠቅላላ የህዝብ ብዛት ወንድ - 51559 ሴት - 52601 - ጠቅላላ 104161 ለአንድ ክፍለ ከተማ እና ለአንድ የገጠር ቀበሌ አገልግሎት እየሰጠይገኛል በተጨማሪም ለአዘዞ ተክለሃይማኖትና ለቀበሌ 08 በከፊል አገልግሎት እየሰጠ ይገኛል ፡:

4. የማራኪ ጤና ጣቢያ የስራ አወቃቀረ የስራ አመራር ቦርድ የጤና ጣቢያ ኃላፊ የእናቾችና ህፃናት እንክብካቤ ኬዝ ቲም የተመላላሽ ህክምና ኬዝ ቲም የድንገተኛ ህክምና ኬዝ ቲም የግዥ / ፋይ / ንብ / አስ / የስራ ሂደት የሰዉ ሃብት አስተዳደር የስራ ሂደት ሌሎች አደረጃጀቶች የማኔጀመት ኮሚቴ የጤና ልማት ሰራዊት ሞርኒግ ሴሽን

5. የሳንባ ነቀርሳ ስጋ ደዌ ህክምና አገልግሎት በፈቃደኝነት ላይ የተመሰረተ የምክር አግልግትና የደም ምርመራ አገልግት ተጠርጣሪ ህሙማን ኤች አይ ቪ ምርመራ አገልግሎት የቅድመ ወሊድ አገልግሎት የወሊድ አግልግሎት የድህረ ወሊድ አገልግሎት የቤተሰብ ምጣኔ አገልግሎት የህፃናት ህክምና አገልግሎት የፅንስ ማቋረጥ አገልግሎት / በህጋዊ / የህፃናት እና የእናቶች ክትባት አገልግሎት የነፍሰ ጡር ከእናት ወደ ልጅ እንዳይተላለፍ የሚያደርግ የኤች አይ ቪ ምርምራ /PMTCT/ የድንገተኛ ህሙማን ምርመራ የጤና አጠባበቅ ትምህርት በተጨማሪም ሀይጅንና አካባቢ ጤና አገልግሎት የወባና ሌሎች ተላፊ በሽታዎች ክትትልና ቁጥጥር አጠቃላይ የጤና ምርመራ የአይን ህክምና አገልግሎት የመድሃኒት እደላ አገልግሎት የላራቶሪ አገልግሎት የቁስልና የመርፌ አገልግሎት የኢ አር ቲ አገልግሎት እንሰጣለን በጤና ኤክስቴንሽኖች በመስክ በመጎብኘት ቴክኒካዊ ድጋፍ መስጠት የሜዲካል ምርመራ አጠቃላይ በጤና ጣቢያዉ የሚሰጡ የህክምና አገልግሎት

6. ተልዕኮ / Mission/ ባልተማከለ የጤና አገልግሎት ስርዓት ዉስጥ ጥራቱን የጠበቀ ፤ ለሁሉም ፍትሐዊ ተደራሽ የሆነና የመክፈል አቅም የሌላቸውን ዜጎች ታሳቢ ያደረገ የጤና ማበልጸግ ፣ በሽታ መከላከል ፣ የፈውስ ህክምና የጤና አገልግሎት በመስጠትና በመቆጣጠር የማህበረሰቡን ጤንነት ወደ ላቀ ደረጃ ማድረስ ነው ፡፡   ራዕይ /Vision/ ጤናማ ፣ አምራችና የበለጸገ ኀብረተሰብ ተፈጥሮ ማየት ነው ፡፡

7. ባለድርሻ አካላት የጎንደር ከተማ አስተዳር ጤና መምሪያ የማራኪ ክፍለ ከተማ የሰዉ ሃይል አስተዳደር የማራኪ ክፍለ ከተማ አስተዳደር የጎንደር ከተማ / አስ / ገ/ኢ/አ/ል/ መምሪያ የፈንጠር ቀበሌ አስተዳርና የመድሃኒት ፈንድና አቅርቦት ኤጀንሲ አጋር አካላት ጎንደር ዩኒቨርሰቲ

8. የሰዉ ኃይል ስርጭት ሙያተኛ የሙያ አይነት ወንድ ሴት ድምር የሚያስፈልግ የጤና ጣቢያ ኃላፊ 1 1 1 ዶክተር 1 1 3 ጤና መኮነን 3 1 4 5 ቢኤስ ሲነርስ 10 10 10 ክ/ ነርስ ዲፕሎማ 2 5 7 11 ፈርማሲስት ዲግሪ 1 1 1 ፋርማሲ ቴክኒሻል 1 4 5 5 ላቭ ቴክኖሎጅ ዲግሪ 1 1 1 ላብራቶሪ ቴክኒሻል 4 4 5 መድ ዋይፈሪ ዲግሪ 1 1 1 ሚድ ዋይፍሪ ዲፕሎማ 1 5 6 5 ኢንቨሮመንታል ሄልዝ 1 1 1 ጤና መረጃ ቴክኒሻል 1 1 1 ጠቅላላ ድምር 10 33 43 50

9. የሰዉ ኃይል ስርጭት የአስተዳደር ሰራተኛ የሰራተኛ ዓይነት ወ ሴ ድምር የሚያስፈልግ ግዥ /ፋ/ን / አስተዳድር 1 1 1 የስዉ ኃይል ልማት አስተዳደር ላይዘን ኦፊሰር 1 1 1 ፅዳትና ተላላኪ 2 2 3 ካርድና የዕለት ገንዘብ ተቀባይ ክፍል 1 3 4 4 ዋና ገንዘብ ያዥና ን/ክ 1 1 1 የጽህፈትና ቢሮአስተዳደር 1 1 1 ሂሳብ ኦፊሰር 1 1 1 ግዥ ኦፊሰር 1 1 1 ዘበኛና አትክልተኛ 3 3 3 ፖርተር 2 2 3 ጠቅላላ ድምር 6 10 16 19

10. የሰዉ ኃይል ስርጭት የጤና ኤክስቴሽን የሙያ አይነት ወ ሴ የሚያስፈልግ የከተማ ጤና ኤክስቴሽን 15 25 የገጠር ጤና ኤክስቴሽን 2 2 ድምር 17 (63℅ ) 27

11. List of acronyms CAM Catchment area meeting CEE Core essential element DQA Data quality assurance DTG Dolutegravir FSW Female sex worker HRST HIV risk screening tool KP Key population MARPs Most at risk populations OVC Orphans and vulnerable children MHI Mental health integration PPSS Pediatric psychosocial support ASM Appointment spacing model QI Quality improvement SIMS Site improvement through monitoring system ICT Index Case Testing TPT TB preventive Therapy (INH prophylaxis) MDT Multidisciplinary team

12. List of acronyms … 3HP   Isoniazid (INH) and Rifapentine (RPT) EAS Enhanced adherence support DSD Differentiated service delivery model HEI HIV Exposed infant DBS Dried blood spot PLHIV People living with HIV PMT Performance monitoring team PrEP Pre-exposure prophylaxis IPC Infection prevention and control STI Sexually transmitted infection SNS Social network strategy TAT Turn around time RHB Regional Health Bureau ZHD/THD Zonal/Town Health Department PEP Post-exposure prophylaxis LF-LAM Lateral flow lipoarabinomannan assay HAIs Healthcare associated infections

13. List of acronyms … HCWs Health care workers HIVST HIV self testing PMTCT Prevention of mother to child transmission  CRF Case reporting format GBV/SV Gender- based violence/Sexual violence CBOs Community based organizations DSD Differentiated service delivery AHD Advanced HIV disease LEEP Loop electrosurgical excision procedure VIA Visual inspection with acetic acid OTZ Operation triple zero CPT Co- trimoxazole preventive therapy   RTK Raid test kit INH Isoniazid HVL High viral load EID Early infant diagnosis PCR Polymerase chain reaction

14. Previous CAM action points No Action points from the last six month Actions taken Remarks 1    lost Tracing (3)   Tracing Back =2   1= mekle 2  Pervious cam not done external mentoring   done two h/ center gebriel & mintiwab   3        4        5       

15. Major Transition Activities S. N Activity #/Yes/No 1 # of HIV related QI project/s implemented in the last quarter/ months   NO 2 If yes, briefly discuss the QI project outcome/s 3 # of DQA conducted by zone at the facility in the last quarter/ six mon ths NO If SIMS was done, # of initial R and Y CEEs in the last 3/6 mon ths 4 # of current R and Y CEEs after re-scoring in the last 3/6 mon ths NO Is there IPC screening for clients and HCWs in the context of HAIs? (if no why?) (where applicable) 5 Is there universal masking at the entrance and within the HF? (if no why?) (where applicable) NO 6 Is there functional hand hygiene at the entrance and within the HF? (if no why?) (where applicable). NO

16. Major Transition Activities… No Activity Quarter/six months plan Performance %/# 7 # of external mentorship conducted in the last quarter/ six months (For mentoring HFs only)   2 1   50%   8 # of report submitted to cluster hospital/ZHD/RHB in the last quarter/six months (For mentoring HF only) 9 # of internal mentorship conducted in the last quarter/six months 6 6 100% 10 # of MDT meeting conducted and minute archived in the last quarter/six months   6 5 83% 11 # of PMT meeting conducted and minute archived in the last quarter/six months   6 6   100% 12 # of supervision received from Woreda health offices or Z HD/THD / RHB (Specify).   2 2   100%  

17. HIV prevention

18. HIV prevention… No. Activities Quarter/6 months plan Performance in # ( %) in 3/6 months 1 # of condoms distributed for MARPs 0 Not A label 2 # of condoms distributed for the general population 3 #of PLHIV addressed with positive living education 757 4 # of FSW reached with HIV test and other package of services at KP friendly clinic (For KP friendly sites only) --- 5 # of high risk FSW reached with HIV test and other package of services through SNS (For SNS sites only) ---

19. HIV prevention… No. Activities Quarter/six months plan Performance in # ( %) in 3/6 months 6 # of PLHIV received at least 1 type of care and support from 3C’s* 11 7 # of OVCs received at least 1 type care and support from 3C’s 11 8 # of clients put on PrEP 6 1 17% 9 # of clients lost from PrEP 10 # of clients currently on PrEP 1

20. HIV risk screening tool (HRST) utilization Performance

21. Status of HIV risk screening tool (HRST) utilization at HF Risk Screening Tool (HRST) No. Activities Quarter/six months plan Performance in # (% ) in the 3/6 months /Y/N 1 Is there HRST available ?     YES 2 If yes, YES 2.1 # patients visited HFs in the last quarter/six months 56777 2.2 # Patients screened in the last quarter/six months 11587 2.3 # Eligible for HIV testing in the last quarter/six months   213 2.4 # Tested for HIV in the last quarter/six months 30 2.5 # Of HIV Positive identified in the last quarter/six months 1

22. HIVST Performance

23. HIVST Performance HIVST Quarter/six months performance (Directly assisted &Unassisted) 23 Directly Assisted HIVST Indicators Provided _HIVST 04 Not Ava1bil Tested_ with_HIVST 04 HIVST-Tested-Reactive Yields HIVST-Linked HIVST _ Confirmatory-Positive % Concordance Rate ART Initiated Unassisted HIVST Provided _ HIVST Tested _ with_HIVST HIVST-Tested-Reactive Yields HIVST-Linked HIVST _ Confirmatory-Positive % Concordance Rate ART Initiated

24. Partner and Family based ICT Performance

25. Partner and Family based ICT Quarter/six months Performance S/No Indicators Quarter/six months 1 Number of Index case during reporting period New & existing __9_____&__________ 2 Number of Index Clients offered P &F based ICT 9 3 Number of Index Clients accepted 9 4 Number of index clients named their Contacts 9 5 Number of total Contacts elicited 9 spouse 4 Non-spouse Children 5 Others/ siblings 6 Contacts with known status 2 spouse 2 Non-spouse Children Others/ siblings

26. Partner and Family based ICT Quarter/six months Performance S/No Indicators Quarter/six months 7 Contacts with unknown status 7 Spouse 2 Non-spouse Children 5 Others 8 Number of Contacts tested for HIV 5 Spouse 2 Non-spouse Children 3 Others 9 Number of Contacts tested HIV+ Spouse Non-spouse Children Others

27. Partner and Family based ICT Quarter/six months Performance… S/No Indicators Quarter/six months 10 Positivity/Yield Spouse Non-spouse Children Others 11 Number of contacts tested HIV+ linked to HIV care and Initiated ART Spouse Non-spouse Children Others 12 ART initiation rate Spouse Non-spouse Children Others

28. Total HIV testing service Performance

29. Total HIV testing services performance No.11 Activities Quarter/six months plan Performance in # (% ) in 3/6 months 1 Total # of individuals tested for HIV in the last quarter/six months 1.1 adult 1.2 children   3750   771 (20.6) % 764 7 2 Total # of HIV positive clients identified 2.1 adults 2.2 children   36   8 22.2 8 3 # of HIV + ve clients received from other facility/ community based organizations (CBOs) TI=2 Known =1 4 # of HIV + ve clients linked at HIV positive tracking register     11

30. Index case testing status at ART and PMTCT clinic No. Activities Quarter/six months plan Performance in # ( %) in 3/6 months 1 # of clients newly started ART in the last quarter/six months     9 2 # of spouse/non-spouse ,children and parent of newly started ART clients registered at index case register 9 3 # of spouse/non-spouse ,children and parent of newly started ART clients registered at index case register with unknown status 7 4 # of spouse/non-spouse ,children and parent of newly started ART clients tested for HIV 4.1 # tested positive 4.2 # linked and started ART

31. Index case testing for high viral load (VL) clients No. Activities Quarter/6 ms plan Performance in # (%) in 3/6 ms 1 # of PLHIV on ART with high VL results in the last quarter/six months     2 2 # of spouse/non-spouse and children of high VL clients registered at index case register 2 3 # of spouse/non-spouse and children of PLHIV with high VL tested for HIV 3.1 # tested positive 3.2 # linked and started ART

32. HIV Exposed Infants HIV testing No. Activities Quarter/6 months plan Performance in # ( %) in 3/6 months 1 # of HEIs identified in the last quarter/six months     13 2 # of HEIs who received ARV prophylaxis     13 3 Total # of DBS test done in the last quarter/six months 13 7=9Month 4 # of DBS test done with in 2 months of age in the last quarter/six months 13 5 # of HEIs tested HIV positive with DNA PCR in the last quarter/six months 6 # of HEIs tested positive and started ART in the last quarter/six months 7 Average DBS TAT in the last quarter/six months. 1 Monthe

33. CBS implementation No. Activities Quarter/6months plan Performance in # (% ) in 3/6 months 1 Total # of newly identified HIV positive 9 9 100% 2 Total # of newly identified HIV positive individuals with completed CRF (Case Reporting Format)   9 9 100 %   3 Above 15 age newly identified HIV positive individuals with completed CRF 9 4 Total # of HIV positive clients tested for recency testing     9 5 Total # of individuals with recent infection. 1

34. Sexual transmitted infection (STI) and HIV testing No. Activities Quarter/six months plan Performance in # ( %) 1 # of STI cases diagnosed in the facility in the last quarter/six months 21554 552 35% 2 # of clients treated with syndromic approach in the last quarter/six months 21554 552 35% 3 # of partners of STI cases notified , diagnosed and managed for STI in the last quarter/six months 80 4 # STI clients tested for HIV in the last quarter/six months 1075 50 5.51 % 5 # STI clients tested HIV positive in the last quarter/six months 21 6 # of clients tested HIV + ve & linked to ART clinic in the last quarter/six months. 21

35. Post GBV/sexual violence (SV) service No. Activities Quarter /6 months plan Performance in # ( %) in 3/6 months 1 # of GBV/SV survivors who visited facility in the quarter 2 # of GBV/SV Survivors who got Post GBV/SV clinical care 3 # GBV/SV survivors provided with PEP 4 # of GBV/SV survivors tested for HIV 5 # of GBV/SV Survivors tested positive for HIV 6 # of GBV/SV Survivors tested positive for HIV and linked to HIV Care and treatment.

36. Second 95 performance

37. ART initiation performance Activities Quarter/six months plan Performance in # ( %) in 3/six months 1 # of clients linked to care (# of clients registered on HIV positive tracking register)     11 TI=2 1= Kwon 2 # of clients initiated ART with in a week including same day in last quarter/6 months 2.1 adults 2.2 children 9 8 3 # of clients initiated ART after a week 3.1 adults 3.2 children 1 4 # of clients referred to other HFs 5 # client with confirmed referral.

38. Not yet started clients status Activities Quarter/six months plan Performance in # ( %) in the 3/6 months/Y/N 1 # of total clients not yet started ART 1 2 Reasons for not yet started clients (Specify) Refutes

39. Pediatric DTG role out No Activities Quarter/6m months plan Performance in # ( %) in 3 /6 months 1 Number of children on first line regimen 13 1.1 Number of first line children who are on ABC/3TC/DTG 13 1.2 Number first line children who are on EFV, Lop/r or ATV/r based regimen 1.3 Number first line children who are on other category 2 Number of children who are on second line regimen 2.1 Number of second line children who are on DTG based regimen 2.2 Number of second line children who are on EFV, Lop/r or ATV/r based regimen 2.3 Number of second line children who are on other category

40. DSD and AHD performance Activities Quarter/6 months plan Performance in # ( %) in 3/6 months (Y/N) 1 . Currently on ART 1.1 adult 1.2 Children 575 562 100% 13 2. # of clients enrolled in to less intensive model in the last quarter/six months 3MMD=11 CAG=28 PCAG=9 ASM=78 3. # of clients enrolled into more intensive model in the last quarter/six months 8 4. # of AHD identified during in the last quarter/six months Stage 3 Stage 4 CD4<200 Under five 1 4 3

41. Continuity of care No. Activities Quarter/six months plan Performance in # ( %) in 3/6 months (Y /N) 1 # of interruption in treatment in the last quarter/six months 3 2 # of return back to care in the last quarter/six months 2 3 # of death in the last quarter/six months 4 # of death audit conducted (please mention cause of death).

42. Continuity of care No. Activities Quarter/six months plan Performance in # ( %) in 3/6 months 5 TI in the last quarter/six months     9 6 TO in the last quarter/six months 20 7 Net treatment current increment (treatment current of reporting period - treatment current in the previous quarter/semi annual). -3

43. TB/HIV collaboration No. Activities Quarter 6 months plan Performance in # ( %) in 3 /6 months 1 # of patients diagnosed for active TB in the last quarter/6 months 62 91 >100 2 # of patients diagnosed for TB and tested for HIV in the last quarter/6 months 62 91 >100 3 # of TB patients who were tested for HIV and positive during the last quarter/6 months 2 =New 13=Known 4 # of TB/HIV co-infected patients diagnosed in the last quarter/6 months who started CPT 2 5 # of TB/HIV co-infected patients diagnosed in the last quarter/6 months who started ART. 2

44. TB/HIV collaboration… No. Activities Quarter/6 ms plan Performance in # ( %) in 3/ 6 mns 6 Proportion of newly enrolled in HIV care who started TPT during the last quarter/six months 7 TPT (INH/3HP) coverage from Tx_Curr during the last quarter/six months (TPT started/Tx_Curr) 8 TPT (INH/3HP) coverage from Tx_New during the last quarter/six months 9 LM_LAM tested (total) 10 LF_LAM positive (total) 11 LF_LAM ne (total) No. Activities Quarter/6 ms plan Performance in # ( %) in 3/ 6 mns 6 TPT uptake from Tx-new in the last quarter/six months 48 5 10% 7 TPT coverage from Tx_Curr (Cumulative TPT started/Tx_Curr) 575 485/575*100 84% 8 TPT completion rate (from started) 575 481/575*100 84% 9 LF_LAM tested in the last quarter/six months 2 10 LF_LAM positive in the last quarter/six months 1 11 # of clients treated for TB in the last quarter/six months. 2

45. Pediatric psychosocial support (PPSS) No. Activities 3/six months plan Performance in # ( %) in 3 /6 months 1 # of children on ART disclosed their HIV status in the last quarter/six months     2 # of children disclosed their HIV status & enrolled to the PPSS in the last 3/six months     3 # of children currently participating in the PPSS program. 4 Number of adolescents 10-19 currently on ART 5 Number of adolescents 10-19 currently on ART who are on OTZ program 6 Proportion of Adolescents in OTZ program with suppressed viral load at 0/6/12/24 months of being enrolled to OTZ (where applicable)

46. Cervical cancer screening and management No. Activities Quarter/ six months plan Performance in # ( %) in 3/6 months 1 Total number of WLHIV aged 15-49 in the HF 95 49 52% 2 # WLHIV aged 15-49 screened for cervical cancer with VIA for first time in the reporting period 6 3 # found positive with VIA for dysplasia 2 4 # of c lients treated with 2 4.1 Cryotherapy/thermal ablation 2 4.2 LEEP 5 # found suspicious 5.1 Referred for treatment 6 # of clients who received follow up after treatment in the reporting period.

47. Mental health integration (MHI) No. Activities Quarter/six months plan Performance in # ( %) in 3/6 months 1 # of eligible clients screened for mental health problem     38 2 # of clients who have symptoms of MH illness     3 3 4 # of clients referred to clinician for mental health evaluation 1 # of referred clients with confirmed mental health disorder. 1

48. Third 95 performance

49. Viral load test performance No. Activities Quarter/six months plan Performance in # ( %) in 3 / 6 months 1 # of eligible clients for VL test in the last quarter/six months 272 2 Total viral load specimen sent in the last quarter/six months 284 207 73% 3 Total viral load result received in the last quarter/six months 284 208 73% 4 # of HVL results ( > 1000 copies/ml) in the quarter quarter/6 months 2 5 # of clients with low level viremia (51-1000 copy/ml) in the last quarter/six months 23 6 Average VL turnaround time (TAT) in the quarter/6 months. 35 Day

50. Viral load test performance … No. Activities Quarter/six months plan Performance in # (% ) in 3/6 months 7 # of >50 copies/ml VL results notified through phone/telegram from testing sites 23 8 # of positive EID results notified through phone/telegram 23 9 # of clients with HVL and low level viremia result who were initiated EAS in the last quarter/six months 25 10 # of clients with HVL and low level viremia who completed their EAS in the last quarter/six months 10 11 # of clients who completed EAS in the last month and second VL test done in the last quarter/six months. 8

51. Viral load test performance … No. Activities Quarter/six months plan Performance in # (% ) in 3/6 months 12 # of clients with re-suppressed (Second VL result ≤ 50 copy/ml) in the last quarter/6 months 7 13 # of clients with low level viremia after EAS (Second VL result 51-1000 copy/ml) in the last quarter/6 months 1 14 # of clients with 2 nd VL viral load results > 1000 copies/ml in the last quarter/6 months 15 # of clients switched to the second/3 rd line ART in the last quarter/six months.

52. Rapid test kit supply S.N Activity Assay I Assay II Assay III 1 Total # of rapid HIV test kits at the beginning of the last quarter/6 months 80 30 20 2 Total # of rapid HIV test kits received last quarter/6 months 840 60 40 3 Total # of rapid HIV test kits expired / damaged last quarter/6 months 4 Total # of rapid HIV test kits utilized last quarter/6 months 840 30 20 5 Total # of rapid HIV test kit currently stock on hand last quarter/6 months 60 40 6 Total tests reactive /positive in the last quarter/6 months. 8 8 8

53. ARV drug supply S.N Activity ABC + 3TC (120+60) AZT +3TC (60+30) DTG 10mg 1 Total # of packs at the beginning of the last quarter/6 months 18 6 2 Total # of packs received last quarter/6 months 78 20 3 Total # of packs expired / damaged last quarter/6 months 4 Total # of packs currently stock on hand last quarter/6 months. 6 5

54. ARV drug supply… S.N Activity TLD Lamivudine+Tenofovir(300+300) DTG 50mg 1 Total # of packs at the beginning of the last quarter/6 months 96 15 6 2 Total # of packs received last quarter/6 months 746 20 50 3 Total # of packs expired / damaged last quarter/6 months 4 Total # of packs currently stock on hand last quarter/6 months. 250 5 3

55. ARV and O.I drugs & kit supply S.N Activity Yes (List) No If yes, for how long? (Day Out of Stock ) 1 Was there HIV RTK interruptions in last quarter/6 months ? Yes 2 Month 2 Was there DBS kit interruption in the last quarter/6months? NO 3 Was there Pediatrics 1 st ,2 nd & 3 rd ARV drugs interruptions in last quarter/6 months ? NO 4 Was there Adult 1 st ,2 nd & 3 rd line ARV drugs interruptions in last quarter/6 months ? NO 5 Was there INH/3HP/ CPT interruption in the last quarter/6 months? NO 6 Was there interruption of VL test tube / LF –LAM in the last quarter/six months? YES 1 Month

56. Challenges No Challenges Actions undertaken 1    --Not A labile Kit --Shortage OF ART drug ---Our H/C Location is Unstable Zone High Patients Flow   report ZHD 2    Excess number of transfer out client   3    

57. Promising/Best practices ኤድስ ፈንድ ከስታፍ ሰራተኛ የተሰበሰበ ገንዘብ = 6 0ብር ከተለያዮ ገቢዎች = 18900ብር የተለያዮ ወጭ =1520 ብር ከወጭ ቀሪ =17380 ብር

58. አጠቃላይ ከ2005 ጀምሮ ያለው ሪፖርት ከስታፍ የተሰበሰበ = 27250ብር ከተለያዮ ገቢዎች = 193674.70ብር የተለያዮ ወጭ =77314.50 ብር ከወጭ ቀሪ = 143610.20 ብር

59. በኤድስ ፈንድ የተሰሩ ስራዎች ቫይረሱ በደማቸው ያለበቸው ሰዎች / ልጆች ለትምህርት ቤት አልባሳት የሚዉል ጫማ ፤ ዮኒፎርም ፤ ደብትር፤ፖርሳ ፤ ለተለያዮ ሰዎች ከቫይረሱ ጋር ለሜኖሩ ሰዎች ለትራንስፖርት የሚዉል ብር ወጭ የሆነ ነዉ ፡፡ ከእስራየል የምትኖር ፋሲካ ሹምየ የምትባል ከመድህኒት ጋር ለሚኖሩት ታካሚዎች 23 ሰዎች በመመልመል በየወሩ 300( ሶስት መቶ ብር ) እና በክብረ ባዓል ሲሆን 600( ስድስት መቶ ብር ) እያገዘች ትገኛለች ፡ በተጨማሪም ከጀመረች ጀምሮ የተለያዩ እርዳታዎችን እረድታለች በ3ኛው ሩብ ዓመት 32500/2015 / ሰላሳ ሁለት ሺ አምስት መቶ ብር / ልካለች ከጀመረች ቀን ከመጋቢት ወር 2010 ዓም ጀምሮ እስካሁን ለእርዳታ የላከችው ብር 456550 / አራት መቶ አምሳ ስድስት ሺ አምስት መቶ አምሳ ብር / ልካለች :: ሳሙና ፤ ሳኒታይዘር፤ማስክ እና ሌሎችን የተገዙ ነው የስነ-አእምሮ የምክር አገልግሎት ልየታ በማድረግ ከ20 ሰዎች ውስጥ 6 ሰዎች ወደ ጎንደር ሆስፒታል ሪፈር ተሰጥቶ ህክምና ጀምራዋል ፡፡ የጤና ትምህርት የመስጠት ስራ ተሰርቶል

60. Thank You!!!