HOMABAY COUNTY RECENCY REVIEW MEETING SUB COUNTY; ---- Ndhiwa ------------------------------------ PRESENTER; Team RS Ndhiwa VENUE; Twin towers DATE; 30/11/2023
SUB COUNTY PROFILE NUMBER OF FACILTIES (OFFERING HIV SERVICES): 30 NUMBER OF FACILITIES ACTIVATED(VERTICAL/HORIZONTAL) FOR RS: 30 NUMBER OF RTRI LABS: 4
RTRI LABS: OVERALL PERFORMANCE RECENCY DATA:JAN 2023 – OCT 2023
RTRI LABS: SYSTEM & PERFORMANCE IINDCATORS Performance Indicators RTRI Lab NDHIWA RTRI Lab PALA RTRI Lab MAGINA RTRI Lab GK Functional ODK app available Yes No No Yes RTRI master file available Yes Yes Yes Yes Proportion of MLOs trained/OJTed on RS 3/8 2/2 1/2 3/8 Monthly IQC done & documented YES YES YES YES Proportion of MLOs enrolled on PT/EQA 2/8 1/2 1/2 1/2
RTRI LABS: COMMODITY STATUS Commodity status RTRI Lab NDHIWA RTRI lab magina RTRI lab pala RTRI Lab GK Asante kits Ending Balance: End of Oct 23 43 30 26 Average Monthly Consumption 32 13 10 Months of Stocks ( MoS ) 1 .5 month s 2.5 Months 1.6 Months Consumption Reporting Platform( KHIS/HCMP/Excel based) HCMP HCMP HCMP
COUNTY/SUBCOUNTY RECENCY SURVEILLANCE CQI SUPPORT SUPERVISION: April-July 2023 Number Proportion Remarks # of Facilities enrolled on Recency Surveillance 30 100% excellent # of Facilities visited during last round of RS CQI support supervision(April -Oct) 3(KARP - ACTS) 10% LVCT sites not done last quarter Cross-cutting issues/gaps identified during CQI supervision E.g. Missed opportunities in sample collection commodities outstock mostly ppt tubes clients declining at phlebotomy area a few staffs [] trained on RTRI few files for filing documents ODK network going down delaying realtime data entry
BEST PRACTICES Clients being escorted to phblebotomy area by the hts provider. RTRI clients being given first priority at the phlebotomy area real time data submission into the ODK portal daily ** submitted data are marked entered and filed immediately to avoid duplicate entry all the unsed barcodes submitted and filed in the lab to avoid repeat. testing is done immediately after samples collection to avoid delay of results
CHALLENGES failure by hts providers to fill RSLFRF forms correctly missing of some vital entities like age in the RSLFRF form some barcodes not able to go through ODk portal stockout of commodities mostly ppt tubes clients declining at the phlebotomy area Lack of ODK App(Pala and Magina) Lack of power (Magina) Large coverage and Bad terrain for sample rider
WAY FORWARD putting aside some ppt tubes as per AMC to avoid stockout of commodities. conducting monthly CMEs with hts provider to avoid simple mistakes conducting ojt to untrained staffs to avoid missing tests. real data submission online on daily basis proper filing of documents to avoid missing data Provide a tablet for ODK App(Pala and Magina) Replace battery in Magina. Increase number of riders(one)