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BACKGROUND:
2007 DOH-HHRDB and PRISM1: recognized need for
quality standards of care for midwives (DOH:
midwives to the barrios/PRISM1 QMT for PPMs)
2010 DOH-NCDPC and PRISM2*: worked on revisions
to align with BEmONC for midwives, EINC, AMTSL
and other updates
2012 DOH Secretarys Message/Foreword
Value: standardizes professional midwifery
practice
General Objectives
To ensure that midwives, in both public
and private practice, adhere to quality
standards in the provision of MNCHN
(Maternal, Neonatal and Child Health and
Nutrition) services, either in government
birthing facilities or in private clinics,
throughout the country.
5 Booklets :
1 Introduction to the Manuals and 4 main sections:
Management
Special Procedures
Midwives Portion
Supervisors Portion
Section 1
Facility
Technical Competence
Continuity of Care
Management
Community Involvement
Business Practices (for private MWs)
ASSESSMENT
Y
NI NO NA
ASSESSMENT
Y
NI NO NA
ASSESSMENT
Y
NI NO NA
ASSESSMENT
Y
NI NO NA
ASSESSMENT
Y
NI NO NA
Action Plan
Compon
ent
I. Facility
Indica
tor
Issues
Root
causes
(WHY)
A.7
No
contaminati
on soln
Not aware
of the
need
Solution
s
Action/
Next Steps
Prepare &
always
make
available
Buy Zonrox,
container;
prepare
By Whom
MW
By When
Tomorrow
STATUS
(After
some
time)
(1 week
after) DONE
Two parts:
Supervisors Assessment Tool
The same checklist as that of the midwife portion
With helpful tips, reviewers, instructions,
comments, etc.
Supervis
ors
Assessm
ent Tool
I. FACILITY
Indicator C.
Indicator D.
Indicator A.
Indicator B. Facility/
Educational
Professional
Conditions/Amenities (12
Infrastructure (12
Materials for
Appearance of
items)
items)
Clients
Provider
(3 items)
1
10
10
11
11
12
12
Score: _18_/_24_
Score: _20_/_24_
Score: __0_/_6_
Total Score
(28 items)
(1 item)
1
Score: _2 / 2___
Score: _40_/_56__
Comments
MW
COMPONENT I. FACILITY
RATING
SUPERVISOR
RATING
Indicator A. Conditions/Amenities:
Does the clinic have:
1. A signage that contains the name of the facility?
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2.
1 .
9.
3.
1 .
10.
4.
1 .
11.
5.
1 .
12.
6.
0 .
7.
Score: __/__
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2 .
2.
1 .
9.
1 .
3.
1 .
10. NA .
4.
1 .
11. 1 .
5.
1 .
12. 1 .
6.
0 .
7.
2 .
Score: __/__
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2 .
2.
1 .
9.
1 .
3.
1 .
10. NA .
4.
1 .
11. 1 .
5.
1 .
12. 1 .
6.
0 .
7.
2 .
Score: __/__
Togetthenumeratorforeachindicator,
addallthenumericalanswers
(thatis,all2s,1s,or0s).
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2 .
2.
1 .
9.
1 .
3.
1 .
10. NA .
4.
1 .
11. 1 .
5.
1 .
12. 1 .
6.
0 .
7.
2 .
Score: __/__
Togetthenumeratorforeachindicator,
addallthenumericalanswers
(thatis,all2s,1s,or0s).
13
NUMERATOR=_____
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2 .
2.
1 .
9.
1 .
3.
1 .
10. NA .
4.
1 .
11. 1 .
5.
1 .
12. 1 .
6.
0 .
7.
2 .
Score: __/__
Togetthedenominator,subtractthe
numberofitemswithNAanswers
fromthetotalnumberofitemsforthe
indicator,&multiplytheanswerby2.
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2 .
2.
1 .
9.
1 .
3.
1 .
10. NA .
4.
1 .
11. 1 .
5.
1 .
12. 1 .
6.
0 .
7.
2 .
Score: __/__
Togetthedenominator,subtractthe
numberofitemswithNAanswers
fromthetotalnumberofitemsforthe
indicator,&multiplytheanswerby2.
22
DENOMINATOR=____
I. FACILITY
Indicator A.
Conditions/Amenities (12
items)
1.
2 .
8.
2 .
2.
1 .
9.
1 .
3.
1 .
10. NA .
4.
1 .
11. 1 .
5.
1 .
12. 1 .
6.
0 .
7.
2 .
Score: __/__
13
22
SCORE=_____/_____
I. FACILITY
Indicator C.
Educational
Materials for
Clients (3)
Indicator A.
Conditions/Amenities
(12 items)
Indicator B. Facility
Infrastructure (12)
1.
2 .
8.
2 .
1.
2 .
8. 2
1. __1__
2.
1 .
9.
2.
2 .
9. 1 .
2. _2___
3.
1 .
10.
3.
10. 2 .
3. __1__
4.
1 .
11.
1 . 4. NA .
5.
1 .
12. 1 .
6.
7.
5.
2 .
0 .
6.
2.
7. 1
24
Score: 14
__/__
Indicator D.
Professional
Appearance of
Provider (1)
Total Score
(28 items)
1. __1__
11. NA
12.
16 20
Score: ___/__
1.
4 6
Score:__/__
1 2
Score: __/__
Score: 35
__/_52
Monitoring done
Actual clientservice provider
interaction
Conduct of
regular business
in the clinic
Presence or
absence of the
item in the clinic
Interviewing the
midwife, assistants,
patients or clients
(least priority)
Monitoring
Observation IS the ideal and
recommended method of
monitoring. Therefore, the
presence of patients in the clinic
should NOT be a hindrance
rather it is a facilitating factor in
monitoring because then the
supervisor can simply and
quietly observe how the midwife
conducts herself during a
regular day at the clinic and
then record her (the
supervisors) findings on the
Five parts:
Organizing guidelines
Conference objectives
Structure of the conference
Steps in organizing
Appendices
Background
Recording and Reporting System for Private FPMCH Service Providers and Hospitals
NAMES
OFFICES/
AGENCIES
1.
2.
3.
4.
DOH-PHTL
PHO
CHO
IMAP
1.
2.
3.
4.
PHO
CHO
IMAP
IMAP
1.
2.
3.
4.
DOH-PHTL
PHO
CHO
IMAP
Clustering of Municipality
PHIC Accredited MCP/NCP
Municipality
Public
Tagbilaran City
Private
1.
2.
3.
4.
IMAP
IMAP
IMAP
IMAP
Main
Dao
Bool
UB
Dauis, Panglao
Loon, Calape,
Tubigon,
Inabangga
Sikatuna,
Catigbian,
Carmen
5. IMAP Tinago
6. IMAP Songculan
1. Calape RHU
7.
8.
9.
10.
11.
IMAP
IMAP
IMAP
IMAP
IMAP
Catagbacan
Calape
Tubigon
Inabanga
St Jerald
2. Sikatuna RHU
3. Catigbian RHU
4. Carmen RHU
Jagna, Duero,
Guindulman
5. Jagna RHU
6. Duero RHU
Mabini, Alicia
7. Mabini RHU
8. Alicia RHU
Talibon, Trinidad
PPP BHs
9. Talibon RHU
10. Trinidad RHU
Summary of Findings
Name of
Clinic
Address
Status
Clinic is
PHILHEALT
H
Accredited
Deficiency/ies
-Signage is too
small
-Lacking chairs
-Sink out of order
Recommendation
s
-Go to printing
shop
-Buy more sofa
/chairs
-Inform
plumber
New
PHILHEALT -Placentas are
-Construct
Calceta St., H
given to watchers placenta vault
Tagbiaran
accredited for bringing at
already.
-Breast inspection -Breast
Botika
was omitted
inspection
Outlet soon during prenatal
must be
to open
check-up
included
-Alligator forceps
was missing
-Buy alligator
forceps
Summary of Findings
Name of
Clinic
IMAP UB
Branch
Address
R. Palma St.,
Tagbilaran
City, Bohol
Status
Deficiency/ies
Accreditable
clinic, staff is
preparing
set-up for
PHILHEALTH
inspection
Recommendation
s
-Go to printing
shop
-Buy goggles
-Performing
breast inspection
-Advice client
and do
counseling for FP
Accredited
-Medicine cabinet
-Requested
clinic, Botika was not lack
made
Outlet soon -sharps container
to open
-IEC MCH posted
-Requested to
-Boiling and sucking PHO
of instruments-Request to IPHO
method of
-Informed to
sterilization
staff to
autoclave
instrument to
GCGMH at all
Lessons Learned
Expand the membership of the Joint QMT
to include Mayors or MHOs (MCP
accredited RHUs)
Tie up the QAP/QMT to the PHIC
accreditation renewal
PHO to integrate QMT to AOP (Budget
purposes)
Strengthen the P-TWG for FP-MCH
SUMMARY
The Quality Assurance
Package for Midwives is
a Toolkit for the
Practicing Professional
Midwives. It has been
developed as a
collaboration between
the Department of
Health and PRISM2, in
support of the
Millennium
Development Goals
(MDG) of the country .
QUESTIONS???
Action Planning
KRAs
Establish
database on
Health Facilities
and Providers
Activities
Updating of
Inventory of
Facilities and
providers in
Davao Sur
Timeframe
July 31, 2014
Person
Responsible
Mai2x Suralta
Action Planning
KRAs
Information,
Education &
Communication
Activities
Timeframe
Person
Responsible
Audience with
the IHLZ
technical
management
committee
meetings
July - September
Mai2x Suralta
Mai2x Suralta
Send letter to
DMO on the
July 14
Mai2x Suralta
Dr Anthony
Action Planning
KRAs
Monitoring Visits
and Reporting
Activities
Timeframe
Person
Responsible
Sep 26
AM Private
PM - Public
FACILITIES /
PROVIDERS
Next Steps
Next Round by January 2015, focus on the
mentoring
Joy Dinalo as liaison to the DOH-RO
Director for the signing of certificates
Mentor-Mentee Midwives capacity Building
(EINC, FPCBT1 &2, PPIUD, EBF) July to
October 2014