Transcript Document

Quality Assurance of Family Planning Services in Rural
Pakistan under the Suraj Social Franchise model
Authors: Xaher Gul, Komal Daredia, Saeed Qureshi, Asma Balal, Shahida Naqvi
Lightning Presentation
Background Information
MSS Service Delivery Network
126 Providers
12
Sindh
72
Punjab
42
KPK
Field Worker
Framework for Quality Assurance in SF
Recruitment
Feedback
Monitoring of
Client
Experience
Training
Monitoring of
Clinical & Non
Clinical quality
Source: The Basics of Quality Assurance in Social Franchising, Quality Assurance Framework Summary, UCSF Global
Health Sciences, The Global Health Group
3
Background Information
Selection Criteria for Suraj (Sun) Providers
Good
Reputation
in
community
Private
Qualified
Providers
Adequate
Infrastructure
Experienced
in RH Service
Delivery
Located in
non urban,
low income
area
Accessible
and willing for
training
Willing to
abide by
Suraj TOR’s
Open to
periodical
audits and QA
visits
Willing to
maintain
Suraj
Records
Background Information
Structure for QA visits
• MSI QTA
Annually
Project Office
Annually
Region Office
Quarterly
• Client Exit
Interview
(Third
Party)
Methodology
367
Indicators
Quality Assurance Scan Indicators
Knowledge
Assessment
Infection
Prevention
(15 Indicators)
(38 Indicators)
Counseling
Supplies
(64 Indicators)
(24 Indicators)
Emergency
Preparedness
(67 Indicators)
Clinical
Administration
(44 Indicators)
Procedure
Competency
under
Observation
(115 Indicators)
Source: MSS QA scan is adopted from MSI QTA Check list and modified from WHO FP Standards.
Methodology
367 Indicators
Accessed under
7 Categories
Score Range 0-2
Score Achieved in each
category ÷ Number of
Indicators Accessed
Total Score in all
Categories ÷ Number of
Categories Accessed
Percentage
Overall Score
85% &
> 85 %
Excellent
70% 84%
Good
Red Flag Issue
50% to
70%
Average
Non Compliance Issue
< 50%
Weak / Non
Compliant
Training Need
Assessment
Findings (Dec 12 – Jun 14)
Perceived Quality
100% - clients
1/5 of all RHF clients cite
satisfied
provider reputation as the
main reason for choosing
SURAJ clinics for FP
services.
99.9% clients
expectation met or
even exceeding
99.9% willing to
recommend the
health facility to
others.
Waiting Time
15 minutes
99.9% visit the
facility
again in the
future.
Findings (Dec 12 – Jun 14)
Average internal QA scores of Suraj Clinics
99.25
Average QTA* Score
[8 Providers randomly selected,
December 2013]
*Marie Stopes International conducts QTA assessment on an yearly basis
Way forward
Electronic QA Scans with Touch Tablets