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Lucena City. VPD analysis. STEP-I . Inadequate reports from both hospitals and field areas Low specimen collection Inadequate logistic support from LGU Irregular surveillance activities No feedback report fro NEC to hospital level. THEME SELECTION MATRIX.
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Lucena City VPD analysis
STEP-I • Inadequate reports from both hospitals and field areas • Low specimen collection • Inadequate logistic support from LGU • Irregular surveillance activities • No feedback report fro NEC to hospital level
THEME SELECTION MATRIX Scale; 1 none 2- somewhat 3 –moderate 4- very 5- extreme
PROBLEM STATEMENT: • Lucena City had incomplete VPD reports from hospitals in the past 6 months attributed to lack of trained/committed personnel resulting to delayed/no report & missed cases that may lead to an outbreak of VPD cases in the CITY.
Target: • By the of the year 2009, CESU will be able to generate complete reports from all hospitals
Missed cases Incomplete data/report from hospitals Late report No report
Incomplete data/report from hospitals Delayed encoding No designated alternate staff Shared computer Not a priority Limited logistic resources No incentive Delayed data collection Limited trained personnel for DE No sanction Not committed Limited staff/item Late report
Incomplete data/report from hospitals No data collected/encoded Look warm attitude Other personal concerns Limited staff/item Attending seminars/ trainings/meetings No administrative support No designated alternate staff Trained staff often not available No incentive No sanction Not committed… No sunction No incentive No report inadequate visit by CESU Other concerns Less cases Small hospitals/less pts Limited staff Not a priority On leave Ah1n1/dengue
Hospital admin did not accept and implement the policy PIDSR policy not included in the hosp protocol not all RN are oriented in PIDSR Look warm attitude Not committed… Missed cases no legal basis/implication (sunction) Newly hired staff Failure to reecho PIDSR policy Pt not well assess/failure to recognize the sx Incomplete data/report from hospitals
Dialogue to medical director/ administrator Set reorientation on PIDSR to concerned staff Advocacy to hospitals administrators Make an agreement on Surveillance Activities Complacency of hospitals Provide AO 95/ Philhealth policies Inadequate data/ reports from hospitals Regular visits Conduct monitoring Regular meetings to all hospitals Records review
Dialogue to medical director/ administrator Hosp. admin designate capable staff CHO facilitates training Training of additional/ alternate DSO Conduct actual training Absence/ limited committed/ trained DSO Conduct post training evaluation Inadequate data/ reports from hospitals Monitor implementation Assist in the Formulate protocol Assist in the Organization of DS team Assist in the Role identification and scheduling