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Kenya Quality Model for Health

Quality Standards for Community Health Services

LEVEL12015

REPUBLIC OF KENYA

MINISTRY OF HEALTH

Kenya Quality Model for Health

Quality Standards for Community Health Services

2015

LEVEL 1

MINISTRY OF HEALTH Afya House, P. O. Box 30016 - 00100, Nairobi

www.chs.health.go.ke

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FOREWORD......................................................................................................................iiACKNOWLEDGEMENT .................................................................................................iiiABBREVIATIONS.............................................................................................................ivPREFACE ............................................................................................................................vINTRODUCTION ............................................................................................................viDOMAIN 1: LEADERSHIP AND GOVERNANCE .................................................... 1DOMAIN 2: COMMUNITY HEALTH WORKFORCE MANAGEMENT .............. 3DOMAIN 3: COMMUNITY HEALTH POLICY, GUIDELINES AND STRATEGIES ............................................................................................ 5DOMAIN 4: COMMUNITY HEALTH INFRASTRUCTURE AND EQUIPMENT ...................................................................................... .....6DOMAIN 5: MASTER COMMUNITY HEALTH UNIT LISTING .......................... 7DOMAIN 6: COMMODITIES AND SUPPLIES ....................................................... 8DOMAIN 7: TRANSPORT ........................................................................................... 9DOMAIN 8: REFERRAL SYSTEM ..............................................................................10DOMAIN 9: COMMUNITY HEALTH INFORMATION SYSTEM ....................... 11DOMAIN 10: COMMUNITY HEALTH FINANCING .............................................12DOMAIN 11: LINKAGES AND PARTNERSHIPS......................................................13DOMAIN 12: SERVICE DELIVERY ............................................................................. 14DOMAIN 13: MONITORING AND EVALUATION .................................................15MONITORING AND EVALUATION SHEET FOR TIER ONE KQMH ................16

TABLE OF CONTENTS

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Kenya’s second National Health Sector Strategic Plan (NHSSP II 2005 -2010) defined a new approach to the way the sector will deliver health care services to Kenyans – the Kenya Essential Package for Health (KEPH). One of the key innovations of KEPH is the recognition and introduction of Level 1 services which are aimed at empowering Kenyan households and communities to take charge of improving their own health. Implementing community health services is one of the top priorities of the Ministry of Health and its partners in the sector.

The promulgation of the constitution of Kenya on 27th August, 2010, was a major milestone towards the improvement of health standards. The need to address the citizens’ expectations of the right to the highest attainable standard of health cannot be over emphasized because the constitution prioritizes quality management as an integral component of the health care services.

The social pillar for Vision 2030 stipulates that to improve the overall livelihoods of Kenyans, the country has to aim at providing efficient and high quality health care with the best standards. This concept of quality and the benefits it would confer to the health providers’ work and the outcomes for their clients however have not completely been understood by clients, health managers and providers.

The Ministry of Health embarked on the review of the Kenya Quality Model and its expansion into a National policy on Quality Assurance including clinical care, management support and leadership and to make it adaptable for the Kenya Essential Package for Health (KEPH). The new model, the Kenya Quality Model for Health, has attempted to address the inadequacies identified in the Kenya Quality Model and has developed standards and checklists for KEPH level 2,3,4,5 and 6. This document outlines the standards for level 1 which have been organized into 13 domains for ease of reference. It is hoped that all stakeholders will play an active role in the implementation of the standards as an integral part of their performance assessment in order to continuously improve the quality of tier 1 health services.

FOREWORD

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The development of the Kenya Quality Model for Health - Standards for Community Health Services (Level 1) have been accomplished through the collaborative efforts of the Ministry of Health, Japan International Cooperation Agency (JICA – CHS project), USAID ASSIST Project and Goal Ireland.

These standards have been developed through a long process of consultations, team work and information gathering through the wise guidance of Dr. James Mwitari former head, Division of Community Health Services, Dr. Lucy Musyoka former head Department of Standards, Quality Assurance and Regulations, Dr. Salim Hussein, head Community Health Services Unit and Dr. Charles Kandie head, Division of Health Standards and Quality Assurance in the Ministry of Health. We also appreciate technical support from the World Health Organisation.

We are sincerely indebted to the following technical officers who worked tirelessly to ensure the realization of these standards – Jane Koech, Francis Muma, Ruth Ngechu, Isaac Mwangangi, John Towett, Samuel Okuche, Samuel Njoroge, Diana Kamar, Daniel Kavoo, Dr. Pauline Duya and Ruth Ngechu all of the Ministry of Health, Elijah Kinyangi of JICA-KCO, Makiko Kinoshita and Akiko Hirano of JICA-CHS, Crispin Ndedda of Micronutrient Initiative, Roselyn Were, Doreen Bwisa, and Jacqueline Kimani all of URC, LLC.

The development of these standards would not have been possible without the financial support from USAID through the USAID ASSIST Project, JICA – CHS Project, Micronutrient Initiative and Goal Kenya who co–funded different activities in the development process and we are grateful for this support.

Finally we wish to thank the representatives from the 47 counties and everyone who contributed in one way or the other to the successful development of these standards.

Dr. Nicholas MuraguriDIRECTOR OF MEDICAL SERVICES

ACKNOWLEDGEMENT

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ABBREVIATIONS

AWP Annual Work PlanCDF Constituency Development FundCHA Community Health AssistantCHC Community Health CommitteeCHEW Community Health Extension WorkerCHIS Community Health Information ServiceCHIS Community Health Information ServiceCHS Community Health ServicesCHS Community Health StrategyCHSU Community Health Services UnitCHU Community Health UnitCHV Community Health VolunteerDHIS District Health Information ServiceDHSQAR Division of Health Standards, Quality Assurance and Regulations EBM Evidence Based MedicineFEFO First Expiry First OutFIFO First In First OutFP Family PlanningGOK Government of KenyaHSSF Health Sector Services FundICT Information and Communication TechnologiesIEC Information Education and CommunicationJICA Japan International Cooperative AgencyKCO Kenya Country OfficeKHSSIP Kenya Health Sector Strategic and Investment Plan 2013-2017KQMH Kenya Quality Model for HealthM&E Monitoring and EvaluationMCHUL Master Community Health Unit ListingMI Micronutrient InitiativeMOH Ministry of HealthPP Patient PartnershipQIT Quality Improvement TeamQM Quality ManagementTOT Trainer of TrainerURC University Research CompanyUSAID United States Agency for International DevelopmentWIT Work Improvement Team

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The Ministry of Health, in the Kenya Health Sector Strategic and Investment Plan 2013-2017 (KHSSIP), shifted emphasis from curative to prevention and promotion of individual and community health. This aggregates service delivery into Tiers. The tiers are organized from 1 to 4; where Tier 1 is the community health services ; Tier 2- Dispensaries and Health Centres (primary care services); Tier 3 - Sub County and County hospitals; and Tier 4 - referral hospitals including former provincial, national/tertiary health facilities.

To provide Quality Improvement at Tier 1 health services, the Ministry of Health has taken steps to develop standards to cater for service delivery at the community level. These Standards have taken into account leadership, staff motivation, staff competence, adequate resources, content and process of care, referral systems, and the active participation of the community.

It is foreseen that with the introduction of these Standards - adherence, regular assessments and audits will be carried out and a culture of Quality Management will progressively take root at community level and gradually seek to meet the highest standards of Quality.

The quality standards outlined in this document apply to tier 1. During the development of this document it was noted that the services provided at tier 1 were varied and therefore the standards have been expanded to capture the majority of these services.

PREFACE

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Quality Improvement is a process to improve adherence to standards and guidelines, to improve structure-process-outcome of health services by applying quality management principles and tools, and to satisfy patients’/clients’ needs in a culturally appropriate way. The Kenya Quality Model for Health (KQMH) integrates Evidence-Based Medicine (EBM) through wide dissemination of public health and clinical standards and guidelines with total quality management (TQM) and patient partnership (PP). The issue of quality and quality improvement should not be addressed as a separate programme rather Quality should be “built-in” and integrated in the health delivery system. The KQMH is based on the Kenya Health Standards which are designed to simultaneously address two major issues; • A standards approach that

will ensure delivery of safe and effective health services

• The gradual introduction of quality management to health managers and service providers.

The Standards Approach:The Division of Health Standards, Quality Assurance and Regulations (DHSQAR) shall provide leadership in standards development, revision and regulation. Standards, clinical and public health guidelines shall be evidence-based (EBM approach), consider the perspective of communities, and respect clients’ right.

This model is designed for self-assessment by the Work Improvement Teams (WITs) in the respective Community Health Units (CHUs), Peer Assessments by Quality Improvement Teams (QITs) of different CHUs and external assessment by trained Quality Improvement Coaches and Mentors who shall provide support to ensure compliance with basic standards.

The Quality Management Approach:Parallel to the standards approach, the DSQAR in liaison with key players shall provide leadership in capacity building for quality improvement. The introduction of quality management (QM),

INTRODUCTION

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including QM principles and tools, shall be the first step to build capacity at community level to manage quality in a systematic and comprehensive manner. The aim is to provide motivation to surpass basic standards and to guide the way to excellence in health care.

Leadership at all levels will to use the KQMH for self-assessment. Health care managers and providers at tier one should engage in a continuous quality improvement process. The checklist is designed for integration in routine work and is linked to the Annual WorkPlans. Quality Management mentors and coaches will verify community self-assessments through an assessment (using the same checklist) and provide support to quality improvement. The checklist also forms the basis for the Health Services Monitoring & Evaluation (M&E) system. Summary reports will be entered into the county database. The information shall provide additional guidance on priority setting and resource allocation.

Quality Improvement Documentation System:To enable the Assessors to capture all the aspects of Quality in full detail, a combined effort of everyone in the community health unit (CHU) is needed to achieve change and significant improvement in quality of health care. Leadership in health care at all levels including Community, Sub-County, County, National and stakeholders need to be involved in supporting Quality Improvement Documentation System. This system comprises of regular quality reports from various leaders of the community health service delivery system.

Scoring systemThe scoring system of the checklist is based on a 5 point scoring structure. A score of 1 or 0% is the lowest score while a score of 5 or 100% is the highest possible score

1 or 0-24%: A Minimum standard has not been met. There are no visible signs of any efforts to address compliance with the standard, only excuses.

2or 25-49%: A minimum standard has not been met, however there

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is evidence for commitment to change for the better, particularly by the top management. There are some demonstrated efforts to improve the situation. Health managers are able to produce some evidence that the issue of non-compliance has been assessed and an improvement plan to reach a stage of compliance is currently being implemented.

3 or 50-74%: A minimum standard has been met .This score refers to meeting the standard as outlined.

4 or 75-99%: A minimum standard has been met. Moreover there is

some demonstrated additional effort to surpass the standard under score 3. There is visible commitment to continuous improvement, and evidence can be produced to demonstrate quality improvement.

5or 100 and above % : Evidence to demonstrate positive results and trend over a period of one year can be produced. An excellence distinction has been achieved and the Community Health Unit is recognized as a Centre of Excellence.

Leadership has been identified as one of the most important principles in quality management and improvement at all levels. In general, leadership can be defined as the process of providing guidance and motivation for continuous quality improvement. Leadership cascades from the Ministry of Health at national level through the county and sub county health management team to the community health committees (CHCs).

In the context of community health services in Kenya, good leadership promotes the vision and mission articulated in the community health strategy.

DOMAIN 1: LEADERSHIP AND GOVERNANCE

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Stewardship1.1 Community health services leadership shall be aware of the Kenya Quality Model for Health (KQMH) and recognize their own role in leadership as an essential part of improving quality of community health services.

1.2 Community health services leadership shall promote collaborative and participatory decision-making.

1.3 Community health services leadership shall provide opportunity for development of community health workforce for sustainable community health services delivery.

1.4 Community health services leadership shall sensitize all the stakeholders on their role and responsibilities in delivering community health services.

1.5 Community health services leadership shall follow the guidelines on the establishment of CHU.

1.6 Community health services leadership shall ensure the

full functionality of the CHU (monthly dialogue days, quarterly action days, and Community Health Information System [CHIS] reporting).

1.7 Community health services leadership shall ensure that standard tools for supportive supervision are available and used during quarterly supportive supervision.

Governance

1.8 Community health services leadership shall hold regular stakeholder forum at least semi-annually for the coordination among the stakeholders.

1.9 Community health services leadership shall ensure that CHCs hold meetings monthly and evidenced by the minutes.

1.10 Community health services leadership shall document the identified areas for improvement and demonstrate efforts for remedial action.

STANDARDS

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DOMAIN 2: COMMUNITY HEALTH WORKFORCE MANAGEMENT

Community health workforce is a critical resource in the delivery of level one health services. The workforce must have the required qualities and the competencies, skills, and knowledge; categories and number of personnel; and training needed to achieve community health goals.

Community Health Volunteers (CHVs)

2.1 All positions for CHVs shall be filled in accordance with the Community strategy guidelines.

2.2 There shall be an inventory of ALL CHVs maintained by the Community Health Extension Workers (CHEWs) and updated annually.

2.3 There shall be five (5) CHEWs deployed in each community Health Unit as stipulated in the community health strategy

Community Health Extension Workers

2.4 There shall be an inventory of ALL CHEWs maintained by the Sub-County Health management team and updated annually.

2.5 Vacancies provided in the Scheme of Service for

Community Health Personnel shall be filled with qualified staff.

2.6 Available community health vacancies shall be communicated through a fair, transparent and accessible system.

2.7 A written job description of Community health workforce shall be communicated to respective employees.

2.8 There shall be an appraisal for all CHEWs on an annual basis using a standardized format, by the Sub-County Health management Team.

2.9 There shall be a continuing professional development programme for all CHEWs and CHVs coordinated by the sub-county Health management team.

2.10 There shall be measures to

STANDARDS

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ensure staff safety in accordance with the Occupational Safety. and Health (OSH) guidelines implemented by the Sub-county and County health management team.

2.11 There shall be a motivation mechanism for community health personnel implemented by the Sub-county and County health management teams.

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DOMAIN 3: COMMUNITY HEALTH POLICY, GUIDELINES AND STRATEGIES

Policies, guidelines and strategy standards provide mechanisms, procedures and incentives that encourage stakeholders - including public, non-governmental organizations and communities - to work together to improve health service delivery and eliminate exclusion of populations from access to services. The standards also support efforts that promote effective accountability mechanisms that assure implementation of agreed priorities with available resources. They provide an enabling environment for the implementation of community health services.

3.1 All health stakeholders shall be familiar with all the relevant policies and guidelines including: the Kenya Health Policy ; Health Sector Strategic and Investment Plan; Community Health Policy; Community Health Strategy and guidelines through the efforts of the County Health Management Team.

3.2 There shall be a system in place to monitor the use and adherence of policies and guidelines spearheaded by the Sub-County and County Health

management teams.

3.3 The Community health workforce shall be updated annually on the existing community health services policies and guidelines by the county community strategy focal person.

3.4 There shall be community involvement and participation in the implementation of community health policies and guidelines led by the CHEW.

STANDARDS

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The community health units need appropriate physical infrastructure including office, storage, information and communication technologies (ICT), education and communication facilities, and energy supply equipment, among others to function efficiently and effectively in delivering quality services

DOMAIN 4: COMMUNITY HEALTH INFRASTRUCTURE AND EQUIPMENT

4.1 Every link facility shall provide office space for the community health unit/s attached to it, to serve as a resource centre.

4.2 Each CHU shall be provided with at least 1 computer by the sub-county health director.

4.3 Every link facility-in-charge shall host at least one computer for the CHU/s.

4.4 CHEW shall maintain and update the inventory for all infrastructure and equipment

for community health service delivery.

4.5 CHEW shall maintain and make available the maintenance record and update it regularly.

4.6 CHEWs shall identify and utilize appropriate means of public communication/messaging at community level.

STANDARDS

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DOMAIN 5: MASTER COMMUNITY HEALTH UNIT LISTING

Health services provision at level 1 is through the extended structure of the health facility called community health units. Master Community Health Unit Listing (MCHUL) is the system extension to facilitate the navigation of general information and other details about the community health units and link facility.

5.1 The MCHUL shall be regularly updated by sub-county health management team as per the MCHUL guidelines.

STANDARD

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DOMAIN 6: COMMODITIES AND SUPPLIES

Commodities and supplies are consumable and non-consumable items that are used to facilitate delivery of services. Their procurement needs to conform to the processes of supply chain management and distribution.. The CHS kits content will be determined at the National level, customised at the County level and the link facility will supply the same to the CHEWs and CHVs at the community.

6.1 The procurement processes shall conform to the supply chain and commodities management policies, guidelines and procedures.

6.2 The CHV and CHEW shall be supplied with a CHS kit as per CHS guidelines by the link facility.

6.3 Supply of commodities shall be demand driven.

6.4 The CHEW shall participate in development of procurement plans for level 1.

6.5 Procurement shall conform with commodity specifications.

6.6 Skills in forecasting and quantification of health commodities shall be imparted to tier one staff by County Trainers of Trainers (TOTs).

6.7 Management of common conditions shall conform with specific disease treatment guidelines.

6.8 The principle of First-Expiry-First-Out (FEFO) and First-In-First-Out (FIFO) shall be adhered to by the link facility and the community health personnel.

6.9 There shall be job aids to guide commodity management.

6.10 Storage of the. commodities shall be as per the recommendations of the manufacturer.

6.11 Reconstitution of commodities shall be as per the recommendations of the manufacturer.

STANDARDS

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DOMAIN 7: TRANSPORT

The availability of adequate and efficient transport service is essential for the delivery of community health services including provision of outreach services, essential support supervision and rapid response to public health emergencies at various levels of the community health system. The availability and safety of transport equipment is assured through proper maintenance, licensing and monitoring of utilization.

STANDARDS

7.1 There shall be an appropriate means of transport at each CHU.

7.2 The means of transport shall be aligned and comply with Government transport policies and guidelines.

7.3 Community health personnel who operate a motorcycle shall be required to be in possession

of a valid motorcycle riding license.

7.4 Community health personnel shall be trained on how to maintain the transport equipment.

7.5 There shall be an updated inventory and maintenance plan of transport.

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DOMAIN 8: REFERRAL SYSTEM

The referral system provides linkage between the community and other tiers of care The availability of adequate and efficient referral service is essential for the delivery of community health services. This will include cases that can effectively be handled at tier two and beyond. Community health personnel should be able to communicate with other levels of care in cases requiring further management.

STANDARDS

8.1 Cases requiring further management shall be referred to higher levels of care according to the referral guidelines.

8.2 There shall be healthcare expert movement to the community where appropriate, to be coordinated by the County and sub-county health management team.

8.3. There shall be a provision for adequate communication systems between the community and higher levels of care.

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DOMAIN 9: COMMUNITY HEALTH INFORMATION SYSTEM

The community health information system ensures shared responsibility for collection and interpretation of community health related information, routine data, statistics or experiential studies and vital statistics to inform planning, decision making and reporting.

A proper health information management system involves investment in time, financial resources and effort in maintaining an open and good information system that enhances relationship with all stakeholders and the general public.

STANDARDS

9.1 There shall be completed household records updated every six months in each CHU.

9.2 There shall be Monthly reports compiled for planning and monitoring of community health service.

9.3 The CHEW shall submit the monthly reports to the link health facility by 5th of every month.

9.4 Health information generated from the community shall be uploaded into the District Health Information System (DHIS) by 15th of every month by the Sub-County Health Records Information Officer (HRIO).

9.5 Every Community Health Unit shall have and use all reporting tools as per Community Health Service guidelines.

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DOMAIN 10: COMMUNITY HEALTH FINANCING

Community health financing includes mobilization of resources from public, private, external aid and community based sources to support implementation of community health strategies, action plans and services at various levels. The key sources include public funds, external donations, community based health financing, social health insurance and public-private partnerships through corporate social responsibility.

STANDARDS

10.1 CHEWs and CHVs shall prepare the annual work plan (AWP) and budget for community health unit to be approved by the CHC.

10.2 The link facility management shall prepare a consolidated AWP comprising of the facility and affiliated CHU work plan.

10.3 The Sub-county health management team shall integrate the CHU budget and AWP into the county budget.

10.4 The County government shall provide vote heads and resource envelop for CHUs in the facility allocation.

10.5 The CHC shall account for the utilized financial resources

according to the availed funds.

10.6 County health management team/Sub-county health management team or CHC shall mobilize resources for CHUs.

10.7 The Sub-county health management teams shall call for audits for CHUs to determine the utilization of funds at the Community as per Public Financial Management Act.

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DOMAIN 11: LINKAGES AND PARTNERSHIPS

Linkage is defined as a clear organizational structure with well-defined roles and responsibilities for all actors at all levels. There exists linkages between the CHC, the facility health committee, and other governance committees in the health systems Partnership is a collaborative effort requiring systems and structures that harness and link diverse community resources towards quality improvement of services at level 1. Community partnership is a process of building voluntary strategic alliances among community, government, private, and non-profit making organizations. Alliances and partnership building involves sharing of risks, responsibilities, resources, rewards as well as exchange of information for mutual benefit and to achieve a common community health purpose.

STANDARDS

11.1 There shall be a mechanisms for partner and public coordination and accountability at the community by the County health management team.

11.2 There shall be a social accountability mechanism by the Sub-county health management team/CHC.

11.3 There shall be at least one all-inclusive stakeholder forum convened quarterly by the County or sub-County health

management team to improve health in the community.

11.4 There shall be inter-sectoral collaboration involving all non -health stakeholders convened by the County or Sub-county health management team to promote community health services.

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DOMAIN 12: SERVICE DELIVERY

Health service delivery is viewed as a process where CHVs and CHEWs are involved in the sequence of activities and services to achieve improved health status. They work as a team to ensure safe and efficient promotive, preventive and basic curative services at the household in line with the set standards.

STANDARDS

12.1 There shall be biannual registration of all household members by the community health volunteer.

12.2 There shall be a monthly visit to every household by the community health volunteer to offer services on various health aspects.

12.3 CHVs shall use job aids to guide their work at the household level.

12.4 There shall be at least quarterly community action days for every CHU.

12.5 There shall be a monthly updated chalkboard for recording community health information in each CHU.

12.6 There shall be a defined

minimum package for each cohort in the community.

12.7 There shall be reporting of early signs to monitor imminent disasters and emergencies by CHVs.

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DOMAIN 13: MONITORING AND EVALUATION

Monitoring and evaluation provides regular feedback and oversight of implementation of activities in relation to plans, resources, infrastructure and use of services by the community served. It also guides collection, analysis, use, and dissemination of information; enables tracking of progress; ensures timely reporting at community level of the health information system; and enables informed decision making.

13.1 There shall be monthly community dialogue fora convened by the CHEWs in charge as per the CHS guidelines.

13.2 There shall be adequate standard data capture tools made available by the sub-County Health Management Team.

13.3 There shall be adequate standard reporting tools made available by the sub-County Health Management Team

13.4 There shall be quarterly analysis, interpretation and dissemination of community health data led by the CHEW.

13.5 There shall be health action days informed by the dialogue fora convened by the CHEW.

13.6 There shall be monthly

CHEW/CHV meetings to receive activity reports and discuss service statistics data, experiences, challenges, lessons learnt and give feedback. Such meetings shall be convened by the CHEW in charge

13.7 There shall be biannual data quality audits of community health units led by the sub-County Health Information Officer.

13.8 There shall be joint review and learning sessions for CHEWs to share experiences convened by the sub-County Health Management Team.

13.9 There shall be quarterly functionality assessment of community health units led by the Sub County community health strategy focal person.

STANDARDS

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pmen

t of

com

mun

ity h

ealth

w

orkf

orce

for

sust

aina

ble

com

mun

ity h

ealth

serv

ices

del

iver

y.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e co

nduc

ted

a tr

aini

ng n

eeds

as

sess

men

t for

co

mm

unity

hea

lth

wor

kfor

ce.

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip

prov

ide

oppo

rtun

ities

for

deve

lopm

ent o

fco

mm

unity

he

alth

wor

k-fo

rce.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

pro

vide

oppo

rtun

ities

for

deve

lopm

ent o

fco

mm

unity

he

alth

wor

kfor

ce

and

ther

e ar

e co

ntin

uous

trai

ning

pr

ojec

tions

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

pro

vide

oppo

rtun

ities

for

deve

lopm

ent o

fco

mm

unity

hea

lth

wor

kfor

ce, t

here

is

adhe

renc

e to

con

-tin

uous

trai

ning

pr

ojec

tions

and

do

cum

enta

tion.

1.4Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

sens

itize

all

the

stak

ehol

ders

on

thei

r rol

e an

dre

spon

sibi

litie

s in

de

liver

ing

com

mun

ity h

ealth

se

rvic

es.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

has

not

se

nsiti

zed

all t

hest

akeh

olde

rs o

n th

eir r

oles

and

re

spon

sibi

litie

s in

de

liver

ing

com

mun

ity h

ealth

se

rvic

es.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e a

stra

tegy

for

sens

itiza

tion

of

all t

hest

akeh

olde

rs o

n th

eir r

oles

and

re

spon

sibi

litie

s in

de

liver

ing

com

mun

ity h

ealth

se

rvic

es.

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip h

ave

sens

itize

d al

l the

stak

ehol

ders

on

thei

r rol

es a

nd

resp

onsi

bilit

ies

in d

eliv

erin

gco

mm

unity

he

alth

ser

vice

s.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e se

nsiti

zed

all t

hest

akeh

olde

rs o

n th

eir r

oles

and

re

spon

sibi

litie

s,

and

they

hav

e ta

ken-

up th

eir r

oles

an

d re

spon

sibi

litie

s in

del

iver

ing

com

mun

ity h

ealth

se

rvic

es.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e se

nsiti

zed

all t

hest

akeh

olde

rs o

n th

eir r

oles

and

re

spon

sibi

litie

s in

de

liver

ing

com

mun

ity h

ealth

se

rvic

es, t

hey

have

ta

ken-

up th

eir

role

s an

d th

ere

is e

vide

nce

of

docu

men

tatio

n.

18

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

1.5Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

follo

w th

egu

idel

ines

on

the

esta

blis

hmen

tof

CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

do

not

follo

wgu

idel

ines

on

the

esta

blis

hmen

tof

CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e m

ade

plan

s to

es

tabl

ish

a CH

U

acco

rdin

g to

the

gu

idel

ines

.

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip h

ave

follo

wed

gu

idel

ines

on

the

esta

blis

hmen

tof

CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

efo

llow

ed

guid

elin

es o

n th

e es

tabl

ishm

ent

of C

HU

and

ther

e is

doc

umen

ted

evid

ence

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

efo

llow

ed

guid

elin

es o

n th

e es

tabl

ishm

ent

of a

CH

U, t

here

is

an

indu

ctio

n pl

an fo

r new

le

ader

s on

the

guid

elin

es fo

r CH

U

esta

blis

hmen

t an

d th

ere

is

docu

men

ted

evid

ence

19

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

1.5Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

follo

w th

egu

idel

ines

on

the

esta

blis

hmen

tof

CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

do

not

follo

wgu

idel

ines

on

the

esta

blis

hmen

tof

CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e m

ade

plan

s to

es

tabl

ish

a CH

U

acco

rdin

g to

the

gu

idel

ines

.

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip h

ave

follo

wed

gu

idel

ines

on

the

esta

blis

hmen

tof

CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

efo

llow

ed

guid

elin

es o

n th

e es

tabl

ishm

ent

of C

HU

and

ther

e is

doc

umen

ted

evid

ence

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

efo

llow

ed

guid

elin

es o

n th

e es

tabl

ishm

ent

of a

CH

U, t

here

is

an

indu

ctio

n pl

an fo

r new

le

ader

s on

the

guid

elin

es fo

r CH

U

esta

blis

hmen

t an

d th

ere

is

docu

men

ted

evid

ence

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

1.6Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

ensu

re th

efu

ll fu

nctio

nalit

y of

th

e CH

U (m

onth

ly

dial

ogue

day

s,qu

arte

rly a

ctio

n da

ys, a

ndCo

mm

unity

Hea

lth

Info

rmat

ion

Syst

em [C

HIS

] re

port

ing)

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

has

not

en

sure

dfu

ll fu

nctio

nalit

y th

e CH

Us.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

has

en

sure

dfu

nctio

nalit

y of

the

CHU

s by

con

duct

ing

mon

thly

dia

logu

e da

ys,

quar

terly

act

ion

days

but

do

not

have

repo

rts

on C

omm

unity

H

ealth

In

form

atio

nSy

stem

[CH

IS].

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip

ensu

re fu

ll fu

nctio

nalit

y

of th

e CH

U b

y co

nduc

ting

mon

thly

di

alog

ue d

ays,

quar

terly

act

ion

days

, and

hav

e re

port

s in

the

Com

mun

ity

Hea

lth

Info

rmat

ion

Syst

em [C

HIS

] th

at m

easu

re th

e fu

nctio

nalit

y of

th

e CH

U.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

ens

ure

full

func

tiona

lity

of

the

CHU

by

cond

uctin

g m

onth

ly d

ialo

gue

days

, qua

rter

ly

actio

n da

ys, h

ave

aCo

mm

unity

Hea

lth

Info

rmat

ion

Syst

em [C

HIS

] with

re

gula

r rep

orts

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

ens

ure

full

func

tiona

lity

of

the

CHU

by

con-

duct

ing

mon

thly

di

alog

ue d

ays,

quar

terly

act

ion

days

, hav

e a

Com

mun

ity H

ealth

In

form

atio

nSy

stem

[CH

IS]

with

regu

lar

repo

rts

and

feed

-ba

ck.

1.7Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

ensu

re th

atst

anda

rd to

ols

for

supp

ortiv

esu

perv

isio

n ar

e av

aila

ble

and

used

dur

ing

quar

-te

rly s

uppo

rtiv

esu

perv

isio

n.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

e no st

anda

rd to

ols

for

supp

ortiv

esu

perv

isio

n.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

est

anda

rd to

ols

for

supp

ortiv

esu

perv

isio

n bu

t su

perv

isio

n is

ad

hoc.

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip h

ave

stan

dard

tool

s fo

r sup

port

ive

supe

rvis

ion

have

a p

lan

and

regu

lar v

isits

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

est

anda

rd to

ols

for

supp

ortiv

esu

perv

isio

n ha

ve a

pl

an, r

egul

ar v

isits

an

d re

port

s.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hav

est

anda

rd to

ols

for

supp

ortiv

esu

perv

isio

n ha

ve

a pl

an, r

egul

ar

visi

ts, r

epor

ts a

nd

feed

back

.

20

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

1.8Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

hold

regu

lar

stak

ehol

der

foru

ms

at le

ast

sem

i-ann

ually

for c

oord

inat

ion

amon

g st

akeh

olde

rs.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

do

not

hold

st

akeh

olde

r mee

t-in

gs.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hol

d irr

egul

arst

akeh

olde

r mee

t-in

gs.

Com

mun

ity

heal

th s

ervi

ces

lead

ersh

ip h

old

stak

ehol

der

foru

ms

at le

ast

sem

iann

ually

.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hol

d re

gula

rst

akeh

olde

r mee

t-in

gs w

ith d

etai

led

actio

n pl

ans.

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

hol

d re

gula

rst

akeh

olde

r m

eetin

gs, h

ave

deta

iled

actio

n pl

ans

and

feed

back

.

1.9Co

mm

unity

hea

lth

serv

ices

lead

ersh

ip s

hall

ensu

re th

atCH

Cs h

old

mee

t-in

gs m

onth

ly a

ndev

iden

ced

by th

e m

inut

es.

CHC

mon

thly

m

eetin

gs n

ot h

eld

at a

ll.

CHC

hold

irre

gula

r m

eetin

gs w

ith n

o m

inut

es.

CHC

hold

regu

lar

mee

tings

with

m

inut

es.

CHC

hold

regu

lar

mee

tings

with

m

inut

es a

nd a

de

taile

d ac

tion

plan

.

CHC

hold

regu

lar

mee

tings

with

co

nsis

tent

m

inut

es, a

det

aile

d ac

tion

plan

and

fe

edba

ck.

1.10

Com

mun

ity h

ealth

se

rvic

esle

ader

ship

sha

ll do

cum

ent t

heid

entifi

ed a

reas

for

impr

ovem

ent

and

dem

onst

rate

eff

orts

for

rem

edia

l act

ion.

Ther

e ar

e no

do

cum

enta

tion

of a

reas

of

impr

ovem

ent

and

no e

ffor

ts fo

r re

med

ial a

ctio

n.

Lead

ersh

ip h

ave

iden

tified

are

as

for i

mpr

ovem

ent

and

no e

ffor

ts

dem

onst

rate

d fo

r re

med

ial a

ctio

n

Lead

ersh

ip h

ave

docu

men

ted

the

id

entifi

ed a

reas

fo

r im

prov

emen

t an

d re

med

ial

actio

n.

Lead

ersh

ip h

ave

stan

dard

ized

id

entifi

catio

n of

are

as fo

r im

prov

emen

t,

rem

edia

l act

ion

and

follo

w-u

p.

Lead

ersh

ip h

ave

stan

dard

ized

id

entifi

catio

n of

are

as fo

r im

prov

emen

t, re

med

ial a

ctio

n,

follo

w-u

p, a

nd a

ll th

is is

sus

tain

ed.

21

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

2D

OM

AIN

2: C

OM

MU

NIT

Y H

EALT

H W

ORK

FORC

E M

AN

AG

EMEN

T

2.1

All p

ositi

ons

for

CHVs

sha

llbe

fille

d in

acc

or-

danc

e w

ith th

eCo

mm

unity

str

ate-

gy g

uide

lines

.

All p

ositi

ons

for

CHVs

hav

e no

t be

en fi

lled

in

acco

rdan

ce w

ith

the

Com

mun

ity

stra

tegy

gu

idel

ines

Som

e po

sitio

ns

for C

HVs

hav

e be

en fi

lled

in

acco

rdan

ce w

ith

the

com

mun

ity

stra

tegy

gu

idel

ines

.

All p

ositi

ons

for C

HVs

hav

e be

en fi

lled

in

acco

rdan

ce w

ith

the

com

mun

ity

stra

tegy

gu

idel

ines

.

All p

ositi

ons

for C

HVs

hav

e be

en fi

lled

in

acco

rdan

ce w

ith

the

com

mun

ity

stra

tegy

gui

delin

es

and

pers

onne

l dat

a do

cum

ente

d.

All p

ositi

ons

for C

HVs

hav

e be

en fi

lled

in

acco

rdan

ce w

ith

the

com

mun

ity

stra

tegy

gui

de-

lines

, per

sonn

el

data

doc

umen

ted

and

it is

regu

larly

up

date

d.

2.2

Ther

e sh

all b

e an

in

vent

ory

of A

LL C

HVs

mai

n-ta

ined

by

the

Com

mun

ity H

ealth

Ex

tens

ion

Wor

kers

(CH

EWs)

an

d up

date

dan

nual

ly.

Ther

e is

NO

in

vent

ory

for

CHVs

mai

ntai

ned

by th

eCo

mm

unity

Hea

lth

Exte

nsio

nW

orke

rs (C

HEW

s).

Ther

e is

an

inve

ntor

y fo

r CH

Vs m

aint

aine

d by

the

CHEW

bu

t not

upd

ated

an

nual

ly.

Ther

e is

an

inve

ntor

y fo

r CH

Vs m

aint

aine

d by

the

CHEW

an

d up

date

d an

nual

ly.

Ther

e is

an

inve

ntor

y fo

r ALL

CH

Vs m

aint

aine

d by

the

CHEW

up

date

d an

nual

ly

and

utili

zed.

Ther

e is

an

inve

ntor

y fo

r ALL

CH

Vs m

aint

aine

d by

the

CHEW

, up

date

d an

nual

ly,

utili

zed

and

best

pr

actic

es s

hare

d.

2.3

Ther

e sh

all b

e fiv

e (5

) CH

EWs

depl

oyed

in e

ach

CHU

as

stip

ulat

ed

in th

e co

mm

unity

he

alth

str

ateg

y

No

CHEW

de

ploy

ed in

the

CHU

Less

than

five

CH

EWs

depl

oyed

in

eac

h CH

U

Five

CH

EWs

depl

oyed

in

each

CH

U a

s st

ipul

ated

in

the

com

mun

ity

heal

th s

trat

egy

Five

CH

EWs

depl

oyed

in e

ach

CHU

as

stip

ulat

ed

in th

e co

mm

unity

he

alth

str

ateg

y,

and

docu

men

tatio

n is

ava

ilabl

e bu

t not

up

-to-d

ate.

Five

CH

EWs

depl

oyed

in e

ach

CHU

as

stip

ulat

ed

in th

e co

mm

unity

he

alth

str

ateg

y an

d up

date

d do

cum

enta

tion

is

avai

labl

e.

22

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

2.4

Ther

e sh

all b

e an

in

vent

ory

of A

LL C

HEW

s m

aint

aine

d by

the

Sub-

Coun

ty H

ealth

m

anag

emen

tte

am a

nd u

pdat

ed

annu

ally

.

Ther

e is

NO

in

vent

ory

for

ALL

CHEW

s m

aint

aine

d by

the

Sub-

Coun

ty H

ealth

m

anag

emen

tte

am.

Ther

e is

an

inve

ntor

y fo

r AL

L CH

EWs

mai

n-ta

ined

by

the

Sub-

Coun

ty

Hea

lth m

anag

e-m

ent

team

but

not

up-

date

d an

nual

ly.

Ther

e is

an

inve

ntor

y fo

r AL

L CH

EWs

mai

ntai

ned

by th

e Su

b-Co

unty

Hea

lth

man

agem

ent

team

that

is

upd

ated

an

nual

ly.

Ther

e is

an

inve

nto-

ry fo

r ALL

CH

EWs

mai

ntai

ned

by th

e Su

b-Co

unty

Hea

lth

man

agem

ent

team

that

is u

pdat

-ed

ann

ually

and

ut

ilize

d

Ther

e is

an

inve

ntor

y fo

r ALL

CH

EWs

mai

ntai

ned

by th

e Su

b-Co

unty

Hea

lth

man

agem

ent

team

, upd

ated

an

nual

ly, u

tiliz

ed

and

best

pra

ctic

es

shar

ed.

2.5

Vaca

ncie

s pr

ovid

ed in

the

Sche

me

of S

ervi

ce

for

Com

mun

ity H

ealth

Pe

rson

nel

shal

l be

fille

d w

ith

qual

ified

sta

ff.

Vaca

ncie

s pr

ovid

ed in

the

sche

me

of S

ervi

ce

for C

omm

unity

H

ealth

Per

sonn

el

not fi

lled.

Vaca

ncie

s pr

ovid

-ed

in th

e Sc

hem

e of

Ser

vice

for

Com

mun

ity

Hea

lth P

erso

nnel

have

bee

n fil

led

with

unq

ualifi

ed

staff

.

Vaca

ncie

s pr

ovid

ed in

the

Sche

me

of

Serv

ice

for

Com

mun

ity

Hea

lth P

erso

nnel

have

bee

n fil

led

with

qua

lified

st

aff.

Vaca

ncie

s pr

ovid

ed

in th

e Sc

hem

e of

Se

rvic

e fo

rCo

mm

unity

Hea

lth

Pers

onne

lha

ve b

een

fille

d w

ith q

ualifi

ed

staff

and

ther

e is

a

data

base

.

Vaca

ncie

s pr

ovid

-ed

in th

e Sc

hem

e of

Ser

vice

for

Com

mun

ity H

ealth

Pe

rson

nel

have

bee

n fil

led

with

qua

lified

st

aff a

nd th

ere

is a

re

gula

rly u

pdat

ed

data

base

.

23

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

2.6

Avai

labl

e co

mm

unity

hea

lthva

canc

ies

shal

l be

com

mun

icat

edth

roug

h a

fair,

tr

ansp

aren

t and

acce

ssib

le s

yste

m.

Avai

labl

e co

mm

unity

hea

lthva

canc

ies

have

not

bee

n co

mm

unic

ated

.

Avai

labl

e co

mm

unity

hea

lthva

canc

ies

have

bee

n co

mm

unic

ated

bu

t not

thro

ugh

a fa

ir, tr

ansp

aren

t an

dac

cess

ible

sys

tem

.

Avai

labl

e co

mm

unity

he

alth

vaca

ncie

s ha

ve b

een

com

mun

icat

edth

roug

h a

fair,

tr

ansp

aren

t and

acce

ssib

le

syst

em.

Avai

labl

e co

mm

unity

hea

lthva

canc

ies

have

bee

n co

mm

unic

ated

thro

ugh

a fa

ir,

tran

spar

ent a

ndac

cess

ible

sys

tem

, an

d in

a ti

mel

y m

anne

r.

Avai

labl

e co

mm

unity

hea

lthva

canc

ies

have

bee

n co

mm

unic

ated

thro

ugh

a fa

ir,

tran

spar

ent a

ndac

cess

ible

sys

tem

, in

a ti

mel

y m

anne

r an

d do

cum

enta

-tio

n is

ava

ilabl

e.

2.7

A w

ritte

n jo

b de

scrip

tion

ofco

mm

unity

hea

lth

wor

kfor

cesh

all b

e co

mm

unic

ated

tore

spec

tive

empl

oyee

s.

A w

ritte

n jo

b de

scrip

tion

ofco

mm

unity

hea

lth

wor

kfor

ceha

s no

t bee

n co

mm

unic

ated

tore

spec

tive

empl

oyee

s.

A w

ritte

n jo

b de

scrip

tion

ofco

mm

unity

hea

lth

wor

kfor

ceha

s be

en

com

mun

icat

ed to

so

me

empl

oyee

s.

A w

ritte

n jo

b de

scrip

tion

ofco

mm

unity

he

alth

wor

kfor

ce

has

been

co

mm

unic

ated

to

the

resp

ectiv

e em

ploy

ees.

A w

ritte

n jo

b de

-sc

riptio

n of

com

mun

ity

heal

th w

orkf

orce

ha

s be

en

com

mun

icat

ed

to th

e re

spec

tive

empl

oyee

s an

d ac

know

ledg

ed.

A w

ritte

n jo

b de

scrip

tion

ofco

mm

unity

hea

lth

wor

kfor

ceha

s be

en

com

mun

icat

ed

to th

ere

spec

tive

empl

oyee

s,

ackn

owle

dged

and

ad

opte

d.

24

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

2.8

Ther

e sh

all b

e an

ap

prai

sal

for a

ll CH

EWs

on

an a

nnua

l bas

isus

ing

a st

anda

rdiz

ed

form

at,

by th

e Su

b-Co

unty

he

alth

man

agem

ent

team

.

Ther

e is

no

appr

aisa

l for

all

CHEW

s on

an

annu

al b

asis

usin

g a

stan

dard

ized

fo

rmat

, by

the

Sub-

Coun

ty

heal

thm

anag

emen

t te

am.

Ther

e is

an

ap-

prai

sal

for a

ll CH

EWs

usin

g a

stan

dard

-iz

ed fo

rmat

,by

the

Sub-

Coun

ty

heal

thm

anag

emen

t te

am b

ut n

ot o

n an

ann

ual b

asis

.

Ther

e is

an

appr

aisa

lfo

r all

CHEW

s on

an

ann

ual b

asis

usin

g a

stan

dard

ized

fo

rmat

, by

the

Sub-

Coun

ty h

ealth

man

agem

ent

team

.

Ther

e is

an

appr

aisa

lfo

r all

CHEW

s on

an

annu

al b

asis

usin

g a

stan

dard

ized

fo

rmat

, by

the

Sub-

Coun

ty

heal

thm

anag

emen

t tea

m

and

feed

back

gi

ven.

Ther

e is

an

ap-

prai

sal

for a

ll CH

EWs

on

an a

nnua

l bas

isus

ing

a st

anda

rdiz

ed

form

at, b

y th

e Su

b-Co

unty

Hea

lthm

anag

emen

t Te

am, f

eedb

ack

give

n an

d ac

tion

take

n.

2.9

Ther

e sh

all b

e a

cont

inui

ngpr

ofes

sion

al

deve

lopm

ent

prog

ram

me

for a

ll CH

EWs

and

CHVs

. co

ordi

nate

d by

th

e su

b-co

unty

he

alth

man

age-

men

t tea

m.

Ther

e is

no

con-

tinui

ngpr

ofes

sion

al

deve

lopm

ent

prog

ram

me

for

all C

HEW

s an

d CH

Vs, c

oord

inat

ed

by th

e su

b-co

unty

hea

lth

man

agem

ent

team

.

Ther

e is

a p

lan

for

cont

inui

ng

prof

essi

onal

de

velo

pmen

t pr

ogra

mm

e fo

r al

l CH

EWs

and

CHVs

, coo

rdin

ated

by

the

sub-

coun

ty h

ealth

m

anag

emen

t te

am b

ut it

ha

s no

t bee

n im

plem

ente

d.

Ther

e is

a

cont

inui

ngpr

ofes

sion

al

deve

lopm

ent

prog

ram

me

for a

ll CH

EWs

and

CHVs

co

ordi

nate

d by

the

sub-

coun

ty h

ealth

m

anag

emen

t te

am.

Ther

e is

a

cont

inui

ngpr

ofes

sion

al

deve

lopm

ent

prog

ram

me

for a

ll CH

EWs

and

CHVs

co

ordi

nate

d by

the

sub-

coun

ty h

ealth

m

anag

emen

t te

am a

nd e

vide

nce

of im

prov

ed

perf

orm

ance

Ther

e is

a

cont

inui

ngpr

ofes

sion

al

deve

lopm

ent

prog

ram

me

for a

ll CH

EWs

and

CHVs

co

ordi

nate

d by

the

sub-

coun

ty h

ealth

m

anag

emen

t te

am, w

ith

evid

ence

of

perf

orm

ance

an

d su

stai

ned

impr

ovem

ent.

25

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

2.10

Ther

e sh

all b

e m

easu

res

toen

sure

sta

ff s

afet

y in

acc

orda

nce

with

th

e O

ccup

atio

nal

Safe

ty a

nd H

ealth

(O

SH) g

uide

lines

im

plem

ente

d by

th

e Su

b-co

unty

and

Coun

ty h

ealth

m

anag

emen

tte

ams.

Ther

e ar

e N

o m

easu

res

toen

sure

sta

ff s

afet

y in

acc

orda

nce

with

the

OSH

gu

idel

ines

im

plem

ente

d by

th

e Su

b-co

unty

and

Coun

ty h

ealth

m

anag

emen

tte

ams.

Ther

e ar

e m

easu

res

toen

sure

sta

ff s

afet

y bu

t not

acc

ordi

ng

to O

SH g

uide

lines

im

plem

ente

d by

th

e Su

b-co

unty

and

Coun

ty h

ealth

m

anag

emen

tte

ams.

Ther

e ar

e m

easu

res

toen

sure

sta

ff

safe

ty in

ac

cord

ance

w

ith th

e O

SH

guid

elin

es

impl

emen

ted

by

the

Sub-

coun

tyan

d Co

unty

he

alth

m

anag

emen

tte

ams.

Ther

e ar

e m

ea-

sure

s to

ens

ure

staff

saf

ety

in

acco

rdan

ce w

ith

the

OSH

gui

delin

es

impl

emen

ted

by

the

Sub-

coun

tyan

d Co

unty

hea

lth

man

agem

ent

team

s an

d fo

llow

-up

on

impl

emen

tatio

n.

Ther

e ar

e m

easu

res

to

ensu

re s

taff

saf

ety

in a

ccor

danc

e w

ith

the

OSH

guid

elin

es

impl

emen

ted

by

the

Sub-

coun

tyan

d Co

unty

hea

lth

man

agem

ent

team

s, fo

llow

-up

on im

plem

enta

tion

and

cont

inuo

us

adhe

renc

e.

2.11

Ther

e sh

all b

e a

mot

ivat

ion

mec

hani

sm fo

r co

mm

unity

heal

th p

erso

nnel

im

plem

ente

dby

the

Sub-

coun

ty

and

Coun

tyhe

alth

m

anag

emen

t te

ams.

Ther

e is

no

mot

ivat

ion

mec

hani

sm fo

r co

mm

unity

heal

th p

erso

nnel

im

plem

ente

dby

the

Sub-

coun

ty

and

Coun

tyhe

alth

m

anag

emen

t te

ams.

Ther

e is

a

mot

ivat

ion

mec

hani

sm

for t

he fo

r co

mm

unity

heal

th p

erso

nnel

bu

t not

im

plem

ente

dby

the

Sub-

coun

ty

and

Coun

tyhe

alth

m

anag

emen

t te

ams.

Ther

e is

a

mot

ivat

ion

mec

hani

sm fo

r co

mm

unity

heal

th p

erso

nnel

im

plem

ente

dby

the

Sub-

coun

ty a

nd

Coun

tyhe

alth

m

anag

emen

t te

ams.

Ther

e is

a

mot

ivat

ion

mec

hani

sm fo

r co

mm

unity

heal

th p

erso

nnel

im

plem

ente

dby

the

Sub-

coun

ty

and

Coun

tyhe

alth

m

anag

emen

t te

ams,

CH

C an

d pa

rtne

rs.

Ther

e is

a

sust

aine

d m

otiv

atio

nm

echa

nism

for

com

mun

ityhe

alth

per

sonn

el

impl

emen

ted

by th

e Su

b-co

unty

an

d Co

unty

heal

th

man

agem

ent

team

s, C

HC

and

part

ners

.

26

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

3D

OM

AIN

3: C

OM

MU

NIT

Y H

EALT

H P

OLI

CY, G

UID

ELIN

ES A

ND

STR

ATEG

IES

3.1

All h

ealth

st

akeh

olde

rs s

hall

be fa

mili

ar w

ith a

ll th

e re

leva

ntpo

licie

s an

d gu

idel

ines

thro

ugh

the

effor

ts o

fth

e co

unty

hea

lth

man

agem

ent

team

.

All h

ealth

st

akeh

olde

rs a

re

not f

amili

ar w

ith

all t

he re

leva

ntpo

licie

s an

d gu

idel

ines

th

roug

h th

e eff

orts

of

the

coun

ty h

ealth

m

anag

emen

tte

am

All h

ealth

st

akeh

olde

rs h

ave

acce

ss to

the

rele

vant

polic

ies

and

guid

elin

es

thro

ugh

the

effor

ts o

fth

e co

unty

hea

lth

man

agem

ent

team

but

are

no

t fam

iliar

with

th

em.

All h

ealth

st

akeh

olde

rs a

re

fam

iliar

with

all

the

rele

vant

polic

ies

and

guid

elin

es

thro

ugh

the

effor

ts o

fth

e co

unty

he

alth

m

anag

emen

tte

am.

All h

ealth

st

akeh

olde

rs h

ave

acce

ss to

, and

are

fa

mili

ar w

ith th

e re

leva

ntpo

licie

s an

d gu

idel

ines

thro

ugh

the

effor

ts o

fth

e co

unty

hea

lth

man

agem

ent

team

, and

are

ut

ilizi

ng th

em.

All h

ealth

st

akeh

olde

rs h

ave

acce

ss a

nd a

re

fam

iliar

with

the

rele

vant

polic

ies

and

guid

elin

es th

roug

h th

e eff

orts

of

the

coun

ty h

ealth

m

anag

emen

tte

am, a

re u

tiliz

ing

them

and

ther

e is

do

cum

enta

tion

of

utili

zatio

n.

3.2

Ther

e sh

all b

e a

syst

em in

pla

ce to

m

onito

r the

use

and

adhe

renc

e of

po

licie

s an

dgu

idel

ines

sp

earh

eade

d by

th

e Su

b-Co

unty

an

d Co

unty

hea

lthm

anag

emen

t te

ams.

Ther

e is

no

syst

emin

pla

ce to

m

onito

r the

use

an

d ad

here

nce

of

polic

ies

and

guid

elin

es

spea

rhea

ded

by

the

Sub-

Coun

ty

and

Coun

ty h

ealth

man

agem

ent

team

s.

Ther

e ar

e pl

ans

to

esta

blis

h a

syst

em

to m

onito

r the

us

ean

d ad

here

nce

to

polic

ies

and

guid

elin

es

spea

rhea

ded

by

the

Sub-

Coun

ty a

nd

Coun

ty h

ealth

man

agem

ent

team

s.

Ther

e is

a s

yste

m

in p

lace

to

mon

itor t

he u

sean

d ad

here

nce

to p

olic

ies

and

guid

elin

es,

spea

rhea

ded

by

the

Sub-

Coun

ty

and

Coun

ty

heal

thm

anag

emen

t te

ams.

Ther

e is

a s

yste

m in

pl

ace

to in

form

the

use

and

adhe

renc

e to

pol

icie

s an

dgu

idel

ines

sp

earh

eade

d by

th

e Su

b-Co

unty

and

Co

unty

hea

lthm

anag

emen

t te

ams,

it is

im

plem

ente

d re

gula

rly b

ut

ther

e is

no

docu

men

tatio

n.

Ther

e is

a s

yste

m

in p

lace

to in

form

th

e us

e an

d ad

here

nce

to

polic

ies

and

guid

elin

es,

spea

rhea

ded

by

the

Sub-

Coun

ty

and

Coun

ty h

ealth

man

agem

ent

team

s, it

is

impl

emen

ted

regu

larly

and

ther

e is

doc

umen

tatio

n.

27

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

3.3

The

com

mun

ity

heal

thw

orkf

orce

sha

ll be

up

date

dan

nual

ly o

n th

e ex

istin

gco

mm

unity

hea

lth

serv

ices

polic

ies

and

guid

elin

es b

y th

eco

unty

com

mun

ity

stra

tegy

foca

lpe

rson

.

The

com

mun

ity

heal

thw

orkf

orce

not

up

date

dan

nual

ly o

n th

e ex

istin

gco

mm

unity

hea

lth

serv

ices

polic

ies

and

guid

elin

es b

y th

eco

unty

com

mun

ity

stra

tegy

foca

lpe

rson

.

The

com

mun

ity

heal

thw

orkf

orce

is

upda

ted

on

the

exis

ting

com

mun

ity h

ealth

se

rvic

espo

licie

s an

d gu

idel

ines

by

the

coun

ty

com

mun

ity

stra

tegy

foca

lpe

rson

but

not

an

nual

ly.

The

com

mun

ity

heal

thw

orkf

orce

is

upda

ted

annu

ally

on th

e ex

istin

gco

mm

unity

he

alth

ser

vice

spo

licie

s an

d gu

idel

ines

by

the

coun

ty

com

mun

ity

stra

tegy

foca

lpe

rson

.

The

com

mun

ity

heal

thw

orkf

orce

is

upda

ted

annu

ally

on

the

exis

ting

com

mun

ity h

ealth

se

rvic

espo

licie

s an

d gu

idel

ines

by

the

coun

ty c

omm

unity

st

rate

gy fo

cal

pers

on a

nd th

ere

is a

n ac

tion

plan

de

velo

ped.

The

com

mun

ity

heal

thw

orkf

orce

is

upda

ted

annu

ally

on

the

exis

ting

com

mun

ity h

ealth

se

rvic

espo

licie

s an

d gu

idel

ines

by

the

coun

ty c

omm

unity

st

rate

gy fo

cal

pers

on, a

n ac

tion

plan

has

be

en d

evel

oped

an

d th

ere

is

evid

ence

of

impl

emen

tatio

n.

3.4

Ther

e sh

all b

e co

mm

unity

invo

lvem

ent a

nd

part

icip

atio

nin

the

impl

emen

tatio

n of

com

mun

ity h

ealth

po

licie

s an

dgu

idel

ines

led

by

the

CHEW

.

Ther

e is

no

com

mun

ityin

volv

emen

t and

pa

rtic

ipat

ion

in th

e im

plem

enta

tion

of c

omm

unity

he

alth

pol

icie

s an

d gu

idel

ines

led

by

the

CHEW

.

Ther

e is

sel

ectiv

e co

mm

unity

in

volv

emen

t and

pa

rtic

ipat

ion

in th

e im

plem

enta

tion

of c

omm

unity

he

alth

pol

icie

s an

d gu

idel

ines

led

by th

e CH

EW.

Ther

e is

co

mm

unity

in

volv

emen

t and

pa

rtic

ipat

ion

in th

e im

plem

enta

tion

of c

omm

unity

he

alth

pol

icie

s an

d gu

idel

ines

le

d by

the

CHEW

.

Ther

e is

com

mun

ity

invo

lvem

ent a

nd

part

icip

atio

n in

the

impl

emen

tatio

n of

com

mun

ity

heal

th p

olic

ies

and

guid

elin

es

led

by th

e CH

EW

and

ther

e is

do

cum

enta

tion

Ther

e is

co

mm

unity

in

volv

emen

t and

pa

rtic

ipat

ion

in th

e im

plem

enta

tion

of c

omm

unity

he

alth

pol

icie

s an

d gu

idel

ines

le

d by

the

CHEW

, an

d th

ere

is

docu

men

tatio

n an

d fe

edba

ck.

28

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

4D

OM

AIN

4: C

OM

MU

NIT

Y H

EALT

H IN

FRA

STRU

CTU

RE A

ND

EQ

UIP

MEN

T

4.1

Ever

y lin

k fa

cilit

y sh

all p

rovi

deoffi

ce s

pace

for

the

com

mun

ityhe

alth

uni

t/s

atta

ched

to it

, to

serv

e as

a

reso

urce

cen

tre.

Ther

e is

no

spac

e fo

r the

com

mun

ity

heal

th u

nit,

that

ser

ves

as a

re

sour

ce c

entr

e at

th

e lin

k fa

cilit

y.

Ther

e is

offi

ce

spac

e fo

r co

mm

unity

hea

lth

unit

in th

e lin

k fa

cilit

y bu

t it i

s no

t fu

nctio

nal.

Ever

y lin

k fa

cilit

y ha

s pr

ovid

edoffi

ce s

pace

for

the

com

mun

ityhe

alth

uni

t/s

atta

ched

to it

, to

serv

e as

a

reso

urce

cen

tre.

Ever

y lin

k fa

cilit

y ha

s pr

ovid

edoffi

ce s

pace

for t

he

com

mun

ityhe

alth

uni

t/s

atta

ched

to it

, to

serv

e as

a re

sour

ce

cent

re a

nd it

is

func

tiona

l.

Ther

e is

offi

ce

spac

e fo

r co

mm

unity

hea

lth

unit

in th

e lin

k fa

cilit

y an

d a

reso

urce

cen

tre

whi

ch is

func

tiona

l an

d is

a c

entr

e of

ex

celle

nce.

4.2

Each

CH

U s

hall

be

prov

ided

with

at l

east

1 co

mpu

ter b

y th

eco

unty

hea

lth

dire

ctor

.

The

coun

ty h

ealth

di

rect

or h

as n

ot

prov

ided

at l

east

1 co

mpu

ter t

o ea

ch

CHU

.

The

coun

ty h

ealth

di

rect

or h

as

plan

s of

pro

vidi

ng

a co

mpu

ter b

ut

has

not p

rovi

ded

The

Coun

ty h

ealth

di

rect

or h

as

plan

s of

pro

vidi

ng

a co

mpu

ter b

ut

has

not p

rovi

ded.

The

coun

ty

heal

th d

irect

or

has

pro

vide

d at

le

ast 1

com

pute

r to

eac

h C

HU

.

The

coun

ty h

ealth

di

rect

or h

as

prov

ided

at l

east

1 co

mpu

ter t

o ea

ch

CHU

and

ther

e is

a

mai

nten

ance

pla

n.

The

coun

ty h

ealth

di

rect

or h

as

prov

ided

at l

east

1 c

ompu

ter t

o ea

ch C

HU

and

has

a

mai

nten

ance

pl

an a

nd s

ervi

ce

cont

ract

.

29

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

4.3

CHEW

sha

ll m

aint

ain

and

upda

te th

e in

vent

ory

for a

llin

fras

truc

ture

and

eq

uipm

ent f

or

com

mun

ity h

ealth

se

rvic

e de

liver

y.

CHEW

doe

s no

t m

aint

ain

and

upda

te th

e in

vent

ory

for a

ll in

fras

truc

ture

and

eq

uipm

ent

for c

omm

unity

he

alth

ser

vice

deliv

ery.

CHEW

has

an

inve

ntor

y fo

r all

infr

astr

uctu

re a

nd

equi

pmen

t but

it

is n

ot u

pdat

ed.

CHEW

mai

ntai

ns

and

upda

tes

the

inve

ntor

y fo

r all

infr

astr

uctu

re

and

equi

pmen

tfo

r com

mun

ity

heal

th s

ervi

cede

liver

y.

CHEW

mai

ntai

ns

and

upda

tes

the

inve

ntor

y fo

r all

infr

astr

uctu

re a

nd

equi

pmen

tfo

r com

mun

ity

heal

th s

ervi

cede

liver

y an

d pr

ovid

es

reco

mm

enda

tions

fo

r its

im

prov

emen

t.

CHEW

mai

ntai

ns

and

upda

tes

the

inve

ntor

y fo

r all

infr

astr

uctu

re a

nd

equi

pmen

tfo

r com

mun

ity

heal

th s

ervi

ce

deliv

ery,

pro

vide

s re

com

men

datio

ns

of it

s im

prov

emen

t and

re

com

men

datio

ns

are

effec

ted.

4.4

CHEW

sha

ll ke

ep a

nd m

ake

avai

labl

e th

e m

aint

enan

cere

cord

and

upd

ate

it re

gula

rly.

CHEW

has

no

t kep

t the

m

aint

enan

cere

cord

CHEW

has

kep

t an

d m

ade

avai

labl

e

mai

nten

ance

reco

rd b

ut it

is n

ot

upda

ted.

CHEW

has

ke

pt a

nd m

ade

avai

labl

e th

e m

aint

enan

cere

cord

and

up

date

s it

regu

larly

.

CHEW

has

kep

t an

d m

ade

avai

labl

e th

e m

aint

enan

cere

cord

that

is

upda

ted

regu

larly

an

d pr

ovid

es

reco

mm

enda

tions

.

CHEW

has

ke

pt a

nd m

ade

avai

labl

e th

e m

aint

enan

ce

reco

rd th

at

is u

pdat

ed

regu

larly

, pro

vide

s re

com

men

datio

ns

and

appr

opria

te

actio

n ta

ken.

30

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

4.5

CHEW

s sh

all

iden

tify

and

utili

ze

appr

opria

te

mea

ns o

f pub

lic

com

mun

icat

ion

orm

essa

ging

at

com

mun

ity le

vel.

CHEW

s ha

ve n

ot

iden

tified

any

m

eans

of p

ublic

co

mm

unic

atio

n or

mes

sagi

ng a

t co

mm

unity

leve

l.

CHEW

s h

ave

an a

ppro

pria

te

stra

tegy

for p

ublic

co

mm

unic

atio

n or

m

essa

ging

.

CHEW

s ha

ve

iden

tified

and

utili

zed

appr

opria

te

mea

nsof

pub

lic

com

mun

icat

ion

or m

essa

ging

at

com

mun

ity le

vel.

CHEW

s ha

ve

iden

tified

and

ut

ilize

d ap

prop

riate

m

eans

of p

ublic

co

mm

unic

atio

n or

mes

sagi

ng

at c

omm

unity

le

vel a

nd h

ave

an

impr

ovem

ent p

lan.

CHEW

s ha

ve

iden

tified

an

d ut

ilize

d ap

prop

riate

m

eans

of p

ublic

co

mm

unic

atio

n/m

essa

ging

at

com

mun

ity

leve

l and

hav

e an

exe

cute

d im

prov

emen

t pla

n.

5D

OM

AIN

5: M

AST

ER C

OM

MU

NIT

Y H

EALT

H U

NIT

LIS

TIN

G

5.1

The

MCH

UL

shal

l be

regu

larly

up

date

d by

sub

-co

unty

hea

lth

man

agem

ent

team

as

per t

he

MCH

UL

guid

elin

es.

The

MCH

UL

has

not b

een

upda

ted

by s

ub-

coun

ty h

ealth

m

anag

emen

t te

am a

s pe

r th

e M

CHU

L gu

idel

ines

.

The

MCH

UL

has

been

upd

ated

by

sub-

coun

ty h

ealth

man

agem

ent

team

irre

gula

rly.

The

MCH

UL

has

been

regu

larly

up

date

d by

sub

-co

unty

hea

lth

man

agem

ent

team

as

per

the

MCH

UL

guid

elin

es.

The

MCH

UL

has

been

regu

larly

up

date

d by

sub

-co

unty

hea

lth

man

agem

ent t

eam

as

per

the

MCH

UL

guid

elin

es a

nd

repo

rts

gene

rate

d.

The

MCH

UL

has

been

fully

and

re

gula

rly u

pdat

ed

by s

ub-c

ount

y he

alth

man

agem

ent t

eam

as

per

the

MCH

UL

guid

elin

es a

nd

repo

rts

gene

rate

d us

ed fo

r dec

isio

n m

akin

g.

31

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

6D

OM

AIN

6: C

OM

MO

DIT

IES

AN

D S

UPP

LY

6.1

The

proc

urem

ent

proc

esse

s sh

all

conf

orm

to th

e su

pply

cha

in

com

mod

ities

m

anag

emen

t po

licie

s, g

uide

lines

an

d pr

oced

ures

.

The

proc

urem

ent

proc

esse

s ha

ve

not c

onfo

rmed

to

the

supp

ly c

hain

co

mm

oditi

es

man

agem

ent

polic

ies,

gu

idel

ines

and

pr

oced

ures

, an

d th

ere

is n

o pr

ocur

emen

t pla

n.

The

proc

urem

ent

proc

esse

s ha

ve

not c

onfo

rmed

to

the

supp

ly c

hain

co

mm

oditi

es

man

agem

ent

polic

ies

guid

elin

es

and

proc

edur

es

but t

here

is a

pr

ocur

emen

t pl

an.

The

proc

urem

ent

proc

esse

s ha

ve

conf

orm

ed to

th

e su

pply

cha

in

com

mod

ities

m

anag

emen

t po

licie

s,

guid

elin

es a

nd

proc

edur

es.

The

proc

urem

ent

proc

esse

s ha

ve

conf

orm

ed to

th

e su

pply

cha

in

com

mod

ities

m

anag

emen

t po

licie

s, g

uide

lines

an

d pr

oced

ures

, an

d th

e pr

ocur

emen

t pla

n is

use

d re

gula

rly.

The

proc

urem

ent

proc

esse

s ha

ve

conf

orm

ed to

th

e su

pply

cha

in

com

mod

ities

m

anag

emen

t po

licie

s, g

uide

lines

an

d pr

oced

ures

an

d m

onito

ring

and

eval

uatio

n be

side

s re

port

ing

done

.

6.2

The

CHV

and

CHEW

sha

ll be

su

pplie

d w

ith a

CH

S ki

t as

per C

HS

guid

elin

es b

y th

e lin

k fa

cilit

y.

The

CHV

and

CHEW

are

not

su

pplie

d w

ith a

co

mpl

ete

CHS

kit a

s pe

r CH

S gu

idel

ines

, by

the

link

faci

lity.

Not

all

CHVs

an

d CH

EWs

are

supp

lied

with

a

com

plet

e CH

S ki

t as

per C

HS

guid

elin

es, b

y th

e lin

k fa

cilit

y.

All C

HVs

and

CH

EWs

are

supp

lied

with

a

CHS

kit a

s pe

r CH

S gu

idel

ines

, by

the

link

faci

lity.

All C

HVs

and

CH

EWs

are

supp

lied

with

a

CHS

kit a

s pe

r CH

S gu

idel

ines

by

the

link

faci

lity,

the

kit

is a

lso

com

plet

e.

All C

HVs

and

CH

EWs

are

supp

lied

with

a

CHS

kit a

s pe

r CH

S gu

idel

ines

by

the

link

faci

lity,

the

kit i

s co

mpl

ete

and

ther

e is

a

com

mod

ity

regi

ster

.

32

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

6.3

Supp

ly o

f co

mm

oditi

es s

hall

be d

eman

d dr

iven

.

Supp

ly o

f co

mm

oditi

es

is n

ot d

eman

d dr

iven

.

Supp

ly o

f co

mm

oditi

es is

a

mix

ture

of p

ush-

an

d-pu

ll sy

stem

.

Supp

ly o

f co

mm

oditi

es is

de

man

d dr

iven

.

Supp

ly o

f co

mm

oditi

es is

de

man

d dr

iven

su

ppor

ted

by a

pr

ocur

emen

t pla

n.

Supp

ly o

f co

mm

oditi

es is

de

man

d dr

iven

su

ppor

ted

by a

pr

ocur

emen

t pla

n an

d th

ere

are

upda

ted

reco

rds.

6.4

The

CHEW

sha

ll pa

rtic

ipat

ein

dev

elop

men

t of

proc

urem

ent

plan

s fo

r lev

el 1.

The

CHEW

doe

s no

t par

ticip

ate

in

the

deve

lopm

ent

of p

rocu

rem

ent

plan

s fo

r lev

el 1.

The

CHEW

pa

rtic

ipat

es in

th

e qu

antifi

catio

n pr

oces

s of

the

proc

urem

ent

plan

s fo

r lev

el 1.

The

CHEW

pa

rtic

ipat

esin

dev

elop

men

t of

pro

cure

men

tpl

ans

for l

evel

1.

The

CHEW

pa

rtic

ipat

esin

dev

elop

men

t of

proc

urem

ent

plan

s fo

r lev

el 1

and

this

is s

uppo

rted

by

docu

men

tatio

n.

The

CHEW

pa

rtic

ipat

esin

dev

elop

men

t of

proc

urem

ent

plan

s fo

r lev

el

1, su

ppor

ted

by

docu

men

tatio

n an

d th

er is

regu

lar

revi

ew o

f the

pl

ans.

6.5

Com

mod

ities

pr

ocur

ed s

hall

conf

orm

to

spec

ifica

tions

.

Com

mod

ities

pr

ocur

ed d

o no

t con

form

to

spec

ifica

tions

.

Not

all

com

mod

ities

pr

ocur

ed c

onfo

rm

to s

peci

ficat

ions

.

All c

omm

oditi

es

proc

ured

co

nfor

m to

sp

ecifi

catio

ns.

All c

omm

oditi

es

proc

ured

con

form

to

spe

cific

atio

ns

and

ther

e is

do

cum

enta

tion.

Com

mod

ities

pr

ocur

ed c

onfo

rm

to s

peci

ficat

ions

, an

d th

ere

is

docu

men

tatio

n an

d fe

edba

ck.

33

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

6.6

Skill

s in

fo

reca

stin

g an

dqu

antifi

catio

n of

he

alth

com

mod

ities

sha

ll be

impa

rted

to ti

er o

ne s

taff

by

coun

ty T

rain

ers

of

Trai

ners

(TO

Ts).

Skill

s in

fo

reca

stin

g an

d qu

antifi

catio

n of

hea

lth

com

mod

ities

no

t im

part

ed to

tie

r one

sta

ff b

y co

unty

TO

Ts.

Skill

s in

fo

reca

stin

g an

d qu

antifi

catio

n of

hea

lth

com

mod

ities

not

ye

t im

part

ed to

tie

r one

sta

ff b

y co

unty

TO

Ts b

ut

plan

s to

do

so a

re

in p

lace

.

Skill

s in

fo

reca

stin

g an

d qu

antifi

catio

n of

hea

lth

com

mod

ities

im

part

ed to

tie

r one

sta

ff b

y co

unty

TO

Ts

Skill

s in

fore

cast

ing

and

quan

tifica

tion

of h

ealth

co

mm

oditi

es

impa

rted

to ti

er

one

staff

by

coun

ty

TOTs

are

app

lied.

Skill

s in

fore

cast

ing

and

quan

tifica

tion

of h

ealth

co

mm

oditi

es

impa

rted

to

tier o

ne s

taff

by

cou

nty

TOTs

ar

e ap

plie

d an

d th

ere

are

trai

ning

re

port

s.

6.8

The

prin

cipl

e of

Fi

rst-E

xpiry

-Fi

rst-O

ut (F

EFO

) an

d Fi

rst-I

n-Fi

rst-O

ut (F

IFO

) sh

all b

e ad

here

dto

by

the

link

faci

lity

and

the

com

mun

ity h

ealth

pe

rson

nel l

inke

d to

the

faci

lity.

The

prin

cipl

es o

f FE

FO a

nd F

IFO

ha

ve n

ot b

een

adhe

red

to b

y th

e lin

k fa

cilit

y an

d th

eco

mm

unity

hea

lth

pers

onne

l lin

ked

to th

e fa

cilit

y.

Ther

e ha

s be

en

som

e ad

here

nce

to th

e pr

inci

ples

of

FEF

O a

nd F

IFO

by

the

link

faci

lity

and

the

com

mun

ity h

ealth

pe

rson

nel l

inke

d to

the

faci

lity.

The

prin

cipl

es

of F

EFO

and

FI

FO h

ave

been

ad

here

d to

by

the

link

faci

lity

and

the

com

mun

ity

heal

th p

erso

nnel

lin

ked

to th

e fa

cilit

y.

The

prin

cipl

es o

f FE

FO a

nd F

IFO

ha

ve b

een

adhe

red

to b

y th

e lin

k fa

cilit

y an

d th

eco

mm

unity

hea

lth

pers

onne

l lin

ked

to th

e fa

cilit

y an

d th

ere

are

reco

rds.

The

prin

cipl

es

of F

EFO

and

FI

FO h

ave

been

ad

here

d to

by

the

link

faci

lity

and

the

com

mun

ity h

ealth

pe

rson

nel l

inke

d to

the

faci

lity,

and

th

e re

cord

s ar

e m

aint

aine

d an

d up

date

d re

gula

rly.

6.9

Ther

e sh

all b

e jo

b ai

ds to

gui

de

com

mod

ity

man

agem

ent.

Ther

e ar

e no

job

aids

to g

uide

co

mm

odity

m

anag

emen

t.

Job

aids

togu

ide

all

com

mod

ity

man

agem

ent a

re

avai

labl

e, b

ut n

ot

acce

ssib

le

Job

aids

togu

ide

com

mod

ity

man

agem

ent

are

avai

labl

e an

d ac

cess

ible

.

Job

aids

to g

uide

co

mm

odity

m

anag

emen

t are

ac

cess

ible

and

irr

egul

arly

util

ized

.

Job

aids

to g

uide

co

mm

odity

m

anag

emen

t are

ac

cess

ible

and

re

gula

rly u

tiliz

ed.

34

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

6.10

Stor

age

of th

e co

mm

oditi

es

shal

l be

as p

er th

e re

com

men

datio

ns

of th

e m

anuf

actu

rer.

Stor

age

of

com

mod

ities

is

not a

s pe

r the

re

com

men

datio

ns

of th

em

anuf

actu

rer.

Stor

age

of th

e co

mm

oditi

es is

no

t as

per t

he

reco

mm

enda

tions

of

the

man

ufac

ture

r, bu

t th

ere

are

reco

rds.

Stor

age

of th

e co

mm

oditi

es is

as

per

the

rec-

omm

enda

tions

of

the

man

ufac

ture

r.

Stor

age

of th

e co

mm

oditi

es

is a

s pe

r the

re

com

men

datio

ns

of th

em

anuf

actu

rer,

docu

men

tatio

n do

ne.

Stor

age

of th

e co

mm

oditi

es

is a

s pe

r the

re

com

men

datio

ns

of th

em

anuf

actu

rer,

docu

men

tatio

n do

ne a

nd p

rope

r st

ock

rota

tion

done

.

7D

OM

AIN

7: T

RAN

SPO

RT

7.1

Ther

e sh

all b

e an

ap

prop

riate

mea

ns o

f tr

ansp

ort a

t eac

h CH

U.

Ther

e is

no

mea

ns

of tr

ansp

ort a

t the

CH

U

Ther

e is

no

appr

opria

tem

eans

of

tran

spor

t at e

ach

CHU

.

Ther

e is

an

appr

opria

tem

eans

of

tran

spor

t at e

ach

CHU

.

Ther

e is

an

appr

opria

tem

eans

of t

rans

port

at

eac

h CH

U w

hich

is

in u

se.

Ther

e is

an

appr

opria

tem

eans

of

tran

spor

t at e

ach

CHU

whi

ch is

in

use

and

prop

erly

m

aint

aine

d.

35

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

7.2

The

mea

ns o

f tr

ansp

ort s

hall

be a

ligne

d an

d co

mpl

y w

ithgo

vern

men

t tr

ansp

ort p

olic

ies

and

guid

elin

es.

The

mea

ns o

f tr

ansp

ort i

s ne

ither

alig

ned

nor d

oes

it co

mpl

y w

ithgo

vern

men

t tr

ansp

ort p

olic

ies

and

guid

elin

es.

Som

e m

eans

of

tran

spor

t is

alig

ned

to a

nd

com

plie

s w

ithgo

vern

men

t tr

ansp

ort p

olic

ies

and

guid

elin

es.

The

mea

ns o

f tr

ansp

ort i

s al

igne

d to

and

co

mpl

ies

with

gove

rnm

ent

tran

spor

t po

licie

san

d gu

idel

ines

.

The

mea

ns o

f tr

ansp

ort i

s al

igne

d to

and

com

plie

s w

ithgo

vern

men

t tr

ansp

ort p

olic

ies,

gu

idel

ines

and

co

mpl

ianc

e re

cord

s.

The

mea

ns o

f tr

ansp

ort i

s al

igne

d to

and

co

mpl

ies

with

gove

rnm

ent

tran

spor

t pol

icie

san

d gu

idel

ines

, co

mpl

ianc

e re

cord

s an

d m

aint

enan

ce p

lan

is a

vaila

ble.

7.3

Com

mun

ity h

ealth

pe

rson

nel

who

ope

rate

a

mot

orcy

cle

shal

lbe

requ

ired

to b

e in

pos

sess

ion

of a

val

id

mot

orcy

cle

ridin

glic

ense

.

Com

mun

ity h

ealth

pe

rson

nel

who

ope

rate

a

mot

orcy

cle

are

not i

n po

sses

sion

of a

val

id

mot

orcy

cle

ridin

g lic

ense

.

Som

e co

mm

unity

he

alth

per

sonn

elw

ho o

pera

te a

m

otor

cycl

e ar

e in

po

sses

sion

of a

val

id

mot

orcy

cle

ridin

g lic

ense

.

Com

mun

ity

heal

th p

erso

nnel

who

ope

rate

a

mot

orcy

cle

are

in p

osse

ssio

nof

a v

alid

m

otor

cycl

e rid

ing

licen

se.

Com

mun

ity h

ealth

pe

rson

nel

who

ope

rate

a

mot

orcy

cle

are

in

poss

essi

onof

a v

alid

m

otor

cycl

e rid

ing

licen

se a

nd o

bser

ve

ridin

g re

gula

tions

.

Com

mun

ity h

ealth

pe

rson

nel

who

ope

rate

a

mot

orcy

cle

are

in

poss

essi

onof

a v

alid

m

otor

cycl

e rid

ing

licen

se, o

bser

ve

ridin

g re

gula

tions

an

d rid

ers’

reco

rds

are

avai

labl

e.

36

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

7.4

Com

mun

ity h

ealth

pers

onne

l sha

ll be

tr

aine

d on

how

to m

aint

ain

the

tran

spor

teq

uipm

ent.

Com

mun

ity h

ealth

pers

onne

l ha

ve n

ot b

een

trai

ned

on h

ow

to m

aint

ain

the

tran

spor

teq

uipm

ent.

Som

e co

mm

unity

he

alth

per

sonn

el

have

bee

n tr

aine

d on

how

to

mai

ntai

n th

e tr

ansp

ort

equi

pmen

t.

Rele

vant

co

mm

unity

he

alth

pers

onne

l hav

e be

en tr

aine

d on

how

to m

aint

ain

the

tran

spor

teq

uipm

ent.

Rele

vant

co

mm

unity

hea

lthpe

rson

nel h

ave

been

trai

ned

onho

w to

mai

ntai

n th

e tr

ansp

ort

equi

pmen

t and

re

cord

s ar

e av

aila

ble.

Rele

vant

co

mm

unity

hea

lthpe

rson

nel h

ave

been

trai

ned

on

how

to m

aint

ain

the

tran

spor

teq

uipm

ent,

are

pra

ctic

ing

and

reco

rds

are

avai

labl

e.

7.5

Ther

e sh

all b

e an

up

date

din

vent

ory

and

mai

nten

ance

pla

nof

tran

spor

t.

Ther

e is

no

inve

ntor

y an

d m

aint

enan

ce p

lan

of tr

ansp

ort.

Ther

e is

an

inve

ntor

y w

hich

is

not

upd

ated

an

d th

ere

is n

o m

aint

enan

ce p

lan.

Ther

e is

an

upda

ted

inve

ntor

y an

d m

aint

enan

ce

plan

of

tran

spor

t.

Ther

e is

an

upda

ted

inve

ntor

y an

d m

aint

enan

ce p

lan

of tr

ansp

ort a

nd

reco

rds.

Ther

e is

an

upda

ted

inve

ntor

y an

d m

aint

enan

ce p

lan

of tr

ansp

ort,

reco

rds

and

evid

ence

of b

est

prac

tice.

37

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

8D

OM

AIN

8: R

EFER

RAL

SYST

EM

8.1

Case

s re

quiri

ng

furt

her

man

agem

ent s

hall

be re

ferr

ed to

high

er le

vels

of

care

acc

ordi

ng to

the

refe

rral

gu

idel

ines

.

No

case

s re

quiri

ng

furt

her

man

agem

ent

refe

rred

tohi

gher

leve

ls o

f ca

re a

ccor

ding

toth

e re

ferr

al

guid

elin

es.

Case

s re

quiri

ng

furt

her

man

agem

ent

iden

tified

but

not

re

ferr

ed to

high

er le

vels

of

care

acc

ordi

ng to

the

refe

rral

gu

idel

ines

.

Case

s re

quiri

ng

furt

her

man

agem

ent

iden

tified

and

re

ferr

ed to

high

er le

vels

of

care

acc

ordi

ng

to th

e re

ferr

al

guid

elin

es.

Case

s re

quiri

ng

furt

her

man

agem

ent

iden

tified

, ref

erre

d to

hig

her l

evel

s of

ca

re a

ccor

ding

toth

e re

ferr

al

guid

elin

es a

nd

ther

e ar

e re

cord

s

All c

ases

re

quiri

ng fu

rthe

r m

anag

emen

t re

ferr

ed to

hig

her

leve

ls o

f car

e ac

cord

ing

to th

e re

ferr

al g

uide

lines

, fo

llow

-up

done

an

d re

cord

s av

aila

ble.

8.2

Ther

e sh

all b

e he

alth

care

expe

rt

mov

emen

t to

the

com

mun

ity w

here

ap

prop

riate

, to

be

coor

dina

ted

by th

e co

unty

and

su

b-co

unty

hea

lthm

anag

emen

t te

am

Ther

e is

no

heal

thca

reex

pert

mov

emen

t to

the

com

mun

ity,

whe

re

appr

opria

te,

coor

dina

ted

by

the

coun

ty a

nd

sub-

coun

ty h

ealth

man

agem

ent

team

.

Ther

e is

un

coor

dina

ted

heal

thca

reex

pert

mov

emen

t to

the

com

mun

ity,

by th

eco

unty

and

sub

-co

unty

hea

lthm

anag

emen

t te

am.

Ther

e is

he

alth

care

expe

rt

mov

emen

t to

the

com

mun

ity

whe

re

appr

opria

te,

coor

dina

ted

by th

e co

unty

an

d su

b-co

unty

he

alth

man

agem

ent

team

.

Ther

e is

hea

lthca

reex

pert

mov

emen

t to

the

com

mun

ity a

nd

follo

w-u

p w

here

ap

prop

riate

, co

ordi

nate

d by

the

coun

ty a

nd s

ub-

coun

ty h

ealth

man

agem

ent t

eam

.

Ther

e is

hea

lthca

reex

pert

mov

emen

t to

the

com

mun

ity a

nd

follo

w-u

p w

here

ap

prop

riate

, co

ordi

nate

d by

the

coun

ty a

nd

sub-

coun

ty h

ealth

man

agem

ent

team

and

is

docu

men

ted.

38

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

8.3

Ther

e sh

all b

e a

prov

isio

nfo

r ade

quat

e co

m-

mun

icat

ion

syst

ems

betw

een

the

com

mun

ityan

d hi

gher

leve

ls

of c

are.

Ther

e is

no

prov

isio

nfo

r co

mm

unic

atio

nsy

stem

s be

twee

n th

e co

mm

unity

and

high

er le

vels

of

car

e.

Ther

e is

in

adeq

uate

pr

ovis

ion

ofco

mm

unic

atio

nsy

stem

s be

twee

n th

e co

mm

unity

and

high

er le

vels

of

car

e.

Ther

e is

ad

equa

te

prov

isio

n of

com

mun

icat

ion

syst

ems

betw

een

the

com

mun

ityan

d hi

gher

leve

ls

of c

are.

Ther

e is

ade

quat

e pr

ovis

ion

ofco

mm

unic

atio

nsy

stem

s be

twee

n th

e co

mm

unity

and

high

er le

vels

of

care

and

feed

back

.

Ther

e is

ade

quat

e pr

ovis

ion

ofco

mm

unic

atio

nsy

stem

s be

twee

n th

e co

mm

unity

and

high

er

leve

ls o

f car

e,

feed

back

and

do

cum

enta

tion.

9D

OM

AIN

9: C

OM

MU

NIT

Y H

EALT

H IN

FORM

ATIO

N S

YSTE

M

9.1

Ther

e sh

all

be c

ompl

eted

ho

useh

old

reco

rds

upda

ted

ever

y si

x m

onth

s in

eac

hCH

U.

Ther

e ar

e no

ho

useh

old

reco

rds

in e

ach

CHU

Ther

e ar

e in

com

-pl

ete

hous

ehol

dre

cord

s in

eac

hCH

U.

Ther

e ar

e co

mpl

eted

ho

useh

old

reco

rds

upda

ted

ever

y si

x m

onth

s in

eac

hCH

U.

Ther

e ar

e co

mpl

et-

ed h

ouse

hold

reco

rds

upda

ted

ever

y si

x m

onth

s an

d us

ed fo

r act

ion

in e

ach

CHU

.

Ther

e ar

e co

mpl

et-

ed h

ouse

hold

reco

rds

upda

ted

ever

y si

x m

onth

s,

used

for a

ctio

n an

d th

ere’

s fe

ed-

back

in e

ach

CHU

.

9.2

Ther

e sh

all b

e m

onth

ly re

port

sco

mpi

led

for

plan

ning

and

m

onito

ring

of

com

mun

ity h

ealth

se

rvic

e.

Ther

e ar

e no

m

onth

ly re

port

sTh

ere

are

inco

mpl

ete

mon

thly

repo

rts

com

pile

d fo

r pl

anni

ng a

nd

mon

itorin

g of

co

mm

unity

hea

lth

serv

ice.

Ther

e ar

e co

mpl

ete

mon

thly

repo

rts

com

pile

d fo

r pl

anni

ng a

nd

mon

itorin

g of

com

mun

ity

heal

th s

ervi

ce.

Ther

e ar

e co

mpl

ete

mon

thly

repo

rts

com

pile

d fo

r pl

anni

ng a

nd

mon

itorin

g of

com

mun

ity h

ealth

se

rvic

e, u

sed

for

deci

sion

mak

ing.

Ther

e ar

e m

onth

ly

repo

rts

com

pile

d fo

r pl

anni

ng a

nd

mon

itorin

g of

com

mun

ity h

ealth

se

rvic

e, u

sed

for

deci

sion

mak

ing

and

ther

e is

fe

edba

ck.

39

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

9.3

The

CHEW

sha

ll su

bmit

the

mon

thly

repo

rts

to th

e lin

k he

alth

faci

lity

by

5th o

f eve

ry m

onth

.

The

CHEW

has

no

t sub

mitt

ed th

e m

onth

lyre

port

s to

the

link

heal

th fa

cilit

y by

5th

of

ever

y m

onth

.

The

CHEW

su

bmits

mon

thly

repo

rts

to th

e lin

k he

alth

faci

lity

afte

r the

5th

of

ever

y m

onth

.

The

CHEW

su

bmits

mon

thly

repo

rts

to th

e lin

k he

alth

fa

cilit

y by

5th

of

ever

y m

onth

.

The

CHEW

sub

mits

m

onth

lyre

port

s to

the

link

heal

th fa

cilit

y by

5th

of

ever

y m

onth

an

d re

port

s ar

e an

alyz

ed.

The

CHEW

sub

mits

m

onth

lyre

port

s to

the

link

heal

th fa

cilit

y by

5th

of

ever

y m

onth

, re

port

s ar

e an

alyz

ed a

nd

used

for d

ecis

ion

mak

ing.

9.4

Hea

lth in

form

atio

n ge

nera

ted

from

the

com

mun

ity

shal

l be

uplo

aded

in

to th

eD

istr

ict H

ealth

In

form

atio

n Sy

stem

(DH

IS)

by 15

th o

f eve

ry

mon

th, b

y th

e Su

b-Co

unty

Hea

lth R

ecor

ds

Info

rmat

ion

Offi

cer (

HRI

O).

Hea

lth

info

rmat

ion

gene

rate

d fr

omth

e co

mm

unity

ha

s no

t bee

n up

load

ed in

to th

eD

HIS

by 15

th of

eve

ry

mon

th, b

y th

e su

b-co

unty

HRI

O.

Hea

lth

info

rmat

ion

gene

rate

d fr

omth

e co

mm

unity

ha

s be

en

uplo

aded

into

the

DH

IS a

fter

15th

of

ever

y m

onth

, by

the

sub-

coun

tyH

RIO

.

Hea

lth

info

rmat

ion

gene

rate

d fr

omth

e co

mm

unity

ha

s be

en

uplo

aded

into

th

e D

HIS

by

15th

of e

very

mon

th

by, t

he s

ub-

coun

ty H

RIO

.

Hea

lth in

form

atio

n ge

nera

ted

from

the

com

mun

ity h

as

been

upl

oade

d in

to

the

DH

IS b

y 15

th

of e

very

mon

th,

by th

e su

b-co

unty

H

RIO

and

ana

lyze

d.

Hea

lth in

form

atio

n ge

nera

ted

from

the

com

mun

ity

has

been

upl

oade

d in

to th

e D

HIS

by

15th

of e

very

m

onth

, by

the

sub-

coun

ty H

RIO

an

alyz

ed, s

hare

d an

d us

ed fo

r pl

anni

ng.

40

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

9.5

Ever

y CH

U s

hall

have

and

use

all

repo

rtin

g to

ols

as

per c

omm

unity

he

alth

ser

vice

gu

idel

ines

.

CHU

s do

not

hav

e re

port

ing

tool

s as

pe

r com

mun

ity

heal

th s

ervi

ce

guid

elin

es.

Ever

y CH

Uha

s an

d us

es

som

e re

port

ing

tool

s as

per

com

mun

ity h

ealth

se

rvic

e gu

idel

ines

.

Ever

y CH

U

has

and

uses

al

l rep

ortin

g to

ols

as p

er

com

mun

ity

heal

th s

ervi

ce

guid

elin

es.

Ever

y CH

Uha

s an

d us

es a

ll re

port

ing

tool

s as

pe

r com

mun

ity

heal

th s

ervi

ce

guid

elin

es a

nd

repo

rts

shar

ed.

Ever

y CH

Uha

s an

d us

es a

ll re

port

ing

tool

s as

pe

r com

mun

ity

heal

th s

ervi

ce

guid

elin

es, r

epor

ts

are

shar

ed a

nd

feed

back

giv

en.

10D

OM

AIN

10: C

OM

MU

NIT

Y H

EALT

H F

INA

NCI

NG

10.1

CHEW

s an

d CH

Vs

shal

lpr

epar

e th

e an

nual

wor

kpl

an (A

WP)

and

bu

dget

for t

he

CHU

to b

eap

prov

ed b

y th

e CH

C.

CHEW

s an

d CH

Vs

have

not

pr

epar

ed th

e AW

P an

d bu

dget

.

CHEW

s an

d CH

Vs

have

pre

pare

d th

e AW

P an

d bu

dget

for t

he

CHU

but

hav

e no

t fo

rwar

ded

it to

th

e CH

C fo

rap

prov

al.

CHEW

s an

d CH

Vs

have

pre

pare

d th

e AW

P an

d bu

dget

for

the

CHU

to b

eap

prov

ed b

y th

e CH

C.

CHEW

s an

d CH

Vs

have

pre

pare

d th

e AW

P an

d bu

dget

fo

r the

CH

U a

nd

both

hav

e be

en

appr

oved

by

the

CHC.

CHEW

s an

d CH

Vs

have

prep

ared

the

AWP

and

budg

et fo

rth

e CH

U a

nd

thes

e ha

ve b

een

appr

oved

by

the

CHC

and

are

bein

g im

plem

ente

d.

41

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

10.2

The

link

faci

lity

man

agem

ent

team

shal

l pre

pare

a

cons

olid

ated

AWP

com

pris

ing

of th

e fa

cilit

yan

d affi

liate

d CH

U

wor

k pl

an.

The

link

faci

lity

man

agem

ent

team

ha

s no

t pre

pare

d a

cons

olid

ated

AWP

com

pris

ing

of th

e fa

cilit

yan

d affi

liate

d CH

U

wor

k pl

an.

The

link

faci

lity

man

agem

ent

team

ha

s pr

epar

ed a

fa

cilit

yAW

P.

The

link

faci

lity

man

agem

ent

team

has

prep

ared

a

cons

olid

ated

AWP

com

pris

ing

of th

e fa

cilit

yan

d affi

liate

d CH

U w

ork

plan

.

The

link

faci

lity

man

agem

ent t

eam

has

prep

ared

a

cons

olid

ated

AWP

com

pris

ing

of

the

faci

lity

and

affilia

ted

CHU

wor

k pl

an

and

shar

ed w

ith

stak

ehol

ders

The

link

faci

lity

man

agem

ent t

eam

has

prep

ared

a

cons

olid

ated

AWP

com

pris

ing

of th

e fa

cilit

yan

d affi

liate

d CH

U

wor

k pl

an, s

hare

d w

ith s

take

hold

ers

and

impl

emen

ted.

10.3

The

coun

ty h

ealth

man

agem

ent

team

sha

llin

tegr

ate

the

CHU

bu

dget

and

AWP

into

the

coun

ty b

udge

t.

The

coun

ty h

ealth

man

agem

ent

team

has

not

in

tegr

ated

the

CHU

bud

get a

ndAW

P in

to th

e co

unty

bud

get.

The

coun

ty h

ealth

man

agem

ent

team

has

rece

ived

th

e CH

U b

udge

t an

d AW

P an

d is

ye

t to

inte

grat

e in

to th

e co

unty

bu

dget

.

The

coun

ty

heal

thm

anag

emen

t te

am h

asin

tegr

ated

the

CHU

bud

get a

ndAW

P in

to th

e co

unty

bud

get.

The

coun

ty h

ealth

man

agem

ent t

eam

ha

s in

tegr

ated

the

CHU

bud

get a

ndAW

P in

to th

e co

unty

bud

get a

nd

has

been

app

rove

d.

The

coun

ty h

ealth

man

agem

ent t

eam

ha

s in

tegr

ated

the

CHU

bud

get a

ndAW

P in

to th

e co

unty

bud

get,

has b

een

appr

oved

an

d al

loca

ted

fund

s.

42

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

10.4

The

coun

ty

gove

rnm

ent

shal

l pro

vide

vot

e he

ads

and

reso

urce

env

elop

fo

r CH

Us

inth

e fa

cilit

y al

loca

tion.

The

coun

ty

gove

rnm

ent

has

not p

rovi

ded

vote

hea

ds a

ndre

sour

ce e

nvel

op

for C

HU

s in

the

faci

lity

allo

catio

n.

The

coun

ty

gove

rnm

ent

has

prov

ided

re

sour

ce e

nvel

op

with

out v

ote

head

s fo

r CH

Us,

inth

e fa

cilit

y al

loca

tion.

The

coun

ty

gove

rnm

ent

has

prov

ided

vo

te h

eads

and

reso

urce

env

elop

fo

r CH

Us

inth

e fa

cilit

y al

loca

tion.

The

coun

ty

gove

rnm

ent

has

prov

ided

vot

e he

ads

and

reso

urce

env

elop

fo

r CH

Us

inth

e fa

cilit

y al

loca

tion

with

ac

com

pany

ing

item

izat

ion.

The

coun

ty

gove

rnm

ent

has

prov

ided

vot

e he

ads

and

reso

urce

env

elop

fo

r CH

Us

inth

e fa

cilit

y al

loca

tion

with

ac

com

pany

ing

item

izat

ion

and

auth

ority

to in

cur

expe

nditu

re (A

IE).

10.5

The

CHC

shal

l ac

coun

t for

the

utili

zed

finan

cial

reso

urce

sac

cord

ing

to th

e av

aile

d fu

nds.

The

CHC

has

not

acco

unte

d fo

r the

ut

ilize

d fin

anci

al

reso

urce

sac

cord

ing

to th

e av

aile

d fu

nds.

The

CHC

has

not

fully

acc

ount

ed

for t

he u

tiliz

ed

finan

cial

re

sour

ces

acco

rdin

g to

the

avai

led

fund

s.

The

CHC

has

acco

unte

d fo

rth

e ut

ilize

d fin

anci

al

reso

urce

sac

cord

ing

to th

e av

aile

d fu

nds.

The

CHC

has

acco

unte

d fo

rth

e ut

ilize

d fin

anci

al re

sour

ces

acco

rdin

g to

the

avai

led

fund

s in

a

timel

y m

anne

r.

The

CHC

has

acco

unte

d fo

rth

e ut

ilize

d fin

anci

al re

sour

ces

acco

rdin

g to

the

avai

led

fund

s in

a

timel

y m

anne

r and

pr

epar

ed te

chni

cal

repo

rts.

43

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

10.6

Coun

ty h

ealth

m

anag

emen

tte

am o

r sub

-co

unty

hea

lthm

anag

emen

t te

am o

r CH

C sh

all

mob

ilize

reso

urce

s fo

r CH

Us.

Coun

ty h

ealth

m

anag

emen

tte

am o

r sub

-co

unty

hea

lthm

anag

emen

t te

am o

r CH

C ha

s no

tm

obili

zed

reso

urce

s fo

r CH

Us.

Coun

ty h

ealth

m

anag

emen

tte

am o

r sub

-co

unty

hea

lthm

anag

emen

t te

am o

r CH

C ha

ve s

trat

egie

s to

mob

ilize

re

sour

ces

for C

HU

Coun

ty h

ealth

m

anag

emen

tte

am/S

ub-c

ount

y he

alth

man

agem

ent

team

or C

HC

has

mob

ilize

d re

sour

ces

for

CHU

s.

Coun

ty h

ealth

m

anag

emen

tte

am o

r sub

-co

unty

hea

lth

man

agem

ent t

eam

or

CH

C ha

sm

obili

zed

and

rece

ived

reso

urce

s fo

r CH

Us.

Coun

ty h

ealth

m

anag

emen

tte

am o

r sub

-co

unty

hea

lthm

anag

emen

t tea

m

or C

HC

has

mob

ilize

d an

d re

ceiv

ed re

sour

ces

for C

HU

s an

d al

loca

ted

to C

HU

s fo

r util

izat

ion.

10.7

The

sub-

coun

ty

heal

thm

anag

emen

t te

ams

shal

l cal

l for

au

dits

for C

HU

s to

det

erm

ine

the

utili

zatio

n of

fund

s at

the

com

mun

ity a

s pe

r Pu

blic

Fin

anci

al

Man

agem

ent A

ct

The

sub-

coun

ty h

ealth

m

anag

emen

t te

ams

have

not

ca

lled

for

audi

ts fo

r CH

Us

to

dete

rmin

eth

e ut

iliza

tion

of fu

nds

at th

e co

mm

unity

as

per

Publ

ic F

inan

cial

M

anag

emen

t Act

The

sub-

coun

ty

heal

thm

anag

emen

t te

ams

have

ca

lled

for a

udits

fo

r CH

Us

to

dete

rmin

eth

e ut

iliza

tion

of fu

nds

at th

e co

mm

unity

but

no

t as

per t

he

Publ

ic F

inan

cial

M

anag

emen

t Act

The

sub-

coun

ty h

ealth

m

anag

emen

t te

ams

have

ca

lled

for

audi

ts fo

r CH

Us

to d

eter

min

eth

e ut

iliza

tion

of fu

nds

at th

e co

mm

unity

as

per P

ublic

Fina

ncia

l M

anag

emen

t Ac

t.

The

sub-

coun

ty h

ealth

m

anag

emen

t te

ams

have

cal

led

for a

udits

for C

HU

s to

det

erm

ine

the

utili

zatio

n of

fund

s at

the

com

mun

ity a

s pe

r Pu

blic

Fin

anci

al

Man

agem

ent A

ct

and

have

pro

duce

d au

dit r

epor

ts.

The

sub-

coun

ty h

ealth

m

anag

emen

t te

ams

have

cal

led

for a

udits

for C

HU

s to

det

erm

ine

the

utili

zatio

n of

fund

s at

the

com

mun

ity a

s pe

r Pu

blic

Fin

anci

al

Man

agem

ent A

ct,

have

pro

duce

d au

dit r

epor

ts a

nd

acte

d on

them

.

44

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

11D

OM

AIN

11: L

INKA

GES

AN

D P

ART

NER

SHIP

11.1

Ther

e sh

all b

e a

mec

hani

smfo

r par

tner

an

d pu

blic

co

ordi

natio

n an

d ac

coun

tabi

lity

at th

e co

mm

unity

by

the

coun

tyhe

alth

m

anag

emen

t te

am.

The

Coun

ty H

ealth

M

anag

emen

t Te

am d

oes

not

have

a m

echa

nism

fo

r par

tner

co

ordi

natio

n an

d ac

coun

tabi

lity

at

the

com

mun

ity.

Ther

e is

an

ad h

oc

mec

hani

smfo

r par

tner

and

pu

blic

coor

dina

tion

and

acco

unta

bilit

yat

the

com

mun

ity

by th

e co

unty

heal

th

man

agem

ent

team

.

Ther

e is

a

mec

hani

smfo

r par

tner

and

pu

blic

coor

dina

tion

and

acco

unta

bilit

yat

the

com

mun

ity b

y th

e co

unty

heal

th

man

agem

ent

team

.

Ther

e is

an

oper

atio

nal

mec

hani

smfo

r par

tner

and

pu

blic

coor

dina

tion

and

acco

unta

bilit

yat

the

com

mun

ity

by th

e Co

unty

heal

th

man

agem

ent

team

with

st

anda

rd o

pera

ting

proc

edur

es

Ther

e is

an

oper

atio

nal

mec

hani

smfo

r par

tner

and

pu

blic

coor

dina

tion

and

acco

unta

bilit

yat

the

com

mun

ity

by th

e co

unty

heal

th

man

agem

ent t

eam

w

ith s

tand

ard

oper

atin

g pr

oced

ures

an

d co

ntin

ued

cons

ulta

tions

.

11.2

Ther

e sh

all b

e a

soci

alac

coun

tabi

lity

mec

hani

sm b

y th

esu

b-co

unty

hea

lth

man

agem

ent

team

/CH

C.

Ther

e is

no

soci

al

acco

unta

bilit

y m

echa

nism

by

the

sub

coun

ty h

ealth

m

anag

emen

t te

am/C

HC

The

sub

coun

ty/

CHC

has

a so

cial

ac

coun

tabi

lity

mec

hani

sm p

lan

Ther

e is

a s

ocia

lac

coun

tabi

lity

mec

hani

sm

by th

e su

b-co

unty

hea

lth

man

agem

ent

team

/CH

C

Ther

e is

a s

ocia

lac

coun

tabi

lity

mec

hani

sm b

y th

esu

b-co

unty

hea

lth

man

agem

ent

team

/CH

C w

ith

regu

lar c

omm

unity

fo

rum

s.

Ther

e is

a s

ocia

lac

coun

tabi

lity

mec

hani

sm b

y th

esu

b-co

unty

hea

lth

man

agem

ent

team

/CH

C w

ith

regu

lar c

omm

unity

fo

rum

s, m

eetin

g m

inut

es a

nd

feed

back

.

45

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

11.3

Ther

e sh

all b

e at

leas

t one

al

l-inc

lusi

ve

stak

ehol

der

foru

m c

onve

ned

quar

terly

by

the

coun

ty o

r sub

-co

unty

hea

lthm

anag

emen

t te

am to

impr

ove

heal

th in

the

com

mun

ity.

Ther

e is

no

stak

ehol

der f

orum

conv

ened

qu

arte

rly b

y th

eco

unty

or s

ub-

coun

ty h

ealth

man

agem

ent

team

to im

prov

ehe

alth

in th

e co

mm

unity

.

Ther

e is

at l

east

on

e st

akeh

olde

r fo

rum

conv

ened

qu

arte

rly b

y th

eco

unty

or s

ub-

coun

ty h

ealth

man

agem

ent

team

to im

prov

ehe

alth

in th

e co

mm

unity

, whi

ch

is n

ot in

clus

ive.

Ther

e is

at l

east

on

e al

l-inc

lusi

ve

stak

ehol

der

foru

mco

nven

ed

quar

terly

by

the

coun

ty o

r sub

-co

unty

hea

lthm

anag

emen

t te

am to

impr

ove

heal

th in

the

com

mun

ity.

Ther

e is

at l

east

on

e al

l-inc

lusi

ve

stak

ehol

der f

orum

conv

ened

qua

rter

ly

by th

e co

unty

or

sub-

coun

ty h

ealth

man

agem

ent

team

to im

prov

e he

alth

in th

e co

mm

unity

with

ac

tion

poin

ts a

nd

reco

mm

enda

tions

.

Ther

e is

at l

east

on

e al

l-inc

lusi

ve

stak

ehol

der f

orum

conv

ened

qu

arte

rly b

y th

eco

unty

or s

ub-

coun

ty h

ealth

man

agem

ent t

eam

to

impr

ove

heal

th in

the

com

mun

ity w

ith

actio

n po

ints

, re

com

men

datio

ns

and

im

plem

enta

tion

repo

rts.

46

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

11.4

Ther

e sh

all b

e in

ter-s

ecto

ral

colla

bora

tion

invo

lvin

g al

l non

-hea

lth

stak

ehol

ders

co

nven

edby

the

coun

ty o

r su

b-co

unty

heal

th

man

agem

ent

team

topr

omot

e co

mm

unity

hea

lthse

rvic

es.

Ther

e is

no

inte

r-se

ctor

alco

llabo

ratio

n in

volv

ing

all n

on-h

ealth

st

akeh

olde

rs

conv

ened

by th

e co

unty

or

sub-

coun

tyhe

alth

m

anag

emen

t te

am to

prom

ote

com

mun

ity h

ealth

serv

ices

.

Ther

e is

inte

r-se

ctor

alco

llabo

ratio

n in

volv

ing

som

e no

n-h

ealth

st

akeh

olde

rs

conv

ened

by th

e co

unty

or

sub-

coun

tyhe

alth

m

anag

emen

t te

am to

prom

ote

com

mun

ity h

ealth

serv

ices

.

Ther

e is

inte

r-se

ctor

alco

llabo

ratio

n in

volv

ing

all n

on-h

ealth

st

akeh

olde

rs

conv

ened

by th

e co

unty

or

sub-

coun

tyhe

alth

m

anag

emen

t te

am to

prom

ote

com

mun

ity

heal

thse

rvic

es.

Ther

e is

inte

r-se

ctor

alco

llabo

ratio

n in

volv

ing

all n

on-h

ealth

st

akeh

olde

rs

conv

ened

by th

e co

unty

or

sub-

coun

tyhe

alth

m

anag

emen

t te

am to

pro

mot

e co

mm

unity

hea

lthse

rvic

es, a

ctio

n po

ints

and

repo

rts.

Ther

e is

inte

r-se

ctor

alco

llabo

ratio

n in

volv

ing

all n

on-h

ealth

st

akeh

olde

rs

conv

ened

by th

e co

unty

or

sub-

coun

tyhe

alth

m

anag

emen

t te

am to

pro

mot

e co

mm

unity

hea

lthse

rvic

es, a

ctio

n po

ints

, rep

orts

, fe

edba

ck a

nd

follo

w-u

p.

12D

OM

AIN

12 :

SERV

ICE

DEL

IVER

Y

12.1

Ther

e sh

all b

e bi

annu

alre

gist

ratio

n of

all

hous

ehol

dm

embe

rs b

y th

e co

mm

unity

heal

th v

olun

teer

Ther

e is

no

bian

nual

regi

stra

tion

of

hous

ehol

dm

embe

rs b

y th

e co

mm

unity

heal

th v

olun

teer

.

Ther

e is

irre

gula

rre

gist

ratio

n of

ho

useh

old

mem

bers

by

the

com

mun

ityhe

alth

vol

unte

er.

Ther

e is

bia

nnua

lre

gist

ratio

n of

all

hous

ehol

dm

embe

rs b

y th

e co

mm

unity

heal

th v

olun

teer

.

Ther

e is

bia

nnua

lre

gist

ratio

n of

all

hous

ehol

dm

embe

rs b

y th

e co

mm

unity

heal

th v

olun

teer

an

d th

e CH

EW

is u

pdat

ed

acco

rdin

gly

and

data

ana

lyze

d.

Ther

e is

bia

nnua

lre

gist

ratio

n of

all

hous

ehol

dm

embe

rs b

y th

e co

mm

unity

heal

th v

olun

teer

, th

e CH

EW

is u

pdat

ed

acco

rdin

gly,

dat

a an

alyz

ed a

nd d

ata

is u

tiliz

ed.

47

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

12.2

Ther

e sh

all b

e a

mon

thly

visi

t to

ever

y ho

useh

old

by th

eCH

V to

offer

ser

vice

s on

va

rious

hea

lthas

pect

s.

Ther

e is

no

mon

thly

visi

t to

hous

ehol

ds b

y th

eCH

V to

offer

ser

vice

s on

va

rious

hea

lthas

pect

s.

Ther

e is

irre

gula

r vi

sit t

o ho

useh

olds

by

the

CHV

tooff

er s

ervi

ces

on

vario

us h

ealth

aspe

cts.

Ther

e is

a

mon

thly

visi

t to

ever

y ho

useh

old

by

the

CHV

to o

ffer

se

rvic

es o

n va

rious

hea

lthas

pect

s.

Ther

e is

a m

onth

lyvi

sit t

o ev

ery

hous

ehol

d by

the

CHV

tooff

er s

ervi

ces

on

vario

us h

ealth

aspe

cts

with

pro

per

docu

men

tatio

n.

Ther

e is

a m

onth

lyvi

sit t

o ev

ery

hous

ehol

d by

the

CHV

tooff

er s

ervi

ces

on

vario

us h

ealth

aspe

cts

with

pro

per

docu

men

tatio

n an

d fo

llow

-up.

12.3

CHVs

sha

ll us

e jo

b ai

ds to

gui

de

thei

r wor

k at

the

hous

ehol

d le

vel.

CHVs

do

not u

se

job

aids

to g

uide

thei

r w

ork

at th

eho

useh

old

leve

l.

CHVs

irre

gula

rly

use

job

aids

to g

uide

thei

r w

ork

at th

eho

useh

old

leve

l.

CHVs

use

job

aids

to g

uide

thei

r w

ork

at th

eho

useh

old

leve

l.

CHVs

use

job

aids

to g

uide

thei

r wor

k at

the

hous

ehol

d le

vel a

nd d

ocum

ent

the

qual

ity o

f the

jo

b ai

d.

CHVs

use

job

aids

to g

uide

thei

r w

ork

at th

eho

useh

old

leve

l, do

cum

ent t

he

qual

ity o

f the

job

aid,

repo

rt a

nd

give

feed

back

to

the

stak

ehol

ders

.

12.4

Ther

e sh

all b

e at

le

ast q

uart

erly

co

mm

unity

act

ion

days

for e

very

CH

U.

Ther

e ar

e no

qua

rter

ly

com

mun

ity a

ctio

n da

ys fo

r CH

Us.

Ther

e ar

e irr

egul

ar

com

mun

ity a

ctio

n da

ys in

eve

ry C

HU

Ther

e ar

e at

le

ast

quar

terly

co

mm

unity

ac

tion

days

for e

very

CH

U.

Ther

e ar

e at

leas

tqu

arte

rly

com

mun

ity a

ctio

n da

ys fo

r eve

ry

CHU

and

ther

e is

do

cum

enta

tion.

Ther

e ar

e at

leas

tqu

arte

rly

com

mun

ity a

ctio

n da

ys fo

r eve

ry

CHU

, the

re is

do

cum

enta

tion

and

follo

w-u

p.

48

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

12.5

Ther

e sh

all b

e a

chal

kboa

rd,

upda

ted

mon

thly

, fo

r rec

ordi

ng

com

mun

ity h

ealth

info

rmat

ion

in

each

CH

U.

Ther

e is

a

chal

kboa

rd fo

rre

cord

ing

com

mun

ity h

ealth

info

rmat

ion

in

each

CH

U w

hich

is

not u

pdat

ed.

Ther

e is

an

irreg

ular

lyup

date

d ch

alkb

oard

for

reco

rdin

g co

mm

unity

hea

lthin

form

atio

n in

ea

ch C

HU

.

Ther

e is

a

chal

kboa

rd,

upda

ted

mon

thly

fo

r rec

ordi

ng

com

mun

ity

heal

thin

form

atio

n in

ea

ch C

HU

.

Ther

e is

a

chal

kboa

rd

upda

ted

mon

thly

for r

ecor

ding

co

mm

unity

hea

lthin

form

atio

n in

eac

h CH

U w

ith a

naly

zed

data

.

Ther

e is

a

chal

kboa

rd,

upda

ted

mon

thly

, fo

r rec

ordi

ng

com

mun

ity h

ealth

info

rmat

ion

in e

ach

CHU

w

ith a

naly

zed

data

use

d fo

r im

prov

emen

t

12.7

Ther

e sh

all b

e re

port

ing

ofea

rly s

igns

to

mon

itor i

mm

inen

tdi

sast

ers

and

emer

genc

ies

byCH

Vs.

Ther

e is

no

repo

rtin

g of

early

sig

ns to

m

onito

r im

min

ent

disa

ster

s an

d em

erge

ncie

s by

CHVs

.

Ther

e is

id

entifi

catio

n

of e

arly

sig

ns

to m

onito

r im

min

ent

disa

ster

s an

d em

erge

ncie

s by

CHVs

.

Ther

e is

re

port

ing

ofea

rly s

igns

to

mon

itor

imm

inen

tdi

sast

ers

and

emer

genc

ies

byCH

Vs.

Ther

e is

repo

rtin

g of

ear

ly s

igns

to

mon

itor i

mm

inen

tdi

sast

ers

and

emer

genc

ies

byCH

Vs w

ith a

naly

sis

cond

ucte

d.

Ther

e is

repo

rtin

g of

ear

ly s

igns

to

mon

itor i

mm

inen

tdi

sast

ers

and

emer

genc

ies

byCH

Vs, a

naly

sis

has

been

con

duct

ed

and

actio

n ta

ken.

12.8

Man

agem

ent o

f co

mm

onco

nditi

ons

shal

l co

nfor

m w

ithsp

ecifi

c di

seas

e tr

eatm

ent

guid

elin

es.

Man

agem

ent o

f co

mm

onco

nditi

ons

does

no

t con

form

tosp

ecifi

c di

seas

e tr

eatm

ent

guid

elin

es.

Man

agem

ent o

f so

me

com

mon

cond

ition

s co

nfor

ms

tosp

ecifi

c di

seas

e tr

eatm

ent

guid

elin

es.

Man

agem

ent o

f co

mm

onco

nditi

ons

conf

orm

s to

spec

ific

dise

ase

trea

tmen

tgu

idel

ines

.

Man

agem

ent o

f co

mm

onco

nditi

ons

conf

orm

s to

spec

ific

dise

ase

trea

tmen

tgu

idel

ines

with

da

ta g

ener

ated

.

Man

agem

ent o

f co

mm

onco

nditi

ons

conf

orm

s to

spec

ific

dise

ase

trea

tmen

tgu

idel

ines

, dat

a ge

nera

ted

and

ther

e is

follo

w-u

p

49

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

13D

OM

AIN

13: M

ON

ITO

RIN

G A

ND

EVA

LUAT

ION

13.1

Ther

e sh

all b

e m

onth

lyco

mm

unity

di

alog

ue fo

raco

nven

ed b

y th

e CH

EWs

in c

harg

e,as

per

the

CHS

guid

elin

es.

Ther

e ar

e no

m

onth

lyco

mm

unity

di

alog

ue fo

raco

nven

ed b

y th

e CH

EWs

in c

harg

e,as

per

the

CHS

guid

elin

es.

Ther

e ar

e irr

egul

ar

com

mun

ity

dial

ogue

fora

conv

ened

by

the

CHEW

s in

cha

rge,

as p

er th

e CH

S gu

idel

ines

.

Ther

e ar

e m

onth

lyco

mm

unity

di

alog

ue fo

raco

nven

ed b

y th

e CH

EWs

in c

harg

eas

per

the

CHS

guid

elin

es.

Ther

e ar

e m

onth

lyco

mm

unity

di

alog

ue fo

raco

nven

ed b

y th

e CH

EWs

in c

harg

eas

per

the

CHS

guid

elin

es a

nd

issu

es id

entifi

ed.

Ther

e ar

e m

onth

lyco

mm

unity

di

alog

ue fo

ra

conv

ened

by

the

CHEW

s in

cha

rge

as p

er th

e CH

S gu

idel

ines

, iss

ues

iden

tified

and

ac

tion

take

n.

13.2

Ther

e sh

all b

e ad

equa

test

anda

rd d

ata

capt

ure

and

repo

rtin

g to

ols

mad

e av

aila

ble

by

the

sub-

coun

tyhe

alth

m

anag

emen

t te

am.

Ther

e ar

e no

st

anda

rd d

ata

capt

ure

and

repo

rtin

g to

ols

mad

e av

aila

ble

by

the

sub-

coun

tyhe

alth

m

anag

emen

t te

am.

Ther

e ar

e in

adeq

uate

st

anda

rd d

ata

capt

ure

and

repo

rtin

g to

ols

mad

e av

aila

ble

by

the

sub-

coun

tyhe

alth

m

anag

emen

t te

am.

Ther

e ar

e ad

equa

test

anda

rd d

ata

capt

ure

and

repo

rtin

g to

ols

mad

e av

aila

ble

by th

e su

b-co

unty

heal

th

man

agem

ent

team

.

Ther

e ar

e ad

equa

test

anda

rd d

ata

capt

ure

and

repo

rtin

g to

ols

mad

e av

aila

ble

by

the

sub-

coun

tyhe

alth

m

anag

emen

t tea

m.

whi

ch a

re in

use

.

Ther

e ar

e ad

equa

test

anda

rd d

ata

capt

ure

and

repo

rtin

g to

ols

mad

e av

aila

ble

by

the

sub-

coun

tyhe

alth

m

anag

emen

t te

am, w

hich

are

in

use

and

dat

a co

llect

ed u

sed

for

plan

ning

.

50

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

13.4

Ther

e sh

all b

e qu

arte

rlyan

alys

is,

inte

rpre

tatio

n an

ddi

ssem

inat

ion

of

com

mun

ityhe

alth

dat

a le

d by

th

e CH

EW.

Ther

e is

no

anal

ysis

, in

terp

reta

tion

and

diss

emin

atio

n of

co

mm

unity

heal

th d

ata

led

by

the

CHEW

.

Ther

e is

an

alys

is,

inte

rpre

tatio

n an

d no

dis

sem

inat

ion

of c

omm

unity

heal

th d

ata

led

by

the

CHEW

.

Ther

e is

qu

arte

rly

anal

ysis

, in

terp

reta

tion

and

diss

emin

atio

n of

co

mm

unity

heal

th d

ata

led

by th

e CH

EW.

Ther

e is

qua

rter

lyan

alys

is,

inte

rpre

tatio

n an

ddi

ssem

inat

ion

of

com

mun

ityhe

alth

dat

a le

d by

the

CHEW

and

ac

tion

poin

ts

iden

tified

.

Ther

e is

qua

rter

lyan

alys

is,

inte

rpre

tatio

n an

ddi

ssem

inat

ion

of

com

mun

ityhe

alth

dat

a le

d by

th

e CH

EW, a

ctio

n po

ints

iden

tified

an

d im

plem

ente

d.

13.5

Ther

e sh

all b

e he

alth

act

ion

days

info

rmed

by

the

dial

ogue

fora

con

vene

d by

th

e CH

EW.

Ther

e ar

e no

he

alth

act

ion

days

info

rmed

by

the

dial

ogue

fora

con

vene

d by

th

e CH

EW.

Ther

e ar

e he

alth

ac

tion

days

but

no

t inf

orm

ed b

y th

e di

alog

uefo

ra c

onve

ned

by

the

CHEW

.

Ther

e ar

e he

alth

ac

tion

days

in

form

ed b

y th

e di

alog

uefo

ra c

onve

ned

by th

e CH

EW.

Ther

e ar

e he

alth

ac

tion

days

info

rmed

by

the

dial

ogue

fora

con

vene

d by

the

CHEW

w

ith fe

edba

ck

to th

e re

leva

nt

stak

ehol

ders

.

Ther

e ar

e he

alth

ac

tion

days

in

form

ed b

y th

e di

alog

uefo

ra c

onve

ned

by th

e CH

EW

with

feed

back

to

the

rele

vant

st

akeh

olde

rs a

nd

follo

w-u

p.

51

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

13.6

Ther

e sh

all b

e m

onth

ly C

HEW

or

CH

V m

eetin

gs

to re

ceiv

e ac

tivity

re

port

s an

ddi

scus

s se

rvic

e st

atis

tics

data

, ex

perie

nces

, ch

alle

nges

, le

sson

sle

arnt

and

giv

e fe

edba

ck. S

uch

mee

tings

sha

ll be

co

nven

ed b

yth

e CH

EW in

ch

arge

.

Ther

e ar

e no

m

onth

ly C

HEW

or

CH

V m

eetin

gs

to re

ceiv

e ac

tivity

re

port

s an

ddi

scus

s se

rvic

e st

atis

tics

data

, ex

perie

nces

, ch

alle

nges

, le

sson

sle

arnt

and

gi

ve fe

edba

ck

conv

ened

by

the

CHEW

in

char

ge.

Ther

e ar

e irr

egul

ar C

HEW

or

CH

V m

eetin

gs

to re

ceiv

e ac

tivity

re

port

s an

d di

scus

s se

rvic

e st

atis

tics

data

, ex

perie

nces

, ch

alle

nges

, le

sson

sle

arnt

and

gi

ve fe

edba

ck

conv

ened

by

the

CHEW

in

char

ge.

Ther

e ar

e m

onth

ly

CHEW

or C

HV

mee

tings

to

rece

ive

activ

ity

repo

rts

and

disc

uss

serv

ice

stat

istic

s da

ta,

expe

rienc

es,

chal

leng

es,

less

ons

lear

nt a

nd

give

feed

back

co

nven

ed b

yth

e CH

EW in

ch

arge

.

Ther

e ar

e m

onth

ly

CHEW

or C

HV

mee

tings

to re

ceiv

e ac

tivity

repo

rts

and

disc

uss

serv

ice

stat

istic

s da

ta,

expe

rienc

es,

chal

leng

es, l

esso

nsle

arnt

and

giv

e fe

edba

ck c

onve

ned

by th

e CH

EW in

ch

arge

and

ther

e ar

e m

inut

es a

nd

actio

n po

ints

.

Ther

e ar

e m

onth

ly

CHEW

or C

HV

mee

tings

to

rece

ive

activ

ity

repo

rts

and

disc

uss

serv

ice

stat

istic

s da

ta,

expe

rienc

es,

chal

leng

es, l

esso

nsle

arnt

and

gi

ve fe

edba

ck

conv

ened

by

the

CHEW

in c

harg

e,

ther

e ar

e m

inut

es,

actio

n po

ints

and

re

view

of p

revi

ous

actio

n po

ints

.

13.7

Ther

e sh

all b

e bi

-ann

ual d

ata

qual

ity a

udits

of

CHU

s le

d by

the

sub-

coun

tyhe

alth

info

rmat

ion

office

r.

Ther

e ar

e no

dat

a qu

ality

aud

its o

f CH

Us

led

by th

e su

b-co

unty

heal

th in

form

atio

n offi

cer.

Ther

e ar

e irr

egul

ar

data

qua

lity

audi

ts

of C

HU

s le

d by

the

sub-

coun

tyhe

alth

in

form

atio

n offi

cer.

Ther

e ar

e bi

-an

nual

dat

aqu

ality

aud

its o

f CH

Us

led

by th

e su

b-co

unty

heal

th

info

rmat

ion

office

r.

Ther

e ar

e bi

-ann

ual

data

qua

lity

audi

ts

of C

HU

s le

d by

the

sub-

coun

tyhe

alth

info

rmat

ion

office

r with

do

cum

enta

tion.

Ther

e ar

e bi

-an

nual

dat

a qu

ality

aud

its o

f co

mm

unity

heal

th u

nits

led

by

the

sub-

coun

tyhe

alth

info

rmat

ion

office

r, w

ith

docu

men

tatio

n an

d fe

edba

ck.

52

Scor

e1

Very

Poo

r2

Poor

3A

vera

ge4

Goo

d5

Very

Goo

dW

eigh

ted

Scor

e

13.8

Ther

e sh

all b

e jo

int

revi

ewan

d le

arni

ng

sess

ions

for

CHEW

sto

sha

re

expe

rienc

es

conv

ened

by th

e su

b-co

unty

he

alth

man

agem

ent

team

.

Ther

e ar

e no

join

t re

view

and

lear

ning

se

ssio

ns fo

r CH

EWs

to s

hare

ex

perie

nces

co

nven

edby

the

sub-

coun

ty

heal

thm

anag

emen

t te

am.

Ther

e ar

e pl

ans

for j

oint

revi

ewan

d le

arni

ng

sess

ions

for

CHEW

sto

sha

re

expe

rienc

es

conv

ened

by th

e su

b-co

unty

he

alth

man

agem

ent

team

.

Ther

e ar

e jo

int

revi

ewan

d le

arni

ng

sess

ions

for

CHEW

sto

sha

re

expe

rienc

es

conv

ened

by th

e su

b-co

unty

hea

lthm

anag

emen

t te

am.

Ther

e ar

e jo

int

revi

ewan

d le

arni

ng

sess

ions

for C

HEW

sto

sha

re

expe

rienc

es

conv

ened

by th

e su

b-co

unty

he

alth

man

agem

ent t

eam

.an

d be

st p

ract

ices

st

anda

rdiz

ed.

Ther

e ar

e jo

int

revi

ewan

d le

arni

ng

sess

ions

for

CHEW

sto

sha

re

expe

rienc

es

conv

ened

by th

e su

b-co

unty

he

alth

man

agem

ent

team

, and

bes

t pr

actic

es h

ave

been

sta

ndar

dize

d an

d di

ssem

inat

ed.

13.9

Ther

e sh

all b

e qu

arte

rlyfu

nctio

nalit

y as

sess

men

t of

CHU

s le

d by

the

sub-

coun

ty

com

mun

ity h

ealth

stra

tegy

foca

l pe

rson

.

Ther

e is

no

func

tiona

lity

asse

ssm

ent o

fCH

Us

led

byth

e su

b-co

unty

co

mm

unity

hea

lthst

rate

gy fo

cal

pers

on.

Ther

e is

irre

gula

rfu

nctio

nalit

y as

sess

men

t of

CHU

s le

d by

the

sub-

coun

ty

com

mun

ity h

ealth

stra

tegy

foca

l pe

rson

.

Ther

e is

qu

arte

rlyfu

nctio

nalit

y as

sess

men

t of

CHU

s le

d by

th

e su

b-co

unty

co

mm

unity

he

alth

stra

tegy

foca

l pe

rson

.

Ther

e is

qua

rter

lyfu

nctio

nalit

y as

sess

men

t of

CHU

s le

d by

the

sub-

coun

ty

com

mun

ity h

ealth

stra

tegy

foca

l pe

rson

with

do

cum

enta

tion

and

actio

n pl

an.

Ther

e is

qua

rter

lyfu

nctio

nalit

y as

sess

men

t of

CHU

s le

d by

the

sub-

coun

ty

com

mun

ity h

ealth

stra

tegy

foca

l pe

rson

with

do

cum

enta

tion,

ac

tion

plan

and

fo

llow

-up.

54

CONTRIBUTORSMinistry of Health - Division of Standards, Quality Assurance and Regulations

1. Dr. Charles Kandie2. Manaseh Bocha3. Francis Muma4. Samuel Okuche5. Dr. Pauline Duya6. Isaac Mwangangi

Ministry of Health - Community Health Services Unit

7. Dr. Salim Ali Hussein8. Samuel Njoroge9. Jane Koech10. Ruth Ngechu11. Caroline Sang12. Daniel Kavoo13. Charity Tauta14. Hilary Chebon15. Diana Kamar16. Ambrose Juma17. Samuel Kiogora18. Stella Kimani19. Mercy Tsimibiko

Ministry of Health - Neonatal, Child and Adolescent Unit

19. Stanely Mbuva

Ministry of Health - Division of Environmental Health

20. Benjamin Murkomen

Ministry of Health - Division of Family Health

21. Clarice Okumu

Ministry of Health - Health Promotion Unit

22. Isabella N. Ndwiga

Japan International Cooperation Agency - Community Health Services

23. Makiko Kinoshita 24. Kenneth Ogendo25. Akiko Hirano26. Salmon Owii

Japan International Cooperation Agency - Kenya Country Office

27. Elijah Kinyangi

USAID - Applying Science to Strengthen and Improve Systems

28. Roselyn Were29. Jacqueline Kimani30. Charles Kimani31. Eunice Musembi32. Dr. Subiri Obwogo 33. Doreen Bwisa 34. Bornface Onyango

55

International Development Institute - Africa

35. Dr. Charles Oyaya36. Lawrence Oguk37. Paul Mbanga38. Emily Wanja

Great Lakes University of Kisumu

39. Dr. Margaret Kaseje40. Elizabeth Ochieng

Africa Medical Research Foundation

41. George Oele

APHIA Plus - Nairobi Coast42. Jefferson Mwaisaka

Goal Kenya 43. David Siso 44. Lawrence Kegoli

MINISTRY OF HEALTH Afya House, P. O. Box 30016 - 00100, Nairobi

www.health.go.ke | www.chs.health.go.ke

MINISTRY OF HEALTH

© FEBRUARY 2015

level1 - usaid assist project · quality standards for community health services level1 2015 ......

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