TA PLAN FORM (v 4.8.14.

0)
USAID/SMART TA
ASSESSMENT PERIOD

1/10/2013

To

30/6/2014

DATE OF ASSESSMENT

22/8/2014

SITE INFORMATION

Bat Xat OPC, Bat Xat district, Lao Cai province

SERVICES PROVIDED

ARV for adults

ARV for children

HTC

MMT

PMTCT

C&S

Out-reach

TB

STI

AREA

City

Rural

Mountainous

OTHERS

Clients in prison

% total clients)

Ethnic group clients

% total clients)

Total clients under management:

HUMAN RESOURCES
Full-time: 8
Part-time: 1
Total: 9

Name

Position

Tam

OPC chief,
doctor
Doctor
Assistant
OPC nurse
OPC
pharmacist
Counselor

Minh
Hien
Hue
Nga

Name of USAID/SMART
TA provincial site
monitor
Dr. Nguyen Thanh Ha

38 (6 Pre-ART/ 32 ART)

Contracted
Part-time
Full time

Gov
Part-time Full-time
X
X
X
X
X

Name of OPC chief

Name of PAC
representative

Dr. Nguyen Thi Tam

Dr. Dinh Thi Hoan

File assessment data

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TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA

TA Assessment
Summary Results

Result

HUMAN RESOURCES

46%

STRUCTURE AND
ACCESS

79%

DRUG SUPPLY

100%

LABORATORY
CAPACITY

40%

DATA MANAGEMENT

40%

CASE MANAGEMENT

0%

ART/Pre-ART
DELIVERY

100%

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TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA
SUMMARY RESULT OF HIVQUAL AND SMART TA INDICATORS
SMART TA
Standard

No Indicator

1
2

4
5
6

8
9
10

Proportion of medical record is more than 80%

of score used the patient chart review tool
Proportion of patients who newly registered at
the OPC in last 6 months are tested for CD4
within 15 days of enrolment
Proportion of pre-ARV patients who visit the
OPC regularly (according the national guideline
every 3 months and per appointment with
doctor)
Proportion of patients who were newly
registered at OPC was prescribed INH
Proportion of ARV patients visiting the OPC for
medication pick-up according to scheduled
appointment in the last visit
Proportion of ARV patients who are assessed
for medication adherence in the last visit
Proportion of patients were initiated ART within
15 days after qualification in last 6 months
Proportion of qualified HIV patients are
prescribed for Cotrimoxazole or DAPSONE for
the last visit
Proportion of patients are screened for TB in
the last medical visit
Proportion of patients are tested CD 4 at least 1
in last 6 months

Proportion of patients who still alive and on

treatment after 12 months on ART (NGI ID)
Proportion of patients retained in care after 12
12 months of registration (SMART TA
recommended ID)
11

Present result

Difference

Score

Pass or fail

90%

90%

Pass

75%

0%

Fail

75%

0%

Fail

80%

0%

Fail

85%

0%

Fail

90%

0%

Fail

65%

0%

Fail

90%

0%

Fail

80%

0%

Fail

85%

0%

Fail

85%

0%

Fail

80%

0%

Fail

80%

Last round result

SMART monitoring score

SMART TA classification

Improving

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TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA

No
A

Issue

Solution

OPC treatment doctors, OPC

nurses and other staff are very
committed to the HIV treatment
activities to ensure the high
treatment quality

Refresh training or on-site training is

needed to update new regulation or
knowledge on HIV treatment to all in
charge OPC staff

2.

Deadline

Actual
date of
completio
n

Note

Drs. Ha, Dr.

Hoan - Lao Cai
PAC
OPC staff

Bat Xat
Hospital
Leaders

Regularly

Dr. Bich Thuy FHI 360

STRUCTURE AND ACCESS

TB Infection Control:
The air flow and environment is
good in term of IC

1.

Supporter

Other
sources

HUMAN RESOURCES
Need to maintain

1.

Person in
charge

Medical mask available and

deliver to all coughing or
suspected patients

IEC materials on Universal

Precaution: not available

Drs. Ha, Hoan Lao Cai PAC

Maintain

Regularly
OPC doctors
and nurses

SMART TA, PAC to send UP IEC

materials to OPC including hand
washing procedure, safe coughing
guidelines

Thanh Ha, Mai

Phuong FHI
360
September
2014

Dr. Hoan
PAC
OPC doctors

DRUG SUPPLY
OI and ARV medications are
provided continuously

D
1

LABORATORY CAPACITY
Basic tests and CD4 have been
implemented regularly in close

Bat Xat
Hospital
Maintain

Regularly
Lao Cai PAC

Maintain

Dr. Ha, Lao Cai

PAC Director

Dr Thanh Ha,
FHI 360

Regularly

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TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA
collaboration with PAC Lao Cai
Dr Hoan, PAC

GeneXpert and Viral Load have

not been implemented in Bat Xat

DATA MANAGEMENT

1.

Documentation: paper work,

lacking of e-logbook. Contact
information of patients have not
been updated regularly

Documentation: Three logbooks:

ART, pre-ART, daily medical checkup are updated, but not regularly.
There is no logbook to follow up
with transfer out patients.

CASE MANAGEMENT
Currently there are 38 patients
managed in Bat Xat OPC. It is good
when OPC staff closely follows up
with all these patients to ensure
they staying in care

ARV and PreARV Service

Cotrimoxazole criteria to be
determinated is misunderstood

Hand on training for OPC doctors on

GeneXpert and Viral Load

E-logbook will be issued very soon.

In the meantime, the triage nurse is
encouraged to use the Excel file of
HIVQUAL to manage and update all
OPC patients
Triage nurse, counsellor, C&S team
to talk to patients and their
supporters to update their contact
information regularly
All the key logbooks of OPCs should
be updated at least on weekly basis
for better management and reducing
the workload in the last minute.

OPC staff
Drs. Ha, Hoan PAC
December
2014

Dr. Thuy, FHI

360

Triage nurse,
counselor,
C&S

PAC

Monthly

Triage nurse

PAC

Sept, 2014

All OPC staff

PAC to
monitor

Regularly

PAC to
monitor

Regularly

The transfer out logbook should be

developed and used regularly

Maintain

Discussion on this issue has been

made between Dr. Tam, OPC doctor
and Dr. Thanh Ha, FHI 360

OPC doctor

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TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA

Patient charts of LTFU, Transfer

out and Death have not been filed
separately

Discussion on this issue has been

made between Dr. Tam, OPC doctor
and Dr. Thanh Ha, FHI 360

OPC doctor

PAC to
monitor

Regularly

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