TA PLAN FORM (v 4.8.14.

0)
USAID/SMART TA
ASSESSMENT
PERIOD
DATE OF
ASSESSMENT
SITE
INFORMATION

1/1/2014

To

30/6/2014

28/8/2014
Son tay OPC
SERVICES PROVIDED

ARV for adults

ARV for children

HTC

MMT

PMTCT

Chm sc ti nh

Out-reach

TB

STI

AREA

City

Rural

Mountainous

OTHERS

Clients in prison
clients)
Ethnic group clients
clients)

% total

Total clients under management: 173

% total

( Pre ART: 28,

ART:145)
HUMAN
RESOURCES
Full-time: 3
Part-time: 4
Total: 7

Name

Trn Ngc H
Phm Th Thanh
Dung
Nguyn Th Thc
Nguyn Th Minh
Hng

Name of
USAID/SMART TA
provincial site
monitor

Phan Th Uyn

Position

OPC Chief,
treatment
doctor
treatment
doctor
Triage nurse

C&S leader

Trng Th Kim
Lin

C&S peer

Bi Th Nga

Pharmacist

Trn Ngc H

Name of PAC
representative

Gov
Part
tim
e
x

Full
time

x
X

counselor

Nguyn Th Thu H

Name of OPC
chief

Contracte
d
Part Full
tim
tim
e
e

X
x
x
x

File assessment
data

Trn Quc Thnh

1 | Page

TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA

TA Assessment Summary
Results
HUMAN RESOURCES

STRUCTURE AND ACCESS

83%
69%

DRUG SUPPLY

90%

LABORATORY CAPACITY

60%

DATA MANAGEMENT

60%

CASE MANAGEMENT

67%

ART/Pre-ART DELIVERY

10%

Result

SUMMARY RESULT OF HIVQUAL AND

SMART TA INDICATORS

N
o

9
1
0
1
1

Indicator
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)

SMART
TA
standar
d

Last
round
result

80%

90%

Prese
nt
result

Differen
ce

Meet
SMART TA
standard

-90%

Pass
Fail

75%

0%

Fail
75%

0%

80%

0%

Fail

Fail
85%

0%

95%

0%

Fail

Fail
65%

0%
Fail

90%

0%

80%

0%

85%

0%

Fail

Fail

Fail
85%

75%

-75%

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TA PLAN FORM (v 4.8.14.0)

USAID/SMART TA
1
2

Proportion of patients
retained in care after 12
months of registration
(SMART TA recommended ID)
SMART monitoring score
SMART TA classification

Fail
80%

68%

-68%

1
Improvi
ng

3 | Page

N
o
A

Issue

charge

HUMAN RESOURCES
1 nurse ( Thuan) and 1 doctor
(Huong) work as counselor,
however both of the staff are
too busy with their work in the
Infectious disease Dept, hardly
had time for counseling job

Counselor has not updated

counseling procedures as per
Circular 32
Counseling skill of Mr Thuan is
limited. Dr Huong was absent
thus no chance to discuss this
issue

B
1

2
C
1

Person
TA PLAN FORM (v 4.8.14.0)
Solution
USAID/SMART TA in

Supp
orter

Other
source
s

Deadlin
e

Assign 1 staff to be on duty

to provide counseling for
patients on medical refill dayit is urgently to do as soon as
possible
The admin, triage nurse and
pharmacist support patients
with counseling

OPC
chief

PAC

From
9/2014

Counselor to update Circular

32 and practice well to be
able to provide good
counseling

Mr
Thuan/
Dr
Huong
OPC
chief

PAC

From
9/2014

Admin staff to print and stick

the working time table for
clear view
To discuss with the OPC chief
to enhance security and
place the computer at admin
room

Admin
staff

9/2014

OPC
chief

9/2014

PAC Hanoi to support : send

guideline on procurement
coordinate with CDC.VAAC
project
PAC Hanoi to support : send
guideline on procurement
coordinate with CDC.VAAC
project

OPC
Chief,
PAC

9/2014

OPC
Chief,
PAC

9/2014

Actual
date
of
compl
etion

Note of
progress

Project
monitor
together with
TAC, held a
meeting with
Ha Noi PAC on
10 Oct Deputy
Director PAC
indicated that
Dr Tuan,
SMART TA
coordinator to
work with Son
TAY OPC on
staff
arrangement,
Dr Thanh to
work with Son
Tay OPC to
provide on the
job training to
the counselor
to improve
counseling
quality

Structure and Access

No Working time was written and
clearly seen
Computer is placed in the OPC chief
room ( because of security reason),
not in the admin room, thus it is
difficult to communicate timely

DRUG SUPPLY
Sometimes out of INH during the
last 6 months
Out of OI drugs ( antibiotics,
itraconazol..) during the last 6
months

9/2014

Project
monitor
together with
TAC, held a
meeting with
Ha Noi PAC on
10 Oct to
propose PAC to
4 | Page
change the