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Continuous Quality Improvement (CQI)

BARMMHealth in collaboration with the Ministry of Health


And BASILAN Provincial Health Office
CHO - LAMITAN cQI
FY 2021

Workshop 1: Review of Local Data


1. Basic information

RHU Name of QI team Designation Roles Mobile No Email address FB


members
RHU Lamitan CHO Dr. Afreen Amerin City Health Officer cQI Member 09060418864
Ms. Zoraida Andong FP Coordinator cQI Member 09173127038
Ms. Dina Tinay – Tinay MCH Coordinator cQI Member 09178942263
Mr. Dondee Labradores FHSIS Coordinator cQI Member 09276728553
AY Coordinator cQI Member
BHW cQI Member
Ms. Joey Leonardo LYDO cQI Member
Dr. Rima Hassan SB on Health cQI Member
Ms. Jam-Jam Asdaon CL cQI Member 09058006494
cQI Member

2. Key FP/MCH indicators: (number and %) Lamitan CHO


RHU Pop WRA Unmet Total Total 4ANC FBD SBA CIC PP2 FIC Teen age
Needs CYP mCPR pregnancy
15-19 20-24
2019 84,679 10,437 51.52 775 1389 1392 93 1209 1393
33.90% 90.37 90.57 4.07 52.88 60.93
% % % % %
2020 83,436 2111 22.88% 676 1039 1097 219 1102 937
32.02% 94.28 99.55 10.37 52.18 44.39
% % %
2021 (1st 2 23.35% 591 NO 514 41 591 229
quarters) 4, 979 27.37% DATA 86.97 1.90 27.36 10.61
% %

3. Other acceptor: (number and %)


Quarter/Year CYP mCPR Methods
Pills DMPA LAM PSI IUD BTL NSV SDM
Q4 2019 51.52% 52 61 31 55 10 9 0 0
Q1 2020 25.79% no data no data no data no data no data no data no data no data
Q2 2020 25.79% no data no data no data no data no data no data no data no data
Q3 2020 25.79% no data no data no data no data no data no data no data no data
Q4 2020 23,88% 177 190 171 144 26 18 0 0
Q1 2021 23.35% no data no data no data no data no data no data no data no data
4, 979
Q2 2021 23.35% no data no data no data no data no data no data no data no data
4, 979
4. New Acceptors (number and %)
Quarter/Year CYP mCPR Methods
Pills DMPA LAM PSI IUD BTL NSV SDM
Q4 2019 51.52% 64 59 229 46 12 0 0 0
Q1 2020 25.79% 0 0 0 0 0 0 0 0
Q2 2020 25.79% 0 0 0 0 0 0 0 00
Q3 2020 25.79% 0 0 0 0 0 0 0 0
Q4 2020 23,88% 181 220 676 51 76 0 0 0
Q1 2021 23.35% no data no data no data no data no data no data no data no data
4, 979
Q2 2021 23.35% no data no data no data no data no data no data no data no data
4, 979

5. Current Users (number and %)


Quarter/Year CYP mCPR Methods
Pills DMPA LAM PSI IUD BTL NSV SDM
Q4 2019 51.52% 1441 1384 644 736 871 288 0 0
Q1 2020 25.79% 1441 1384 644 736 871 288 0 1
Q2 2020 25.79% 1441 1384 644 736 871 288 0 1
Q3 2020 25.79% 1441 1384 644 736 871 288 0 1
Q4 2020 23,88% 1383 1420 344 722 843 252 0 2
Q1 2021 23.35% 1383 1420 344 722 843 252 0 0
4, 979
Q2 2021 23.35% 1383 1420 344 722 843 252 0 0
4, 979
Number of OPD visits for all services (Overall utilization rates)
Name of QI Site Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021
RHU 1
RHU 2
RHU 3
RHU 4
RHU 5
RHU 6
RHU 7
RHU 8
RHU 9
RHU 10………..
Lamitan District 129 Male 205 Male 263 Male
Hospital 217Female 144 Female 156 Female
346 Total 349 Total 419 Total
Hospital 2………

Provide update on how QI sites implemented their plans?


 Lamitan RHU Priority Concern is Risk behaviors among adolescents/youths with rising number of teenage pregnancies
Local Situation:
 There was a decrease of about 34% (from 830 in 2018 – 549 in 2019) in the total number of teenage pregnancies recorded
 Like any other MUSLIM community, teenage pregnancy is common due to cultural norms and beliefs
 Some cases of teenage pregnancy are due to incest, rape and basically child abuse causing risky behaviors
 Teenage pregnancy is already a perceived problem, addressed via emerging innovative strategies (KASANYANGAN SI
KAMAKANAKAN) still needing further enhancement and assured sustainability
Gaps AIMs for IMPROVEMENT Change Ideas (Local Solutions) Process indicators
1) Awareness on AYRH Lamitan City Health Office will 1) Increase demand generation 1) Increasing AYRH services
services not fully become a LEVEL III AYRH facility activities via school to school seeking behaviors among
disseminated by the end of 2022, with quality campaign, social media , youth teenagers of at least 20-30%
active services readily available and development sessions and every quarter
2) Less
profiling/master listing accessible to all teens involvement of SK and MRL’s 2) Updates of WRA masterlist
of patients 2) Mobilization of BHW’s in active done on a monthly basis;
profiling and increasing reports of at least
3) Inconsistent conduct
updating/masterlisting of WRA 5-10% noted among
of demand generation
to include 10-19 y/o midwives/nurses
activities
3) Ensure regular conduct of 3) Decreasing rate of teenage
4) Irregular monitoring
AYRH activities as scheduled pregnancies of at least 10-
of AYRH services
despite the presence of emerging 20% at the end of 2022
implementation such
and re-emerging diseases
as USAPAN teen 4) Decreasing rate of teenage
moms and USAPAN 4) Regular monitoring of AYRH pregnancies of at least 10-
barkadahan among services implementation on a 20% at the end of 2022
schools quarterly basis 5) Increasing AYRH services
5) Lack of enough 5) Involvement of other partner seeking behaviors among
resources (logistics agencies (URC,DepEd,CSWD teenagers of at least 20-30%
and finance) and Youth Development Office, every quarter
MOH-BARMM and other 6) Ensured conduct of at least
provincial FP coordinators) in 25% of required number of
the procurement and ensuring AYRH services (Usapan
6) AYRH services availability of supplies sessions) every quarter
implementation was 6) Contingency measures for
disregarded or less 7) Readiness assessment will be
implementation be STRICTLY
prioritize due to conducted at least 2x/year,
instituted among FP/AY
emerging diseases with ensured target of
coordinators
(POLIO/COVID-19) requirements reached of at
7) Gradual meeting of requirements least 50% yearly until 2022
7) Still working on
completion of to meet the target date of 8) Decreasing rate of teenage
remaining application for a level III facility pregnancies of at least 10-
requirements for a through the help of our esteemed 20% at the end of 2022
LEVEL III AY facility partners
8) Resistance still present 8) Gradual and persistent conduct
among some MRL’s of activities involving MRL’s
due to conflicting until resistance is minimize to a
beliefs tolerable level
9) Involvement of non-resistant
MRL’s as resource speakers in
USAPAN activities

Any success story?


 Transforming Health Facilities s to an Adolescent-friendly Spaces
 Making quality adolescent -friendly health-ASRH-FP Services accessible Job aid tools utilized at designated Adolescents Friendly
Health Facility - HEEADSS is performed as integral part of regular services for AYs
 Engaging diverse youth populations through segmented demand generation
 Continuous FP AY Services during COVID – 19 Pandemic through Mobilizing BHERTS / ARH interventions (information-education-
counseling services, advocacy) Teen Moms and their husbands were informed of family planning and reproductive health services;
 Ensuring age-disaggregated data, analyses and advocacy for adolescent and youth health and development
 Partnership with Hospital as referral facility
 Integration of ASRH in the school curriculum
 IEC to schools and communities – Usapang Barkadahan
 Message Development for ASRH
 Partnership with Religious Leaders, Islamic Teachers (Ustadz/ Ustadja)
What are the Facilitating Factors?
 Linkage with government agencies, NGOs, Pos
 Increasing Political Commitment
What were the challenges met?
 COVID 19 Pandemic hampered the Regular Conduct of Community Outreach such as the ROSE Caravan
 Health personnel were maximized during the Pandemic and Resbakuna
Recommendations
 Conduct another wave of training for peer educators and service providers.
 Putting up of hotlines for AY
 Print out messages for AY
 Start AFHF level 1 in all BHS
 Assessment of RHU AFHF Level 3
 Continue Moblizing BHERTs to reach More Adolescents parents

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