Background

Dembidollo General Hospital is located

652 km from Finfinne capital city of
Ethiopia and it is established in 1919.
At that time it was serving as
missionary clinic.

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 Mission

• To reduce morbidity, mortality and disability

as well as to improve the health status of
D/Dollo/G/ hospital catchment population by
providing comprehensive package of
preventive rehabilitative & curative health
service with collaboration with all stake
holders.

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Vision

Special focus on the maternal, neonatal and

child health care services.

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 we review routine HMIS Data retrospectively,

 ANC register,

 real time observation while healthcare providers are

giving service, while clients are waiting for service,

 base line assessment for problem identification listed

below

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List of identified problem

1, Low number of 4th ANC visit at Dembidollo

General Hospital
2, Low implementation rate of IPPS
3, Low medical record completeness
4, Long waiting time in outpatient diagnosis
5. High turnover rate of nurses in the DembiDollo
General hospital
6. Low hand hygiene practice in the health facility.
7. There is a high rate of incomplete nursing care
plans in the Medical ward
8. High stock out rate of medications

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We chooses low 4th ANC visit using
prioritazation matrix among the list which
is feasible to accomplish project

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Statement of the problem

From mothers who start ANC-1 follow up at

D/Dollo GH only 16.6% came for ANC-4 visit which

makes health workers not to pick complications

early on ANC-4 which leads to maternal and

neonatal morbidity and mortality for the last 3

years( July 1/7/2015- December 30/6/2018).

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Aim statement (objective)
We DembiDollo Hospital QI team aim to
improve ANC-4 visit coverage among those
pregnant women’s who have already
started ANC-1 at our Hospital from the
current median percentage of 16.6% to 70%
from August 13,2018 to April 30,2019

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 List of proposed interventions (change ideas)

• Counsel to attend 4th ANC visit on her 1st ,2nd and 3rd ANC visit

• Availing 3 ANC unit or Room and adding manpower at ANC from

related service area
 Giving health education at pregnancy forum  every 3 month
• Increase awareness on the benefits of ANC through health
education at each visit and home to home visit by HEWs

• Discuss with MCH team on completeness,accuracy and

cleaness of ANC register

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Identifying ANC-4 defaultersearly (within
7 days after appointment day was passed)
and communicating the mothers via
call/making home to home visit by town
HEWs.

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Run chart
Result
Challenges
Strength
Lesson learnt and limitations and
The way forward will be presented in the
next cluster review meeting

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