Community HIV Care and Treatment Activity

Mentor- Consultants Summary Reporting

Duration June 14/21---July 16/21

Reported by: Mekonnen Bati /BA,BScN,MPH/

0911809157
Mekonen.bati@gmail.com
 Out line
• Introduction
• Objectives
• Supported Site
• Strength
• Gap Identified
• Action Plan
• Activity Undertake, Like Training, Documentation ….Etc ( At Sdp & Hfs)
• Challenges And Solution
• Way Forward/ Recommendation
 Introduction
•Project HOPE is provided TA support through provision of TOT training and assisting the cascade
of basic training,. Organizing regular performance monitoring meeting, developing of Guideline and
standard implantation tool and representing the community-based implantation at national level.

•Project HOPE’s effort has shifted towards providing Technical assistance to Local Implementing
Partners (LIPs) like DUGDA at wollenchity and Assella then MENA at Adama Hopital ,Geda Health
canter , Adama Health canter ,ISHDO at sebeta and other LIP also other health facility.
Objective
 Assess well performing approaches for replication and main reasons for underperformances

Prepare support plan for the week by identifying areas of support

Provide on-job training on skill gaps to CEFs

Introduce role with HFs/ART teams- programs importance, sort of planning

Facilitate HF level line listing and referrals- HVL, LTFU, C&S, (Adult and OVC), feedbacks-
CXCA screening results for community referrals, etc.

Support enrollment at community SDP- Needs Asst., CM plan, service delivery

Review daily performance and continue mentorship support

Supported site
Boset word, Welenchity,LIP is DUGDA , Welenchity Hospital, from June14-
18/21

Adam City /MENA/ and supported site was Adama Hospital, Geda Health
center,Adama Health Center. from June21/21- June 28/21
Assella site and LIP is DUGDA and supported site was Assella Hospital, Asssella
Health center, from Jun29/21-July 5/21

Sebeta supported Sebeta Health canter and LIP is ISHDO, from July 6- July
Strength

 Adequate number of staff and energetic

 Presence of trained technical staff and motivated on some of the site
 Start to implement DSM at some of the sit
 Good collaboration work with the town and some health facility other than Adama
health centre
 Regular provision of face mask and hand sanitizer
 Availability of HIV service KIT
 All the site CEF have open mind and willing to bring change
GAP IDENTIFIED
 The case management service provided are not recorded on the case management registration plan form and
registration
 CEF did not work according to their plan
 Did not take any HVL list from the health facility continuously
 Adama Hospital did not will to give a HVL for MENA need further discussion

 CM training gap, and not full package and some site confused to fill the registration book other than Adama MENA
 Some of the format is deliver before two days of my arrival on the site and they are not understanding the variable
 Some gap of communication with the health facility at Adama Health centre
 Shortage of continuous supportive supervision on the site.
 Some health facility line list of index case and there contact not secured manner
Activity Undertake, Like Training, Documentation ….Etc ( At Sdp & Hfs

• Make a plane on the activity identified and fill the gap line by line

• Show how to fill the format of CHCT and LTFU

• Discussed with the Health facility and gap fill the site desire

• Give the format of update line list, HVL format taking

• Make short Meeting with the CRP and gap filling training give on of line list and other

• Show how to keep minuet of the meeting with CRP

• Motivational them to work and make energize it.

Continue.
• Mentor consultancy visit has been based on the JISS finding and LIP priority support request to
identify area needs for CHCT performance improvement

• Giving mentoring support to LIPs CHCT service providers such as FFPHCT Specialist, CEF and CRPs

• improve the knowledge and skill of CHCT case management skill of the CEF; on site orientation and
demonstration of recording and documentation done by the FFPHCT specialist

• Improve parallel working experience and work organization based on check lists and intervention
locations and shared to the CEF.

• Support the implementation of community-based Differential service Model special CAG

CHALLENGES AND SOLUTION

Transportation

Adama health center health care provider did not believe on the DSM like CAG so not counsel client on DSM
Interest conflict between NEP+ and MENA on HVL line list
The office of is not attentive and some side of wall is giving way
The CRP make complain but no tangible information and need refreshment
Some CRP cannot attend mandatory working hour and need voluntarism refreshment training
Shortage of format and copy
Not understand some form how to fill
So may paper on the table and confuse them
Way Forward/ Recommendation
• Continuous supportive supervision for all site

• Brand documentation on computer/electronics/ based than paper

• Strengths PCAG and CAG group and start the service

• Take the HVL list form the health facility and use for Care and support

• Take LTFU line list continuously from the health facility

• Strengths good documentation system

• Strengths CRP documentation system

• Have integrated weekly plan and act accordingly

Mentored site pic

Welenchity site Assella site

Mentored site pic

Mentored site pic

Adama site Sebeta site

Galatoma!