Mayanja Robert and Kityo Alphose

About the Fellow:

Robert was the District Health Officer by the time of the Fellowship and Kityo Alphonse was a medical officer at Rakai Hospital.

Project Title: Project to Improve Availability of Staff on Duty to Provide Quality Art Services At Rakai Hospital

Project description:

They used the multi-voting and theme selection matrix to prioritise the problem to focus on. ‘The limited number of staff at work during the day’ was the problem area selected to be improved upon in the following months. A quality of care team was selected to do internal supervision and monitor the progress of planned activities. Lack of knowledge on the standing orders on number of hours a civil servant works. Poor motivation of HWS, Absenteeism, Late coming of hws

A quality supervision team together with fellows monitored the progress of the expected outcomes on a weekly basis through collection of data on staff arrival time, client satisfaction at exit interview, time clients spent at each service station in the patient client flow, number of staff deployed through registers signed on arrival for work every days.

Client satisfaction was based on Clients’ perception and expectations. That is, whether quality of care offered to them in the ART clinic was considered ‘good’ or ‘bad’. The percentage increase of the clients who rated the service as ‘good’ was taken as a proxy indicator of increased client satisfaction.
Through bi-weekly staff meetings, a feedback was given to the staff to be able to discuss strategies for improvement. Specific tasks were assigned to individuals to ensure the work was done according to schedule.
The two worked on a project which brought about improving availability of staff on duty to provide ART services at Rakai Hospital whereby staff availability was increased from 85% to 100%. The client satisfaction rose from 50% to 80%. Arrival time improved whereby before the intervention only 13% of staff would arrive on duty before 9:00a.m but after the intervention arrival time before 9:00a.m improved to 70%. Waiting time at the laboratory reduced from between 30-4hrs to between 30minutes to 1.5hrs.

Note: A full report of the project can be obtained from SPH-CDC on request or directly from the Fellows