Evaluated Component

Questions

Awareness on SRA system &

Achievements and Awards after SRA

1) Have you participated in any of the SRA assessments?

Probe: Ask him/her to explain his or her participation in baseline and re-assessment? his or her roles

2) Do you know the number/percentage of facilities that attained three stars and above in your region/council?

Probe: awards provided to best performing facilities

Achievement of the set targets

3) In your opinion, why most of the facilities did not attain the set target of three stars and above?

a) Was the orientation conducted to R/CHMTs adequate before the assessment?

Probe: How many days the orientation was done? How many R/CHMTs were oriented? Was monitoring done after orientation?

Status of Implementation of QIP

4) Does your region/council has copies of quality improvement plans (for all facilities) developed after assessment?

a) Probe: Are you conducting QIP follow-up in the facilities? How are you organized within R/CHMTs?

b) What is the current status of implementation?

c) Do you have monthly reports on progress of QIPs? (24 selected indicators), verify the availability

Roles of QIT in implementation of QIP

5) Do you know your roles in implementation of QIPs?

a) Probe on roles of documentation of all QI activities including QIPs

Supportive supervisions by CHMTs

6) In the past one year have you conducted supportive supervision to your facilities?

a) Probe: How do you conduct SS, is it joint or by interventions based?

b) In quarterly supportive supervision inter alia, do you check the progress of SRA?

c) Do you get challenges in supervising the aspects of SRA during supportive supervision?

Inclusion of QIPs in annual plans

7) Was the QIP developed during baseline and re-assessment included in facility plan or CCHP?

a) Probe: If Yes, what activities were included (verify)

b) If No, Why?