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  • Root Cause Analysis

    Transféré par

    Udin Malik
    8 vues4 pages

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    Root cause analysis.pptx

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    8 vues4 pages

    Root Cause Analysis

    Transféré par

    Udin Malik

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPTX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 4

    Root causes for low medicine availability

    Personnel Resources

    ● Doctor skill ● DHO stock out


    ● Staff skill (forecasting) ● Fear of expiry
    ● Staff skill (inventory) ● Budget for travel
    ● No pharmacist ● Limited storage capacity
    ● No administrative staff ● Limited electricity
    ● Limited refrigeration 20-50%
    ● Limited cold chain
    Medicine
    Environment Methods Availability
    ● Difficult to reach ● LPLPO challenges
    ● Long travel time ● E-katalog challenges
    ● Blocks in access due to ● No vehicle
    weather or road quality
    = Solved by Real-time Distribution
    = Partially Solved by Real-time Distribution
    = Not Solved by Real-time Distribution
    Root causes for low vaccination rate

    Personnel Resources

    ● Posyandu socialization ● Posyandu availability


    ● No Posyandu staff ● Puskesmas availability
    ● Inventory Forecasting ● DHO availability
    ● Vaccine handling skill ● PHO availability
    ● Burden of work ● Posyandu budget
    ● Vehicle and storage limits 60%
    Vaccination
    Environment Methods
    Rate
    ● Fear / religion / culture ● Community awareness
    ● Scheduling conflicts ● Delays during drive
    ● Weather ● Pickup travel time
    ● Travel limitations for family ● Tracking and attrition
    ● Travel limitations for bidan
    = Solved by Real-time Distribution
    = Partially Solved by Real-time Distribution
    = Not Solved by Real-time Distribution
    Root causes for low blood availability

    Personnel Resources

    ● Facility qualification ● Fear of expiry


    ● No lab manager ● Fear of overstocking
    ● No doctor ● Low supply at UTD/DHO
    ● No delivery staff (UTD) ● No incubator/agitator
    ● No pickup staff (hospital) ● No cold chain/fridge
    ● No vehicle
    ● No crossmatching Low Blood
    Availability
    Environment Methods

    ● Traffic and travel time ● Quality control at UTD


    ● Distance ● Training at UTD
    ● Weather limitations ● Challenges with collection
    ● Donor supply ● Planning and forecasting
    = Solved by Real-time Distribution
    = Partially Solved by Real-time Distribution
    = Not Solved by Real-time Distribution
    Root causes for high maternal mortality

    Personnel Resources

    ● Bidan skill ● Diagnostic kit availability


    ● Bidan availability ● O- blood availability
    ● Doctor availability ● Oxytocin availability
    ● Componentized blood
    ● No Refrigeration
    ● No Agitators
    ● No crossmatching Maternal
    Mortality
    Environment Methods
    Rate
    ● Mother education ● Procurement
    ● Bidan:Desa ratio ● Antenatal monitoring
    ● Hospital bottlenecks ● Monitoring of birth delivery
    ● Unstabilized emergency
    transport of mother
    = Solved by Real-time Distribution
    = Partially Solved by Real-time Distribution
    = Not Solved by Real-time Distribution

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