General GuidanceYou may prepare this in any way you wish but keep it simple.Use only 1 power point slide and include the key components listedIf you have not progressed with testing a change, don’t worry . . . You can try to run at least one small test of change by July 9th and simply report on the lessons learned from this initial test, planned next steps.

Agency Name & Project TitleSample

Improvement Strategies:• Describe the current gaps identified in

your linkage/retention systems• & the tests of change or interventions

you selected to address these.

Lessons Learned• Describe what you learned from your test

of change and intervention?

Our Aim:• Describe the aim/goal of your

quality work. What are you trying to accomplish?

Performance Measurement:• Display of baseline (April) and

June Performance

Next Steps• Continue with PDSA cycles?

• Sustain gains?• Integrate into delivery care system?

EXAMPLE: NAMIBIA: A Tale of Improving Food Security

•Initially lack of screening tool in the HIV patient care booklet•Poor documentation /lack of proper referral mechanism•No support groups address food security•Staff turnover and high workload•High national unemployed rate/poverty•Alcohol abuse

INTERVENTIONS •Training of HCWs on importance of issue & measuring•Health education to patients/clients (specifically on alcohol abuse )•Devise basic, simple food security screening tools•Improve documentation system•Reorganize patient flow to streamline assessment•Identification of focal person to conduct assessments•Referrals, documentation/follow-up of patients needing food supplementation to NGOs•Arrange effective referral system•Introduction of NACS (Nutritional Assessment Counseling and Support) programme Nationwide.•Strengthen integration of social workers into care teams to assess food security•Initiation of nutrition gardens•Soup kitchen corners (nutritional education)