Investigating the quality of HIV rapid testing practices in public antenatal health care facilities Nesstar Publisher Investigating the quality of HIV rapid testing practices in public antenatal health care facilities InvestigatingthequalityofHIVrapidtestingpracticesinpublicantenatalhealthcarefacilities Duduzile F. Nsiband Selamawit A. Woldesenbet Adrian Puren Peter Barron Vincent I. Maduna Carl Lombard Mireille Cheyip Mary Mogashoa Yogan Pillay Vuyolwethu Magasana Trisha Ramraj Tendesayi Kufa Gurpreet Kindra Ameena Goga Witness Chirinda Nesstar Publisher Monitoring HIV prevalence using antenatal HIV sentinel surveillance is important for efficient epidemic tracking, programme planning and resource allocation. HIV sentinel surveillance usually employs unlinked anonymous HIV testing which raises ethical, epidemiological and public health challenges in the current era of universal test and treat. The World Health Organization (WHO) recommends that countries should consider using routine prevention of mother-to-child transmission of HIV (PMTCT) data for surveillance. We audited antenatal care clinics to assess the quality of HIV rapid testing practices as the first step to assess whether South Africa is ready to utilize PMTCT programme data for antenatal HIV surveillance. In 2017, we conducted a cross-sectional survey in 360 randomly sampled antenatal care clinics using the adapted WHO Stepwise-Process-for-Improving-the-Quality-of-HIV-Rapid-Testing (SPI-RT) checklist. We calculated median percentage scores within a domain (domain-specific median score), and across all domains (overall median percentage scores). The latter was used to classify sites according to five implementation levels; (from 0:<40% to 4: 90% or higher). Of 346 (96.1%) facilities assessed, an overall median percentage score of 62.1% (inter-quartile range (IQR): 50.8-71.9%) was obtained. The lowest domain-specific median percentage scores were obtained under training/certification (35% IQR: 10.0-50.0%) and external quality assurance (12.5% IQR: 0.0-50.0%), respectively. The majority (89%) of sites had an overall median score at level 2 or below; of these, 37% required improvement in specific areas and 6.4% in all areas. Facilities in districts implementing the HIV Rapid Test Quality Improvement Initiative and supported by the President's Emergency Plan for AIDS Relief (PEPFAR) had significantly higher median overall scores (65.6% IQR: 53.9-74.2%) (P-value from rank sum test: <0.001) compared with non-PEPFAR-supported facilities (56.6% IQR:47.7-66.0%). We found sub-optimal implementation of HIV rapid testing practices. We recommend the expansion of the PEPFAR-funded Rapid Test Continuous Quality Improvement (RTCQI) support to all antenatal care testing sites. 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2017-06-02T08:23:02.000+02 1 2017-06-02T08:41:14.000+02 1 2017-06-02T09:00:50.000+02 1 2017-06-02T09:24:07.000+02 1 2017-06-02T09:39:17.000+02 1 2017-06-02T09:58:10.000+02 1 2017-06-02T10:08:35.000+02 1 2017-06-02T10:31:16.000+02 1 2017-06-02T10:39:32.000+02 1 2017-06-02T10:52:00.000+02 1 2017-06-02T11:00:35.000+02 1 2017-06-02T11:11:54.000+02 1 2017-06-02T11:24:09.000+02 1 2017-06-02T11:39:04.000+02 1 2017-06-02T12:02:14.000+02 1 2017-06-02T12:22:10.000+02 1 2017-06-02T12:37:16.000+02 1 2017-06-02T12:48:01.000+02 1 2017-06-02T13:34:12.000+02 1 2017-06-02T13:39:45.000+02 1 2017-06-02T13:51:08.000+02 1 2017-06-02T14:37:58.000+02 1 2017-06-02T14:46:21.000+02 1 2017-06-02T14:56:28.000+02 1 2017-06-02T15:22:59.000+02 1 2017-06-09T09:12:46.000+02 1 2017-06-09T09:36:21.000+02 1 Not done 1 end 351 0 0 1 1 1 2017-02-20T23:46:51.000+02 1 2017-02-20T23:56:35.000+02 1 2017-02-21T11:32:17.000+02 1 2017-02-21T20:07:55.000+02 1 2017-02-21T21:21:04.000+02 1 2017-02-22T19:26:54.000+02 1 2017-02-22T19:39:04.000+02 1 2017-02-22T19:57:38.000+02 1 2017-02-23T21:02:28.000+02 1 2017-02-23T21:56:21.000+02 1 2017-02-24T22:35:23.000+02 1 2017-02-24T22:52:33.000+02 1 2017-02-27T19:52:57.000+02 1 2017-02-27T20:06:50.000+02 1 2017-02-27T21:14:25.000+02 1 2017-02-27T21:27:13.000+02 1 2017-02-27T21:31:27.000+02 1 2017-02-28T14:31:33.000+02 1 2017-02-28T18:51:29.000+02 1 2017-02-28T20:59:11.000+02 1 2017-02-28T21:10:08.000+02 1 2017-02-28T21:18:43.000+02 1 2017-02-28T22:12:05.000+02 1 2017-03-01T11:31:33.000+02 1 2017-03-01T16:00:11.000+02 1 2017-03-01T18:48:11.000+02 1 2017-03-01T19:17:21.000+02 1 2017-03-01T19:36:29.000+02 1 2017-03-01T20:08:38.000+02 1 2017-03-01T21:50:30.000+02 1 2017-03-02T16:28:27.000+02 1 2017-03-02T21:33:29.000+02 1 2017-03-02T22:26:41.000+02 1 2017-03-03T12:09:44.000+02 1 2017-03-03T23:20:19.000+02 1 2017-03-04T22:31:54.000+02 1 2017-03-08T03:09:08.000+02 1 2017-03-08T04:47:46.000+02 1 2017-03-08T12:42:47.000+02 1 2017-03-08T13:40:58.000+02 1 2017-03-08T17:36:39.000+02 1 2017-03-08T22:40:33.000+02 1 2017-03-08T23:14:19.000+02 1 2017-03-08T23:51:55.000+02 1 2017-03-09T01:12:04.000+02 1 2017-03-09T19:35:03.000+02 1 2017-03-09T20:05:29.000+02 1 2017-03-10T19:34:56.000+02 1 2017-03-11T19:40:56.000+02 1 2017-03-11T20:11:16.000+02 1 2017-03-12T12:08:10.000+02 1 2017-03-12T18:12:36.000+02 1 2017-03-13T16:01:29.000+02 1 2017-03-14T11:36:09.000+02 1 2017-03-14T17:15:32.000+02 1 2017-03-14T17:37:09.000+02 1 2017-03-14T18:32:47.000+02 1 2017-03-14T18:59:12.000+02 1 2017-03-14T20:08:35.000+02 1 2017-03-14T20:33:02.000+02 1 2017-03-15T11:16:19.000+02 1 2017-03-15T20:33:15.000+02 1 2017-03-15T20:49:32.000+02 1 2017-03-15T21:05:08.000+02 1 2017-03-16T17:05:58.000+02 1 2017-03-16T19:38:36.000+02 1 2017-03-18T20:42:41.000+02 1 2017-03-19T18:50:53.000+02 1 2017-03-19T19:43:13.000+02 1 2017-03-21T15:39:58.000+02 1 2017-03-21T16:00:53.000+02 1 2017-03-22T16:34:31.000+02 1 2017-03-23T05:56:10.000+02 1 2017-03-25T20:48:46.000+02 1 2017-03-25T21:29:31.000+02 1 2017-03-25T21:32:11.000+02 1 2017-03-25T21:55:25.000+02 1 2017-03-25T22:06:10.000+02 1 2017-03-25T22:44:43.000+02 1 2017-03-27T21:03:11.000+02 1 2017-03-27T21:09:21.000+02 1 2017-03-28T08:15:52.000+02 1 2017-03-28T08:16:24.000+02 1 2017-03-28T08:16:57.000+02 1 2017-03-28T08:17:42.000+02 1 2017-03-28T08:18:20.000+02 1 2017-03-28T08:19:01.000+02 1 2017-03-28T08:19:47.000+02 1 2017-03-28T08:21:01.000+02 1 2017-03-28T08:50:20.000+02 1 2017-03-28T09:08:29.000+02 1 2017-03-28T19:06:40.000+02 1 2017-03-28T19:06:58.000+02 1 2017-03-28T19:22:31.000+02 1 2017-03-28T21:00:49.000+02 1 2017-03-28T21:23:20.000+02 1 2017-03-29T21:16:19.000+02 1 2017-03-29T21:54:14.000+02 1 2017-03-29T22:50:56.000+02 1 2017-03-29T22:54:11.000+02 1 2017-03-29T23:47:39.000+02 1 2017-03-30T01:08:52.000+02 1 2017-03-30T01:09:42.000+02 1 2017-03-30T01:32:43.000+02 1 2017-03-30T02:10:26.000+02 1 2017-03-30T20:19:04.000+02 1 2017-04-02T02:05:03.000+02 1 2017-04-03T23:26:00.000+02 1 2017-04-04T19:02:55.000+02 1 2017-04-04T19:18:28.000+02 1 2017-04-05T16:50:44.000+02 1 2017-04-05T17:16:57.000+02 1 2017-04-05T17:52:43.000+02 1 2017-04-05T19:13:24.000+02 1 2017-04-05T19:28:54.000+02 1 2017-04-05T21:05:58.000+02 1 2017-04-05T21:06:13.000+02 1 2017-04-05T21:32:34.000+02 1 2017-04-06T18:10:36.000+02 1 2017-04-06T22:29:47.000+02 1 2017-04-07T18:42:20.000+02 1 2017-04-08T23:28:52.000+02 1 2017-04-10T13:46:32.000+02 1 2017-04-10T14:00:37.000+02 1 2017-04-10T17:05:35.000+02 1 2017-04-10T17:34:16.000+02 1 2017-04-11T12:55:17.000+02 1 2017-04-11T13:19:52.000+02 1 2017-04-12T19:37:52.000+02 1 2017-04-12T20:23:02.000+02 1 2017-04-12T20:46:37.000+02 1 2017-04-12T21:07:48.000+02 1 2017-04-12T21:34:04.000+02 1 2017-04-13T11:52:14.000+02 1 2017-04-15T14:54:06.000+02 1 2017-04-15T15:15:35.000+02 1 2017-04-16T12:48:41.000+02 1 2017-04-16T13:15:04.000+02 1 2017-04-16T13:36:54.000+02 1 2017-04-16T13:56:13.000+02 1 2017-04-16T14:09:02.000+02 1 2017-04-16T14:19:48.000+02 1 2017-04-16T14:48:39.000+02 1 2017-04-16T15:01:24.000+02 1 2017-04-16T15:11:08.000+02 1 2017-04-16T15:21:49.000+02 1 2017-04-16T15:41:34.000+02 1 2017-04-16T15:55:02.000+02 1 2017-04-16T16:11:52.000+02 1 2017-04-17T17:48:04.000+02 1 2017-04-17T18:02:58.000+02 1 2017-04-18T19:34:10.000+02 1 2017-04-18T20:28:13.000+02 1 2017-04-18T20:51:52.000+02 1 2017-04-19T17:51:55.000+02 1 2017-04-19T18:08:48.000+02 1 2017-04-19T18:21:16.000+02 1 2017-04-20T19:14:13.000+02 1 2017-04-20T19:29:37.000+02 1 2017-04-21T16:59:48.000+02 1 2017-04-23T15:37:57.000+02 1 2017-04-23T15:49:31.000+02 1 2017-04-23T18:24:29.000+02 1 2017-04-23T18:56:24.000+02 1 2017-04-23T19:13:39.000+02 1 2017-04-23T19:32:22.000+02 1 2017-04-23T22:38:14.000+02 1 2017-04-23T23:11:15.000+02 1 2017-04-24T11:22:06.000+02 1 2017-04-24T11:34:26.000+02 1 2017-04-24T12:39:39.000+02 1 2017-04-24T13:02:20.000+02 1 2017-04-24T13:47:48.000+02 1 2017-04-24T14:00:42.000+02 1 2017-04-24T15:26:36.000+02 1 2017-04-24T15:40:00.000+02 1 2017-04-24T15:49:46.000+02 1 2017-04-24T15:58:42.000+02 1 2017-04-24T16:07:55.000+02 1 2017-04-24T16:37:23.000+02 1 2017-04-24T21:29:50.000+02 1 2017-04-25T08:52:23.000+02 1 2017-04-25T09:07:27.000+02 1 2017-04-25T09:55:00.000+02 1 2017-04-25T10:30:28.000+02 1 2017-04-25T10:55:44.000+02 1 2017-04-25T11:04:24.000+02 1 2017-04-25T11:11:24.000+02 1 2017-04-25T12:00:33.000+02 1 2017-04-25T12:18:58.000+02 1 2017-04-25T12:35:58.000+02 1 2017-04-25T13:04:07.000+02 1 2017-04-25T13:17:58.000+02 1 2017-04-25T13:28:51.000+02 1 2017-04-25T13:41:38.000+02 1 2017-04-25T13:52:23.000+02 1 2017-04-25T14:05:08.000+02 1 2017-04-25T14:16:38.000+02 1 2017-04-25T15:01:48.000+02 1 2017-04-25T15:10:53.000+02 1 2017-04-25T15:42:31.000+02 1 2017-04-25T15:52:35.000+02 1 2017-04-25T16:06:20.000+02 1 2017-04-25T19:31:26.000+02 1 2017-04-26T10:40:56.000+02 1 2017-04-26T15:44:51.000+02 1 2017-04-27T16:52:07.000+02 1 2017-04-27T17:53:20.000+02 1 2017-04-27T18:12:22.000+02 1 2017-04-27T18:35:47.000+02 1 2017-04-27T19:09:42.000+02 1 2017-04-27T19:23:30.000+02 1 2017-04-27T20:05:38.000+02 1 2017-04-27T21:27:58.000+02 1 2017-04-27T21:49:28.000+02 1 2017-04-27T22:15:04.000+02 1 2017-04-27T22:39:36.000+02 1 2017-04-28T12:59:15.000+02 1 2017-04-30T20:26:12.000+02 1 2017-04-30T21:19:05.000+02 1 2017-04-30T22:48:23.000+02 1 2017-04-30T23:54:21.000+02 1 2017-05-01T00:42:29.000+02 1 2017-05-01T01:33:24.000+02 1 2017-05-01T02:19:23.000+02 1 2017-05-01T02:20:12.000+02 1 2017-05-01T02:41:26.000+02 1 2017-05-01T21:41:53.000+02 1 2017-05-01T21:42:07.000+02 1 2017-05-03T20:21:13.000+02 1 2017-05-07T08:12:11.000+02 1 2017-05-07T08:23:51.000+02 1 2017-05-08T11:01:29.000+02 1 2017-05-08T18:04:22.000+02 1 2017-05-09T11:14:50.000+02 1 2017-05-09T19:00:11.000+02 1 2017-05-10T13:48:50.000+02 1 2017-05-10T14:06:05.000+02 1 2017-05-10T14:28:47.000+02 1 2017-05-10T14:53:13.000+02 1 2017-05-10T15:35:33.000+02 1 2017-05-10T15:55:35.000+02 1 2017-05-10T16:31:32.000+02 1 2017-05-10T17:51:16.000+02 1 2017-05-10T19:03:41.000+02 1 2017-05-11T08:42:14.000+02 1 2017-05-11T09:26:01.000+02 1 2017-05-11T18:42:48.000+02 1 2017-05-11T19:10:25.000+02 1 2017-05-11T21:12:04.000+02 1 2017-05-12T13:08:01.000+02 1 2017-05-12T13:39:45.000+02 1 2017-05-12T13:49:02.000+02 1 2017-05-12T13:59:33.000+02 1 2017-05-12T15:09:43.000+02 1 2017-05-12T15:16:42.000+02 1 2017-05-13T11:38:13.000+02 1 2017-05-13T11:55:41.000+02 1 2017-05-14T21:54:00.000+02 1 2017-05-14T22:14:11.000+02 1 2017-05-14T22:22:06.000+02 1 2017-05-15T15:23:06.000+02 1 2017-05-15T22:35:54.000+02 1 2017-05-16T18:39:03.000+02 1 2017-05-16T18:53:57.000+02 1 2017-05-16T20:33:17.000+02 1 2017-05-16T21:12:47.000+02 1 2017-05-16T22:31:28.000+02 1 2017-05-16T22:33:23.000+02 1 2017-05-17T10:03:41.000+02 1 2017-05-17T13:02:08.000+02 1 2017-05-17T21:02:24.000+02 1 2017-05-18T12:33:14.000+02 1 2017-05-18T18:42:56.000+02 1 2017-05-18T20:23:34.000+02 1 2017-05-18T20:43:30.000+02 1 2017-05-18T20:49:38.000+02 1 2017-05-18T21:49:30.000+02 1 2017-05-19T11:48:41.000+02 1 2017-05-21T16:27:48.000+02 1 2017-05-21T18:42:57.000+02 1 2017-05-21T20:46:38.000+02 1 2017-05-22T04:04:32.000+02 1 2017-05-22T04:37:11.000+02 1 2017-05-22T05:23:30.000+02 1 2017-05-22T06:13:11.000+02 1 2017-05-22T06:33:10.000+02 1 2017-05-22T06:47:38.000+02 1 2017-05-22T08:07:09.000+02 1 2017-05-22T08:52:39.000+02 1 2017-05-22T09:15:16.000+02 1 2017-05-22T20:04:41.000+02 1 2017-05-23T20:13:14.000+02 1 2017-05-23T21:09:05.000+02 1 2017-05-23T21:40:43.000+02 1 2017-05-24T16:42:45.000+02 1 2017-05-24T20:15:42.000+02 1 2017-05-24T20:31:33.000+02 1 2017-05-25T19:59:21.000+02 1 2017-05-25T21:17:41.000+02 1 2017-05-25T21:58:14.000+02 1 2017-05-25T23:12:52.000+02 1 2017-05-25T23:32:09.000+02 1 2017-05-25T23:51:22.000+02 1 2017-05-26T09:25:55.000+02 1 2017-05-26T14:29:35.000+02 1 2017-05-26T16:38:45.000+02 1 2017-05-31T09:11:22.000+02 1 2017-05-31T09:32:17.000+02 1 2017-05-31T09:49:11.000+02 1 2017-05-31T10:19:49.000+02 1 2017-05-31T11:01:23.000+02 1 2017-05-31T11:49:10.000+02 1 2017-05-31T13:58:03.000+02 1 2017-05-31T14:27:30.000+02 1 2017-06-01T11:54:37.000+02 1 2017-06-01T13:08:36.000+02 1 2017-06-01T13:53:40.000+02 1 2017-06-02T08:22:35.000+02 1 2017-06-02T08:39:47.000+02 1 2017-06-02T08:56:54.000+02 1 2017-06-02T09:23:49.000+02 1 2017-06-02T09:36:38.000+02 1 2017-06-02T09:54:23.000+02 1 2017-06-02T10:08:27.000+02 1 2017-06-02T10:21:23.000+02 1 2017-06-02T10:38:30.000+02 1 2017-06-02T10:51:28.000+02 1 2017-06-02T11:08:56.000+02 1 2017-06-02T11:09:42.000+02 1 2017-06-02T11:22:52.000+02 1 2017-06-02T11:34:43.000+02 1 2017-06-02T12:00:22.000+02 1 2017-06-02T12:15:04.000+02 1 2017-06-02T12:33:59.000+02 1 2017-06-02T12:47:27.000+02 1 2017-06-02T12:58:41.000+02 1 2017-06-02T13:49:05.000+02 1 2017-06-02T14:19:09.000+02 1 2017-06-02T14:19:47.000+02 1 2017-06-02T14:45:11.000+02 1 2017-06-02T14:52:54.000+02 1 2017-06-02T15:21:38.000+02 1 2017-06-02T15:29:42.000+02 1 2017-06-09T09:28:30.000+02 1 2017-06-09T09:52:24.000+02 1 3.5 2 One for handeling of sharps are available. Testers does not know about any other SOPs or job aids 1 today 350 0 .5 2 01-Jun-2017 3 01-Mar-2017 7 01-May-2017 6 02-Apr-2017 1 02-Jun-2017 26 02-Mar-2017 3 03-Apr-2017 1 03-Mar-2017 2 03-May-2017 1 04-Apr-2017 2 04-Mar-2017 1 05-Apr-2017 8 06-Apr-2017 3 07-Apr-2017 1 07-May-2017 2 08-Apr-2017 1 08-Mar-2017 8 08-May-2017 2 09-Jun-2017 2 09-Mar-2017 3 09-May-2017 2 1 1 10-Apr-2017 3 10-Mar-2017 1 10-May-2017 10 11-Apr-2017 2 11-Mar-2017 2 11-May-2017 5 12-Apr-2017 5 12-Mar-2017 2 12-May-2017 6 13-Apr-2017 1 13-Mar-2017 1 13-May-2017 2 14-Mar-2017 7 14-May-2017 2 15-Apr-2017 2 15-Mar-2017 4 15-May-2017 2 16-Apr-2017 13 16-Mar-2017 3 16-May-2017 6 17-Apr-2017 2 17-Feb-2017 1 17-May-2017 4 18-Apr-2017 3 18-Mar-2017 1 18-May-2017 5 19-Apr-2017 3 19-Mar-2017 2 19-May-2017 1 20-Apr-2017 2 20-Feb-2017 3 21-Apr-2017 1 21-Feb-2017 4 21-Mar-2017 2 21-May-2017 3 22-Feb-2017 3 22-Mar-2017 1 22-May-2017 10 23-Apr-2017 8 23-Feb-2017 3 23-May-2017 3 24-Apr-2017 14 24-Feb-2017 2 24-May-2017 3 25-Apr-2017 23 25-Mar-2017 6 25-May-2017 6 26-Apr-2017 3 26-Feb-2017 1 26-May-2017 4 27-Apr-2017 9 27-Feb-2017 4 27-Mar-2017 9 28-Apr-2017 1 28-Feb-2017 6 28-Mar-2017 5 29-Mar-2017 5 30-Apr-2017 5 30-Mar-2017 4 31-May-2017 7 Not done 1 testingpointtype 350 0 0 1 1 1 No job aides and no SOPs 1 PITC 2 PMTCT 315 There is a job aid on the handelingbof infectious wasre 1 VCT 29 testingpointtype_other 4 0 0 1 1 2 Not done 1 level 348 0 0 1 9.5 1 District 200 HealthCenter 111 HealthPost 1 ReferralCenter 6 Testers are not aware of SOPs or job aids. None is vissible. 1 other 6 region 21 level_other 351 0 - 340 .5 1 0 1 1 2 Clinic - Clinic 3 Goverment - Goverment 1 Municipal - Municipal 2 Not documented 1 numberoftester 349 0 0 7 1 83 11 1 14 1 2 129 3 61 4 39 5 12 6 6 7 4 8 3 9 1 No job aides and no SOPs 1 Testers are not aware of any such SOPs. No relevant job aid is vissible 1 avgmonthtesting 351 0 0 665 46.651 73.557 personal_q_1_1 347 0 .5 28 0 194 1 124 Only gloves and masks are available 1 personal_c_1_1 203 .5 2 1 3 1 tester trained the other did not train and no documentation 1 10 dat counselling course 2008 1 10 days counselling not rapid test 1 But she dont have it she keft it at home 1 1 Certificates at home 1 Certificates not at the facility 2 Did counselling 10 days course 1 Have not trained 3 Ni training certificate 1 Ni training documents 1 No Document 1 No certificates 2 No certificates available 1 No certificates, no documentation 1 No certification 2 No cirriculum in place 1 No copies of certificate in the facility 1 No documatation 19 No documatations. 1 No documemts 1 No documentation 8 No documents 13 No documents available 1 No evidence 2 No evidence of certification 1 No evidence of training in form of certificates or other records available at time of audit for all councellors. 1 No evidence of training, No national curriculum in place 1 No evidence on site 1 No national curriculum in place 2 No proof 3 No proof available 1 No record of rapid test 1 No record of training 1 No record of training, on 5 day rapid test. 1 No records 16 No records / documents 1 No records at facility 1 No records of training 1 No records on site 1 No teaining certificates and manuals 1 No training cerficate 1 No training certificate 10 No training certificate in the clinic 1 No training documents 6 No training documents and manuals 1 No training done 1 No training manuals and certificates 3 No traning certificate 1 None 1 None available 1 None seen 1 Not Abon and advance 1 Not all trained 1 Not available with them 1 Not evidence, on training 1 Not on Abon and Advance 1 Not on Abon and advance 1 Not on rapid test, and there is no record 1 Not rapid test training 1 Not recorded 1 Not trained 1 Not yet trained 1 OM not present ( There is no proof available because OM' s office is locked) 1 One of them has proof 1 Only did 10 day counselling training 1 Only one cousellor have the certificate 1 Only one has the certificate 1 Only one lay counselor is trained 1 Only one tester has her certificates at the facility 1 Only one tester with certificates and training manuals 1 Only ten days HIV counselling training. 1 Only training manuals 2 Only training manuals available 3 Only training manuals available no certificates 1 Only two counsellors trained with certificate 1 PHC trained 1 PHC trained. 1 Provincially qualified 1 Provincially trained 1 Provinical attic trained 1 Sister doing Antenatal is ACTS trained, councellors are ATTIC Trained 1 Some certificates are at the facility not for all the testers 1 Tained but no documentation 1 There are no supporting documents 1 There was no documents to prove that they were trained 1 They attended a workshop and signed attendence book 1 They didnt have their certificates at the facility 1 They were trained a long time ago not recently according to the councellor Mr Phewa, but there is a training they will attend sometime this month as per their mentor 1 Trained but left documents at work 1 Trained but no documentation 11 Trained but no documtation 1 Trained butno documentation 1 Trained by city of Cape Town 1 Training 10 days HR showed me certification. In 2016 trained by district, training records are available and manuals but no certification. (DEPARTMENT DOES NOT ISSUE CERTIFICATION) 1 Training documents are not available 1 Training documents not available 2 Training manual onsite 1 Training was done by department of health a 10 day testing and counselling course. No documents. 1 Yes, but no record 1 no documents 2 no records 2 no records. 1 no training 1 no training records 1 personal_q_1_2 348 0 .5 27 0 112 1 207 Only for a few stock gloves no aprons not used consistently 1 Testers does not always wear the PPE 1 personal_c_1_2 120 .5 1 0 1 1 3 Attendance register left the facility 1 Attendance register with the facilitator 1 Attended inservice but no record 1 Currently switching over to PREHMIS 1 Does not use registers, electronically captured on PREHMIS 1 Have not attended training 1 Have not trained 1 Insrervide by charge by P.M 1 Last trained on register on the HCT training 1 No Document 1 No documatation 1 No documents 4 No documents for Testers, the ANC patients are tested by the nurse 1 No evidence 3 No evidence of training 2 No proof 1 No record 5 No record for training. 1 No record of training 2 No records 14 No records and not all indicators on register ticked 1 No records of in services 1 No records, mentor trained them 1 No records. 1 No refresher training due to previous strikes 1 No trained 1 No training and no standardized register 1 No training but were oriented by sister and checks register. No records. 1 No training done 2 No training record 1 No training was done. 1 Not Trained 1 Not for HST which they are currently using 1 Not trained 6 Not trained, testers not trained but PN trained and gave testers feedback 1 Not training documents 1 Nurses use tick register but not all indicators are used 1 OM said yes but the file is at another facility 1 One counsellor trained 1 Record register is kept by the person who goes services training 1 Records at training facility 1 Register completed 1 Register not complete 1 Registers are not complete 4 Registers are not fulky complete 1 Registers completed but no evidence of training 1 Registers not complete 5 Registers not fully complete 1 Registers not fully completed 1 Some register information not captured correctly; some pages not tallied or tallied incorrectly. 1 Some testing elements are documented. 1 The sisters use tick registers, I did not see the register used by the councellor 1 There are no HTC register currentlythe information is written on a book. 1 They are not available the OM lock them in her office 1 They said there were not trained 1 Trained a while ago no documentation 1 Trained but no documentation 9 Trained but no documents 1 Trained but no documentstion 1 Trained but no documrntation 1 Training done and recorded 1 Use of Cape Town Register 1 Were using registers before, currently records are electronically captured on PREHMIS 1 inserved but did not go though the national guidelines in details. 1 no records 1 no training records 1 not all testers are trained 1 not trained on HTS register 1 one tester is trained 1 sister explained to counsellor on how to use register, but because they did not through it in detail it No. 1 personal_q_1_3 348 0 .5 16 0 206 1 124 N not used consistently had to get gloves but had a client before us 1 Testers does not always use PPE during testing process, 1 personal_c_1_3 190 0 .5 2 1 3 1 trained but records are at Mother hospital 1 Last done last year sometime 1 Never attended training 1 No documatation 1 No document or proof of training 1 No documentation 1 No documents 4 No documents for training 1 No evidence for training 1 No proof of training 1 No record 4 No record for PT 1 No records 11 No records. 1 No tester at facility was trained im EQA or PT 1 No testers participate in EQA 1 No trained 1 No training 1 No training documents 1 No training done 1 No training was done. 1 No, testers are not trained on PT 1 Not PT but EQA trained and no records 1 Not Trained and not enrolled 1 Not doing proficiency testing 1 Not done 3 Not enrolled 3 Not trade no records 1 Not trained 49 Not trained at all 1 Not trained on EQA And or PT 1 Not trained on EQA and PT 3 Not trained on EQA and or PT 9 Not trained on EQA or PT 3 Not trained on EQA/ PT 3 Not trained on EQA/PT 8 Not trained on PT 3 Not yet enrolled 3 Not yet trained 9 Noy yet trained 1 One lay counsellor has been trained on EQA/PT 1 Only 1 councellor out of 4 is trained 1 Only one sister attended the training 1 Only one tester is trained on PT 1 Only one tester trained on EQA PT 1 Only one tester trained on EQA or PT 2 Only one tester trained on EQA/PT 2 Only one tester was trained on external quality 1 PT not done at facility 2 PT was done last month but records with PT supervisor 1 Still to train 1 Tersters are not trained on EQA or PT 1 Testers have never been assessed on PT 1 Testers not trained but do PT 1 Testers not trained on EQA or PT 1 Testers not trained on PT 2 The lay counsellors are not trained, only one Registered nurse is trained 1 The lay counselor has done training. 1 The proof is not available 1 There are trained on QC not EQA there are mixing the two. This has been corrected. 1 They are not trained 4 They are not trained on PT 1 They are trained but not yet enrolled 2 They not trained 1 They were not trained in either 1 Trained but no documentation 2 Trained but not enrolled 2 Trained but not yet enrolled 1 no records 1 no records. 1 not trained 2 not trained on PT 1 only one and he is with an NGO. 1 personal_q_1_4 349 0 .5 9 0 154 1 183 Clean running water and liquid soap is available just outside main testing room. 1 Gloves not properly remove 1 Gloves not taken off the correct way 1 personal_c_1_4 131 0 2 1 3 Clinic log book - training done by P Khumalo 1 Current tester is not trained on testing and QC 1 Done butnot recorded 1 Inserviced by sister incharge 1 Last done last year but there are no records. 1 Niot trained 1 No QC done and no records 1 No QC records 1 No document 1 No documentation 3 No documents 2 No evidence of training 1 No evidence on QC 1 No proof of training 1 No record 4 No record on training on QA 1 No record s of training 1 No records 14 No records of Quality Control 1 No records on QC training 3 No records on QC training records 1 No stock 1 No training 1 No training documents 1 No training done 1 No training records but they say they were trained 1 Not all take part in QC process, 1 Not doing QC 2 Not done 3 Not enrolled 1 Not trained 22 Not trained but TB assistant is trained 1 Not trained in QC 1 Not trained no evidence 1 Not trained on QC 18 Not trained testers checks herself by testing herself to see if the kit works 1 Not trained yet 2 Not yet trained 1 Nother trained 1 Nursing staff does most of the testing at this facility, not teained on QC, councellor isctrained but still awaiting paperwork to do it 1 Proof not available 1 Quality not done at facity no records. 1 Recorded and manuals available 1 Said to be done by district 1 Still to go for training next week 1 Test kits came already checked b QC department not at the facility 1 Testers are not trained on QC 1 Testers not firmilar with QC 1 Testers not trained but sister who helps out at testing was trained 1 They are not trained 1 They dont do QC 1 They have been trained but QC logs are not prorperly recorded 1 They were trained but there are no records 1 Trained but certificates left at home 1 Trained but no documentation 2 Trained but records in hillbrow office 1 Yes but there is no proof 1 but no serum received 1 no records 1 no records. 1 not trained 2 personal_q_1_5 349 0 .5 14 0 135 1 197 1. No tap with running water 1 Never had invalid results but would ff proper pr8ceeure 1 No disinfectant present in room. 1 personal_c_1_5 115 .5 1 0 2 1 1 Attended by nurse only 1 Attended inservice training, but register with facilitator 1 Attended training the register is with matron 1 Certificates not available 1 In servise record is proof 1 In-service training records 1 Inservice by EN Siya Majola. 1 Inservice training 1 Job aids are up, policy available 1 No Evidence on waste management 1 No documatation 13 No document 1 No documentation 5 No documents 6 No documents seen 2 No documents to confirm training was done 1 No documentsvin~service training book no records of training. 1 No documetation 1 No evidence 1 No evidence of training 1 No evidence of training on site 1 No evidence of training. Mix waste 1 No formal training done 1 No record 3 No record of training 1 No records 14 No records but they were trained 1 No records of refresher training 1 No records told verbally 1 No trained 1 No training 2 Not Trained 1 Not trained 8 Not trained on safety and management procedures 1 Not trained on safety and waste 2 Not trained on safety and waste management 1 Not trained on safety and waste management procedure 1 1 Not yet trained 1 One tester is trained, no documents 1 Only have for 2007 1 Only nurses attend in service training 1 Policies in place but not signed 1 Records locked at OMs office 1 SOP health care risk management signed 1 She did not trained 1 Staff nurse and sisters have been trained but there is no proof 1 Teained but no documentation 1 Testers disagreed on methods to be followed, although they claimed to have received training. 1 The OM went out of the clinic, his office was locked and the documents I requested from him : he did not leave 1 The records of in service training were not found 1 They dont have document for training 1 They have done in service, but not segregating correctling 1 They received inservice training. 1 Trained but no documentation 3 Trained but no records 1 Training done manual available and recorded 1 Training done no documentation 1 Waste is mixed 2 1 inserved by N. Luthuli but no standard precautions 1 no records 1 personal_q_1_6 350 0 .5 7 0 267 1 72 Follow proper procedure 1 Out of stock 1 Sharps is properly discarded. Other waste is mixed 1 Test kit not labelled with initials and date 1 personal_c_1_6 215 0 .5 1 0 1 1 2 1 tester trained in 2 years but no documentation 1 3 to 4 years back 1 8 years ago 1 Attended bu nurse only 1 Attendend last year 1 Four years back 1 Have not received a refresher training 1 Have not received a refresher training within the last 2 years 1 Have not received a refresher training within the last two years 2 Have not received on refresher training withim the last two years 1 Have not received refresher training 1 Have not received refresher training in the last two years 1 Have not received refresher training within the last two years 5 Have not received refresher training within the last two years. 1 Have not received refresher training withini last two years 1 Have not received the refresher training within the last two years 1 Have not recieved refresher training within the last 2 years 1 Have not recieved refresher training within the last two years 1 Have not trained in 2 years 1 Have not trained last 2 years 1 Haven't recieve any training 1 Inservice training 1 Its been a while 2 Ivenda of last year 2015 but no proof 1 Last recieved refresher training in a long time 1 Last time 2008 1 Last time 2011 1 Last time 2013 1 Last time 2014 1 Last time 2015 2 Last time was 10 years back 1 Last time was 2008 1 Last time was 2010 1 Last time was 2010 and 2007 1 Last time was 2012 if not 2013 1 Last time was 2013 2 Last time was 2014 2 Last trained in 2015 1 Last trainef in 2014 1 Last training was in 2014 1 Log book ( RTQII training) 1 More than 2 years ago 1 More than two years 2 Never had a refresher training 1 Never had refresher training within the last two years 2 Never received refresher training within the last two years 1 No certification exist in the country 1 No documatation 10 No documation 1 No documentation 4 No documents 16 No documents but OM said one of them attended one last year November 1 No evidence 6 No evidence of refresher training 1 No evidence of testers receiving refresher training 1 No evidence of training 2 No evidence on site 1 No evidence. Have not attended training 1 No in-service training records, although they said they were trained by nurses 1 No proof but she said they recieved it 1 No record 3 No records 18 No records available 1 No refresher training 3 No refresher training evidence 1 No refresher training in last 2 years 1 No refresher training in place 1 No refresher training in the last 2 years 1 No refresher training in the past 2 years 1 No refresher training received 3 No refresher training received. 1 No refresher training recieved 4 No refresher training record 1 No training 2 No training as of yet 1 No training certificate 1 No training done 3 No training is received 1 No training since 2014 1 None of the testers received refresher training within the last two years 1 Not attendent the refresher training within the last two years 1 Not done 1 Not done in the last 2 years 1 Not in the last 2 years 1 Not on Abon and advance quality tests kits 1 Not receiced refresher training within the last two years 1 Not received a refresher training within the last two years 2 Not received refresher training within the last two years 3 Not received refresher training within the last two years. 1 Not received refresher training withon the last two years 1 Not received the refresher training within the last two years 1 Not received the refresher training withini the last two years 1 Not recieved a refresher training within the last two years 1 Not recieved refresher training 3 Not recieved refresher training in 2 years 1 Not trained 1 Not trained in 2 years 1 Not trained in last 2 years 1 Not trained on rapid 1 Only one attended 1 Only one has did the refresher last year 1 Only one was trained 1 Only only one recevied 1 Records 1 Refresher done, but no records 1 She was on Adherence training and training on new guidelines last week but there are no records 1 Since 2010 1 Since 2014 1 Sisters do HIV Councelling and testing here but they have not recieved refresher training 1 Tersters they have not received refresher training 1 Testers have not received refresher training within the last two years 1 Testers have not received refresher tranining within the last two years 1 There is no proof but they say they attend training at a District level 1 They are recently trained so the is no refresher traing for them 1 They said not in a long time 1 Trained but no documemts 1 Trained but no documentation 9 Trained but no signed documents, have pamphlets given at training 1 Was last trained in 2 years 1 no documents 2 no records 3 no training 1 personal_q_1_7 348 0 .5 4 0 301 1 41 No SOP or job aid available 1 Not at facility kept archievd at some place else 1 personal_c_1_7 200 0 0 1 1 2 1 tester has proof 1 4.5 1 ACTS trained 1 Certificate is not available/ at home 1 Checked by right to care but no documentation they left for it 1 Ho documentation 1 No certification 5 1 No certification exist in country 4 No certification exist in the country 6 No certification exist in this country 1 No certification existing in the country 2 No certification existing the country. 1 No certification exists in country 1 No certification exists in the country 2 No certification exits in country 1 No certification in country 1 No certification program 5 No certification program exist 1 No certification program exist in country 3 No certification program in the country 1 No certification programme 1 No certifications program exist 1 No documantation 2 No documatation 29 No documation 1 No documentation 17 No documentd but have done it 1 No documents 28 No documents but trained 1 No documetation 5 No evidence 1 No evidence available 3 1 No national program exist 1 No program exist in the country 1 No record 2 No records 40 No records available 3 No records on site kept at sub-district level 1 No records onsite but claimed to have had training last year 1 No records seen 1 Not certification exit in the country 1 Not recorded 1 Only one tester has demostrated competency 1 There are no records 1 Trained but no documemts 1 Trained but no documentation 2 no documents 4 no records 4 personal_q_1_8 348 0 0 292 1 55 Not kept at facility 1 personal_c_1_8 185 0 .5 1 0 1 7 1 N//A 1 N/A 51 No certificate programme 1 No certification 17 1 No certification exist in country 4 No certification exist in the country 6 No certification exist in this country 1 No certification existing in the country 2 No certification existing the country. 1 No certification exists in country 1 No certification exists in the country 2 No certification exits in country 1 No certification in the country 1 No certification program 6 No certification program exist 2 No certification program exist in country 3 No certification programme 4 No certifocate programme 1 No documents 12 1 No national certification in place 1 No national certification program 1 No national certification program available 1 No national certification program in place 4 No national certification programme 6 No national program exist 1 No national training program in place 1 No program exist in the country 1 No record 1 No records 7 Not certification exit in the country 1 Not certification program in the country 1 Not enrolled 1 Nursing staff does most of the testing at this facility 1 There is no national certification programme 22 There is none 1 There's no national certification programme 3 no documents 5 no records 4 personal_q_1_9 350 0 0 292 1 56 Not kept at facility 1 Shortage of gloves 1 personal_c_1_9 186 0 1 1 2015 algorithm is followed. 1 6 1 Documents 1 HTS not PMTCT 1 N/A 52 Nit documents 1 No 2 No certificate programme 1 No certificatevprogramme 1 No certificatiob 2 No certification 15 1 No certification exist in country 4 No certification exist in the country 6 No certification exist in this country 1 No certification existing in the country 2 No certification existing the country. 1 No certification exists in country 1 No certification exists in the country 2 No certification exits in country 1 No certification in place 1 No certification in the country 1 No certification program 8 No certification program exist 2 No certification program exist in country 2 No certification program exits in country 1 No certification program in the country 1 No certification programme 2 No certified program available 1 No documents 11 No evidence of training 1 1 No national certification program 1 No national certification program in place 3 No national certification programme 7 No national program exist 1 No program exist in the country 1 No record 1 No records 6 Not certification exit in the country 1 Not enrolled 1 Nursing staff does most of the testing at this facility 1 There is no national certification programme 23 There's no national certification programme 1 no documents 4 no records 5 personal_q_1_10 349 2 0 1 0.156 0.361 personal_c_1_10 180 0 1 1 N/A 50 No 1 No 're training 1 No ceetification 1 No certificate programme 1 No certification 15 1 1 No certification exist I the contry 1 No certification exist in country 3 No certification exist in the country 4 No certification exist in this country 1 No certification existing in the country 2 No certification existing the country. 1 No certification exists in country 1 No certification exists in the country 2 No certification exits in country 1 No certification in the country 1 No certification program 7 No certification program exist 2 No certification program exist in country 3 No certification program exist in the country 1 No certification program in place 1 No certification program in the country 1 No certification programme 2 No certiticate programme 1 No document 1 No documents 12 No evidence in place 1 No national certification program available 1 No national certification program in place 2 No national certification programme 7 No national program exist 1 No national recertification program in place 1 No program exist in the country 1 No recertification program 1 No record 1 No records 5 No set requirements 1 No training offered 1 Not certification exit in the country 1 Not enrolled 2 Not required to 1 There is no national certification programme 23 There's no national certification programme 1 no documents 3 no records 6 personal_score 349 2 0 9 3.33 2.227 physical_q_2_1 349 0 .5 59 0 27 1 260 10.5 1 No SOP or job aid in testing area. 1 Not enrolled 1 physical_c_2_1 81 .5 1 0 1 1 2 Also used as a doctors room 1 Also used as a dressing room 1 Also used as an emegerncy room 1 Also used as as a labour ward 1 Also used as room where they put staff food 1 But shared no specific room for testing 1 Examination room used 1 If the the councellor is there yes, she uses the testing room but the sister uses her consultation room 1 It is also used as a kitchen 1 It is also used as a maternity ward 1 It is also used for observations 1 It is also used for other staff 1 It is also used for other things 1 It is also usedva mother mentor and a consulting room 1 It is not used for ANC only 1 It is used for other things as well 2 Its also for psychiatric patients 1 Multi-purpose room 1 No counselling room, she use the one that is available 1 No counsellor so testing done at consulting rooms 1 No designated HIV testing area 1 No designated area 1 No designated area for testing 1 No room for counselling and testing 1 No seperate testing rooms, area used is a , multi-purpose room 1 One designated testing room. Other testers usevany availablevopen space 1 Room also used for data capturing 1 Room is a multi-purpose room 1 Room is a multipurpose room 1 Room is used as a consting room 1 Room is used as a consultation 1 Room is used as a consultation room 2 Room is used as a consulting room 1 Room is used as a cosultation room as well 1 Room is used as a store room 1 Room is used as consultation room as well 1 Room shared 1 Room used as a colsulting room as well 1 Room used as consultation room 1 Screen at the corner share with ENA 1 Share the consulation room with doctor who comes twice a week. 1 Share with another staff member, for other use. 1 Share with data 1 Sharing testing done at dispensary room 1 She has no consultation room, she shares with sisters. 1 She shares with data capture 1 1 She use any room that is available 1 Sometimes used as the consultation room when the clinis is full (if there lot of patient) 1 Space used for emergencies, dressings and other tasks as well 1 Space, called Blood room, is used for all bloodwork requiring a fingerprick 1 Storage of the fridge of medication 1 Testing room is used for consulating room as well 1 The ANC consultation room is used for HIV testing of pregnant women 1 The area is used for cosulting room as well 1 The area is used for multi purpose things 1 The area is used for other things 1 The facility is under renovations at the moment its a four room structure, used by more than 10 staff. 1 The room is used as a colsultation room 1 The room is used as a labour ward 1 The room is used for other things 1 They also use it as a chronic room every wednesday 1 They also use it for campaigns 1 They are used for other things as well 1 They do have a space for testing they have created a space with the cupboards at the corridoor, space is not private 1 They do not have a testing room 1 They dont have designated area because the clinic is renovated 1 They use a consultingnroom that is available 1 They use any room which is available 1 Used for ANC services 1 Used for TB services also 1 Used for other things 1 VCT site 1 Waiting room 1 used for other things no privacy. 1 physical_q_2_2 348 0 .5 44 0 22 1 280 Not enrolled 1 Package inserts not on the wall 1 physical_c_2_2 57 0 1 1 3 All combined testing and examination room 1 Clean, but not organised 1 Clean, but not sterilized, not organized for testing 1 Everything is there for testing, but other things are also there as well 1 Full of files, the room is small but there is enough space to do testing 1 It is clean but not organised 1 It was not realy clean the table was full of thing 1 No everything accessable had to get up to get other staff 1 No to timers available 1 Not clean 1 Not clean and organized 1 Not clean at all. 1 Not clean or organised. 1 Not clean, the're is no sterilization before testing starts. 1 Not cleaned the place is mixed up 1 Not everything for HIV testing is there, Abon was borrowed from other consultation room 1 Not fully organised no washing soap, no aprons, no timers. 1 Not organised 4 Not organised but clean 1 Not organised. 1 Not well organised 1 Other things are there as well 2 Room is clean, enough test kits, lancets, alcohol swabs but the work place is not sterilized before testing every client 1 Room is somehow clean and organized 1 Room it is some how clean everything is every where 1 Room not orgained 1 Room not organised but facility is clean 1 Some of them don't have timers 1 Tester had to use any available space 1 Testing area is somehow clean and organised 1 Testing area it is somehow not clean and organised 1 Testing room it is somehow clean 1 The clinic general assistant resigned in Jan no cleaner 1 The place its mixed because they dont have room for testing only 1 The room is not clean 2 The room was full of boxes 1 The room was not clean 1 There are boxes, wheelchair and lot of files on the table 1 There was shoprite paper on the floor 1 There were lot of boxes and chairs 1 There were not enough space because boxes 1 There were other files on the table 1 They use a kitchen as a testing room so its not organised 1 1 Work area not sterilized before testing a new patient 1 Work area not sterilized before testing new client 1 Work space not sterilized 1 Work surface not sterilized before testing a new patient 1 physical_q_2_3 347 0 .5 8 0 15 1 323 Not enrolled 1 physical_c_2_3 22 0 0 2 1 2 Electricity working but not switched on 1 Globe was not working and on the day the weather was not clear 1 Light not working only lights from the window 1 No designated area for testing 1 No desihnated area 1 No lights 1 Not sufficient lighting available in the disgnated testing area 1 Only light coming is from the window the lights are not working 1 Testing are has a primary light source but the lighting is not consistent,. 1 Testing area has a primary light source but the lighting is not consistent 1 Testing area has a primary light source but the lighting is not consistent. 1 The light is not worling 1 The lights are working but not turned on 1 The room is dark 3 There is no light in the room but its not dark, they are using the light from out side 1 They dont have any designted area 1 physical_q_2_4 348 0 .5 63 0 69 1 214 Not enrolled in EQA 1 Nothing indicated on both boxes containing tests. 1 physical_c_2_4 124 0 2 1 2 1. Aircon not working 1 Advanced is kept in a controlled environment but Abon in zinc cupboard 1 In box no temperature gadge 1 In direct sunlight. Room is modified container. No temperature records 1 In testing room yes, but storeroom was locked 1 Kept away from sunlight, no thermometers at this facility 1 Kept in a cooler box with ice , but no gage 1 Kept in cupboards 1 Kept out of direct sun, no temp chart, thermometer im each testing room 1 Kept out of sun. Have working temperature gage in room, but temperature chart is outdated 1 No airborne, temp or charting temp 1 No aircon and temp, gage, record of temp 1 No aprons 1 No electricity and it is humid 1 No gage and recording 1 No gage and temp chart 1 No gage no chart for recording 1 No gage or temp chart 1 No gauge or temp chart 1 No gauge, no temp 1 No record and temp gage 1 No records of temperature reading, using temperature gage that is used to check temperature of fridges 1 No records, no temp gage, 1 No temp chart 3 No temp chart and gage 1 No temp chart, records are im Dispensery and not regularly updated 1 No temp charts, records kept in pharmacy 1 No temp control, on table at testing site 1 No temp gage 2 No temp gage and chart 2 No temp gage and temp recording sheet 1 No temp gage no chart 1 No temp gage no recording chart 1 No temp gage, kept in a cooler with ice pack 1 No temp gauge 1 No temp gauge in testin room, but chart in pharmacy list updated Feb 2017 and stored away from direct sunlight 1 No temp gauge, no temp chart. 1 No temp gauge, one pharmacy 1 No temp, chart, and aircorn 1 No temp. gauge and chart. Test kit are kept in cooler with ice 1 No temparature gage 1 1 No temperature chart available 1 No temperature gage 12 No temperature gage and chart for recording 1 No temperature gage in the room 1 No temperature gage in the testing rooms 1 No temperature gage they use fan to monitor the temparature 1 No temperature gage, test kits kept in not temperature control enviroment 1 No temperature gauge or temperature chart in room. Aircon does not work in councelling room 1 No temperature gauge, not properly stocked. Clinic undergoing renovations 1 No working aircon 1 No working aircorn 1 No working aircorn and temp charting sheet 1 No working aircorn and temp gage. 1 No working aircorn and temp sheet. 1 Not charted everyday 1 Not controlled no reading since march 21 2017n 1 Not kept in a temperature controlled enviroment 1 Not kept in temp controlled enviroment 1 Not temp gage and temp chart 1 On an open clipboard, no sign of temp gauge 1 Only pharmacy 1 Some storage conditions are ment, no temperature gage 1 Some storage conditions are met 1 Some storage conditions are met no temperature gage 1 Some storage conditions are met, temperature gage not up to date 1 Stored in storeroom there is no temp gauge 1 Temp chart not upto date 1 Temp is available but not recorded 1 Temp not recorded 1 Temp recording sheet, no temp gage 1 Temp, no aircon 1 Temperature charts are not complete 1 Temperature charts not up to date 1 Temperature controled but no recorded 1 Temperature gage not working and charts its onlya half month of may 1 Temperature guage in use and correct but temp. Records not done no reading for aprilnand previous months 1 Temperature not controlled, temperature charts not up to date 1 Temperature recordings not taken in the room 1 Temperature records not taken 1 Tempreature gadge not working, broken yesterday but last reading was previous day in the afternoon 1 Test are kept out of the sun, temperature chart is incomplete 1 Test kits kept at pharmacy but not temperature controlled aircon not working, temperature rrecording not up to date last recorded in July 2012. Gauge not working 1 Test kits kept in draws 1 Test kits kept in testing room cupboards 1 Test kits left out in the open in direct sunlight. No temperature chart, thernometer or aircon available 1 The aircon was off at the time of assessment but the guage was on the correct temperature 1 The gauge is there but it is not monitored because there is no sheet where they record. We have no proof that its working 1 The test kit were direct to sun light 1 The test kits are kept in cupboards no remperature gage, temperature not controlled 1 The was no temperature gauage, but they are not being kept in direct sunlight 1 They are kept in a zinc cupboard 1 They keep them in the box at the testing room 1 They order from pharmacy and they are kept in a zinc cupboard. There is no temperature gauge 1 They use cooler box with cooler packs in the testing room and temperature gauge in the phamarcy 1 When not in her consultation room, she works outside and uses a screen a for privacy. The test kits are exposed to heat, no temp gage and chart for recording. Not kept in cooler box. 1 no temp gage and chart 1 no temp gage and charting records 1 no temp gauge, no chart 2 no temperature chart 1 no temperature gage 1 no temperature gauge, no chart. 1 temp gauge and chart is not there 1 physical_q_2_5 347 0 .5 24 0 20 1 300 Does reciev visits but not documented 1 No recieved date 1 No stock in pharmacy; no stock cards vissible 1 physical_c_2_5 38 .5 1 0 2 1 1 Cabinets are locked but the room is not locked 1 Did not see storeroom 1 Door can lock, in an open container on desk 1 In open cupboard in observation area 1 In storeroom but not enough space, some kept in boxes 1 1 Kept in a cooler box with ice, it is taken from discrepancy at 08:00 returned at 13:30 eachieve day. 1 Kept top of a table, more that two-day supply of Abon 1 Most of them are in boxes 1 No secure storage, only kept in cooler box 1 No storage that is lockable. Old files keep in a box 1 No temperature gauge but are kept not in diect sunlight 1 Not enough space 1 Not enough space, as other testing kits are kept in boxes 1 Not enough, sufficient secure storage space for the test kirs 1 Not lockable 1 Not locked on open table 1 Not secure , steel cabinet 1 Not sufficient and not secured 1 Only in pharmacy on testing room overstock 1 Some kits are kept in boxes not enough space in Pharamcy 1 Storage but not lockable 1 Storage spacec is limited but locked 1 Sufficient space. Kept in unlocked cubboard in locked room 1 Test kits are kept in boxes not sufficient space for the test kits 1 Testers forced to keep a month's supply in councelling room 1 Testing equipment left out in the open on top of cabinet and desk. Testing room is not 1 The pharmacy is over stocked some kits are in boxes and other medicines are in boxes too. The pharmacy is very small but OM said they will be moving to another building soon 1 The screen is not secured there's no storage for test kits. 1 The storage area / dispensary is small other test kits and other things are in boxes 1 They do not have enough space 1 We were not able to see where they stock kits in the pharmacy, but in the cupboard there are other medicines 1 Zinc cupboard is the storage, there are other medicines as well 1 sufficient not secure 1 physical_score 346 0 .5 1 0 2 1 1 1.5 1 2 6 2.5 4 3 26 3.5 24 4 71 4.5 75 5 132 No documents gives feedback verbally 1 No job aid at testing point. 1 No records 1 safety_q_3_1 347 4 0 1 0.741 0.406 safety_c_3_1 89 Available but not on site 1 Counsellor does not know about sop for safety. 1 Have not been trained sop 1 Job aid only 1 Job aides are there but not in place 1 Job aids have been removed from the testersroom and replaced somewhere else 1 Kept in draws 1 Niether 1 No Job aides and or SOPs 1 No Job aides and or SOPs in place to implement safety practices 1 No SOP 1 No SOP's or job aides 1 No SOPs 2 No SOPs and job aides in place to implement safety practices. 1 No SOPs and no job aides 1 No SOPs and or Job Aides in place to implement safety practices 1 No SOPs and or Job Aidex in place to implement safety practices 1 No SOPs and or Job aides 3 No SOPs and or Job aides in place to implement safety practices 1 No SOPs and or Job aides to implement safety practices 2 No SOPs and or job aides in place to implement safety practices 4 No SOPs in place to implement safety practices 1 No SOPs or Job aides 1 No SOPs or job aides 2 No SOPs, and No job aides 1 No SPOs or job aids in place to implement safety practices 1 No evidence available 1 No job Aides or sop 1 No job aid and sop 1 No job aides SOPs to implement safety practices 1 No job aides and no SOPs 1 No job aides and or SOPs 1 No job aides and or SOPs outlining safety practices 1 No job aides, no SOPs 2 No job aids/ SOPs in place to implement safety practices 1 No records 1 No sop available for how to conduct rapid test safely 1 No sop on rapid testing 1 No sop or job aid on safety practice on hiv testing 1 No sop or job aids 1 No there is no SOPs job aides outlining safety practices. 1 None seen 1 None seen, the facility manager locks them in the office 1 Not at the testing site or anywhere 1 Not avail at time of audit 1 Not available 2 Not in place not in their walls 1 Not on site 1 Not retrainf 1 Not seen 4 Not signed by all staff 1 Only SOPs 12 Only a few are posted but outdated year 2007 1 Only have for 2007 not for 2014 1 Only job aides 1 Reads pamphlets 1 S.O.P 1 Site use Infection control policy for this 1 Sops do not clearly outline the different safety procedures and practice 1 The hospital is being renovated, Sr Mdanda said their files are stored in a room full with other files 1 The place is being renovated 1 The sop are borrowed by the other clinic 1 There are SOPs but they are not posted 1 They are not posted but they are there on file 1 They do have job aids for 2007 but not for 2014 1 safety_q_3_2 347 0 .5 40 0 52 1 254 Yes 1 safety_c_3_2 66 0 1 Available but not at testing site 1 Available but not on site 1 Have not been trained on Sop 1 Job aides available 1 Job aids not on wall but SOP's available 1 No Job Aides and or SOPs 1 No Job Aides and or SOPs in place on how to dispose of infectious and non infectious waste 1 No SOP 2 No SOPs and Job aides 1 No SOPs and or Job Aides 2 No SOPs and or Job aides on how to dispose of infectious and non infectious waste 1 No SOPs and or job aides 1 No SOPs and or job aides in place on how to dispose of infectious and non infectious waste 1 No SOPs and or job aides in place on how to dispose of infectiuos and non infecious waste 1 No SOPs and or job aides in place to dispose of infectious and non infectious waste 1 No SOPs or Job aides 2 No SOPs or Job aides in place on how to dispose infectious and non infectious waste 1 No SOPs or job aides 1 No SOPs or job aides available 1 No SOPs or job aides in place on how to dispose of infectious and non infectious waste 1 No Sop 1 No job aid Dr on the wall, there were removed. 1 No job aid and sop 1 No job aida/ SOPs to dispose of infectious and non-infectious waste 1 No job aides 1 No job aides on the wall 1 No job aides or SOPs 1 No job aides, no SOPs 1 No job aides,No sops 1 No job aids 1 No job aids available on disposing of waste 1 No sop for waste 1 No sop or job aid for needle prick stick injury and the counsellor know how segregated waste. 1 No sop, and counsellor those not know about them. 1 Not available 1 Not available because of renovations 1 Not seen 2 Nothing in place 1 On file but not on testing site 1 Only SOPs 10 Only job aides 1 Only job aids available but not in workplace 1 SOPs 1 SOPs available, not implemented or signed 1 Site use infection control policy for this 1 1 The are nojob aid, and counsellor does not know about it. 1 The counsellors knows about SOPs for safety practices on how to dispose of infectious and non infectious waste but no job aides available 1 The sop are borrowed by the other clinic 1 There were no SOPs or job aides. The did not have them in the file. 1 They don't know about sop for disposing of waste 1 They have job aides but not posted because they dont have a notice board and they are not allowed to post on the wall 1 safety_q_3_3 347 0 .5 52 0 120 1 174 Na 1 safety_c_3_3 127 0 0 1 Available but not on the wall 1 Available but not posted on the walls 1 Available in SOPs only 1 Avsilable but not at testing site 1 Because of renovations they had to move it but now has been misplaced 1 Have not been trained in sop 1 In file but not on site 1 Job aides not in place 1 Neither 1 Niether 1 No Job Aides and or SOPs in place to manage spills of blood and other body fluids 1 No Job aides SOPs in place to manage spills of blood and other body fluids 1 No Job aids/ SOPs 1 No S.O.P 1 No SOP 3 No SOP and No job aides 1 No SOP or job aid 1 No SOPs and No job aides 2 No SOPs and Nonjob aides 1 No SOPs and job aides 1 No SOPs and no job aides 1 No SOPs and or Job Aides 1 No SOPs and or Job aides 2 No SOPs and or Job aides in place to manage spillsbof blood and other body fluids 1 No SOPs and or job aides 3 No SOPs and or job aides in place to manage spills of blood and other body fluids 6 No SOPs and or job aides in place to manage spillsof blood and other body fluids 1 No SOPs available 1 No SOPs for safety practice on how to manage blood spills 1 No SOPs for safety practices on blood spills 1 No SOPs in file 1 No SOPs in place to manage spills of blood 1 No SOPs or Job Aids available 1 No SOPs or job aides 3 No SOPs or job aides in place to manage spills of blood and other body fluids 1 No SOPs or job aides. 1 No SOPs, No Job Aides 1 No documents 1 No job aid 2 No job aid and counsellor not trained, 1 No job aid available 1 1 No job aid in the wall regarding body fluid spillage. 1 No job aides 1 No job aides and no SOPs 1 No job aides and or SOPs 3 No job aides on spills management and she does not know about sop's 1 No job aides on the wall 1 1 No job aides or SOPs 1 No job aides, no SOPs 1 No job aides,No sops 1 No job aids 1 No job aids on the wall but sop's are available 1 No job aids or SoPs 1 No job aids or sop on management of spills 1 No job aids, blood spills management 1 No record 1 No sop 2 No sop on blood or body spills 1 No sop on blood spillage 1 No sop on blood spills or body spills. 1 No sop on how to manage spillage 1 No sop or job aid. 1 No sop or job aides 1 No sop or job anion blood or body spills, 1 No sop s on safety 1 No sop the counsellor those not know about them. 1 No sop's 1 None seen 1 None seen or given 1 Not available 3 Not available anywhere 1 Not available because of renovations 1 Not for blood spills, or body spills, sop, job aid and the counsellor do not know about it 1 Not in place 1 Not in testing room 1 Not seen 1 Not seen they were locked in the manager's office 1 Only SOPs 17 Only for needle stick injury 1 SOP on OM file 1 SOP's available but job aids aren't on wall 1 SOPs available, not implemented or signed 1 SOPs in the file at OMs office 1 Site use infection control policy for this 1 The Sops do not clearly outline the differentsafety procedures and practice 1 The sop are borrowed by the other clinic 1 There was no SOPs in the file. We looked with Sir Mtungwa he could not show them to me. 1 They are at OM's office 1 not available 1 safety_q_3_4 347 0 .5 54 0 84 1 207 8 1 Na 1 safety_c_3_4 113 0 2 Did see PEP 1 Have not been trained on sop 1 In charge does not sign 1 In file not on site 1 Job aids not on wall but SOP's available 1 Neither are inplace 1 No Job Aides and or SOPs to address accidental exposure 1 No Job aides or SOPs 1 No SOP 1 No SOPs and Job aides 2 No SOPs and No job aides 2 No SOPs and job aides 1 No SOPs and no Job aides 1 No SOPs and no job aides 1 No SOPs and or Job Aides 1 No SOPs and or Job aides 3 No SOPs and or Job aides in place to address accidental exposure 1 No SOPs and or job aides 3 No SOPs and or job aides in place to address accidental exposure 1 No SOPs and or job aides in place to address accidental exposure to potential body fluids through a needle stick injury splash or other sharps injury 1 No SOPs and or job aides in place to address accidental exposure to potential infectious body fluids through needle stick injury 1 No SOPs available 1 No SOPs job aides 1 No SOPs or Job aides 3 No SOPs or job aides 4 No SOPs or job aides in place to address accidental exposure to potentially infectious body fluids through a needle stick injury 1 No SOPs or job aids 1 No SOPs/ Job aids in place to address accidental Exposure 1 No job aid 2 No job aid available 1 1 No job aides 1 No job aides no SOPs 1 No job aides on the wall 1 No job aides or SOPs 3 No job aides, no SOPs 1 No job aides,No sops 1 No job aids 2 No job aids available 1 No job aids or SOPs 1 No sop and job aids. 1 No sop or job aid 1 No sop or job aid for needle prick stick injury and the counsellor does not know what are the steps incase there in an incident. 1 None seen 1 None seen or given 1 Not at testing area but on file with sister in charge but outdated 1 Not at testing sites but sisters room 1 Not available 3 Not available in hob aids 1 Not on walls 1 Not seen 3 Not seen, they were in the manager's office 1 Only SOPs 19 Only for needele stick injury 1 Only for needle stick injury 5 Only have the one for needle prick 1 Only job aides 1 Only needle prick available 1 Only stick injury but not on the wall 1 Pep available and placed other available and filed. 1 SOP filed but not signed 1 SOPs in place, not signed by everyone 1 Sop not signed 1 Sops do not clearly out line the different safety procedures and practice 1 The counsellor know about PEP 1 The tester does not know about sop. 1 There are n8 SOPs on how to address accidental exposure to infectious body fluids 1 They are in OM's office 1 Yes 1 Yes but outdated for 2007 and only needle stick injury 1 safety_q_3_5 347 0 .5 129 0 20 1 194 10 1 6 1 Na 1 No SOP or job aid available 1 safety_c_3_5 147 0 0 3 1 1 Approved only gloves 1 Apron not used. 1 Apron not worn 2 Apron out of stock but gloves available 1 Aprons are sometimes not available 1 Aprons not available 3 Aprons not available but gloves are stacked and used 1 Aprons not in use 1 Aprons out of stock 1 Aprons unavailable 1 Available bur not used 1 Available but not used 3 Do not have aprons 1 Gloves 7 Gloves and aprons 1 Gloves available but not used 1 Gloves available no aprons 1 Gloves no Apron 1 Gloves no apron 1 Gloves no aprons 2 Gloves not apron 1 Gloves only 16 Gloves only and no Aprons 1 Gloves only available 1 Gloves only no apron 2 Gloves, aprons, goggles and masks are available 1 No Aprons 2 No Aprons were available , gloves only 1 No PPE used 1 No apron 3 No apron used 1 No aprons 7 No aprons available 2 No aprons near by 1 No aprons nearby 1 No aprons only gloves 2 No aprons used 2 No aprons useful for testing 1 No aprons worn 1 No gloves on her desk, Apron not available 1 No gloves only aprons 1 No gloves only aprons available 1 None seen 1 None used 1 None was used 1 Not always available e.g. gloves and aprons 1 Not always available to the testers 1 Not available 2 Not seen 1 Not using personal protective equipment 1 Only Gloves available and no aprons 1 Only aprons no gloves 1 Only gloves 13 Only gloves are used 1 Only gloves available no aprons 1 Only gloves in the room 1 Only gloves no apron 1 Only gloves no aprons 13 Only gloves, no aprones 1 Only gloves, no aprons 1 Only one gloves used no aprons 1 Only one pair of gloves was available on the testing room, no aprons 1 Only used gloves no aprons 1 Only using gloves no aprons 2 PPE not in use 1 The facility does not use aprons 1 There were not enough gloves tester only used one glove and no aprons 1 They do not have aprons at the facility 1 They have gloves 1 They only have gloves 1 They use gloves only 1 Wear one glove only 1 Yes but not used 1 aprons out of stock 1 gloves are not used regularly 1 no aprons used 1 no aprons used during testing 1 safety_q_3_6 346 0 .5 122 0 24 1 197 Na 1 Not available 1 Testers claim batteries are dead and had not been replaced. 1 safety_c_3_6 135 0 0 2 1 2 Apron not in use 1 Apron not used 1 Apron not worn 2 Aprons are not used 1 Aprons are unavailable 1 Aprons not available 2 Aprons not available at all times 1 Aprons not used. 1 Aprons out of stock 1 Aprons out of stock sometimes 1 Aprons unavailable 1 Available but not used 1 Did not put on gloves when demonstrating 1 Do not have aprons 1 Gloves 6 Gloves available no aprons 2 Gloves no apron 2 Gloves only 16 Gloves, yes 1 Have gloves no apron 1 Masks are not used for all patients. 1 No Aprons 2 No Aprons available 1 No PPE used 1 No apron 2 No apron available 1 No aprons 7 No aprons available 2 No aprons only gloves 2 No aprons used 2 No aprons used for testing at all. 1 No aprons used regulary 1 No aprons useful for testing 1 No gloves only aprons 1 No gloves only aprons available 1 None seen 1 None used 1 None was used 1 Not always used 2 Not always used by everyone 1 Not aprons used 1 Not available 2 Not consistently 1 Not seen 1 Not used 4 Not used consistently 1 Not using PPE 1 One glove is worn 1 Only Gloves available no aprons 1 Only aprons no gloves 1 Only gloves 10 Only gloves avaible no aprons 1 Only gloves no aprons 13 Only gloves only no aprons 1 Only gloves, no aprones 1 Only gloves, no aprons 1 Only one gloves used no aprons 1 Only one pair of gloves available at the testing room, and no aprons 1 Only using gloves no aprons 2 PPE not in use 1 Run out of gloves then would use sterile gloves. 1 The don't have aprons 1 They don't use aprons, but masks, or gloves the use. 1 They use gloves only 1 Used only 1 glove no aprons 1 apron not used all the time 1 aprons not used 1 no aprons 1 not consistently 1 safety_q_3_7 345 0 .5 127 0 28 1 188 Na 1 Testers give prefference to disposable pipette. 1 safety_c_3_7 143 0 .5 1 0 1 1 2 Apron not available 1 Apron not used 1 Apron not worn 1 Aprons not available 3 Aprons not available all times 1 Aprons not in use 1 Aprons not used but are available 1 Aprons not used, did not put glove at the demonstration. 1 Available but not used 1 Cross contamination - Glove put on unclean surface 1 Cross contamination as tester touched other surfaces before handling kit 1 Cross contamination, due to touching other items after putting gloves on 1 Did not wear apron during rapid test. 1 Facility has no aprons 1 Glove sizes too large for testers 1 Gloves 5 Gloves are used correctly , but aprons are not used during testing. 1 Gloves incorrectly removed 1 Gloves no apron 3 Gloves no aprons 1 Gloves not prorpely removed 1 Gloves not used constantly 1 Gloves only 11 Gloves worn on one hand, glove not removed properly and worn with wedding ring on the finger 1 Gloves worn with ring finger 1 Handled pem while already gloved- thus cross contaminating it 1 In the demonstration gloves were not put on whilst wearing a ring, this can cause tearing. 1 Incorrect glove size one glove is worn 1 Incorrect glove size used 1 Incorrect size 1 No Aprons 1 No PPE used 1 No aorons only gloves available 1 No apron 2 No apron used 1 No aprons 5 No aprons , only had one pair of gloves 1 No aprons at the facility 1 No aprons available 1 No aprons labeled. 1 No aprons only gloves available 1 No aprons used 1 No aprons used during testing 1 No aprons used. 1 No correct size. 1 No gloves only aprons 1 No gloves worn and aprons 1 No use of aprons 1 None seen 1 None used 1 None was used 1 Not always used 1 Not available 2 Not correct size gloves 1 Not seen 1 Not used 4 Not used consistently 1 Not using PPE 1 Nothing used during observation by tester 1 One glove no approns 1 Only Gloves and no aprons 1 Only aprons available no gloves 1 Only aprons no gloves 1 Only gloves 13 Only gloves available no aprons 1 Only gloves no apron 1 Only gloves no aprons 15 Only gloves, no aprons 2 Only one glove used no aprons 1 Only using aprons no gloves 1 Only using gloves no aprons 1 PPE not in use 1 Put on oversize gloves and had band aid on hands which might make the use of glove uncomfortable. 1 Sometimes use incorrect size gloves 1 Testers don't wear aprons when conducting anHCT TEST 1 The facility has ran out of aprons 1 They use gloves 1 They use gloves only 1 They use oversize gloves. 1 Used ton glove 1 Wearing gloves with rings on. 1 Yes, gloves only 1 apron not used all the time 1 gloves put on with ring on finger 1 not properly used 1 safety_q_3_8 345 0 .5 60 0 25 1 258 Na 1 Unclear on wsiting period, unclear on how much buffer to use 1 safety_c_3_8 84 0 .5 1 1 2 14 1 About 10meters away from testing room 1 But not nearby 1 In BP room 1 Liquid soap 2 N clean water but degerm used 1 No antibacterial soap available 1 No apron used 1 No clean soap, water. Tester was umaware of closest tap 1 No clean water they use sanitizer 1 No clean water,but they do have liquid soap 1 No evidence of clean water and soap available for hand washing . 1 No running water in the tap, just water in a tank. 1 No running water,no soap 1 No sink at data's office. 1 No soap and no water 1 No soap at the time of visit 1 No soap available 1 No tap close by 1 No tap on testing room 1 No tap or soap 1 No tap water, water is kept in a bucket 1 No tap with running water 1 No tap with running water and no antibacterial soap in the testing room 1 No water 1 No water and no had wash 1 No water and soap 1 No water and soap available and no sanitiser 1 No water but tank water 1 No water in the clinic 1 No water. No soap 1 Not in the testing room but in other consultation rooms 1 Only antibacteral Rub 1 Only sanitiser available 1 Only sanitizer 1 Only soap but no clean water 1 Only using hand sanitiser 1 Only using sanitiser 7 Only using the sanitiser 2 Running water at gate, claim to go after every client 1 Running water in bathroom 1 Soapband water not available in the testing room 1 Tap not working 2 The basin is out side the counselling room but not far from them 1 The was no water in the area for two weeks so they used sanitiser 1 There is a sink and tap but no water, they use hand sanitizer 1 There is no antibacterial soap. 1 There is no water and soap in the testing room, she washes her hands with disinfectant 1 Theres water but no soap 1 They are only using sanitiser 1 They are using sanitiser 2 They are using sanitizer 2 They dont have water and soap but they have use Dgerm to clean their hands 1 They use Biotaine in alcohol 1 They use D-germ 1 They use a spirit 1 They use antiseptic hand 1 They use antispectic hand rub 1 They use sanitizer 1 They use sanitizer no clean water 1 They use the antispetic hand rub 1 They was at the kitchen 1 They was not clean water in room only sanitizer 1 Upon visit no running water on site 1 Uses other basin hand wash disinfected 1 Using only sanitiser 1 Water but no soap 1 Water but not in the testing room, no soap 1 Water yes but no soap 1 water and soap not available 1 safety_q_3_9 345 0 .5 11 0 59 1 274 Register differ from respons gathered from testers 1 safety_c_3_9 67 0 .5 1 0 1 1 2 Bioscrub 1 Clean small spillage with alcohol swabs 1 Did not clean workplace - no products or equipmemt to use 1 1 Disinfectant is available but not properly used to clean the testing area 1 Disinfectant is not avaible for routine cleaning of the testing area 1 Disinfectant is not available for routine cleaning of testing area 1 Disinfectant is not available for routine cleaning of the testing area 4 Disinfectant is not avsilable for the routine cleaning of the testing area 1 Disinfectant it is not available for routine cleaning 1 Disnfectant is available but not properly used to clean testing area 1 Expired not available 1 It is finished 1 It was available finished 1 No avidence of disinfectant for the routine cleaning of the working area 1 No chemical genocide available 1 No chemical germicide decontaminator. 1 No decontaminator 1 No disinfectant to clean the work area 1 No disinfectant to clean the work area available 1 No dusinfectant is not avaible for routinely cleaning of the testing area 1 No evidence of disinfectant available to clean the work area 1 No evidence of disinfectant available to cleanthe work area available 1 No evidence of disinfectant of clean the work area available 1 No evidence of disinfectant to a rountinely cleaning of the work area 1 No evidence of disinfectant to clean the work area 5 No evidence of disinfectant to clean the work area available 5 No evidence of disinfectant to clean the work area available. 1 No evidence of disinfectant to clean work area 1 No evidence of disinfectant to clean work area available 1 No evidence of disinfectant to routinely cleaning of the working area 1 No evidence of disinfictant to clean work area available 1 No evidence of disnfectant to clean the work area 1 No germicide 2 No get code available 1 No paper towels 1 Not available 2 Not clean 1 Out of stock 1 Sterisol 2 They are not cleaning their work area 1 They are using Sanitiser 1 They said cleaning lady cleans workplace 1 They use water and soap 2 They water with Jim detergents 1 They wipe cloth and Mr min 1 Use water and soap 1 Water and soap 1 safety_q_3_10 345 0 .5 40 0 27 1 276 1.5 1 Not done app 1 safety_c_3_10 54 0 0 1 1 1 31 1 In the container of sharps there was a cotton 1 In the efectious waste there was a non-infectious waste 1 In the tray mixed with cotton wool 1 Infectious and non infectious waste are not handled properly 1 Mixed in all containers 1 Mixed waste 1 Mixing of waste in the testing point. 1 Mixing of waste, sharps container had test kits 1 No bins or sharps container in the testing rooms 1 No sharps containers are not handled properly 1 Normal waste bins have mixed waste, 1 Not handled according to sop general assistant resigned 1 Not handled properly all the time 1 Not only sharps in a sharp container, plastics too 1 Sharp containers mixed with test kits 1 Sharps container are mixed with test kits 1 Sharps containers are mixed 2 Sharps containers are not handled properly 2 Sharps infections and non infectious waste not handled properly 1 Sharps waste not handled properly 1 Sharps, infectious and non infectious waste not handled properly 1 Some of the infectous were in the sharps container 1 Test kits are put into the sharps container 1 Test kits in the sharp container 1 Testing kits in sharps container 1 They are mixing waste 1 Waste is mixed 18 Wastes and sharp are inconsitenly segregated and handlef throughout testing procedures 1 Wastes or sharps are not segregated and handled properly through out testing procedure, its mixed 1 cotton wool in sharps container 1 cottonwool in sharps container 1 1 not handled properly 1 safety_q_3_11 345 0 .5 22 0 18 1 303 70 1 Claimed never to had incorrect/ Invalid results 1 safety_c_3_11 31 0 1 1 1 44.28571428571428 1 Bin only emptied when half full 1 Bins emptied when full 1 Containers are regularly emptied. Waste is mixed 1 Currently full and claimed to be emptied daily 1 Every monday 1 Frequently emptied 1 I observed them empty it in the afternoon. 1 Job aids not on wall 1 No SOP 1 No SOPs on the wall. Bins are only emptied when full 1 No evidence 1 No evidence that wastes or sharps containers are inconsistely emptied. 1 No job aides 1 No job aides on the wall 2 No job aides,No Sops 1 1 No sop on waste, and no job aid on the wall 1 Not emptied regularly 1 Sharp containers are full 1 Staff not trained on SOPs 1 The facility is understaffed they don't have pharmacy assistant or general assistant. Waste is handled poorly. 1 The non- infectious and infectious waste were full 1 There are no sop and the GM is not trained. 1 They closed and taken away 1 Waste containers too full only infectious are emptied 1 Waste only emptied when full 1 sharps container already full but not removed 1 safety_score 345 0 10 36 10.5 18 11 43 2 1 2.5 2 3 1 3.5 2 4 3 4.5 4 5 9 5.5 10 6 15 6.5 15 7 24 7.5 21 8 29 8.5 38 9 39 9.5 33 Never had invallid, incorrect results 1 approved 1 pre_q_4_1 346 0 .5 18 0 89 1 238 Gauteng 1 pre_c_4_1 74 1 1 Available at the TB room 1 Available at the oms office, and TB room 1 Available but not at testing area 1 Do not have specific one 1 For TB only but the counsellor not aware of it 1 Guidelines not at testing site but in sisters room but counselor confirms she is aware of them 1 Guidelines only available in the manager's office 1 Johannesburg MM 1 No Guidelines 1 No TB guidelines at the testing point 1 No copies available and the counsellor had no clue 1 No copy of hiv and Tb guideline at testing point 1 No guidelines 4 No guidelines available 2 No guidelines seen 1 No guidlines 3 No guidlines available 4 No guidlines specific to PMTCT 1 No national guidelines for TB 1 No national testing guidlines specific on PMTCT 1 No signature from person in charge 1 None available 1 None found 1 None seen 3 Not HCT guide lines 1 Not at testing point 2 Not at testing point. 1 Not at testing site, counselor have not read it 1 Not at the testing point 1 Not at the testing point as the testing point is used at a kitchen, but in the anc consultation room. 1 Not at the testing posing but in other consultation rooms 1 Not available 6 Not available at testing point but manager office 1 Not available at the testing point 1 Not available but the supervisor who is not present have them 1 Not available she left it at home 1 Not in the consultation room. But Facility Management. 1 Not seen 1 Only HTC not TB, and she has n viewed the booklet. 1 Only available in O.Ms office 1 Only for HTS 1 Only using the old guidline 1 Only using the old guidline not the latest one 1 PMTCT 1 PMTCT guidelines available 1 She does, not know that they even have them at the facility. 1 Some guidelines available 1 The guidlines are shared. 1 The sister who is not at work have them 1 They are not in the testing room but they are in the OMs office 1 They do not have guidlines 1 They dont do national guidelines for PMTCT 1 They dont have HTS guidline 1 They dont have for HTS 1 They have 2010 HCT guideline and its in manager's office 1 pre_q_4_2 346 0 .5 9 0 43 1 292 1.5 1 URBAN 1 pre_c_4_2 64 1 1 2015 2 2015 algorithm 9 2015 guidelines used 1 2015 is used 1 2015 protocol 1 2015 used 2 2016 1 2016 used 1 8 1 I observed the procedure 1 I observed the procedure but did not see guideline / algorithm 1 If discrepancy will ask the client to comeback after two weeks, because she things she will get the right results after two weeks. 1 If there is a tie they use Abon as a tie breaker 1 No they are not using the 2015 1 Not doing 2015 algorithm 1 Not using 2015 1 Not using 2015 Algorithm 3 Not using 2015 HIV testing algorithm 1 Not using 2015 algorithm 8 Not using 2015 national HIV testing algorithm 1 Not using the 2015 algorithm 6 Not using the 2015 national HIV testing algorithm 1 Observed 1 Observed testing process 1 Proccedure observed 2 Procedure observed 1 The algorithm available in the testing rooms but not referred to when testing 1 The algorithm is not fully followed 1 The sister I spoke to use Advanced and Abon at the same time 1 The tester in not sure about confirming. Elisa only taken by someone who is extremely sick, for discontent come back after six weeks. 1 The tester said they only screening test. If results are positive which is rare in their clinic, they refer to sister for confirmatory (Abon) because they are not allowed to confirm 1 They are not using the 2015 Algorithm 1 They are not using the 2015 hiv testing algorithm 1 They confirm with Elisa 1 They do not know testing algorithm 1 They dont have Abon since 2015 1 They have 2016 but are not using it 1 not followed 1 pre_q_4_3 345 0 .5 3 0 13 1 327 9 1 gp 1 pre_c_4_3 13 0 0 1 1 1 Borrow 1 Borrow if short 1 Borrowed from Prince Mshiyeni Hospital 1 Borrowed from other clinics 1 Its sometimes borrowed by the pharmacists at other facilities 1 Since the biggining of April they dont have test kit and stopped HCT 1 They borrow from other facilities 1 They will borrow from neighbouring clinics 1 They will stop HTC. 1 Use only the available 1 gp Johannesburg MM 1 pre_q_4_4 345 0 .5 27 0 65 1 251 10 1 Not enrolled 1 pre_c_4_4 76 0 0 2 1 1 Abon job aid not available 1 Abon not advance 1 Abon only not Advance Quality 1 Advanced quality packet insert 1 Counsellor does not know the testing algorithm 1 Job aides available but not consistentky during testing 1 Neither displayed 1 No Abon to confirm, use Elisa because there waiting for new stock, 1 No Job aides and SOPs for each HIV rapid test used 1 No SOPs 1 1 No SOPs and Job aids in place for each HIV rapid test 1 No SOPs and no job aides 1 No SOPs and or Job Aides in place for each HIV rapid test used in the testing algorithm 1 No SOPs and or Job Aides in place for eachHIV rapid test usedin the testing algorithm 1 No SOPs or Job aides 1 No SOPs or job Aides in place for each HIV rapid test used in the testing algorithm 1 No SOPs or job aides available 1 No SOPs or job aides in place for each HIV rapid test used in the testing algorithm 1 No SOPs or job aids, the testers didnt know that abon is a HIV confirmitory test. 1 No algorithm on the wall only rapid testing 1 No algorithm, no sop, not trained. 1 No job aid on the wall, but traines are trained. 1 No job aid on the wall. 1 No job aid or SOP in the testing area 1 No job aid or SOP svsilable 1 No job aides 1 No job aides SOPs in place for each HIV rapid test used in the testing algorithm 1 No jod aides or SOPs n the testing area 1 No placed 1 No sop on the testing algorithm 1 No sop or job aides placed 1 None displayed 1 None seen 2 Not available 4 Not available not posted 1 Not displayed 2 Not displayed. No relevant SOP in testing area 1 Not for tests that are currently used. They have job aides fot test kits that were previously used 1 Not in place 1 Not in sight 1 Not in use 1 Not on Abon but Advance 1 Not on the wall 1 Not placed but available 1 Not placed in room 1 Not seen 1 Only SOPs 3 Only finger prick job aides 1 Only for Advanced Quality not for Abon 1 Only for Advanced quality 1 Only for advanced quality not for Abon 1 Package inserts available, but not signed or displayed 1 Records of training 1 Still waiting for them 1 Tester reads the leaflet inside the test kit 1 Testers are following test algorithm but no sop and job aids. 1 The councellor had been trained on SOPs but no SOPs 1 The sister is not trained on testing algorithm sop. 1 There are no SOPs or job aids in all 4 testing rooms 1 They are there but not posted 1 To sop or job aid on Algorithm. 1 not available 1 not placed 1 not placed not available 1 not placed, not signed 1 pre_q_4_5 345 0 .5 5 0 2 1 336 5 1 Not enrolled 1 pre_c_4_5 8 0 .5 1 0 1 70 1 Screening is advanced 1 1 They are available at pharmacy but testers have only Advanced quality 1 They are only using advanced qaulity 1 They only using advanced quality for testing and confirming 1 pre_q_4_6 346 0 .5 9 0 6 1 328 11 1 Not enrolled 1 Some pages not tallied or incorrectly tallied, 1 pre_c_4_6 16 0 2 63.636364 1 Abon currently expired 1 Abon expired 3/17 1 Abon expired in March 2017 1 Abon expired in March the one in the consultation room 1 Abon expires next month - March, they said the order has been made 1 Advanced quality is in use within expiry date but there is one Abon in the cooler box in the testing room that expired on 11/2016 1 Different batches opened, some expired 1 Had expired Abon test kits in the testing room 1 Some of the test kits currently used are within expiration date 1 The box of Abon that was open expires after the one that was not open, the one that was open expires on 2017 November and the one that was not open expires 2017 June 1 There are 8 boxed of Abon which are expired, in three testing room. There for not have pharmacy assistant, stock management is poor. 1 They did not follow the FIFO rules.The box thats it open its for October where as in the store room they have box of June 1 Two different batches opened at the same time. 1 pre_q_4_7 346 0 .5 14 0 213 1 116 12 1 Claimed to never had invallid results 1 Not enrolled 1 pre_c_4_7 204 0 0 2 83.333336 1 Neither 1 Niefher 1 Niether 5 No date 1 No date and no initials 1 No date or signature on the kit 1 No date receive and initials on the test kits 1 1 No date received and initials on test kits 2 No date received and initials on the test kits 8 No date received and intials on the test kits 1 No date received and labell on the test kits 1 No date recieved and initials on test kits 1 No date, No initials 1 No date, no initials 1 No dates or initials on kits 1 No initial and no recieved date 1 No initials 1 No initials , no received date 1 No initials and date receive on the test kits 1 No initials and date received on test kits 2 No initials and date received on the test kits 8 No initials and date recieved on test kits 1 No initials and no recieved date 10 No initials and no recived date 3 No initials and no revied date 1 No initials and recived date 1 No initials and the received date on the tests kits 1 No initials no recieved date 1 No initials no recived date noted 1 No initials on kits 1 No initials on test kits 3 No initials on the test kits 1 No inotials and no recieved date 1 No intial on test kits 1 No intials and date receiced on testing kits 1 No intials and date received on test kits 1 No intials and date received on the test kits 1 No received date 1 No received dates 2 No receveid date no initials 1 No recevied date and no initials 1 No recieved date and No initials 1 No recieved date and initials 3 No recieved date and no initials 13 No recieved date or initials 1 No recieved dates 1 No recieved dates on test kits 1 No record of date received and initials 1 No recorded date on test kits 1 No signature 1 No signed 2 None with dates recieved 1 1 Not date 1 Not dated 6 Not dated and initials 1 Not dated and no initials 1 Not dated or initialed 7 Not dated or initialled 1 Not dated or initialled. 1 Not evidence 1 Not iniatialled 1 Not initialed 1 Not initialed or dated 1 Not initialled or dated 1 Not initials 1 Not labeled 1 Not labeled or initials 1 Not labelled 19 Not signature 1 Not signed 11 Not signed or dated 1 Not signed. 2 On Advanced quality there is initials and date received but not on Abon 1 Only Abon with a recived date and initials 1 Only date, no initials 1 Only date,no initials 1 Only on advanced not on Abon 1 Only pharmacists receive not testers 1 Only recieved date 2 Only recieved date no initials 1 Only recorded in pharmacy 1 Test kits are not labelled with date recieved and initials 1 Test kits not dated or labelled with initials 1 Test kits not dated, no initials 1 Test kits not labeled with date received and initials 1 Test kits not labelled 1 Test kits not labelled and initials 1 Test kits not labelled with date and initials 1 Test kits not labelled with date received and initials 2 Test kits not labelled with date recieved and initials 2 Test kits not labelled with initials and date received 1 The kits are not labelled and signed only dates on stock cards 1 The pharmacy assistant was not in when we went there 1 There are no stock cards 1 There are not initiated 1 There is a date 1 There is a date no initials 1 They are not in the box, they thrown the box 1 They are not labelled 1 They are not labelled, no stock cards 1 not dated 5 not signed 2 pre_q_4_8 346 0 .5 47 0 57 1 239 9 1 Claimed to never had invalid results 1 Not enrolled 1 pre_c_4_8 91 0 1 1 1 33.333332 1 A box of expired test kit was Abon, was outside the pharmacy, not dealt with accordingly. 1 Abon expired in pharmacy but kept aside, did not find stock card, temp control not done. 1 Abon is out of stock in pharmacy, there had an expired test kit box (Abon) stock not managed accurately. 1 Abon was about the exp in few days, issue over supply. 1 Advanced is correct no stock for abon 1 Bin cards in place, but not up to date 1 Bin cards not available, nurse working, not pharmacy assistant at facility. 1 Computer system 1 Could not see stock cards as could not get door open 1 Data handles stock, poor management, not trained, test kits out of stock, overstock off medication, too much medication expired. 1 Gaps in records 1 1 No Stock cards in place 1 No bin card for Abon 1 No bin cards 1 No latest bin card. Last bin card is for July 2016 1 No minimum and maximum stock recorded 1 No stock available bin card available 1 No stock cards 13 No stock cards available 1 No stock cards in place 3 No storage cards 1 No temp gage, no temp chart in the pharmacy. Stock control, is not accurately followed. 1 No temperature no gauge in chart 1 None available 1 Not at the current structure 1 Not completed 1 Not followed stock card not done, no designated pharmacy assistant 1 Not labelled 1 Pharmacy isn't available they are using a stock room instead 1 Poor stock management, they had a Abon Box which was expired. Butnthe sister I interviewed said she uses Elisa to confirm. No stock card. 1 Some stock are not accounted for, it does not balance 1 Some stock is not counted 1 Stock Bin Cards not up to date 1 Stock bin cards not up to date 1 Stock card filled accurately 1 Stock cards not available 2 Stock cards not balanced 3 Stock cards not up to date 7 Stock cards not up tp date 1 Stock cards not updated 1 Stock cards not upto date 1 Stock cards were there but not complete 1 Stock management is poor 1 1 Test kits are usully keep in the phamarcy, but now kept in a steel cabinet, but I did not see any test kits in that cabinet, I was told that there are ,awaiting delivery of new order. 1 The bin cards were not available due to renivations, their kits are in one room with other medication packed in their boxes 1 The number of Test kits and stock card do not balance 1 The number of stock (kits) vs stock card does not balance. Also Abon is more than Advanced Quality 1 The phamarcy assistant comes once a week 1 The pharmacy assistant was not available 1 The pharmacy is runed by nurse, they had currently run out of Abon and did not have it for 5 days. 1 There is no person assigned at pharmacy/dispensary full time, the nurses rotate. Minimum and maximum stock is recorded but the stock was below minimum and not ordered 1 There was no stock card 1 There were no bincards 1 They are not balanced 1 They have a stock card only for advanced 1 They order from Phoenix CHC 1 Update bincard only if stock is taken from pharmacy 1 Used only stock order book 1 Yes but some stork cards are missing 1 temp chart not up to date 1 temp not controlled 1 there is a process, but not followed adequately 1 yes but no management, they do not have a pharmacy assistance 1 pre_q_4_9 345 0 .5 30 0 91 1 222 9 1 Doors open. People enter testing area as they please. 1 pre_c_4_9 97 0 1 1 1 66.666664 1 Available and not posted 1 Available but not posted 11 Available but not posted because the wall need to be painted 1 Available but not postef 1 Available but not posterd 1 Available not posted 2 Available not posted at the testing point. 1 But not in all rooms that do testing 1 For advanced quality not for Abon 1 Job aids have been removed from the testers rooms 1 Nit job aid on sample collection 1 No Job Aides 1 No Job Aides on client sample collection available and posted at the testing point 1 No Job aides on client sample collection available and posted at the testing point 3 No SOPs and or Job Aides on client sample collection available and posted at the testing point 1 No available and not posted 1 No finger prick job aid 1 No finger prick job aides 1 No finger pricking job aid 1 No job Aid 1 No job aid on finger prick 1 No job aides 5 No job aides on client sample collection available 2 No job aides on client sample collection available and posted at the testing point 3 No job aides posted 1 No job aids 1 No job aids available, they said they were told not to display anything on the walls. They were not able to show them to me either 1 No job aids for finger pricking finger 1 No job aids/ SOPs on client collection 1 None posted at testing point 1 None visible 1 Not at testing room 1 Not availabld 1 Not available 10 Not available and not posted 3 Not available not posted 1 Not available on testing point 1 Not available or posted 4 Not displayed 1 Not on wall but in the training manual 1 Not posted 3 Not posted and not available 2 Not posted at ANC but the doctor's room have abd posted 1 Not posted not available 2 Not visible or available 1 Only for Advanced quality 1 Only for Advanced quality not on Abon 1 Only for advanced quality 1 Only for advanced quality not for Abon 1 There is only one for Advanced in 1 testing room, others have nothing 1 They are not posted 1 They dont have job aids 1 They have but not posted because poeple from ideal clinic said they should not paste anything on the wall 1 They were removed from the testing room 1 no job aides for sample collection at testing point 1 not posted 1 pre_q_4_10 345 0 .5 26 0 12 1 305 10.714286 1 Kept in plain sight in unlocked room 1 pre_c_4_10 39 1 3 Abon not at testing site 1 Advanced only in the room not Abon 1 Advanced only, Abon has expired ( the one in the testing room only) 1 Cotton wool not available 1 Currently no Abon in the facility. 1 Do not have confirmatory test kits 1 For advanced quality yes not for Abon 1 For advanced yes but not for Abon 1 Gloves not available 1 No gloves 1 No plasters on site 1 No screening tests when visiting 1 No stock available 1 Not available 1 Not enough cotton wool for the day 1 Not enough stock available for the day 1 Not enough stock for the day 1 Not enough stock in the testing room no gloves cotton wool in the rooms 1 Not enough stock in the testing rooms 1 Not enough stock to last for the day 1 Not enough tests in stock 1 Not enough to test the people who want to test 1 Not sufficient waiting for new stock. Note: new stock arrives during interview 1 Only for advancec not on Abon 1 Stock not enough for the day 1 There was no test kit in the testing room 1 There was nothing on the box of screening assay 1 There was nothing on the boxes, cause they ran out of stock 1 There was only one test kit 1 They dont have enough for the day 1 They dont have test kit at all 1 They only have advanced quality in the testing room, except for that expired Abon 1 Under stock 1 Yes in testing room but in pharmacy not enough if you compare with their monthly stats 205 against 75 for Advanced and 1box Abon 1 not enough stock 1 over supply 1 pre_q_4_11 345 0 .5 6 0 11 1 327 Easy to find records 1 pre_c_4_11 16 0 4.5 1 No 1 Not available 1 Provincial register in use 1 Provincial register used 1 Provincial registers in use 1 Provincial registet used 1 She does not use this register 1 They are using a tick register at the testing room combine register they do not have VCT register 1 They have the tick register 1 They use Tick register 1 They use Tick register which does not have enough indicators 1 They use tick register for testing but the ANC register have spaces to record 1 Use electronical system 1 Use of COC register 1 VCT register 1 pre_q_4_12 344 7 0 1 0.895 0.257 pre_c_4_12 98 All testers sharing registers 1 Client idintifiers not recorded in the HIV testing register 1 D3vice not labelled 1 Device is not labelled 5 Device not labellec 1 Device not labelled 56 Device not labellef 2 Device not labled 2 Device not lsbelled 1 Deviced not labelled 1 If its a couple they labelled it 1 Name not recorded in the register 1 Names of clients no device names 1 No evidence of adherence to national guidlines on how to document client identification or test devices not labelled 1 No names recorded in the register 1 Not available 1 Not in all pages 1 Not labelled 3 Not recorded on testing device 1 Provincial guidelines used 1 Recorded per provincial guidelines 1 Some evidence on inconsistence adherence to national guidlines on howto document client idetification and test device are inconsitently labelled 1 Some information is missing 1 Test devices not labelled 1 Test kits are inconsistently labelled 1 The councellor was off sick, i checked the tick register used by sister which have no spaces to record kit name etc 1 The device is not labelled 1 They dont record in all spaces provided 1 Tick register 1 Tick register dont have enough columns to indicate 1 Tick register have space for names but no space for test kit name. Device was not labelled 1 Use electronic system 1 device not lablled 1 not labelled accordingly 1 there are gaps in the register 1 pretest_score 344 7 0 12 9.834 1.632 test_q_5_1 344 0 .5 54 0 58 1 231 Only some 1 test_c_5_1 104 0 0 1 ABON no advance 1 Abon not advance 1 Abon not currently available 1 Abon only 1 Available but not posted 14 Available but outdated year 2011 1 Available not posted 1 Available, but not posted 1 Both package inserts not on the wall 2 Job aides available current but not adhered to consistently during testing 1 Job aids available but not referred to when testing 1 Job aids were onsite but not reffered to during testing 1 No Job Aides and or SOPs 1 No SOPs and or Job Aides 1 No SOPs and or Job Aides on HIV testing procedures available and posted at the testing point 2 No SOPs and or Job aides 1 No SOPs and or Job aides on HIV testing procedures available 1 No SOPs and or Job aides on HIV testing procedures available and posted at the testing point 1 No SOPs and or job aides on HIV testing procedures available and posted at the testing point 2 No SOPs on HIV testing procedures available 1 No SOPs on HIV testing procedures available and posted at the testing point 1 No SOPs or job aides 1 No SOPs, job aides are available but not posted 1 No insert packet for Abon 1 No job aid advanced and no packet insert for abon 1 No job aides 1 No job aides,no Sops 1 No package insert for Abon test kit 1 No packets insert for Abon 1 No posters 1 None available 1 None available and posted 1 None of either 1 None posted 1 1 Not all testing points 1 Not at ANC but the doctor's room have them and they are posted 1 Not at testing site 1 Not available 7 Not available and not posted at testing point 1 Not available and posted 1 Not available in the testing point 1 Not available or posted 3 Not available, not posted at testing point 1 Not on testing point but on other rooms 1 Not posted 2 Not posted and not available in this testing room the other one is locked 1 Not vissible or SOP availsblr 1 Only Abon is posted 1 Only Abon job aid available 1 Only advanced or Abon 1 Only advanced quality and it is not posted 1 Only for Abon but dont have for Advanced Quality 1 Only for Advanced not for Abon 1 Only for Advanced qaulity 1 Only for Advanced quality not for Abon 1 Only for advanced quality 2 Only for advanced quality HIV rapid test, not for Abon rapid test 1 Only for advanced quality not for Abon 1 Only one testing room and its for Advanced none for Abon, the other testing room do not have 1 Package inserts not on the wall 3 Packet insert in the box, but not on the wall. 1 Posted but only for advanced quality 1 They are but not posted 1 They are not available and not posted 1 They are not posted, not seen 1 They are there but not posted 1 They have but not posted 1 They were there but not refferal to testing 1 available but not posted 1 finger prick poster only 1 no records 1 not posted not available 1 not posted, not available 1 only abon not advanced 1 test_q_5_2 344 0 .5 44 0 137 1 162 Results not reviewed 1 test_c_5_2 168 0 1 Are available but not routinely used 1 Available but don't have batteries 1 Available but not always used 1 Available but not rountinely used 1 Available but not routinely usef 1 Available but not used 1 Available but not working 2 Available but routinely used 1 Available with no batries 1 Available, but not used 1 Available, sometimes used 1 Avialable but not used 1 Do not have timers 2 Don't have timers 1 Had timers but no batteries 1 Its not working 1 No batries 1 No batteries 1 No battery 3 No timer 23 No timer at all 1 No timer at the testing room 1 No timer eince 2012. 1 No timer used 1 No timer using cellphone 1 No timers 16 No timers available 11 No timers used, using phone 1 No timers used. 1 No times 1 Not avaialble but not used often 1 Not available 10 Not available anymore 1 Not available not used counsellor does jot stick to required time. 1 Not available with them 1 Not in use or available 1 Not routinely use and give results before 15 minutes 1 Not timers 1 Not used 1 Not used claims its not working 1 Not used often 1 Not working 1 Not working using watch. 1 She said they have timers but they dont have batteries, I did not see it she said it was in the other room 1 She uses the time in her cellphone, its working 1 Sometimes used 1 The Tester had to go out and borrow a Timer from another Tester because hers did not have bstteries 1 The timer is there but not routinely used 1 The watch is there but not routinely used cause it had no batries 1 There are no batteries but it was available 1 They are available but not routinely used 1 They are available but not routinely used during testing 1 They are not available 1 They did not have timers 1 They do not have timers 5 They dont have batries 1 They dont have timer 1 They dont have timers 1 They dont have times according to Testers and ANC sister but the OM insisted they have them 1 They have a timer but not rountinely used caused it does not have batries 1 They have a timer but not routinely used and it had no batries 1 They have but not routinely used 1 They have with no batries 1 They ran out of batteries 1 They said it is available but is locked somewhere 1 They use cell phone for timer 1 Timer are not used 1 Timer available but tester does not know how to set it. 1 Timer not working 1 Timere not available 1 Timers are available but not routinely used 1 Timers are available, but not used 1 Timers are out of order 1 Timers available but not routinely used 6 Timers not available 6 Timers not routinely used for HIV rapid testing 1 Timers not working 1 Timers onsite but not used regulary 1 Timers onsite but not working 1 Timers were not available 1 Using cellphone 2 Using personal watch 1 no timer 7 no timers 2 timers are not available using hand watch 1 test_q_5_3 344 0 .5 34 0 29 1 280 Testers are unsure about results. 1 test_c_5_3 57 0 1 1 Abon not used correctly, 1 blood drop used 1 Advance Quality, 1 drop of blood, and buffer. This is not correct. 1 Advance not Abon 1 Collection devices are not accurately used by both testers 1 Could not access this because no test kit was available 1 Devices not used accurately 1 Drooping is incorrect. 1 Dropping of buffer and bloods drops is not accurate 1 Dropping of buffer is done incorrectly. 1 Dropping of buffer not accurate 1 Drops not accurate 1 Drops of buffer not correct 1 Drops off blood are not accurate. 1 Drops, timer, counsellor has long line and often fails to stick to time due to workload 1 For advanced quality yes not for Abon 1 Mixing pipettes and capillary 1 No sample collection devices are not used accurately 1 No timer, no. of drops incorrect 1 Not accurately used 1 Not accurately, timers 1 Not correctly used 1 Not used accurately expecially on Abon 1 Not using sample collection devices 1 Number of drops incorrect 1 Number of drops of blood not done per manufactures specification 1 Only Abon not advanced quality 1 Only on Advanced Quality not on Abon 1 R 1 Sample collection devices are not used accurately 1 Sample collection devices are used, but not accurately used 1 Sample collection devices not in use 1 Sample collection devices not in use. 1 Sample collection devices not used accurately 2 Sample collection devices not used correctly 1 Sample collection not accurately used 1 Sample divices not accirately used 1 She knew about Advance but does not use Abon to confirm. 1 She put 2 drops blood and 2 drops of buffer of Advanced 1 She puts more than a drop of blood and 4 drops of buffer 1 Some sample collection devices are not used accurately 1 The amount of drops in Advance is not known, buy tested. 1 The sister draw more than enough blood - 3 drops of blood, 2 drops of buffer for Advanced. Abon 1 drop of blood 1 drop of buffer 1 The tester I observed puts more than a drop of blood in the disk when screening and 1 drop of buffer, he refer clients to sister for confirming HIV positive results 1 The testinherent device is thrown into the sharps container. 1 They saying two drops but are drooping more. 1 Used, but inaccurately 1 Waits 10 minutes for Advance quality 1 When she demostrater she did not throw the infectouis waste in the bin but put in on the table 1 Wrong amount blood drops used 1 drooping is not accurately done 1 drops and timers not accurate 1 no accuracy with use of pipette 1 not drooping accurately 1 not sticking to recommend time, E.g. ( 1 min for Abon, and 1 min for Advanced) 1 test_q_5_4 344 0 .5 63 0 48 1 232 No evidence or recollection on this from testers 1 test_c_5_4 100 0 1 3 drops buffer 1 3 drops used with buffer 1 Abon used not correct of amount 1 Advance Quality not Abon 1 Advance number of drops of blood is incorrect 1 All correct on abon but advanced not correct 1 Correct amount of blood on abon,but not correct amount of buffer 1 Correct amounts for advanced and on Abon correct amount of blood not buffer 1 Disposal of waste, timer, and disposal if waste is not done accordingly. 1 Drooping is incorrect. 1 Dropping number of drops and timer 1 1 Drops of blood for Abone not used correctly 1 Drops of blood not accurate. 1 Drops of blood not enough 1 Drops of blood were incorrect, drops of buffer were incorrect 1 Everything was good but she gave results before 15 minutes 1 For Abon tester used 1 drop blood and 1 drop buffer 1 For Advance quality used 2drops bloods and one of buffer 1 For advance quality put one drop of buffer and 2 drops of blood 1 He puts 1 drop of blood drop of buffer for Abon 1 If the person test positive on screening test, before the reading completes she opens confirmatory and do it. Then the results are shown simulteheously she said to save time 1 Inconsistent adherence to all testing procedures on advanced quality not the correct amount of blood and buffer 1 More than a drop of blood for advanced and 1 drop buffer, dont use Abon 1 1 No accuracy with pipette use 1 No because timers are not used. 1 No time the drops of buffer and blood not accurate. 1 Non adherence to all testing procedures 1 Not accurately followed 1 Not confirming a positive result 1 Not correct amount of blood and buffer on both test kits 1 Not doing QC 1 Not drooping full drops and timers are not working 1 Not really, they sometimes wait for 5 to 10 minutes to read results for Advanced Quality 1 Not settings time allows for under timing or overtiming of test. 1 Not the correct amount of buffer and blood on both test kits 1 Not time, and buffer drops incorrect 1 Not timers 1 Number of drops incorrect 1 On Abon correct everythinh but on advanced incorrect drop of blood 1 On advance quality yes but on Abon 1 On advanced all correctly taken, but abon neither amounts taken correctly 1 On advanced quality everything was wrong but on Abon correct everything 1 On advanced quality wrong amount of blood 1 On advanced quality wrong everything blood buffer and time waited and on Abon correct everything 1 On advanced quality yes but on abon incorrect amount of buffer and blood 1 On the advanced quality wrong amount of buffer and blood, and on Abon correct amount of buffer and blood, 1 Only followed on ABON, not on Advanced Quality 1 Only on Abon not on advanced quality 1 Only on Abon they used correct amount of buffer and blood on Advanced not correct amount of buffer and blood 1 Only on Advanced quality not not on Abon 1 She did not throw the shaps but she put it on the table 1 She dont follow testing procedures 1 She puts 2 drops of blood & 2 drops of buffer for Advanced Quality test 1 She switched equipment and used advanced quality buffer on both test kits 1 She used correct amount of buffer and blood on advanced, but abon she only used 1 buffer 1 Sometimes 1 Test kit in the sharps container, speciment not labelled 1 Test kits out of stock. The interviewee could not demonstrate, when i asked him to explain. His interview, no correct drops of blood, buffer and time. 1 Testing procedure not adequately followed 1 Testing procedures are not adequately followed 2 Testing procedures are not followed adequately 1 Testing procedures followed only for Abon not for advanced quality 1 Testing procedures inconcistent followed 1 Testing procedures not adequately followed 5 Testing procedures not adequately followed on advanced quality but on Abon adequately followed 1 Testing procedures not followed adequently 1 Testing procedures not follwed adequately not waiting the correct time and not using the correct amount of blood and buffer 1 Testing procedures only adequately followed on ABON not on Advanced Quality 1 The counselor was unable to time the test 1 The other Tester said she puts one drop of blood and one drop of buffer when using Advanced Quality 1 The sister was in a hurry she just told us what she do, she did not demonstrate 1 They don't know how to set timers 1 They dont, she runs/do both tests at once for all clients she test and wait 7 minutes for both tests 1 They wait 10 minutes for Advanced Quality 1 Time 30 min, mixing of D Blood and S Buffer 1 Time and number of drops 1 Time was not demonstrated accurately, e.g, 30 min waiting time for Advance Quality. 1 Time, there say 15 min for Advance, and 10 min for Abon, but number of drops are not correct. 1 Timer not working and drops of blood and buffer are not correct 1 Timers are not available 1 Times not accurate, even drops of blood and buffer 1 Too much blood used 1 Unsure of testing procedure 1 Used correct buffer on advanced but Abon incorrect of buffer 1 Wait less than 15 minutes to give results 1 Wrong amount of blood drops 1 blood and buffer drops are not accurate 1 drooping not done accurately 1 drooping of blood and buffer not accurately done 1 drops of blood not accurate 1 no timers 1 timers and drooping not done accurately 1 test_q_5_5 344 0 .5 24 0 149 1 170 No visits received 1 test_c_5_5 142 0 1 8 1 Abon is not done 1 After audit in 20 February 2017 it was implemented but the cleaner destoryed the file by mistake 1 Do not do QC 1 Do not do QC, she tests herself to test the kits 1 Don't have samples, not used 1 Havent trained yet for QC 1 Last done 23/03/2017 1 Last done 30/01/2017 1 Last done in February 1 Last time was 24/04/2017 instead of 01/05/2017 1 March was not done in the begining but only on the last week 1 No PT done at facility 1 No QC done or Proficiency testing 1 No documentation 1 No evidence that the QC specimens routinely used. 1 No record 2 No records 2 No training 2 No training for QC 1 No training on QC 1 1 Not always consistant 1 Not doing QC 2 Not doing QC Specimens 1 Not doing QC specimens 19 Not doing proficiency testing 1 Not doing the QC specimens 3 Not done 12 Not done anymore 1 Not done yet 4 Not done yet, still to do 1 Not done, they lost samples / specimens somehow 1 Not enrolled 4 Not enrolled in QC 1 1 Not routinely 1 Not trained 7 Not trained on QC 2 Not trained, on QC 1 Not used 5 Not used at all 1 Not yet started 1 Not yet trained 2 Only after they went on outreach programmes 1 Only did it once for pilot 1 Out of stock 1 PT nor done at facility 1 PT not done 1 PT not done at the facility 1 PT was not done in 2015 1 QC not done 4 She has not done PT 1 She said they do it daily but there are no records, samples are there 1 She said they do sometimes not routinely, no recording seen 1 Sister Mnguni at Hast is trained but not started testing because the Serum has just arrived 1 Some gaps in information 1 Tester were instructed to only test every new box once 1 The counselor is not yet trained for QC 1 The is inconsistent use of QC samples 1 The last time they checked was two weeks back because they ran out of serum 1 They are not doing QC at the facility 1 They are trained awaiting, serum sample 1 They are used weekly but only records for Advanced were available 1 They check after weeks only if they got many positive to check if is correct 1 They do not implement QC 1 They don't do the QC specimens 1 They dont do QC 2 They dont do QC but they know it must be done weekly 1 They dont have specimens 1 They last did QC in January 2017, they said they ran out of samples but they got new ones on tuesday 1 They said they do but no document to prove it 1 They said they do, records are locked in the manager's office. No samples seen 1 They said they use them but were not shown to us because a councellor who keeps the records was out. We were not shown the samples, they said they will show us together with recordings. When I went back to check on them they had already gone 1 They were last done in 2016 February according to records 1 awaiting serum 1 gaps between Jan and March 1 incomplete 1 no records 2 no records. 1 no training 1 not consistent 1 not trained on QC 1 test_q_5_6 345 0 .5 13 0 157 1 173 3 1 No visits received 1 test_c_5_6 124 0 0 1 Abon not done 1 Advanced only 1 Dont do QC 1 Few gaps ininformation on the first few months of 2015. 1 Inconsistent documatation of QC results 1 NO QC 1 Never had invalid results 1 Never had invalid results they are not sure how to record them 1 No QC 2 No QC done 1 No doing QC 1 No evidence 1 No implementation 1 No record 3 No record of QC 1 No recorded , results are not captured 1 No records 7 No records found 1 No records on the Q C file 1 No the she where they record vanished as well 1 No training 2 1 Not doing QC 19 Not doing QC specimens 5 Not done 21 Not done recently 1 Not done yet 2 Not enrolled 5 Not recorded anywhere 1 Not trained 7 Not trained on QC 3 Not used 2 Not yet trained 1 PT not done 1 PT not done at facility 1 PTS not done at the facility 1 QC last done in 2014 1 QC not done 4 QC results not properly recorded 1 Qc results inconsistent documated 1 Recorded in registers 1 Recording sheets were not available 1 Some records of the other months are missing it means it not recorded consistently. 1 There are gaps 2 They are trained awaiting, serum sample 1 They do not do the QC 1 They dont do QC 1 They dont do it 1 no record 1 no records 4 test_q_5_7 345 0 .5 5 0 242 1 96 3 1 No visits received 1 test_c_5_7 200 0 46 1 Does not record anywhere 1 Invalid QC results not recorded properly 1 NO QC 2 Neve had invalid results and do not know where to record it 1 Never ha incorrect 1 Never had incorrect results 1 Never had inval7d results 2 Never had invalid 1 Never had invalid but they will record 1 Never had invalid or incorrect results but they know how and where to record it 1 Never had invalid results 42 Never had invalid results but know where to record it 1 Never had invalid results but knows where to record it 1 Never had invalid results but they know where to record it 1 Never have invalid results 1 Nevet had invalid results 2 Nevet had invalid results but know where to record it 1 No QC 1 No documents 1 No evidence 1 No evidence of incorrect invalid results recorded 1 No evidence of invalid QC results recorded 1 No implementation 1 No invalid 3 No invalid / incorrect invalid QC results properly recorded 1 No invalid QC results properly recorded 3 No invalid QC results recorded 12 No invalid QC results recorded and they do not know how to record them 1 No invalid results 5 No record 2 No records 8 No they don't notice they retest 1 No training 2 1 Not doing QC 18 Not doing QC samples 1 Not doing QC specimens 4 Not doing the QC 1 Not done 21 Not done recently, but said they will if they get them 1 Not done yet 2 Not enrolled 3 Not recorded 1 Not recorded and never had invalid results 1 Not seen 1 Not sure what to did with invalid in QA 1 Not trained 6 Not trained on QC 3 Not used 2 Not yet started 1 Not yet trained 1 Notdoing QC 1 QC not done 5 Repeat test, but not record 1 Said will record in spaces provided 1 The records I viewed were until 2015. Did not have invalid. 1 The tester did not know what to do with an invalid results, 1 There are no records 1 There are no records on the files 1 They are trained awaiting, serum sample 1 They do not have invalid QC results recorded 1 They dont have invalid or incorrect results but they will record 1 They dont have invalid results so far but they said they will record 1 They said they never had invalid results 1 They will record 1 no invalid results 1 no records 5 not recorded 1 test_q_5_8 344 7 0 64 0.472 3.464 test_c_5_8 202 0 71.875 1 Dont do QC 1 NO QC 1 Need rd services staff 1 Never had an invalid results 3 Never had envaild results 1 Never had incorrect 1 Never had incorrect results 1 Never had invalid 1 Never had invalid but if she had she will ask the sister to help her 1 Never had invalid redults 1 Never had invalid resilts 1 Never had invalid resuls 1 Never had invalid results 40 Never had invalid results but they know the steps 1 Never had invalid reults 1 Never had invilad results 1 Never have invalid results 1 Nevet had invalid redults 1 Nevet had invalid results 2 No QC 2 No QC results recorded 1 No Records 1 No evidence 1 No evidence of incorrect invalid results documated 1 No evidence that appropriate steps taken and documented when QC results are recorded 1 No evidencecof QC results recorded 1 No implementation 1 No invalid 3 No invalid QC Results 1 No invalid QC resulta recorded 1 No invalid QC results 1 No invalid QC results documented 1 No invalid QC results recorded 11 No invalid QC results revorded 1 No invalid results 4 No invalid test results repeated and recorded 1 No invalid. 1 No invslid results 1 No never had invalid results 1 No record 2 No records 8 No records in the register 1 No training 2 1 Not doing QC 20 Not doing QC samples 1 Not doing QC specimens 4 Not done 21 Not done yet 2 Not enrolled 3 Not recorded 1 Not seen tester unsure 1 Not sure what to did with invalid in QA 1 Not trained 6 Not trained on QC 3 Not used 2 Not yet trained 1 QC not done 4 Retest, but not sure where to record 1 Sometimes they notify and sometimes they don't 1 The tester did not know what to do with an invalid results. 1 They are trained awaiting, serum sample 1 They repeat 1 They said they will if they get them 1 They said they will record if they find them 1 They said they will repeat and report to the facility manager 1 They said they will repeat the test and record 1 They will record and repeat test and tell sister in charge 1 They will record in the register 1 They will repeat and record results and report to sister 1 They will report to supervisor 1 They will report to the nursing manager and record on comment 1 no invalid 1 no records 5 test_q_5_9 344 0 .5 10 0 172 1 161 approved 1 test_c_5_9 131 Counsellors confirm and sign on their own 1 Do not do QC 1 Dont do QC 1 Gauteng 1 If so all records will be available and in order. 1 Last signed in 2014 1 NO QC 1 Never had invalid results 1 No QC 2 No evidence 1 No implementation 1 No recent QC done 1 No record 2 No record on registet 1 No records 9 No records of Q.C 1 No records of review. 1 No records seen 2 No training 2 No, they were not viewed 1 1 Not all signed 1 Not consisted clearly no one is checking, some records were missing. 1 Not doibg QC specimens 1 Not doing QC 20 Not doing QC samples 1 Not doing QC specimens 3 Not done 21 Not done yet 2 Not enrolled 3 Not reviewed by person incharge 1 Not reviewed. 2 Not routinely 1 Not routinely reviewed by the person in charge 1 Not seen 1 Not signed by the person in charge 1 Not signs 1 Not trained 6 Not trained on QC 2 Not used 2 Not yet trained 1 1 QC not done 6 QC records not reviewed by the person incharge routinely 1 QC records not routinely reviewed by the oerson in charge 1 Reviewed by person doing it herself 1 She has not signed for about 2 months 1 Some reviewed some not reviewed 1 There are not supervised at facility level, someone from district inservices them but is not the to monitor what there are doing. 1 There is no signing 1 They are trained awaiting, serum sample 1 They dont do QC 1 no records 6 not checked 1 not routinely 1 not trained on QC 1 yes but information not complete there are gaps. 1 test_score 344 0 .5 9 0 8 1 8 1.5 12 2 21 2.5 19 3 29 3.5 10 4 31 4.5 5 5 11 5.5 25 6 26 6.5 25 7 38 7.5 5 8 17 8.5 16 9 28 Ekurhuleni MM 1 post_q_6_1 344 0 .5 28 0 26 1 289 URBAN 1 post_c_6_1 47 0 8 1 ANC register not in use 1 CoC register 1 HCT register 1 HTC Register 1 No HIV register, they use Tick register 1 No longer uses longitudinal as register 1 None seen the councellor is off sick 1 Only using tick register 1 Orovijcial antenatal hiv councdlling and testing register used 1 Provincial Antenatal HIV councelling and testing register 1 Provincial Antenatal HIV councelling and testing register used 1 Provincial VCT register 1 Provincial register im use 1 Provincial register in use 2 Provincial register used 3 Provincially antenatal register 1 Provinical register not used 1 Provinical register used 1 Provinicial register in use 1 Still using the HCT 1 Still using the HCT one 1 Still using the HCT register 1 Still using the HCT registet 1 Still using the VCT 1 Still using the VCT register 1 They are still still using the VCT register 1 They are still using the HCT 1 They are still using the VCT one 1 They are using tick register in their testing rooms 1 They have HTC register used for every patient 1 They have not started using it but they have 1 They still using HCT 1 They test all patients not ANC patients only 1 They use Tick register here 1 They use tick register and they dont tick in the spaces provided 1 Tick register not all indicators filled 1 Use PREHMIS system 1 Use electronical system Phremis 1 Use old UCT register 1 Use old vct register 1 Use provincial ANC register 1 Using VCT register, standardised register finished in December 2016 1 Using combine tick register at the testing room 1 post_q_6_2 344 0 .5 56 0 13 1 274 gp 1 post_c_6_2 44 0 ANC Register 1 Counsellor name not available 1 Do not contain information such as exp date, lot number, name of test kit. 1 Does not have all the key elements 2 Does not include all key elements 1 Does not include all the key elements 1 Does not include kit name, lot number and expiration date 1 HCT not expired date, lot, rapid test name 1 Include some key elements 2 It does but they dont use them 1 It does not include all 1 No columns for expiry date and lot numbers 1 No expiry date 1 No kit name, no lot numbers, no expiration date 1 No log number no expiary date 1 No lot number and expiration date 1 No lot number and no expiration date 1 No lot number and no kit name 1 Not all but some are there 1 Not all filled though 1 Not all info captured 1 Not all info in register 1 Not exp date, lot and test name 1 Not expired date, lot and name of test, but included 1 Not include all of the key quality elements 1 Not lot, exp date 1 Not using HIV testing register but they use Tick register which does not say much about the test 1 Old vct used 1 Only some info captured 1 Some filled in 1 Some info only put in 1 Some key elements captured on PREHMIS 1 Some key elements in register 2 Some key elements included 1 Some key quality elements are in register 1 Testing kit names not recorded in the register 1 They are using the tick register at the testinh rooms 1 Use electronical system 1 Use provincial ANC register 1 VCT register 1 gp Ekurhuleni MM 1 post_q_6_3 344 7 0 10 0.783 0.594 post_c_6_3 119 0 45 1 Captured as completed as register allows 1 Captured as per guidelines in register 1 Captured as provincial register allows 1 Client name and HIV results only 1 Client name, tester name, hiv test results only 1 Column for kit name and number, expired date not complete 1 Column for test kit, lot no, date not complect 1 Consent forms have the address 1 Elements are there in the HTC register, but not captured accurately. 1 1 Exp, dates, kit name, and lot number not complete 1 Expiry date not available, not all pages have summary 1 Fields not filled correctly 1 Incomplete information 1 Info filled in as much as possible 1 It has the tester name, individual, but no kit name or lot number 1 Lot number and kit name are not available 1 Lot number and kit number, no expiry date space 1 No expiry date, demographics 1 No kit name and lot number 1 No kit name and no lot number 4 No kit name and no lot numbet 1 No kit name or expiration date 1 No kit name or lot number 2 No kit name or lot number and no tester name 1 No kit name, lot number or tester's name 1 No kit name, lot number or testers name 2 1 No kit name, lot numbers, expiration dates, testers name 1 No kit name, no lot number 1 No kit name, no lot number and tester's name 1 No kit name, no lot number, no expiration date or testers name 1 No kit name,no lot number 1 No kit names, lot no.s etc recorded 1 No lot no captured 1 No lot number and expiration date 1 No lot number and no expiration date 1 No lot number or kit name 1 No lot number, no kit name or tester's name 1 No lot numbers, kit numbers and expiry dates and kit names 1 Not all 1 Not all captured 1 Not all columns are completed 2 Not all columns completed 1 Not all elements recorded 1 Not all fields are filled in. 1 Not all months 1 Not all pages 1 Not all pages have lot numbers, expiry date and Tester name 1 Not all the QA elements are recorded 1 Not all the QA elements are recorded in the register 1 Not all the elements in the register are captured correctly 1 Not always 1 Not captured correctly 1 Not capturing the QA elements 1 Not completed 1 Not on all the pages 1 Not seen 1 Not using HCT register 1 Only testers name, no kit name, no lot number, no experation date 1 QA ekements in the register not routinely captured correctly 1 QA elemenrs are not included in the registers 1 QA elements are documented inconsistently but is properly maintained 2 QA elements are documented inconsistently but prooerly maintained. 1 QA elements are documented inconsitently 1 QA elements are not captured correctly all the time 1 QA elements are not captured correctly and accurately 1 QA elements not captured correctly 1 Recorded as register allows 1 Some QA documented inconsitently but is properly maintained 1 Some QA element in the register are not captured correctly 1 Some QA elements are not captured correctly 3 Some QA elements are not recorded correctly 1 Some QA elements in the register are not captured correctly 1 Some QA elements in the register are not correctly captured 1 Some QA elements in the register not captured correctly 4 Some QA elements in the register not captured corretly 1 Some QA elements in the registers are not captured 1 Some QA elements in the registers are not captured correctly 1 Some QC elements in the register not captured correctly 1 Some elements are not captured 1 Some elements not captured 1 Some errors in the capturing of results. 1 Some gaps/ incompleteness in records vissible 1 Some pages all elements are included some pages not 1 Some pages dont have lot numbers, kit name 1 Some pages lack Test names and lot numbers 1 Some pages were not screened for TB 1 Tester name, kit names : yes, lot numbers in some pages,no expiry dates 1 The QA elements are documented inconsistently but is properly maintained 1 The information is inconsistent 1 There arrnsome gaps e.g pre test counselling. Not ticked but crossed, not captured correctly. 1 There is a HTC register but not in use. It was used by the counsellor when they had one. 1 There is gaps in information e.g. lot no. Exp date, not filled. 1 They are documented inconsistetly but is properly maintained 1 They dont record kit names, lot numbers and expiry dates in some pages 1 They dont write expiry dates and lot numbers 1 They have created a space for expiry dates and lot numbers 1 They use Tick register 1 Tick register done not have lot number exp date. 1 Use PREHMIS 1 Use electronical system 1 incomplete 1 information not complete but there is a space for lot and exp date 1 not all elements captured 1 poor recording 1 post_q_6_4 344 7 0 5 0.734 0.464 post_c_6_4 105 0 70 1 8 1 In some pages the register is complied accurately some the register is not complied 1 Incomplete information 1 No summary 10 No summary completed 1 No summary recorded 2 No totak summaries at end of the page 1 No total 3 No total in some pages 1 No total summary 1 No total summary at end of each page 1 No total summary at the bottom of the page completed 1 No total summary at the bottom of the register 1 No total summary at the buttom of the page completed 1 No total summary at the end of each page 2 No totals done 1 Not accurately 1 Not all months 1 Not all pages 8 Not all pages have summary completed 1 Not all pages summarized 1 Not all the pages 1 Not all variables summarised 1 Not always completed 1 Not captured accurately 1 Not compiled accurately 1 Not compiled consistently. 1 Not complect 1 Not complect at all. 1 Not complete 4 Not correctly calculated 1 Not evey pages 1 Not in all pages 2 Not in all registers 1 Not in all the pages 1 Not in all the pages in the register where there is total summary complied accurately 1 Not in all the pages of the register 1 Not in all the pages that the total summary at the bottom completed 1 Not on register 1 Not recorded 1 Not totalled 2 Not written 1 Recording of results are incomplete 1 Some page at the end of the register not complied aquarately 1 Some pages do not have total summary 1 Some pages do not include total summary 1 Some pages in the register do not have the total summary 1 Some pages in the register has total summary some dont 1 Some pages in the register have no total summary 1 Some pages in the register total summary is complied , but not in all the pages 1 Some pages no total summary 1 Some pages of tick register have their summary completed, others are not completed 1 Summary is not recorded 1 Summary not completed 7 Summary not done 1 Summary not recorded 1 The information is inconsistent 1 There was no summary cause they started last months 1 They have'nt started using it 1 Total but not signed 1 Total summaries not complied accurate all the time 1 Total summary not complied accurately 1 Total summary not complied accurately at every oage of the register 1 Totals not done 1 Use PREHMIS 1 Use electronical system 1 no totals at the end 1 no totals done 1 not accurately 3 not totals 1 poor recording, pencil is used in administration 1 post_q_6_5 345 6 0 11 0.459 0.75 post_c_6_5 197 86.36364 1 But not recorded on registers but seperate form 1 Comments 1 Comments column 1 Do not have invalid results 1 Do not record. 1 Dont have space to record them, never have invalid results 1 In the comments space on Tick register 1 Invalid not recorded 1 Invalid results recorded in client files but never had them 1 Never had an invalid results 1 Never had any negative results 1 Never had had invalid results 1 Never had incorect results 1 1 Never had invalid results 51 Never had invalid results and there is no space in the register but they will report to OM 1 Never had invalid results but gave correct procedures incase of invalid results 1 Never had invalid results but if they had they will record in their HCT register 1 Never had invalid results but know where to record it 2 Never had invalid results but knows where record it 1 Never had invalid results but knows where to record it 1 Never had invalid results but they know where to record it 1 Never had negative results 1 Never had onvalid results 1 Never had will record on comments if they had it 1 Nevet had invalid results 1 No documents 1 No evidence of documatation of invalid test results recorded 1 No evidence of invalid results 1 No invalid results 8 No invalid results but correct steps mentioned 1 No invalid results recorded 8 No invalid results recordex 1 No invalid so far but will record if they have 1 No invalid tedt results recorded 1 No invalid test results 1 No invalid test results recorded 18 No invalid test results recorded and not aware on how to record them 1 No invalid test results recorded and they have no glue on how to record them 1 No invalid test results recorded in the register 3 No invalid test results recorded in the registers 1 No invalud test results recorded 1 No invslid results 1 No recording done 1 No records of invalid test results, to use the comment column if there are any. 1 No space for invalid results and they never had invalid results before 1 No space to record invalid results 1 Not done 3 Not done at clinic but done at hospital 1 Not had any so far 1 Not invalid test results recorded 1 Not recorded 12 Not recorded and they do not know where and how to record them 1 Not recorded but can make a comment under the comments column, 1 Not recorded but would record on comment and retest 1 Not recorded in registers 1 Not recorded on register but on a test and treat AHF form 1 Not recorded, but on clinic card 1 Record on comment space of the register if she have but they never did 1 Refer to sister, not record ed on site register 1 Report and retest 1 Retest report don't record. 1 Reward in an A4 Quality control book 1 She did not know that there was an invalid in the register. 1 She never had invalid but said she will record on comments collumn 1 She said she will record 1 The do not record on register, just report 1 There are not recorded. 1 There is an invalid variable on the register but the tester did not know. 1 They did not know where tick record. 1 They do not 'record. 1 They do not record 1 They dont have invalid results so far but they said if they have they will record 1 They dont have them but they said they will record 1 They have'nt started using it 1 They know where to record it but never had invalid 1 They never get invalid results 1 They never had invalid result 1 They never had invalid results but know where they can record it 1 They never had invalid results but they said they would record 1 They never had invalid results but they say they record it in the register 1 They record in the patients file 1 They record it on comments 1 They said they dont get invalid results but if they have they will indicate in their register and re test client 1 They said they never had invalid results but they will find a way of recording them if they have them 1 They will record if they get them 1 They will record on comment if they get them 1 They will record on comments 2 They will retest and record in comments 1 They will write on comment space of Tick register 1 We repeat test 1 Will not record / not recorded 1 Will refer to nurse 1 Will write in the register then report to sister 1 comments report, retest 1 not recorded 1 not recorder 1 they did not know what to do with invalid 1 post_q_6_6 345 6 0 12 0.523 0.79 post_c_6_6 186 23.5 1 87.5 1 Change kit, repeat and record on comments 1 Do not have invalid results 1 Elisa wil be taken 1 For invalid they will use elisa, no records 1 He will repeat, record in comments 1 If it invalid will take result to sister, she will know what to do, because I don't know. 1 If they had they will repeat 1 In her response she did not know what to do with the invalid. 1 Incase of invalid results 1 Invalid results not repeated 1 Never had an invalid results but if they had they will record in the HCT register 1 Never had failed test but if they do they will record it in the register 1 Never had invalid result 1 Never had invalid results 51 Never had invalid results and if they would they will call the sister in charge 1 Never had invalid results and they wont be recorded on the HCT register they will only write on the comment part 1 Never had invalid results but there is a space for invalid results 1 Never had invalid results but they know where to record it in the register 1 Never had invalid results so far 1 Never had invalidvresults 1 Never had negative results 2 Never had, but they had they will take blood to the Laborotry 1 Never repeated results but if they had to they will record on the HCT register 1 No evidence of repeated invalid results 1 No evidence of repeated invalid results recorded 2 No evidence of repeated invalid test results 1 No invalid results 7 No invalid results but mentioned appropiate steps 1 No invalid results repeated and recorded 2 1 1 No invalid test repeated and properly recorded 2 No invalid test repeated and properly recorded in the register 2 No invalid test repeated and recorded 1 No invalid test repeated and results properly recorded in the register 1 No invalid test repeated and results properly recorded in the register. 1 No invalid test results reapeated and properly recorded 1 No invalid test results recorded 1 No invalid test results repeated and properly recorded in the register 1 No invalid test results repeated and recorded 1 No invalid test results repeated recorded 1 No invalid tests repeated and results propery recorded 1 No reapeated invalid test results properly recorded in the register 1 No repeatec invalid test results recorded 1 No repeated 1 No repeated incalid test results recorded 1 No repeated invalid results recorded 6 No repeated invalid results recorded in the register 1 No repeated invalid test properly recorded 1 No repeated invalid test results properly recorded 1 No repeated invalid test results recorded 4 No repeated invalid test results recorded in the register 1 No repeated invalid test resultsrecorded 1 No repeated onvalid test results recorded 1 No space for invalid results 1 Not done 5 Not done in the clinic 1 Not invalid results but correct procedure followed 1 Not record but tell the sister 1 Not recorded 6 Not recorded and they do not know where to record them 1 Nother recorded 1 Recorded on PREHMIS 1 Recorded on electronic system 1 Repeat and report to PMTCT coordinator 1 Repeat teat but no not record. 1 Repeat test and comment column 1 Repeat test and record on AHF form 1 Repeat test but don't record. 1 Repeated but do not recod invalid but final results 1 Report to supervisor (OM) 1 1 Retest but not sure about recording 1 She said she will repeat 2 She said she will repeat if she had one although there is no space to record invalig 1 She said she will repeat the test 1 Take Elisa 1 Take the client to the sister for Elisa 1 They are repeated but not recorded 1 They did not know, where to record. 1 They do not record 2 They have'nt started using it 1 They never had invalid results 2 They never had invalid results but if they had they will record in the HTS register 1 They never repeated results but if they had to, they dont record in the in the HTS register instead they will call the sisters 1 They said they will repeat 2 They said they will repeat tests and record if they get invalid results 1 They said they will repeat them 2 They will confirm with Abon, no where to record on the tick register. 1 They will record and repeat 1 They will repeat 1 They will repeat and report to person in charge 1 They will repeat if they have 2 They will repeat if they have them 1 They will retest and record in comments 1 They would repeat but not sure about recording. 1 Will repeat test 1 Yes they would be recorded and retested, but since they have not had an invalid the is no record. 1 no retest and recording 1 not recorded 1 post_q_6_7 345 6 0 64 1.062 3.443 post_c_6_7 41 36.71875 1 66.666664 1 Information not properly handled through out all the phases of testing 1 Kept im desk draw 1 Multiple test run at same time with client records open under it 1 No evidence of clients documents kept secure throughout all the phases of the testing 1 No evidence that client documents and record are securely jeot throughout all phases of the testing process 1 No evidence that client documents and records are kept secure throughout all phases of testing 1 No evidence that client documents and records are kept secure throughout all testing procedures 1 No evidence that client documents and records are kept secure throughout all the phases of the testing process 1 No evidence that client documents are kept secure throughout all phases of testing process 1 No evidence that client documents are kept secure throughout all the phases of testing 1 No evidence that client documents are securely kept throughout all the phases of the testing process 1 No evidence that client information is not treated as confidential. 1 No evidence that client records are securely kept 1 No evidence that client records are securely kept throughout all the phases of testing process 1 No evidence that clients documents and records are kept secure throughout all the phases of testing 1 No evidence that clients documents and records securely keor throughout all phases of the testing process 1 No evidence that clients documents are kept secure 1 No evidence that clients documents are securely kept throughout all phases of the testing process 2 No evidence that clients records are kept securely throughout all phases of the testing process. 1 No evidence that clients records are kept securs throughout all the phases of testing 1 No evidence that the documents and records are properly kept secure 1 No evidenced that client documents and records are securely kept throughout all phases of testing process 1 Not all times 1 Not kept in the locked room 1 Not kept secure when not in use 1 Other staff come in and can see documents. E.g. cleaner 1 Other staff such as cleaning, other healthcare workers 1 Room not lockable 1 Some client information is not properly handled and may results in a confidentiaty breach 1 The is evidence of some clients information is properly handled to ensure confidentiality 1 The is no evidence that clients information is treated as confidential 1 The nurses come and go 1 The register was open on the table with no patient 1 1 The room is not sercure 1 There are doors in between, nurses move from one room to the other 1 Was not able to observe this as she just narrated the proccess 1 on top of cabinet 1 post_q_6_8 345 0 .5 23 0 52 1 268 9 1 approved 1 post_c_6_8 68 100 1 Consultation room are not locked at all times 1 Could lock the door of the room, but no place to lock register in a cabinet 1 Kept in cupboard in test room 1 Kept in locked cupboard in councellors room 1 Kept in one place but not locked 1 Kept in open rack in locked room 1 Kept in room in unlocked cupboard 1 Labeled, but no archives system, disorderly. 1 Left in open cupboard 1 Locked in counselling room 1 Most not all 1 Moved to district office 1 No evidence registers are kept in a secure place when not in use 1 No evidence that client information and records are properly handled and kept secure , locked cabinet 1 No evidence that documents are kept in a secure location when not in use. 1 No evidence that register and documents are kepton a secure location when not in use 1 1 No evidence that registers and other documents are kept in a secure location when not in use 1 No evidence that registers and other documents are kept in a secure location when not in used 1 1 No evidence that registers are kept in a secure location when not in use 2 No evidence that registers are kept in a secure location when not in used. 1 No evidence that registers are kept in a secure locations 1 No evidence that registers are kept in a sucure location when not in used 1 No evidence that registers are kept on a secure location when not in used 1 No evidence that registers are kept secure when not in use 1 No evidence that the documents and records are properly handled and kept secure locked cabinent. 1 No evidence that the registers and other documents are kept in a secure location when not in use 1 No evidence that the registers are kept in a secure location when not in use 1 No evidence that the registers are kept in a secure location when not in used 1 No lock on cabinet 1 No old register 1 No secure place for storage at the temporal structure 1 No storage 1 Northern Cape 1 Not a services location, for tick but HTC are kept in the lockable cupboard. 1 Not kept in a secure location when not in used 1 Not locking the capboards or the door 1 Not secure 1 Not secure, on top of cabinet and tables. 1 Not secure, placed on top of ccabinet. 1 Not seen 1 Nother secured 1 Old registers are archived with other facility registers 1 On top of cupboard 1 Other staff have access to them 1 Room is not locked 1 Room not locked when not in use 1 Some documents and records are not properly handled or kept secure ( locked cabinent) 1 Some documents are not properly handled and kept secure 1 The register they were was open and on top of the table 1 There are kept under the table in a box, mixed with test kits which are expired. 1 There are registers that were not in use but they are on the table 1 There is an evidence that some registers are not kept in a secure location when not in use 1 There is evidence some records are not properly handled or kept secure 1 There is no evidence that some documents are kept in secure location when not in use 1 They are left on a table the door is not locked 1 They are not keot in a sucure location 1 They are not locked because more than 6 registers were on the table and some are full 1 They don't know where old registers are 1 They dont lock the room, so the signed consent forms are left on the table and registers only are locked 1 They leave them on the table and at the top of the cupboard 1 They only lock consent forms in a cabinet but registers are kept in a cabinet that is not locked and the doors are not locked 1 door is not secured 1 no their are kept in consultation room but majority is kept in a archiving room but it not in order it a mess. 1 not secure in cabinet 1 post_q_6_9 345 0 .5 66 0 83 1 194 37.5 1 Frances Baard DM 1 post_c_6_9 126 1 1 Archieved at head office.are kept there 1 Archived but not all labelled 1 Archived but not labeled 1 Archived but not labelled 1 Did not see them the person who had the key had gone out 1 Do not have an archived room 1 I did not see old registers they were not found 1 I was not able to see their archive, no one to help at reception 1 It is places in cupboard no order, no system 1 Kept in one place and not archived 1 Labelled and not archived 1 Labelled but not properly archived. 1 Labelled yes, she said she dont know where all registers are. They were recently used by auditors 1 Most but not all, 1 No all are just stored in storeroom 1 No archied room 1 No archive at temporal structure 1 No archive facility 1 No archive room 2 No archive system, 1 No archive systems 1 No archivec room 1 No archived 1 No archived kept consultation room's 1 No archived registers when full 2 No archived room 4 No archived roon 1 No archives, there are kept in an old room in a disorderly way. There are some not in that room. 1 No clinic year or month 1 No evidence that registers are labelled or archived 1 No old register 1 No old registers 1 No old registers available 1 No old registers found 1 Not Archived 1 Not all 1 Not all but some are labelled 1 Not all, some are in consultation room's, some in the data room, some with counsellor s those are labeled and secure. 1 Not archived 8 Not archived when full 19 Not fully labeled but archived 1 Not labelled 4 Not labelled and archived when full 1 Not labelled but kept in a secure cupboard 1 Not labelled or archived 1 Not labelled when full 1 Not lablelled, but in lockable cabinet 1 Not lockable but secure. Kitchen cupboard 1 Not properly labeled 1 Not properly labelled 1 Not properly labelled or archived 1 Not properly labled 1 Not seen 1 Not yet archived due renovations 1 Old registers were not seen - locked somewhere 1 RURAL 1 Randomly stored in cupboard 1 Records were not available they were locked somewhere 1 Registers labelled when full but not archived, storage problems 1 Registers not labelled and archived when full 1 Registers not labelled with clinic name 1 Registers not properly labelled and archived when full 1 Some archived , not all. 1 The EN that do testing was out on outreach so I did not see registers that are full 1 The archived room was closed/locked the person with the key was on lunch 1 The garage where they are stocked was locked 1 The is no evidence that registers are properly labelled and archived when full 1 The two I saw are not labelled, they were in the consultation room 1 There are kept at the back and the room is a mess. 1 There are register at the table about 8 of them, and four are full 1 They are archived but not available be seen, they just dodged me 1 They are archived but not labelled 2 They are archived but they are not locked 1 1 They are not labelled 2 They are not labelled but archived 1 They are stocked in a cupboard but not labelled 1 They do not have an archived room 1 They do not have archieved room 1 They do not have archived room 1 Theydont archive at the facility 1 Unable to confirm, due to unavailability of key to Data capturing room 1 Was not able to see them, they were in the room that was locked 1 kept in archive but is not proper, but secure 1 not all registers are archived 1 not archive 1 not archived or labeled 1 not consistently 1 not implemented but in progress 1 not labelled 1 post_score 345 6 0 21 6.516 1.902 eqa_q_7_1 344 0 .5 4 0 215 1 124 nc 1 eqa_c_7_1 176 Enrolled but last done the previous year 1 Enrolled but no documentation 1 Last done in November though 1 No documentation 1 No documentation but SPIRIT-RT checklist found in file says they do 1 No enrolled 1 No one was enrolled 1 No training 1 No training not enrolled 1 Not Enrolled 3 Not done 2 Not done yet 1 Not enrolled 98 Not enrolled in a EQA/PT 1 Not enrolled in proficiency testing 1 Not enrolled on EQA / PT 1 Not enrolled on EQA PT 1 Not enrolled on EQA/PT 3 Not enrolled on EQA/PT program 1 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled yet 1 Not enrolled, 1 Not enrolled. 1 Not enrollef 1 Not entrolled 1 Not trained 2 Not trained for PT 1 Not yet enrolled 15 Not yet trained 2 Noy yet enrolled 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The facility is not enrolled, on PT, 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 They are not enrolled 2 They don't do PT/EQA 1 They haven't tested the sample yet, they were promised that they will recieve the sample last year Novembet but they haven't 1 They said its done by one tester but there is no proof 1 Trained but not enrolled 2 WC 0007 1 nc Frances Baard DM 1 no records 1 not enrolled 9 not enrolled on PT 1 eqa_q_7_2 344 7 0 10 0.363 0.699 eqa_c_7_2 164 0 15 1 Done previous year and no documentation 1 Dont do PT 1 Enrolled but no documentation 1 Last done in 2015 1 No EQA 1 No PT 1 No documentation 1 No documentation but SPI-RT checklist says they do 1 No enrolled 2 No none are tested 1 No training 1 Not all have done it, only one. 1 Not done 4 Not done yet 2 Not enrolked 1 Not enrolled 91 Not enrolled EQA/PT program 1 Not enrolled in PT 1 Not enrolled on EQA/PT 5 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled yet 1 Not enrolled, 1 Not training 1 Not yet enrolled 17 Not yet trained 1 Only one tester at the resting point test the EQA/PT samples 1 Only one tester at the testing point test the EQA /PT samples 1 Only one tester at the testing point test the EQA/PT 1 Only one tester at the testing point test the EQA/PT samples 1 Only the Sisters does the testing 1 PT testing not done 1 The are enrolled, but could not see evidence. 1 The counsellors haven't tested yet 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 They are not enrolled 2 They are trained awaiting, serum sample 1 They don't test 1 They dont only one but proof not seen 1 Training was done but have not received serum. 1 no documents 1 not enrolled 2 eqa_q_7_3 344 7 0 5 0.31 0.519 eqa_c_7_3 175 0 50 1 Done by ARV clinic not counsellors 1 Dont do PT 1 NO EQA 1 No 1 No PT 1 No documatation 12 No documation 1 No documentation 4 No documentation but enrolled 1 No enrolled 1 No record 1 No records seen 1 No supervision 1 No training 1 Not done 6 Not done yet 2 Not enrolled 85 Not enrolled in PT 1 Not enrolled on EQA/PT 4 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled, 1 Not enrollef 1 Not enrollled 1 Not signed they got 100% 1 Not training 1 Not yet ebrolled 1 Not yet enrolled 16 Not yet recieved awaiting feedback 1 Not yet trained 1 ONo results PT is not done 1 PT is not done 1 PT not done 1 Records of tests not available but report is there 1 Results not back yet 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The is no evidence of review of EQA PT results for every EQA PT distribution 1 The person in charge has not signed 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 They are not enrolled 2 They are trained awaiting, serum sample 1 They dont do PT 1 They dont do PT testing 1 They dont have the results yet 1 no documents 1 not enrolled 2 eqa_q_7_4 344 7 0 11 0.27 0.718 eqa_c_7_4 187 0 40.909092 1 Have not recieve any report yet 1 Have not recieved a report yet 1 Have not recieved form 1 No EQA 1 No PT 1 No PT testing 1 No documatation 4 No documentation 3 No documentation but enrollef 1 1 No enrolled 1 No record 1 No report recieved 1 No report recieved yet 1 No report sent to facility but to district 1 No report yet 8 No reportbrecieved 1 No reports seen 1 1 No training 2 Not Enrolled 1 Not done 10 Not enrolled 88 Not enrolled on EQA/PT 5 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled, 1 Not received them yet 1 Not reviewed because not enrolled 1 Not yet enrolled 17 Not yet recieved a report 1 Not yet trained 1 PT is not done in this clinic 1 PT/EQA not done 1 Results are not yet back 1 Results have not returned 1 Results not back yet 1 Still awaiting for feedback report 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The latest results are not back but old ones are there 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 Therevis no evidence review of site testers perfomance 1 They are trained awaiting, serum sample 1 They are waiting for results 1 They dont know because the sister who is responseble for PT she is on leave 1 They have not yet recieve report 1 They haven't recieved any results yet 1 They never recieved report 1 They say they have recived the report but dont know where they are 1 no documents 2 not enrolled 2 eqa_q_7_5 344 7 0 12 0.167 0.722 eqa_c_7_5 218 0 66.666664 1 Have not had unsatisfactory results 1 Have not yet had unsatisfactory results but correct steps mentioned 1 Never had unsatisfactory 1 Never had unsatisfactory results 17 Never had unsatisgactory results 1 Nevet had unsatisfactory results 1 No EQA 1 No PT 1 No PT done in this clinic 1 No correction action 1 No documantation 1 No documataion 1 No documatation 26 No documates 1 No documation 2 No document 1 No document was there that needed to be corrected 1 No documentation 8 No documentation but enrolled 1 No documents 5 No documetation 2 No domatation 1 No enrolled 1 No evidence 1 No evidence that corrective action is implemented 1 No record 4 No records 5 No report 1 No report received 1 No training 1 No unsatisfactory results 2 No unsatisfactory results because not enrolled 1 Non records 1 Not done 11 Not done anymore 1 Not enrolled 72 Not enrolled on EQA/PT 4 Not enrolled on PT 2 Not enrolled on the PT program 1 Not enrolled, 1 Not received them yet 1 Not recieved report form 1 Not yet enrollec 1 Not yet enrolled 7 PT not done 1 Repeact 1 Results were not given 1 Stil, awaiting report from RN 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 There's no document 1 They are not enrolled 2 They are trained awaiting, serum sample 1 They got 100% 1 no documents 3 not enrolled 2 eqa_q_7_6 344 7 0 9 0.417 0.672 eqa_c_7_6 145 0 16.666666 1 Attendance register with the facilitator 1 Available in the I'm office 1 Do have visits Burma no documentation, supervisor takes it with them 1 Logbook signed 1 NO EQA 1 Never had a visit 1 No PT 1 No documatation 33 No documation 1 No documentation 5 No documents 3 No documents except visitors book dated 2016/11/02 1 No dupervisory visits for external QC 1 No enrolled 1 No evidence 1 No external supervisors come to this clinic 1 No external supervisory visits, they say mentors have been dissolved 1 No record 6 No records 5 No records of visits 1 No supervisor 1 No supervisory visit 1 No supervisory visits 13 No supervisory visits in 2 years 1 No supervisory visits recieved 1 No training 1 No visits 5 Not documented but supervised 1 Not done 8 Not enrolled 19 Not enrolled for visits 1 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled, 1 Not in years 1 Not recorded 1 Only internal QC 1 Records 1 Records but visitor book 1 Supervisory visits with no documentation 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 They are checked by the clinic manager (matron) 1 They are trained awaiting, serum sample 1 They dont come 1 They said she was at the facility last week but there are no records 1 They said they do but no records seen 1 no documents 3 not enrolled 2 eqa_q_7_7 344 7 0 9 0.297 0.645 eqa_c_7_7 179 0 50 1 1 Available in the I'm office 1 Do docukentation 1 Feedback not documented but using SPI-RT checklist 1 Feedback not given 1 Inservice book has feedback 1 Just signature on visitors book 1 Just verbal nothing written 1 No EQA 1 No PT 1 No documatation 37 No documation 2 No document 1 No documentation 6 No documents 16 No documents available 1 No documents seen 1 No enrolled 1 No evidence 1 No feedback 4 No feedback documented 2 No outside supervisory visits 1 No record 7 No records 9 No records available 1 No supervisory visits 9 No training 1 No visits 15 Not available 1 Not documatation 1 Not documented 2 Not done 5 Not enrolled 20 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled, 1 Received but not documented 1 Recorded on logbook : feedback given 1 Supervised but not documented 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 They are trained awaiting, serum sample 1 They dont give feedback 1 They get no supervisory visits 1 They get no visits 1 They give feedback verbally 1 They provide feedback verbaly and not documeted 1 Verbally nothing written 1 no documents 3 not enrolled 2 eqa_q_7_8 344 7 0 12.5 0.23 0.772 eqa_c_7_8 187 0 0 1 Available in the OM office 1 Available in the OM's office 1 Dont recieve outside training 1 Feedback not given 1 Have not trained 1 Last trained in 2014 1 No EQA 1 No PT 1 No documantes 1 No documatation 42 No document 2 No documentation 5 No documents 13 No enrolled 1 No evidence 1 No feedback documented 1 No record 7 No record of training 1 No records 4 No records available 1 No refresher training recieved in a long time 1 No retraining recieved in a while 1 No supervisory visits 1 No training 3 No visits 4 No visits by supervisor 1 No visits from supervisor 1 No visits no retraining recieved 1 Not Trained 1 Not done 3 Not during supervisory visit 1 Not enrolled 17 Not enrolled in EQA/PT program 1 Not enrolled on PT 1 Not enrolled on the PT program 1 Not enrolled, 1 Not retrained 9 Not retrained but given feedback 1 Not trained 2 Not trained by supervisors on their visits 1 Not trained during supervisory visits 1 Not trained in a while 1 Not trained in the facility but they will be trained in another place 1 Not trained on the day 1 Not trained on the visit 1 Records 1 She said yes but the topics they covered are not written on logbook 1 Signature on visitors book 1 Staff not trained 1 The are enrolled, but could not see evidence. 1 The facility does not do PT 1 The facility in not enrolled on this program . 1 The facility is not enrolled on the PT program 1 The site not enrolled on PT 1 The testing site is not enrolled on PT 1 There mentoring trainings done but not at their clinic 1 There no supervisory visits 1 1 They are not getting retrainings 1 They are not trained on the day of supetvisory visit 1 They are retrained by the internal trainer 1 They are trained at their district 1 They are trained awaiting, serum sample 1 They are trained during inservice training or go for training 1 They are trained together with other councellors in a venue provided by the municipality 1 They are trained with other testers at the district office 1 They call and shedule for a training date 1 They come but record nothing 1 They do inservice training training and go for trainings but no records were seen 1 They don't train them on the same day 1 They dont train on the day 1 They dont train the same day. 1 They give date for the training 1 They give them a date 1 They give them a date for training 1 They give then a special test for training 1 They say they are retrained at district office but there is no evidence 1 They train them but dont document down 1 They traine but dont docement down 1 They were not retrained in a while 1 They will send an email to the Manager to arrage retraining 1 Trained but no documentation 1 no documents 3 not enrolled 2 sampleretesting 244 0 0 1 No 242 Yes 1 eqa_q_7_9 1 350 0 1 Sysmiss 350 eqa_c_7_9 1 0 N/a 1 eqa_q_7_10 1 350 0 1 Sysmiss 350 eqa_c_7_10 1 0 N/a 1 eqa_q_7_11 1 350 0 1 Sysmiss 350 eqa_c_7_11 1 0 N/a 1 eqa_q_7_12 1 350 0 1 Sysmiss 350 eqa_c_7_12 1 0 N/a 1 eqa_q_7_13 1 350 0 1 Sysmiss 350 eqa_c_7_13 1 0 N/a 1 eqa_q_7_14 1 350 0 1 Sysmiss 350 eqa_c_7_14 1 0 N/a 1 eqa_max_score 343 8 8 342 14 1 Sysmiss 8 eqa_req 343 8 0 8 2.227 2.603 eqa_opt 1 350 0 1 Sysmiss 350 eqa_score 343 8 0 8 2.227 2.603 final_audit_score 343 8 18 59 39.723 8.814 max_audit_score 343 8 64 342 70 1 Sysmiss 8 audit_score_percantage 343 8 28.125 92.188 62.053 13.78 status 343 0 approved 343 provdhis 343 0 Eastern Cape 43 Free State 17 Gauteng 78 KwaZulu-Natal 77 Limpopo 43 Mpumalanga 29 North West 20 Northern Cape 7 Western Cape 29 distdhis 343 0 A Nzo DM 2 Amajuba DM 3 Amathole DM 3 Bojanala Platinum DM 9 Buffalo City MM 7 C Hani DM 3 Cape Town MM 18 Cape Winelands DM 2 Capricorn DM 7 Dr K Kaunda DM 3 Eden DM 8 Ehlanzeni DM 12 Ekurhuleni MM 26 Fezile Dabi DM 5 G Sibande DM 11 Harry Gwala DM 3 J T Gaetsewe DM 1 Joe Gqabi DM 10 Johannesburg MM 25 Lejweleputswa DM 2 Mangaung MM 3 Mopani DM 16 N Mandela Bay MM 2 Namakwa DM 1 Ngaka Modiri Molema DM 4 Nkangala DM 6 O Tambo DM 8 Overberg DM 1 Pixley ka Seme DM 2 Ruth Segomotsi Mompati DM 4 Sarah Baartman DM 8 Sedibeng DM 8 Sekhukhune DM 9 T Mofutsanyane DM 4 Tshwane MM 9 Ugu DM 3 Umkhanyakude DM 4 Umzinyathi DM 4 Uthukela DM 3 Uthungulu DM 13 Vhembe DM 8 Waterberg DM 3 West Rand DM 10 Xhariep DM 3 ZF Mgcawu DM 3 Zululand DM 8 eThekwini MM 25 iLembe DM 5 uMgungundlovu DM 6 settingdhis 343 0 RURAL 182 URBAN 161 stratum 342 9 1 26 11.751 6.012 prov 343 0 ec 43 fs 17 gp 78 kz 77 lp 43 mp 29 nc 7 nw 20 wc 29 district 343 0 ec A Nzo DM 2 ec Amathole DM 3 ec Buffalo City MM 7 ec C Hani DM 3 ec Joe Gqabi DM 10 ec N Mandela Bay MM 2 ec O Tambo DM 8 ec Sarah Baartman DM 8 fs Fezile Dabi DM 5 fs Lejweleputswa DM 2 fs Mangaung MM 3 fs T Mofutsanyane DM 4 fs Xhariep DM 3 gp Ekurhuleni MM 26 gp Johannesburg MM 25 gp Sedibeng DM 8 gp Tshwane MM 9 gp West Rand DM 10 kz Amajuba DM 3 kz Harry Gwala DM 3 kz Ugu DM 3 kz Umkhanyakude DM 4 kz Umzinyathi DM 4 kz Uthukela DM 3 kz Uthungulu DM 13 kz Zululand DM 8 kz eThekwini MM 25 kz iLembe DM 5 kz uMgungundlovu DM 6 lp Capricorn DM 7 lp Mopani DM 16 lp Sekhukhune DM 9 lp Vhembe DM 8 lp Waterberg DM 3 mp Ehlanzeni DM 12 mp G Sibande DM 11 mp Nkangala DM 6 nc J T Gaetsewe DM 1 nc Namakwa DM 1 nc Pixley ka Seme DM 2 nc ZF Mgcawu DM 3 nw Bojanala Platinum DM 9 nw Dr K Kaunda DM 3 nw Ngaka Modiri Molema DM 4 nw Ruth Segomotsi Mompati DM 4 wc Cape Town MM 18 wc Cape Winelands DM 2 wc Eden DM 8 wc Overberg DM 1 personal_Max_score 343 8 10 343 Sysmiss 8 personal_score_percentage 343 8 0 90 33.673 22.182 physical_Max_score 343 8 5 343 Sysmiss 8 physical_score_percentage 343 8 0 100 85.627 17.035 safety_Max_score 343 8 11 343 Sysmiss 8 safety_score_percentage 343 8 18.182 100 76.902 17.166 pretest_Max_score 343 8 12 343 Sysmiss 8 pretest_score_percentage 343 8 33.333 100 82.191 12.88 test_Max_score 343 8 9 343 Sysmiss 8 test_score_percentage 343 8 0 100 55.944 28.207 post_Max_score 343 8 9 343 Sysmiss 8 post_score_percentage 343 8 0 100 72.109 19.035 eqa_score_percentage 343 8 0 100 27.843 32.541 pepfarsite 343 8 0 99 1 244 Sysmiss 8 ancsite 343 8 0 219 1 124 Sysmiss 8