Attachment J.7.a, ROSS Maturity tool scoring Oct 31 22 for FY 23 sheet 1.pdf

Parameters Variables Level 1 Level 2 Level 3 Level 4 Weight Maturity Level

(Granular) Maturity Level (Aggregate) Conversion Factor Individual Category weight Category Maturity

1.1. Storage management requiremnts

1.1.1. Storage space and shelving

1.1.2. Logical categorization for FEFO

1.1.3.Temprature recording & monitoring

1.1.4. Storage area security

1.1.5. House keeping

Fulfills one or none of the five storage Requirements ( <25%) Fulfills two of the five storage Requiremes (40%) Fulfills three of the five storage Requirements

(60%) Fulfills at least four of the storage Requirements (> 80%) 15 4 60 0.6

1.2. Cold Chain management

1.2.1. Functionalal Refrigerator

1.2.2. Refrigerator capacity

1.2.3. Refrigerator temprature recording

1.2.4. Appropriate temprature (2

c -8 c)

1.2.5. Bincard update for coldchain

Fulfills one or none of the five Cold chain Requirements ( <25%) Fulfills two of the five Coldchain Requiremes (40%) Fulfills three of the five Coldchain Requirements

(60%)

Fulfills at least four of the coldchain Requirements (>

80%) 10 4 40 0.4

1.3. Inventory Management

1.3.1. Annaul Inventory

1.3.2. Stock transfer practice

1.3.3. Expiry/damaged product management

Fulfills no inventory management best practices (0%) Fulfills one out of three inventory management best practices

(33%)

Fulfills two out of three inventory management best practices (67%)

Fulfills all three inventory management best practices

(100%) 15 4 60 0.6

2.1. LMIS form Usage

2.1.1. Bincard update

Does not use any format (0%) (BC/eBC, RRF/eRRF, IFRR/eIFRR)

Use one formats (33%) consistently (BC/eBC, RRF/eRRF, IFRR/eIFRR)

Use two formats (66%) consistently (BC/eBC, RRF/eRRF, IFRR/eIFRR)

Use all three formats (100%) consistently (BC/eBC, RRF/eRRF, IFRR/eIFRR) 15 4 60 0.62.3. RRF utilization for Program Commodities

2.3.1. ARVs RRF Usage for (<25%) of program groups RRF Usage from (>25%) to (<50%) of program groups RRF Usage from (>50%) to (<75%) of program groups RRF Usage for (>75%) of program groups 20 4 80 0.8 RRF Data Quality

2.5.RRF Timeliness Fulfills no RRF data quality parameter (0%) Fulfills one out of three RRF data quality parameter (33%) Fulfills two out of three RRF data quality parameter

(67%) Fulfills all three RRF data quality parameter (100%) 25 4 100 1

Category Maturity 400 4DTC

6.1. DTC establishment Fulfills <=25% of requirements for functunality of DTC Fulfills >25% - <=50% of requirements for functunality of DTC Fulfills >50- <75% of of requirements for functunality of DTC Fulfills >=75% of requirements for functunality of DTC 30 4 120 1.2PMIS

3.1. Patient Information Sheet (PIS) (Manual and/or Electronic real time dispensing) Fulfills <=25% of requirements for PMIs Fulfills >25% - <=50% of requirements for PMIS Fulfills >50- <75% of of requirements for PMIS Fulfills >=75% of requirements for PMIS 25 4 100 1Good Dispensing

4.1. Standard prescription utilization Fulfills <40% of requirements for Good Dispensing Practices Fulfills >=40- <60% of requirements for Good Dispensing

Practices

Fulfills >=60%- <80% of requirements for Good

Dispensing Practices

Fulfills >= 80% of requirements for Good Dispensing

Practices 30 4 120 1.2

Pharmacovigillance

3.13 ADE report for new ARVs such TLD, DTG 10mg, and 3HP

6.4. Facility report ADE to Food and Drug Authority last quarter

9.5. TB clinic report ADEs for anti-TB, MDR-TB, and 3HP drugs

Zero report Fulfills less than 33% of requirements for Pharmacovigilance Fulfills 67% of requirements for Pharmacovigilance Fulfills 100% of requirements for Pharmacovigilance 15 4 60 0.6

Category Maturity 400 45. APTS

5.1 APTS implementation tool available in the facility Maximum of 33% of System, operation, and infrastructure requiremment for APTS implmentation fulfilled fully Only 50 % of System, operation, and infrastructure requiremment for APTS implmentation fulfilled fully 67 % of System, operation, and infrastructure requiremment for APTS implmentation fulfilled fully System, operation, and infrastructure requiremment for APTS implmentation fulfilled at least 80%40 4 160 1.6II. HR and capacity building

1.2 Position fulfilment (>=80%) Fulfills <=25% of requirements for HR and CB Fulfills >25% - <=50% of requirements for HR and CB Fulfills >50- <75% of of requirements for HR and

CB

Fulfills >=75% of requirements for HR and CB 60 4 240 2.4

Category Maturity 100 400 413. HSCM M&E Implementation

13.1. M&E plan and KPIs reporting template from the higher-level Fulfills none of the four requirements for M&E (< 25%) Fulfills one to two requirements for M&E (>25- <50%) Fulfills three of M&E Requirementnts (75%) Fulfills all four M&E Reuirements (100%) 60 4 240 2.414. System Ownership

14.1. Performance review Fulfills none of the four requirements for ownership ( < =25%) Fulfills one to two requirements for ownership (>25- < =50%) Fulfills three of Ownership requirements (75%) Fulfills all four ownershp Requirements (100%) 40 4 160 1.6

Category Maturity 400 4TO 1

10.1 HIV RTK utilization tracking system Fulfills 20% of requirements for TO1 Fulfills 40% of requirements for TO1 Fulfills 60% of requirements for TO1 Fulfills at least 4 of the criterias or 80% of requirements for TO1

20 4 80 0.8TO 2

5.10 Single dose of primaquine tablet prescribed for PF cases Not fulfilled all Fulfills less than 33% of requirements for TO2 Fulfills 67% of requirements for TO2 Fulfills 100% of requirements for TO2 20 4 80 0.8TO 3

7.1 Access to contraceptive methods (at least three) Not fulfilled all Fulfills less than 33% of requirements for TO3 Fulfills 67% of requirements for TO3 Fulfills 100% of requirements for TO3 20 4 80 0.8TO 4

4.7 Amox DT for the management of childhood Pneumonia Fulfills <33% of requirements for TO4 Fulfills >= 33% - <67% of requirements for TO4 Fulfills >=67% - <80% of requirements for TO4 Fulfills 80% of requirements for TO4 20 4 80 0.8

TB

9.1 TB Patient Kits implementation

9.2 The second line MDR TB medicines (SLDs) available and managmenet at TICs

9.3 IFRR utiliazation

9.4 TB Preventive Treatment (TPT) implementation

Fulfills <25% of requirements for TB Fulfills >=25% - <50% of requirements for TB Fulfills >=50- <75% of of requirements for TB Fulfills >=75% of requirements for TB 20 4 80 0.8

Category Maturity 400 4

4 4

0.15

0.15 0.6

0.2 0.8

0.6

Governance/Leadership

Sustainability and Ownership

Program Management

Overall Maturity

LSCM

0.3 1.2

Pharmacy Service

0.80.2