Dengue Epidemic2010Abad, TimothyImperial, AnnaJavate, KennethPalma, Rose AnnUy, RaymondeValencia, Regina

D.E.N.G.U.E. Home Strategy

DENGUE Home Strategy Daily monitoring of the patient's status Encouraging intake of oral fluids Noting any warning signs of Dengue Giving Paracetamol, instead of aspirin Using Mosquito Nets Early consultation with doctors for any

warning signs

Job Design Function of specifying the work activities

of an individual or group in an organizational setting.

Objective: develop jobs that meet the requirements of the organization and its technology and that satisfy the jobholder’s personal and individual requirements.

Six Sigma Analysis Define Measure Analyze Improve Control

Service Process Selection and Design in Government Hospitals

TheCustomer

The ServiceStrategy

ThePeople

TheSystems

Low CCS Business High CCS Business

Worker Skill Technical skills are enoughMust be able to interact and

communicate with customers

Capacity Utilization Capacity must be utilized to match demand

Capacity can be utilized on average demands at some

points

Level of Automation High level of automation for efficiency

Level of automation need not be high since customer

is priority

Task

TangiblesTreatment

Managing Customer Introduced Variation

•Arrival variability

•Request variability

•Capability variability

•Effort variability

•Subjective preference variability

Accommodation StrategiesClassic accommodation

Low cost accommodation

Classic reduction

Uncompromised reduction

Characteristics of a Well-Designed Service System

1. Each element of the service system is consistent with the operating focus of the firm

2. It is user-friendly

3. It is robust

4. It is structured so that consistent performance by its people and systems is easily maintained

Characteristics of a Well-Designed Service System (Continued)

5. It provides effective links between the back office and the front office so that nothing falls between the cracks

6. It manages the evidence of service quality in such a way that customers see the value of the service provided

7. It is cost-effective

SCHOOL-BASED CAMPAIGNS AGAINST DENGUE

ACTIVITIES Partnership of DOH and DepEd

Tie ups with local government and Parents-Teachers-Community Associations (PTCAs)

Free lectures in schools Preventive Alert System in Schools

(PASS) Promotion of environmental sanitation

POSSIBLE IMPROVEMENTSNumber Activity Person/s In Charge

Target Completion

Date

Measurable Indicator

1 Improved Lectures DOH officer, MHO

At least a month before dengue season

Q&A, Survey

2 Appointment of Persons-in-Charge

DepEd, School Principals

At least a month before dengue season

Census

3 General Cleaning School Principals At least a month before dengue season

# of Participants, Survey

CONTINUOUS IMPROVEMENTS

Evaluation Continue cleaning New ideas/ programs

Dengue Express Lanes

The Basic Nature Of Express Lanes Epidemics, natural disasters or crisis To address those who are most in need

of medical help Fast, accurate and reliable medical

diagnostics and management.

The Dengue “Express Lanes” Proposed solution

to the congestion of public hospitals

Fast processing Triaged Faster queuing

and services

Dengue Express Lanes System and Analysis

patients arrive

TriageDifferentiate

Admission Vs.

MGH

Suspected Dengue Patients Population Source: Infinite with very

high arrival rate Exponential / Poisson distribution Variable and uncontrollable service

pattern. Low incidence of balking and reneging?

Queueing Line length: infinite potential line capability

High patient load + arrival rate limited Number of lines: depends on the hospitals The queue discipline

FCFS? not applicable Low latency of queue initiation to service.

Single/multi-channel, and multiphase line structure.

Standard Acceptable waiting time

maximum of 2 hours waiting time before service is rendered

Diversions : IEC Prioritized CBC, UA, and Dengue

markers

Recommendations

More patient Segmentation / Triage Mild / moderate vs. severe Without warning signs vs. with warning

signs Home-based management

Health Worker Training Countermeasure vs. high patient load,

stress, fatigue

Recommendations

Patient / Parent Information waiting time, average time on queues,

expectations of line conditions

Diversions of Attention lectures on and about dengue home management segregate high risk and low risk

DOST Ovicidal Trap System

DOST develops mosquito trap In response to the marked increase in

dengue cases last 2010 DOST launched the Ovicidal Trap System (OTS) a device that kills mosquitoes and larvae

(vectors of the Dengue virus) Premise: decrease vectors, decrease cases

of Dengue

The Ovicidal Trap System Costs about Php 30

each or less. Composed of

an ordinary tin can painted in black

a strip of plywood board and a

liquid solution ideal place for the

female Aedes mosquito to lay its eggs

Lethal attractant

The Ovicidal Trap System Platform product Device was used 12 years ago to attract and

monitor no. of mosquitoes What is new?

the organic solution that traps and kill mosquitoes and larvae.

The solution’s life span is about two months Laboratory tests that the solution kills 100% of

the larvae DOH is allocating about P2 million to finance the

development and commercialization of the OTS

Field-testing of OTS September 24, 2010, the DOST ran their first

field tests of the “ovitraps” sample kits with 250 negative control kits (OTS

with tap water) and 250 positive kits (OTS with liquid solution) were distributed in Tierra Vista, Marikina and Barangay Bagbag, Novaliches, Quezon City two of the areas with the highest number of

dengue cases in MM Samples are collected every fifth day of each

week. On-going field testing

What do potential customers want?

OTS was developed out of need It seems not much thought was put into what the

potential customers want and expect from this product

Assumption, Overconfidence? repeatedly seen in many DOH campaigns programs are created and money is spent with no

willing audience

House of Quality

Relationship: = 9 = 3 Correlation: ++ Strongly positive+ Positive- Negative-- Strongly negative

Dengue Epidemic2010Abad, TimothyImperial, AnnaJavate, KennethPalma, Rose AnnUy, RaymondeValencia, Regina