| Activities | Methodology The proposed project will be implemented through
a series of five phases. Each phase will be subject to an evaluation with documented
successful outcome prior to advancement to the next phase.
| Stakeholders Stakeholders are institutions,
organizations and individuals who affect the program or are affected by the outcomes of
the program
| Resources / tasks
Fundraising for each phase will be done through a series of partnering programs,
grant opportunities, corporate sponsors, major events and in kind donations
| Outcomes Outcomes are benefits
or changes for individuals or populations during or after participating in program
activities.
|
| February 2004 | Phase I Renovation and Implementation |
Activities | Methodology | Stakeholders | Resources / tasks
| Outcomes |
| • Renovate and furnish a wing of the Children’s Republic Hospital in Tbilisi to
create a specialized (9 bed) CF clinic and diagnostic laboratory • Evaluation
| An existing empty wing of the Children’s Republic Hospital
will be renovated to create 10 patient rooms with private bath and adjoining rooms for
parents of the juvenile patients, a physiotherapy center and diagnostic laboratory equipped
with basic start-up equipment and supplies will be established. Facilities of the clinic, as
the physiotherapy room will also be available for other patients from the hospital
A Goal/Process Based Evaluation will be conducted
| • CFW
• CFG
• Hospital
• University of
Maastricht
• CFW
• CFG
| Fundraising by CFW:
Golf Tournament, Burke Bear, Solvay Pharmaceuticals, PACFI, Wilde Ganzen CFG and the
hospital come to an agreement about the place of the clinic
The UM invest
time and knowledge in conducting the evaluation. CFW and CFG will help by providing the
needed information
| Patients are diagnosed in an early stage of
CF and treated in a specialized clinic. This will increase both quality and quantity of
life.
The overall evaluation will improve the implementation strategy of CFW
and CFG in future projects and activities
|
| January
2005 | Phase II Education and
Evaluation |
Activities | Methodology |
Stakeholders | Resources / tasks | Outcomes |
| • Educate and train a Georgian
specialized clinical team to staff and operate the CF clinic and outreach program
• Establish a National Registry of Georgian CF patients
• Evaluate
process of offering free medication • Translate up to date CF manuals to create a free
library of information
• Evaluation
| CFW will send a group of (1) CF Specialized clinicians, (1) CF Nurse, (1) CF
Nutritionist and (1) Physiotherapist to Georgia to train the future clinic staff and
evaluate the needs for medication and additional laboratory and technical equipment not
provided in phase I.
A database will be created from intake forms filled
out by persons who have been diagnosed with CF to build the Georgian National CF Registry.
A Process Evaluation will be done to determine effective import and
distribution methods in the delivery of free medication to persons with CF using the
pancreatic enzyme, Creon.
Manuals will be created from appropriate
educational sources of current information in the treatment of CF for both patients and
medical professionals determined by the medical team participating in Phase II. These
manuals will be offered free at the Georgian National CF Center printed in the
national language. The Ministry of Health will also distribute informational manuals to
all hospitals and clinics throughout Georgia.
A Goal/Process Based
Evaluation will be conducted.
|
• CFW
•
CFG
• Medical professionals
• (Ministry of Health)
• (The hospital)
• University of Maastricht
• CFG
• CFW
• University of Maastricht
• Patients and families
• Solvay Pharmaceuticals
• CFG
• CFW
• CFG
• Medical professionals
•
Patients and families
• Solvay Pharmaceuticals
• CFW • University
of Maastricht
• CFW
• CFG
|
CFW
will use her contacts with the international medical world
CFG will put time and effort in
facilitation of the workshop
The UM will invest time and knowledge in
the development of a database. CFG will facilitate this process. CFW will provide the
computer Solvay will provide free Creon
The UM will invest time and
knowledge in the evaluation, The patients and families will be subject of the evaluation
and will provide the needed information. CFG and CFW will facilitate the evaluation.
CFG and the medical professionals in Tbilisi will invest time and knowledge
in the development of patient education material. Solvay invest money in the
publication
CFW uses her contacts in the CF world to provide information and examples
of patient education
The UM invest time and knowledge in conducting the
evaluation. CFW and CFG will help by providing the needed information
|
Medical personal is more capable of diagnosing and treating CF patients
in an appropriate way. This will improve the condition of patients and the quality of
life. Treatment can be tailored to the course of the disease. This will improve
the care for patients. Improvement of distribution of (free) medicines. In the
end improving quality of life. Better understanding of the CF among patients and
families. This will improve the quality of life of the patient and the family.
The overall evaluation will improve the implementation strategy of CFW and CFG in
future projects and activities
|
| January 2005 | Phase III Diagnostic Implementation |
Activities | Methodology | Stakeholders | Resources / tasks
| Outcomes |
• Equip a basic laboratory with necessary equipment and diagnostic
tools and train a technician • Evaluation
|
Using the data provided by the CF specialized team in phase II, CFW will work to equip /
improve the existing microbiology laboratory of the hospital and train a technician in
diagnostic procedures and optimal microbiology. All departments of the hospital will benefit
from the improved lab, e.g. the new pulmonary testing materials. In the clinic there will be
a sweat test machine. A Goal Based Evaluation will be conducted. |
• CFW
• CFG
• Medical professionals
• The
hospital
• The Ministry
• University of Maastricht
• CFW
• CFG
|
CFW uses contacts to raise money
and materials. The medical professionals will work with international CF specialist to list
the necessary equipment. The hospital provides the basic laboratory (already existing).
The UM invest time and knowledge in conducting the evaluation. CFW and CFG will help by
providing the needed information
|
CF patients are
correctly diagnosed and get appropriate treatment. Life expectancy and the quality of life
increase
The overall evaluation will improve the implementation strategy of CFW
and CFG in future projects and activities
|
| June 2005 | Phase IV Medication and Adaptation |
Activities | Methodology | Stakeholders | Resources / tasks
| Outcomes |
• Supply CF patients all technical equipment, education and medication
necessary to improve their treatment methods
• Develop an outreach program that
will ensure all patients in Georgia have access to trained specialists, treatment and
current information and medication
• Host an annual Georgian
educational CF conference to increase awareness in the medical, lay and government society
of Georgia
• Evaluation
|
CFW will work
to negotiate access to necessary medications and technical equipment through established
networks among suppliers and Pharmaceutical organizations.
An “out
reach“ program will be established by means of creating a mobile clinic in collaboration
with other local NGO’s (the SOCO Foundation) to travel throughout Georgia reaching those
people who are unable to access the clinic in Tbilisi. Collection for diagnostic
determinations will be available as well educational information and supplies to fill
prescriptions of the diagnosed patients.
CFW and CF Foundation of Georgia will host
the first annual educational seminar in Tbilisi with both lay and medical topics being
covered. Local media, brochures and clinical staff will advertise this
conference. A Goal/Process Based Evaluation will be conducted.
|
• Medical professionals
• CFG
• The hospital
• The
Ministry
• CFW • CFG, in collaboration with SOCO Foundation
• Medical
professionals
• Ministry
• CFW • CFG
• Medical
professionals
• CFW
• The Ministry
• University of
Maastricht
• CFW
• CFG
|
CFW
will use her network and contacts, the medical professionals invest time and knowledge in
providing care to CF patients. The ministry includes CF care in their state funded health
budget. CFG manages and facilitate all processes. CFG invest time and effort in
establishing work relations with other NGO’s. The medical professionals help to define a
strategy for care on the mobile clinic. Ministry includes CF care in their state funded
health budget
CFW invest time and knowledge to support the process.
CFG invest time in the organization of the conference. The medical professionals work
on the content. CFW uses contacts in the international CF world for the content and raise
money. The ministry uses her canals to inform all medical professionals in Georgia
The UM invest time and knowledge in conducting the evaluation. CFW and CFG will help
by providing the needed information |
Life expectancy and the
quality of life of CF patients in Georgia increase
Patients unable to come to
Tbilisi will also receive care. Their quality and quantity of life will increase
Better understanding of CF, more support for CF patients from the medical, lay and
governmental society. This will improve sustainable care for CF patients. The
overall evaluation will improve the implementation strategy of CFW and CFG in future
projects and activities
|
| January 2006 | Phase V Sustainability |
Activities | Methodology | Stakeholders | Resources / tasks
| Outcomes |
• Remove CFW as the donor from the project
• Turn over the responsibility for
the CF program in Georgia to CFG, the Ministry of Health and the hospital |
Conclude project activities and the responsibilities of CFW Assure
sustainability of CF care in Georgia (this is not just an activity that takes place in
this phase. To assure sustainability of CF care partnerships with the government, the
hospital and CFG will be established.) |
• CFW
• CFG
• The Ministry of Health
• The hospital
• CFW
| All stakeholders use their resources and capabilities in
order to make CF care sustainable in Georgia |
Sustainable CF care in Georgia
|
| January 2005 – June 2006
| Outcomes Evaluation |
Activities | Methodology | Stakeholders | Resources / tasks
| Outcomes |
| • Outcomes Evaluation | An Outcomes Evaluation program will be
developed at the end of phase II as CF patients begin to utilize the clinic and diagnostic
center. The evaluation will be conducted throughout phases III, IV and V and continue
through the Georgian National CF Center’s first year of operation. This evaluation will be a
final resource for implementing of similar projects in developing countries worldwide.
The Outcomes Evaluation will determine the following:
• Strengthen existing services.
• Target effective services for expansion.
• Identify staff and volunteer
training needs.
• Develop and justify budgets.
• Prepare long-range plans.
• Focus the CF Foundation Board of Directors and the Medical specialized team’s
attention on programmatic issues. |
• University of Maastricht
• CFW
• CFG
|
The UM invest time and
knowledge in conducting the evaluation. CFW and CFG will help by providing the needed
information
| The overall evaluation will improve the
implementation strategy of CFW and CFG in future projects and activities |
