| 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 |