1. General Guidance You may prepare this in any way you wish but keep it simple. Use only 1 power point slide and include the key components listed If you have not progressed with testing a change, don’t worry... You can try to run at least one small test of change by July 9 th and simply report on the lessons learned from this initial test, planned next steps.

2. Agency Name & Project Title Sample Improvement Strategies: Describe the current gaps identified in your linkage/retention systems & the tests of change or interventions you selected to address these. Lessons Learned Describe what you learned from your test of change and intervention? Our Aim: Describe the aim/goal of your quality work. What are you trying to accomplish? Performance Measurement: Display of baseline (April) and June Performance Next Steps Continue with PDSA cycles? Sustain gains? Integrate into delivery care system?

3. EXAMPLE: NAMIBIA: A Tale of Improving Food Security Initially lack of screening tool in the HIV patient care booklet Poor documentation /lack of proper referral mechanism No support groups address food security Staff turnover and high workload High national unemployed rate/poverty Alcohol abuse INTERVENTIONS Training of HCWs on importance of issue & measuring Health education to patients/clients (specifically on alcohol abuse ) Devise basic, simple food security screening tools Improve documentation system Reorganize patient flow to streamline assessment Identification of focal person to conduct assessments Referrals, documentation/follow-up of patients needing food supplementation to NGOs Arrange effective referral system Introduction of NACS (Nutritional Assessment Counseling and Support) programme Nationwide. Strengthen integration of social workers into care teams to assess food security Initiation of nutrition gardens Soup kitchen corners (nutritional education)