1. Steps of 5S implementation and Trainers’ responsibilities

2. Steps of 5S Implementation
Step 1: Advocacy with the facility manager and other key staff
Step 2: Participatory facility assessment
To be done by the trained trainers with one/ two staff of the UHC
Use the designated checklist
Collect information visiting all the targeted sections
Take pictures as much as possible
Develop a power point presentation on findings with the pictures taken
Use the presentation for staff orientation on 5S

3. Steps of 5S Implementation
Step 3: Development of QIT and WITs including the TOR
Develop the QIT and WITs before staff orientation on 5S (Can also be done during staff orientation)
Develop the teams involving the UHFPO and other key staff
Restructure the EmOC team (if already present) to form the QIT
Share the TOR of QIT and WIT
Develop power point presentation on QIT and WITs’ structure/composition and TOR for staff orientation workshop

4. Steps of 5S Implementation
Step 4: Staff orientation on 5S
Complete necessary administrative formalities
Finalize list of participants
Prepare all the logistics, such as presentations, schedule, facility visit and action plan format, venue etc.
Step 5: Monitoring and mentoring:
Use 5S checklist
Provide necessary support to the WITs
Organize regular QIT and WIT meetings and keep records

5. Steps of 5S Implementation
Step 6: Refresher training for the staff
Review progress
Refresh knowledge and understanding
Revise action plan
Step 7: Annual review workshop
Reward WIT and individual

6. Trainers’ Responsibilities
Overall:
To implement and monitor the QI activities including the 5S at the selected UHCs
Specific responsibilities:
Conduct participatory facility assessment using the checklist
Compile information and develop power point presentation on assessment findings
Develop implementation structure (QIT and WITs) of 5S-Kaizen-TQM

7. Trainers’ Responsibilities Contd…
Organize and facilitate staff orientation on 5S-Kaizen-TQM
Encourage for regular QIT and WIT meetings
Regularly monitor the activities of QIT and WITs using the checklist and provide necessary technical support and mentoring to the WITs
Organize refresher training and annual review workshop
Inform the progress to DGHS and ?WHO
Provide necessary support to step up from 5S to Kaizen stage