Mann-KingProjectPlan

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Oral!Health!Prevention!Program!in!Primary!Schools!Project!Plan!
Shoulder)to)Shoulder)Dental)Clinic,)Concepción,)Honduras)
Prepared)by)Peter)Mann:King:)Assistant)Brigade)Coordinator)
August)10,)2011)
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Oral!Health!Prevention!Program!in!Primary!Schools!
August)10,)2011)
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Table!of!Contents!!
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I. Executive)Summary:::::::::::::::::::::::::::::::::::::::::::::::::::3)
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II. Scope)Statement::::::::::::::::::::::::::::::::::::::::::::::::::::::4))
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III. Stakeholder)Analysis::::::::::::::::::::::::::::::::::::::::::::::::8)
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IV. Work)Breakdown)Structure::::::::::::::::::::::::::::::::::::::::12)
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V. Network)Diagram:::::::::::::::::::::::::::::::::::::::::::::::::::13))
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VI. Project)Budget::::::::::::::::::::::::::::::::::::::::::::::::::::::15)
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VII. Quality)Management)Plan:::::::::::::::::::::::::::::::::::::::24)
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VIII. Risk)Management)Plan:::::::::::::::::::::::::::::::::::::::::::26)
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IX. Lessons)Learned::::::::::::::::::::::::::::::::::::::::::::::::::::32)
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X. Corrections)Made::::::::::::::::::::::::::::::::::::::::::::::::::34)
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August)10,)2011)
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Executive!Summary!
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The global health organization, Shoulder to Shoulder, began providing volunteer mobile services in early
1990’s to improve health and health resources within the Intibucá region of Honduras.1
In 1998, Hombro a
Hombro (a private, non-profit, non-government organization) was formed to provide medical, dental, education,
nutrition and health promotion services around the Santa Lucia and Concepción based clinics.2
Dental health in Intibucá is limited by access to dental care and oral health literacy. Another contributing factor
that leads to poor dental health in the area is nutrition. Access to drinking water, especially water with naturally
found fluoride, has proven to be a challenge causing soft drinks to take the place of water in many Honduran
diets.
To continue Shoulder to Shoulder’s vision, ensuring “people of the frontera in Intibucá live longer, healthier,
more productive and fulfilling lives in a strong community,3
” the Concepción Dental Staff will design a school-
based dental health pilot program in five primary schools that target first through eighth graders, families and
teaching faculty. The program will be carried out through community engagement, utilizing local Hombro a
Hombro dental staff and resource assistance through donations.
Community engagement will be two fold. It will be required for each school to sign on to the program and agree
to cooperate throughout the whole length of the program. A curriculum will be created to coincide with each
fluoride visit and also for staff and family members to learn over the duration of the program.
The dental staff will come from Hombro a Hombro’s existing staff based out of the Concepción clinic and will
consist of one dentist and one dental assistant. Additional resources may include a dental brigade and the
neighboring Santa Lucia dentist and dental assistant. Resources for this project will draw from Shoulder to
Shoulder’s greater partnerships with dental schools and donors to help purchase the fluoride and cover costs of
treatments that each student may need.
The outcome of the school-based pilot program will be measured through observations by dental staff during
two fluoride application visits over a six-month time span to see if there is an improvement of oral habits. Each
student will be scheduled to have a dental visits where a comprehensive care record will be noted to track the
oral health of each individual student over time. This visit will take place between the first and second visit.
By drawing from the successes of the health promoters in the medical department, the predicted outcome for the
program will be an improved access to dental health care and most importantly increased oral health awareness.
Subject to the level of success from the pilot program with the five selected schools, the project may prove to be
a model for more communities in the region as well as a viable national model for improving oral health in rural
Honduras.
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1
About Shoulder to Shoulder. (2013, January 1). Retrieved January 15, 2015, from http://shouldertoshoulder.org/who-we-are/about
2
L. Tepe, personal communication, November 11, 2011
3
!About Shoulder to Shoulder. (2013, January 1). Retrieved January 15, 2015, from http://shouldertoshoulder.org/who-we-are/about!

August)10,)2011)
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Scope!Statement!
JUSTIFICATION
Shoulder to Shoulder was formed after a group of United States providers began providing medical services to
rural communities in the Intibucá region of Honduras in 1990.4
This region was identified as an isolated and
under-served area within Honduras. After eight years of providing medical services and partnering with the
communities in the region, Hombro a Hombro, a private, non-profit, non-government organization was formed.
This new organization was expanded to include medical, dental, education, nutrition and health promotion
services.5
The current areas of service are centralized around two municipalities: Santa Lucia and Concepción.6
Dental health in Intibucá is extremely limited. The development of the dental program has evolved slower than
the medical services in the area and is limited by access to care and dental hygiene. Another contributing factor
of poor dental health in the area is poor nutrition and limited access to fresh drinking water due to lack of
filtration. Because of this, soft drinks take the place of water in many Honduran diets.7
In addition to
insufficient drinking water, the water that is accessible was hydrological tested and found to be lacking in
healthy levels of naturally occurring fluoride.8
This coupled with the overuse of soft drinks causes an increase in
tooth decay and dental caries in the region’s residents.
DESCRIPTION
Shoulder to Shoulder’s vision is centered on improving life span and quality of life in order to strengthen
communities.9
Hombro a Hombro’s Concepción clinic has a well-equipped and competent dental team that has
been in place since the building of the site in 2005. This experienced team will design a school-based dental
health pilot program that will select and work with five primary schools for the initial project. The program will
be carried out through community engagement, utilizing local Hombro a Hombro dental staff and resource
assistance through donations.
Community engagement will require each school to agree to actively participate in the program and partake in
the full duration of the program beyond the initial pilot project length. In order to structure the program, a
curriculum will be created to coincide with each fluoride visit. The resources used will include the Hombro a
Hombro Concepcion dental team, which consists of one dentist and one dental assistant. Additional resources
that may partake in the project will include a dental brigade and the Santa Lucia’s dental team. Financial
resources for this project will draw from the existing Shoulder to Shoulder donor base as well as local and
United States dental resources. The existing financial support structure will cover the fluoride application and
the cost of dental check-ups for each student.
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4
About Shoulder to Shoulder. (2013, January 1). Retrieved January 15, 2015, from http://shouldertoshoulder.org/who-we-are/about
5
L. Tepe, personal communication, November 11, 2011
6
Ibid
7
Ibid
8
L. Tepe, personal communication, November 11, 2011!
9
!About Shoulder to Shoulder. (2013, January 1). Retrieved January 15, 2015, from http://shouldertoshoulder.org/who-we-are/about!

August)10,)2011)
!
5
The pilot program will be measured during the fluoride application visits over a six-month time span to see if
there are any visible improvements of oral health. For further measurement, each student will be scheduled a
dental check-up, which will start a dental health chart. The visit will take place between the first and second
fluoride visits over the six-month period.
DELIVERABLES
! 1.1 Oral Health/Outreach Curriculum: The curriculum will include teaching topics and outline the steps
of the program. This will be a collaborative effort between school administrators, dental staff, and
students.
! 1.2 Dental Health Care Chart: Dental charts are already utilized for each patient that is receiving care.
Using this as a template, a care record will be designed for each student in order to uniquely identify his
or her participation in the program. This will require collaboration with our Shoulder to Shoulder and
Hombro a Hombro dental staff in order to modify the already existing form to fit the program and
clinical need.
! 1.3 Fluoride Application Process: A fluoride application process will be designed to allow for the
addition of oral health education. Another consideration will be to determine the frequency of
applications that will be needed for the five different schools in order to access resources needed.
KNOWN EXCLUSIONS
! Dental Brigade Logistics: One to two dental brigades will be scheduled to participate during the six-
month pilot project. The logistics of the dental brigade will not effect or add additional responsibilities
to the project. If the dental brigades choose to apply fluoride and do oral health education, they will not
be tied to the same requirements of the program, but will need to use brigade funds and resources to
accomplish their tasks. Additionally, if the time frame of the site visits to a program-selected school can
be coordinated with the dental brigade, it should be a consideration to include them as a resource to
assist with the process as well as schedule students for office visits during this time.
! Dental Health Conference: There is a discussion about sharing current Shoulder to Shoulder practices
with the regional dental health community during the next six months. Using the project team to
organize this conference will be out of the scope of this project. Therefore, time, pay and resources for
the conference should be allocated from the appropriate Shoulder to Shoulder budget outside of the Oral
Health Prevention budget.
! Electronic Database: Shoulder to Shoulder Dental Department is discussing transferring all paper based
records in both Santa Lucia and Concepción into an electronic database. Whereas this is a beneficial
resource for the project, the assistance in training and data entry lies outside of the Oral Health
Prevention project team’s scope.
! Santa Lucia Clinic Program: Santa Lucia’s dental team is organizing a similar oral health prevention
project in primary schools in their municipality. Though resources and occasional project team members
will be shared, the Concepción project will be independent. Moreover, the Concepción project team will
not work with any of Santa Lucia’s selected schools nor patients on a regular basis.
! Children older than 8th
grade: The project addresses the need of poor dental health hygiene and increases
prevention-based access to care. The program will not be able to serve all demographics because of the
pilot restraints and resources available. Therefore, the program will serve only enrolled students, ranging
from kindergarten to eighth grade in the predetermined schools. The desired outcome, reduction in

August)10,)2011)
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cavities and improved oral health hygiene, will help to justify further expansion of similar programs to
more schools and a wider demographics group.
MEASURABLE OBJECTIVES
! Financial Objectives
Resource Objective
Transportation Cost will not exceed $500
Paper Cost will not exceed $100
Food Cost will not exceed $50
! Schedule Objectives
Milestone Date
Curriculum Completion September 1, 2011
Donated Dental Supplies Received September 5, 2011
Dental Chart Record Completed September 17, 2011
School Director Informational Meeting August 8, 2011
PROJECT ORGANIZATION
Dr. Idalia Ramos
Project Dental Clinician
Hombro a Hombro Concepción Dentist
Lesly Amaya
Project Dental Support
Hombro a Hombro Concepción Dental
Assistant
Peter Mann-King
Project Manager
Shoulder to Shoulder Assistant Brigade
Coordinator
Dr. Jan Tepe and Dr. Larry Tepe
Project Sponsor
Shoulder to Shoulder Dental Program Co-
Founders
Project Team

August)10,)2011)
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KEY OBSTACLES/CONCERNS
! Technology: Intibucá is located in a rugged and rural area. There is limited access to portable devices as
well as Internet. There are long periods of time when electricity and the Internet in the Concepción site
will lose Internet and power. Both of these occurrences will create obstacles for working with United
States based stakeholders and shareholders. It will also be a concern for storing project resources
electronically. Therefore, the project team will document progress and encounters primarily on paper to
later input for updating and reporting to the stakeholders and sponsors.
! Distance: As stated above, the five selected schools will be in the same geographic region and part of the
criteria will be based on accessibility. However, the distance to some of the schools will alter the daily
schedule for site visits to apply fluoride. The distance and access to transportation will also limit the
ability to meet with the school faculty, administration and families of the students on a regular basis.
Proper community outreach and communication practices will need to be taken into consideration.
! Language: Shoulder to Shoulder is global health organization that has a diverse member base. On the
project team, our sponsors have a Spanish language barrier requiring translation and interpretation when
communicating with the other members of the project team. In order to mitigate this, the project
coordinator will ensure that all language needs, in both Spanish and English, will be addressed in a
timely manner.

Oral%Health%Prevention%Program%in%Primary%Schools%
August)10,)2011)
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Stakeholder%Analysis
Primary
Stakeholders
Role on the Project
or Role within the
Organization
Contribution to
the Project
Project
Influence (Low,
Medium or
High)
Communication
Plan (Frequency
and Method)
Person Responsible
to Communicate
Hombro a Hombro
Concepción Dental
Staff
Facilitators of Project The project will be
coordinated out of this
office. The dental
clinic will provide
staff members and
supplies for fluoride
and dental education
supplies for each
enrolled student. The
clinic will also offer a
check-up visit for each
enrolled student in the
program.
High Daily-Face to Face
Meetings
Peter Mann-King
Hombro a Hombro
Health Promoters
Community Outreach and
Health Education Partners
The health promoters
assigned to the
selected school areas
will help promote the
program to the
selected schools and
act as a liaison to the
community. They will
assist to develop the
oral health education
curriculum and
provide oral health
talks during the
High Weekly-Face to Face
Meetings
Peter Mann-King

August)10,)2011)
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fluoride application.
Concepción
Primary School
Directors
Community
Representative
This group will meet
with the project staff
to enroll their students
in the program. They
will also determine
whether their school
will be enrolled in the
program. Each director
holds a high level of
influence over the
teaching staff, enrolled
students’ families, and
community.
High One Time10
-Face to
Face Meeting;
Weekly-Phone
Peter Mann-King
Shoulder to
Shoulder Dental
Donors
Financial and Supply
Donors
They will provide the
toothbrush, dental
floss, and toothpaste
for each enrolled
student. The funds
they provide will also
support the operational
needs of the program.
Medium Two Times11
-Email Dr. Jan and Larry Tepe
Shoulder to
Shoulder Dental
Program Co-
Founders
Program Visionaries Larry and Jan will
allocate funding for
printing and
transportation.
High Weekly-Email;
Monthly-Phone
Peter Mann-King
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Meeting to take place during first month in order to review program description and get feedback on program.
11
Dr. Larry and Jan Tepe built the dental donor base and they are best to communicate with them. Larry and Jan will send out an initial program proposal after the initial planning
meeting and at project completion.!!

August)10,)2011)
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Secondary
Stakeholders
Role on the Project
or Role within the
Organization
Contribution to
the Project
Project
Influence (Low,
Medium or
High)
Communication
Plan (Frequency
and Method)
Person Responsible
to Communicate
Shoulder to
Shoulder Board
Members
Financial support The board will offer
financial support and
operational support for
project.
Low Monthly-Email Dr. Jan and Larry Tepe
Hombro a Hombro
Dental Department
Staff
Operational support The greater Hombro a
Hombro Dental
Department will assist
with planning and
supplies if needed.
High Weekly-Email;
Weekly-Phone
Peter Mann-King
Hombro a Hombro
Medical
Concepción
Medical Clinic
Staff
Partner The dental and
medical clinics share
the same location. The
medical clinic will
support the needs of
the dental clinic when
patients come to visit
the clinic for check-
ups.
Medium Weekly-Face to Face
Meeting; Weekly-
Email
Peter Mann-King
Program Enrolled
Family Members
Student Support The family members
will agree to monitor
their child’s progress
and bring enrolled
student to the
Concepción dental
clinic for check-up.
Medium One Time12
-Face to
Face Meeting
Peter Mann-King
Teaching Staff at
program enrolled
Student Support The teachers will bring
students to the
High Weekly-Phone Peter Mann-King
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Meeting to take place during first month in order to review program description and get feedback on program.

August)10,)2011)
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schools scheduled fluoride
treatment and oral
health education talk.
They will also monitor
each student’s process
and reinforce healthy
brushing habits.
Hombro a Hombro
Operations
Department Staff
Transportation Provider The operations
department will
provide transportation
for all project
functions.
Low Weekly-Email;
Daily-Face to Face
Meeting and Phone
Peter Mann-King
Concepción Mayor Community Support The Mayor will
provide public support
of the program.
Low One Time13
-Face to
Face Meeting
Peter Mann-King
! !
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The Mayor will be formally informed about the project before the first meeting with the school directors.

August)10,)2011)
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Work%Breakdown%Structure%
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Deliverable 1 (1.1) Oral Health/Outreach Curriculum Duration
1.1.1 Meet with Dr. Larry and Jan Tepe 1
1.1.2 Develop oral health educational goals and desired outcomes 5
1.1.3 Meet with health promoter supervisor to discuss current oral health understanding in the
municipality
1
1.1.4 Develop “Steps to a Healthy Mouth” educational handout 10
1.1.5 Meet with school directors in the Concepción municipality to get feedback on program 2
1.1.6 Meet with teachers and family members at each enrolled school 14
Deliverable 2 (1.2) Dental Health Care Chart Duration
1.2.1 Review the current dental chart used 1
1.2.2 Select format and create template for project’s dental chart 1
1.2.3 Train dental assistant how to use the chart 2
1.2.4 Make copies of charts 5
Deliverable 3 (1.3) Fluoride Application Process Duration
1.3.1 Meet with Concepción Dental Department to discuss previous fluoride application programs 2
1.3.2 Take an inventory of the fluoride, toothpaste, toothbrush and dental floss 3
1.3.3 Report inventory to Dr. Larry and Jan Tepe 1
1.3.4 Receive dental supplies 30

August)10,)2011)
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Early Start Duration Early Finish
Late Start Slack Late Finish
Task Name
0 1 1
0 0 1
1.1.1 Meet with Dr. Larry and Jan Tepe
1 1 2
28 27 29
1.2.1 Review the current dental chart used
1 5 6
19 18 24
1.1.2 Develop oralhealth educational goals and
desired outcomes
1 2 3
1 0 3
1.3.1 Meet with Concepcion Dental Department
to discuss previous fluoride application programs
2 1 3
29 27 30
1.2.2 Select format and createtemplate for
project’s dental chart
6 1 7
24 18 25
1.1.3 Meet with health promoter supervisor to
discuss current oral health understanding in the
municipality
3 3 6
3 0 6
1.3.2 Take an inventory ofthe fluoride,
toothbrush, toothpaste and dental floss
A
B
C
KEY:
Network%Diagram%
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August)10,)2011)
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! !
6 1 7
6 0 7
1.3.3 Report inventory to Dr. Larry and Jan Tepe
7 30 37
7 0 37
1.3.4 Receive dental supplies
7 10 17
25 18 35
1.1.4 Develop “Steps to a Healthy Mouth”
educational handout
17 2 19
35 18 37
1.1.5 Meet with school directors in the
Concepcion municipality to get feedback on
program
37 14 51
37 0 51
1.1.6 Meet with teachers and family members at
each enrolled school
3 2 5
30 27 32
1.2.3 Train dental assistant how to usethe charts
5 5 10
32 27 37
1.2.4 Make copies of chartsA
B
C

August)10,)2011)
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Project%Budget%
%
! !
Overhead Costs
Rent $200.00 14
Vehicles $100.00 15
Cell Phone Service $250.00 16
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14
This is the use of the Hombro a Hombro Dental Clinic, which is paid for by the larger organization. This was a “free” resource for the project. This is a rough estimate.
15
This is the Hombro a Hombro maintenance for the vehicle fleet, which is paid for by the larger organization. This was a “free” resource for the project. This is a rough estimate.
16
This is the use of the Hombro a Hombro cell phone plan, which is paid for by the larger organization. This was a “free” resource for the project. This is a rough estimate as the price.!!
$550.00!
$4,509.99!
Overhead! Activities!!
Cost%Comparison%
Deliverable!1!
28%!
Deliverable!2!
8%!
Deliverable!3!
64%!
Activity%Costs%

August)10,)2011)
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Material Costs
Material Cost Quantity Material Cost Per Unit Total Cost
Printing Costs 200 Flyers $0.0317
per page $6.00
20 Agendas $0.0318
per page $0.60
500 Charts $0.10 19
per page $50.00
)Food for 1.1.5 9 guests $2.00 per person $18.00
Diesel Fuel for
Transportation
12 20 gallons needed for 200
miles traveled
$4.37 21 per gallon
$52.44
Fluoride Varnish 500 22
students $0.94 23
per student $470.00
Toothpaste 500 24
students $0.96 25
per student $480.00
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
17
This is an estimated price as printing will be provided by Hombro a Hombro
18
19
20
Each school is estimated to be on average distance of 20 miles round trip. There were a total of 5 schools. There was a cost for each director to attend the first meeting making
two visits per school.
Vehicle in use: Toyota Hilux 1996. The fuel economy was estimated from a similar 1996 Toyota Tacoma: MPG 17
This would be 200/17=12 gallons.
"Compare Side-by-Side." Fuel Economy. U.S. Department of Energy. Web. 8 Feb. 2015. <http://www.fueleconomy.gov/feg/Find.do?action=sbs&id=13078>.
21
Vehicle in use: Toyota Hilux 1996. The fuel economy was estimated from a similar 1996 Toyota Tacoma: MPG 17; Price per gallon in 2011 80.23 Lempiras. Exchange Rate in
2011: 18.332 Lempiras per U.S. Dollar [rounded average figure].
"Compare Side-by-Side." Fuel Economy. U.S. Department of Energy. Web. 8 Feb. 2015. <http://www.fueleconomy.gov/feg/Find.do?action=sbs&id=13078>.
"Currency Converter." Yahoo Finance. Yahoo. Web. 8 Feb. 2015. <http://finance.yahoo.com/currency-converter/#from=USD;to=HNL;amt=1>.
"Gasolinas Bajan Y Diesel Sube a Partir Del Lunes En Honduras." Economía. El Heraldo, 10 Nov. 2011. Web. 8 Feb. 2015. <http://www.elheraldo.hn/economia/608211-
216/gasolinas-bajan-y-diesel-sube-a-partir-del-lunes-en-honduras>.
22
On average each of the five schools had 100 students enrolled in the program.
23
At one unit per enrolled student. That is $35/37. The program will receive the fluoride varnish as a donated gift.
"Duraflor Sodium Fluoride Varnish (5%), Bubblegum, 32 - 0.25 ML Unit Doses." Net32. Net32, 1 Jan. 2015. Web. 8 Feb. 2015. <http://www.net32.com/ec/duraflor-duraflor-
sodium-fluoride-varnish-5-bubblegum-d-54564>.
24
25
At one unit per enrolled student. That is $58/60. The program will receive the toothpaste as a donated gift.
"Crest Travel Size Regular Toothpaste - .85 Oz(pack of 60)." Amazon. Amazon Inc., 2015. Web. 8 Feb. 2015. <http://www.amazon.com/Crest-Travel-Size-Regular-
Toothpaste/dp/B004MTC8UA#>.

August)10,)2011)
!
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Material Cost Quantity Material Cost Per Unit Total Cost
Toothbrush 500 26
students $0.99 27
per student $495.00
Dental Floss 500 28
students $2.22 29
per student $1,110.00
!
Activity Based
Budget
Deliverable 1 (1.1) Oral Health/Outreach Curriculum
Work
Package
Labor
Hours
Personnel
Wage
(Hourly) Materials Total Cost
WP
Cost
Del.
Cost
1.1.1 3 Dr. Larry Tepe $50.00 30
$150.00
3 Dr. Jan Tepe $50.00 31
$150.00
3
Peter Mann-
King
$12.00 32
$36.00
WP Subtotal $336.00
1.1.2 2 Dr. Larry Tepe $50.00 33
$100.00
1 Dr. Jan Tepe $50.00 34
$50.00
12
Peter Mann-
King
$12.00 35
$144.00
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
26
27
At one unit per enrolled student. That is $5.98/6. The program will receive the toothbrushes as a donated gift.
"Colgate Extra Clean Toothbrush, Full Head, Soft, 6 Count." Amazon. Amazon Inc., 2015. Web. 8 Feb. 2015. <http://www.amazon.com/Colgate-Extra-Clean-Toothbrush-
Count/dp/B00CC6XSSQ/ref=sr_1_1?s=hpc&ie=UTF8&qid=1423363245&sr=1-1&keywords=Toothbrush>.
28
29
At one unit per enrolled student. That is $11.09/5. The program will receive the dental floss as a donated gift.
"Reach Mint Waxed Dental Floss 100 Yards Per Pack (Pack of 5)." Amazon. Amazon Inc., 2015. Web. 8 Feb. 2015. <http://www.amazon.com/Reach-Waxed-Dental-Floss-
Yards/dp/B004Z246HM/ref=sr_1_2?s=hpc&ie=UTF8&qid=1423363422&sr=1-2&keywords=Dental+floss>!
30
Shoulder to Shoulder Dental Founder volunteering time-estimated hourly value for donated time.
31
32
Shoulder to Shoulder volunteer-estimated wage.
33
34
35

August)10,)2011)
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Work
Package
Labor
Hours
Personnel Wage
(Hourly)
Materials Total Cost WP
Cost
Del.
Cost
8
Dra. Idalia
Ramos
$9.10 36
$72.80
WP Subtotal $366.80
1.1.3 2
Peter Mann-
King
$12.00 37
$24.00
2 Suyapa Gomez $5.00 38
$10.00
WP Subtotal $34.00
1.1.4 10
Peter Mann-
King
$12.00 39
$120.00
2
Dra. Idalia
Ramos
$9.10 40
$18.20
Printed
flyers
$6.00
WP Subtotal $144.20
1.1.5 2
Peter Mann-
King
$12.00 41
$24.00
2
Dra. Idalia
Ramos
$9.10 42
$18.20
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
36
This is an hourly estimation of Dra. Idalia's 2 month salary in 2011 of 20K Lempira. Using Yahoo Finance 18.322 per U.S. $ the $ U.S. will be 20,000/18.322=$1,092.
$1,092/120 hours per month for a 5-day work week (found using google converter).
"Currency Converter." Yahoo Finance. Yahoo. Web. 8 Feb. 2015. <http://finance.yahoo.com/currency-converter/#from=USD;to=HNL;amt=1>
37
38
This information was not provided for Health Promotion salary. This is an estimation.
39
40
41
42

August)10,)2011)
!
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Work
Package
Labor
Hours
Personnel Wage
(Hourly)
Materials Total Cost WP
Cost
Del.
Cost
2
School Directors
(5)
$8.00 43
$16.00
2 Lesly Amaya $4.00 44
$8.00
2 Suyapa Gomez $5.00 45
$10.00
Printed
agendas
$0.60
Food Order $18.00
Fuel cost $26.22
WP Subtotal $121.02
1.1.6 10
Peter Mann-
King
$12.00 46
$120.00
10
Dra. Idalia
Ramos
$9.10 47
$91.00
$40.00
Did not calculate teachers, family and students as this value was beyond
estimating reasonably.
Fuel cost $26.22
WP Subtotal $277.22
Deliverable 1
Cost:
$1,279.24
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This information was not provided-this is an estimation.
44
45
This information was not provided for Health Promotion salary. This is an estimation.
46
Shoulder to Shoulder volunteer-estimated wage.!!
47
$1,092/120 hours per month for a 5 day work week (found using google converter).
48

August)10,)2011)
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Deliverable 2 (1.2) Dental Health Care Chart
Work Package Labor Hours Personnel Wage (Hourly) Materials Total Cost WP Cost Del. Cost
1.2.1 5 Peter Mann-King $12.00 49
$60.00
3 Dra. Idalia Ramos $9.10 50
$27.30
$16.00
1 Dr. Larry Tepe $50.00 52
$50.00
1 Dr. Jan Tepe $50.00 53
$50.00
WP Subtotal $203.30
1.2.2 1 Peter Mann-King $12.00 54
$12.00
0.5 Dra. Idalia Ramos $9.10 55
$4.55
0.5 Lesly Amaya $4.00 56
$2.00
WP Subtotal $18.55
1.2.3 2 Peter Mann-King $12.00 57
$24.00
$18.20
$8.00
WP Subtotal $50.20
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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50
51
52
Shoulder to Shoulder Dental Founder volunteering time. Estimated hourly value for donated time.!!
53
Shoulder to Shoulder Dental Founder volunteering time. Estimated hourly value for donated time.
54
55
56
57
58
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August)10,)2011)
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Work Package Labor Hours Personnel Wage (Hourly) Materials Total Cost WP Cost Dec. Cost
1.2.4 2 Peter Mann-King $12.00 60
$24.00
Printed charts $50.00
WP Subtotal $74.00
Deliverable 2 Cost: $346.05
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Shoulder to Shoulder volunteer-estimated wage.!!

August)10,)2011)
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Deliverable 3 (1.3) Fluoride Application Process
Work Package
Labor
Hours
Personnel
Wage (Hourly) Materials
Total
Cost
WP
Cost Del. Cost
1.3.1 3 Peter Mann-King $12.00 61
$36.00
$27.30
$12.00
2 William Daley $12.00 64
$24.00
1 Dra. Belkis Mejia $9.10 65
$9.10
1
Dra. Floricia
Amaya
$9.10 66
$9.10
1 Sandra Nicolas $4.00 67
$4.00
WP Subtotal $121.50
1.3.2 5 Peter Mann-King $12.00 68
$60.00
$18.20
$8.00
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Shoulder to Shoulder volunteer-wage estimation.
62
63
64
65
66
67
68
69
70

August)10,)2011)
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WP Subtotal $86.20
Work Package Labor
Hours
Personnel Wage (Hourly) Materials Total
Cost
WP
Cost
Del. Cost
1.3.3 1 Peter Mann-King $12.00 71
$12.00
0.5 Dr. Larry Tepe $50.00 72
$25.00
0.5 Dr. Jan Tepe $50.00 73
$25.00
WP Subtotal $62.00
1.3.4 5 Peter Mann-King $12.00 74
$60.00
Fluoride
Varnish
$470.00
Toothpaste $480.00
Toothbrush $495.00
Dental Floss $1,110.00
WP Subtotal $2,615.0
Deliverable 3
Cost:
$2,884.70
Total Activities
Cost:
$4,509.99
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72
73
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August)10,)2011)
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Total Project Cost
Overhead $550.00
Activities $4,509.99
Total $5,059.99
Notes:
All personnel are volunteers for this project. The Shoulder to Shoulder & Hombro a Hombro staff members will be paid by their regular wages from
the organization. The school directors will volunteer their time to meet and coordinate the program. The donor base and/or Dr. Larry and Jan Tepe
will donate all materials.
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August)10,)2011)
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Quality%Measurement%Plan%
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Measurable Objective:
What will you measure?
Why will it be measured? How will you measure it? How frequently will
the objective be
measured?
Interest in the community:
No more than 10% of the
families and community
members who attend the
community meeting at each
school will have an objection
or concern about the program.
This will be vital to ensuring
the program can be sustained
over the pilot phase. Without
the support of the families of
the students at the school the
brushing and flossing
component will not be
accomplished nor will the
check-up at the dental clinic
be possible.
This measure will be
measured by post-meeting
that will be handed out by the
school director. There will be
a question on the survey that
asks whether approve of the
pilot project or disapprove.
After the surveys are
complete the each school
director will deliver them to
the project team.
There will be one site
visit at each school.
This will happen one
time per month per
school. There are a
total of five schools in
the pilot project.
Improvement in oral
hygiene: At the end of each
site visit more that 75% of the
enrolled students at each site
will be able to demonstrate
how to use toothpaste,
toothbrush and dental floss.
The main goal of this
program is to improve oral
hygiene within the younger
generation in order to prevent
long-term oral health
complications.
As part of the fluoride
application process the final
stage will be meeting with a
team member to review
brushing and flossing
technique. A teach back
method will be used for each
enrolled student to
demonstrate competency.
There will be one site
visit at each school.
This will happen one
time per month per
school. There are a
total of five schools in
the pilot project.
Interest by school directors:
This project requires 100%
participation by the directors.
The school directors are key
community leaders and also
help to motivate the students,
At each visit the school
director must be present and
will be able to demonstrate
Monthly-at each
school director check-
in via site (fluoride

August)10,)2011)
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26
teachers and families.
Without their support the
program will not be
successful and achieve the
goal of improving oral health
literacy.
what the school is doing to
promote oral health. The
project manager will also
check in via phone to hear an
update. If an update is missed
or there has not progress
further discussions will need
to take place.
application) visit or
via phone.
Amount of post-fluoride
varnish application follow-
up appointments: There will
be no more than 40% no-
show rate by each of the five
schools.
One major component to the
pilot project is for each
enrolled student to have a
follow-up appointment in the
Concepción dental clinic.
This will be a free treatment
and cleaning to make sure
that each student has a
healthy mouth.
A list of all enrolled students
per school will be tracked
over the duration of the
program. Each student will
be called to schedule an
appointment post fluoride
application. The no-show
rate will be determined for
each of the schools.
Monthly-the school
lists will be monitored
each month
throughout the
duration of the
project.
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August)10,)2011)
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27
Risk%Management%Plan%
!
!
Potential%Level% Project%Impact%
1!=!High! 1!=!High!
2!=!Medium! 2!=!Medium!
3!=!Low! 3!=!Low!!
!
!
Potential Description of Risk Project
Impacts
Response Responsibility
2 Patient Confidentiality:
The project is focused on providing
preventative care and education in group
settings. The intention is also to provide
individualized feedback.
1 In order to prevent breach of
personal information in these group
settings it will be important to
avoid discussion of individual cases
in the group setting and direct the
conversation to a private setting.
This will be communicated to all
staff members and project team
members who work in group
settings for this project. A
participation contract will also be
drafted for the parent/guardian to
sign explaining the program and
type of care delivered. This will
allow for all participants who may
not want to expose themselves to
accidentally disclosing personal
health information if they feel this
Peter Mann-
King

August)10,)2011)
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28
is not necessary.
1 Power Outages:
In rural Honduras power outages happen
on a daily basis, which need to be taken in
to account when dealing with the
operations of the project.
3 There is not a warning system or
advance notice of these power
outages, but the clinic does have a
diesel generator that can run the
dental clinic if needed for 3+ hours.
This will allow for treatment to
finish if a patient is in the clinic at
the time. The clinic schedule will
be communicated to the director of
operations and communicated
clearly each day in order to be
ready to use the generator for the
dental clinic to complete in
progress treatment. In regards to
other aspects of this project, it
should not effect fluoride
application during the school visits
because they will all be made
during the middle part of the day
when there is daylight.
Peter Mann-
King
1 Internet Speed and Outages:
The clinic operates in a rural zone that
only allows for satellite connection
internet and also is dependent on the
electricity. The component to the project
that will be disrupted by internet speed
and outages will be the communication
2 A contingency plan will be made to
use mobile phones to call in place
of video conferencing or emailing.
The contact information for all
team members with at least two
different forms will be listed at the
start of the project. Prior check-ins
Peter Mann-
King

August)10,)2011)
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29
between the Honduran based team and the
stakeholders in the United States.
to the scheduled meetings will also
confirm the possibility of poor
internet connection or power
outages and convey the backup
plan of using cell
phones/telephones to conference.
1 Rainy Season:
This project will take place during the
rainy season in Honduras. This causes bad
roads and inability to use vehicles at the
worst conditions.
2 The project will ask for multiple
dates to do school visits per site for
fluoride application. Each school
will communicate at least two
different dates the project team can
visit and appropriate
communication will take place
when the weather conditions are
known and transportation factors
are confirmed.
Peter Mann-
King
3 Insufficient Program Donors 2 If program donors for the dental
program do not support sufficiently
the program the project team will
be applying for grants and other
sponsorships to assist with supplies
and program needs. One example
of this will be to meet with the
local Colgate representative to see
if they are able to sponsor or donate
toothbrushes, toothpaste, and dental
floss.
Dr. Larry and
Jan Tepe
3 Insufficient Supplies or Low Inventory 1 The above risk also will be used to Dr. Larry and

August)10,)2011)
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30
mitigate risk of insufficient
inventory. Besides donations the
project team will ask the dental
brigades that are scheduled to come
down during the project to bring
donations from their universities
and clinics to supplement the
program inventory. If there is
excess, the dental clinic will use
them for non-program patients in
the future.
Jan Tepe
2 Patient Emergency during site visits 3 During site visits there may be a
critical condition identified. This is
why each site visit will include a
dental provider to be able to triage
and treat if needed. There will be a
plan in place to transport the
individual to the dental clinic in
Concepción and this funding will
come from the larger organization.
Dra. Idalia
Ramos
3 Student Voluntarily Declines Program:
A student may choose to decline
enrollment in the program.
3 A student may choose to decline
enrollment in the program. To
prevent large numbers non-
participation the project team will
meet with the schools directors of
the program to answer any
questions they may have in order
for them to communicate to the
Dra. Idalia
Ramos

August)10,)2011)
!
31
families of the students. Since
many are familiar with the clinic
Dra. Idalia Ramos will also be
available to contact via phone for
all of the patients who may have
questions about the program. The
directors will be encouraged to
communicate apprehension to
enrollment and refer parents of the
students to speak with Dra. Idalia
Ramos.
3 Ministry of Health Government
Contract Regulations Changes
3 This contract “convenio” is new to
the organization. The dental team
and project management team will
be involved with dictating any
policy changes it will have on
dental care in the area. This will be
used as an opportunity to also gain
further support by the government
for dental care. The project and
goals will have a representative
present when discussing the
requirements of the government
contract in regards to the project.
Dra. Idalia
Ramos
%
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August)10,)2011)
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32
Lessons%Learned%
!
This!project!was!useful!to!teach!the!fundamentals!of!project!management!and!developing!a!plan!by!using!
a!past!example!of!mine,!a!pilot!school=based!oral!health!program.!The!key!insights!that!I!gained!while!
developing!a!project!plan!focused!on!the!Triple!Constraint,!scope,!time,!and!cost.!I!was!not!familiar!with!
this!model!before!taking!this!class!and!it!will!help!to!offer!a!framework!when!working!with!projects!in!the!
future.!Overall!this!helped!to!create!a!higher!quality!project!plan!that!mapped!out!all!the!key!
stakeholders,!project!team!members,!costs!and!most!importantly!a!time!line!for!the!project.!When!I!
coordinated!the!school=based!pilot!program!four!years!ago,!none!of!these!planning!stages!were!
incorporated!into!the!development!and!implementation.!For!this!reason!the!pilot!moved!slowly!through!
each!stage!because!project!roles!were!unclear!and!the!clear!parameters!to!the!project!were!not!well!
defined.!!
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The!first!part!of!this!course!and!the!first!few!assignments!focused!on!Scope!Management.!In!retrospect,!
further!development!of!this!would!have!greatly!improved!the!development!and!outcome!of!the!oral!
health!program.!One!example!of!an!initial!stage!success!four!years!ago!that!is!highly!important!is!the!
recognition!of!power.!Four!years!ago,!I!was!fortunate!to!work!with!the!dental!founders!of!the!
organization!who!introduced!me!via!email!and!in!person!to!the!organization!as!the!project!manager!for!
the!pilot!project.!Without!this!vital!introduction!and!designation!of!authority!the!project!would!have!not!
been!implemented!as!I!had!little!credibility!as!a!new!member!to!the!organization!and!a!long=term!
volunteer.!!
!
The!project!plan!includes!a!scope!statement!that!I!learned!the!most!from.!A!scope!statement!goes!beyond!
just!justification!of!why!you!are!doing!the!project.!A!program!that!helps!to!increase!Oral!Health!literacy!
and!offers!fluoride!application!to!rural!communities!in!Honduras!seemed!to!be!the!scope!and!justification!
that!drove!the!project!four!years!ago.!The!notion!of!serving!others!was!the!driver!for!the!team,!but!the!
team!never!defined!in!any!more!detail!what!the!outcome!and!means!should!be.!!
!
The!most!important!part!of!the!scope!statement!was!the!Known!Exclusions!section.!When!working!on!
this!section!I!analyzed!the!factors!that!affected!the!implementation!timeline!of!the!pilot!project.!These!
three!factors!were!known!in!advance,!but!never!formally!recognized!as!“Scope!Creep.”!To!mention!a!few,!
the!project!team!members!were!diverted!from!working!on!the!pilot!project!midway!through!the!
implementation!in!order!to!plan!a!dental!conference!and!two!dental!brigades.!Scope!management!taught!
me!that!if!the!scope!needs!to!be!well!defined!at!the!project!level!in!order!to!avoid!confusion!at!the!
organization!level.!This!was!difficult!four!years!ago!because!all!of!the!team!members!also!made!up!the!
organization’s!dental!department.!Without!formally!recognizing!risk!of!“scope!creep”!through!methods!of!
Known!Exclusions!on!a!formal!document!like!the!scope!statement!it!was!second!nature!to!bounce!
between!various!dental!projects!because!there!was!not!a!way!to!prioritize!projects.!!
!
During!this!project,!I!learned!that!the!scope!of!a!project!is!defined!by!structuring!it!around!deliverables!
and!tasks,!also!known!as!activity=based!project!planning.!In!the!scope!statement!defining!the!three!
deliverables!helped!to!shape!the!project!around!tangible!tasks!to!accomplish!the!three!deliverables!for!
the!pilot!program.!In!the!past,!there!was!not!any!set!deliverables!and!these!deliverables!were!often!
confused!with!objectives,!specifically,!scheduling!objectives.!The!Work!Breakdown!Structure!created!this!
activity=based!structure.!Mapping!out!how!to!develop!a!curriculum!was!a!discussed!by!the!team!four!

August)10,)2011)
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33
years!ago,!but!there!was!never!a!formalized!plan!that!mapped!out!each!task!that!fit!within!the!deliverable.!
Intuitive!tasks!like!meeting!with!the!school!directors!was!clear.!However,!using!this!deliverable!and!task!
to!frame!an!activity=based!outline!like!a!project!budget!was!not!clear.!This!assignment!taught!me!that!
material!costs!could!be!specified!even!further.!For!example,!we!did!not!calculate!the!transportation!costs!
partly!because!it!was!not!known,!but!also!because!there!was!not!a!structure!to!frame!the!budget!around!
beyond!a!lump!sum!ballpark!estimation.!This!money!came!from!an!allocated!organization!fund,!but!had!
we!been!more!restricted!financially!this!would!have!been!a!financial!risk!with!high!impact!to!the!project,!
as!transportation!the!sites!was!one!of!the!key!components!to!the!program.!Framing!the!budget!around!a!
deliverable=task!structure!would!have!made!the!budget!more!transparent!for!the!project!team!to!
approach!donors!and!gain!more!financial!support.!!
!
This!course!taught!me!to!always!realistically!estimate!costs,!materials,!and!time!needed.!During!the!
project!since!there!was!very!few!formalized!project!plans!in!place!the!team!typically!gravitated!towards!
ballpark!estimates!or!rough!order!of!magnitude.!An!example!of!this!was!the!cost!of!fluoride.!The!sponsors!
and!cofounders!of!the!dental!department!were!going!to!find!donors!and/or!donate!enough!individual!
fluoride!applicators!for!the!five!schools!we!served.!This!was!never!estimated,!but!when!the!team!
discussed!how!many!the!project!might!need,!we!compared!the!program!to!another!previous!program!
that!was!implemented!a!few!years!earlier,!using!the!rough!order!of!magnitude!estimation.!This!is!the!
reason!we!had!excess!amounts!of!fluoride!that!actually!continually!went!back!because!they!didn’t!all!get!
used!in!a!timely!enough!manner.!Though!this!was!never!calculated,!the!project!lost!close!a!substantial!
amount!of!money!because!of!unused!expired!fluoride!applicators.!For!this!reason!when!estimating!the!
budget,!the!project!budget!template!outlined!material!costs!and!tied!them!to!per!unit!costs!in!order!to!
make!a!realistic!estimation.!Furthermore,!the!Work!Breakdown!Structure!helped!to!define!a!task!that!
required!taking!inventory!of!the!current!supplies!before!requesting!for!me.!!
!
The!last!area!that!was!highly!useful!from!this!course!and!this!assignment!was!a!time!management!
framework.!The!network!diagram!done!in!Microsoft!Visio!showed!me!a!dynamic!way!to!map!out!projects.!
It!showed!sequences!directly!tied!to!the!project.!Instead!of!wondering!how!I!was!going!to!go!from!
meeting!with!Dr.!Larry!and!Jan!Tepe!to!the!actually!site!visits!the!network!diagram!shows!the!sequence!
and!interrelationship!between!the!three!deliverables.!This!would!have!helped!to!reduce!uncertainty!
about!which!stage!of!the!project!the!project!team!was!in!and!improve!allocating!resources.!An!example!of!
this!was!Dra.!Idalia!Ramos’!availability,!as!she!was!asked!to!go!to!the!site!visits!while!also!managing!a!in=
clinic!patient!schedule.!Having!the!network!diagram!and!incorporating!her!availability!in!Microsoft!
Project!would!have!helped!to!determine!which!days!were!the!best!to!go!to!site!visits.!Moreover,!it!would!
have!helped!to!improve!communication!with!the!program!sponsors!and!project!team!members.!I!would!
have!not!guessed!that!deliverable!1.3,!the!fluoride!application!process,!would!have!been!the!longest!path!
before!completing!the!network!diagram.!This!step!showed!the!interrelation!between!deliverables!and!
tasks!to!create!a!time!line!for!the!project.!!
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August)10,)2011)
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34
Corrections%Made%
!
Section( Corrections(Made(
Overall Formatting Changed all assignments to blue color scheme from black and white
Executive Summary Changed the first sentence in the last paragraph from “help to improve
barriers in the area” to “improved access to dental health care.”
Scope Statement In the project team member section, Lesly was listed without a last name.
This was researched and corrected to list full name of Lesly Amaya.
Stakeholder Holder Analysis Changed stakeholders listed as entities to people. Example: “Hombro a
Hombro Concepcion Dental Clinic” is changed to “Hombro a Hombro
Concepción Dental Staff.” Another example: “Hombro a Hombro
Medical Concepción Medical Clinic” was changed to “Hombro a
Hombro Medical Concepción Medical Clinic Staff”
Work Breakdown Structure Added additional materials needed to Deliverable 3-1.3.2: “Take an
inventory of the fluoride, toothpaste, toothbrush and dental floss.” In the
previous version there was only fluoride listed.
Network Diagram Corrected slack calculations for 1.2.1, 1.2.2, and 1.2.3. Starting with
1.2.3 slack the corrections was made between a slack of 30 to the
corrected number of 27.
Project Budget As an overview two graphs were added at beginning of budget section to
show breakdown of costs. Bar chart added to show breakdown of total
costs: overhead and activity costs. Pie chart added to break down each
deliverable cost with material costs assigned to each deliverable.
Project Budget Transposed the comments from the cells in Microsoft Excel to footnotes
in this document.
Project Budget Calculations for Diesel Fuel for Transportation in the material cost
section was not calculated correctly in MPG. This was corrected and cost
changed by over $1000. This also fit within the scope statements
Financial Objectives.
!

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