IDSP 11www.medicos11.com : IDSP 11www.medicos11.com
Monitoring, supervision and quality control : Monitoring, supervision and quality control IDSP training module for state and district surveillance officers
Module 11
Learning objectives : Learning objectives Categorize the components of surveillance activities at the district level for which district surveillance officer will be responsible
List the subcomponents of each of the above components for which district surveillance officer will undertake quality assurance in IDSP
Describe the role of state and central agencies for supervision and quality control in IDSP
Describe the objectives and steps in supervision of activities
Supervision and monitoring : Supervision and monitoring Good supervision helps health staff to perform their best
Monitoring is also a vital component of any surveillance programme
Prerequisites for supervision : Prerequisites for supervision Job description
Should clearly describe the surveillance activity to be performed by each category of health staff
Resources
Required by supervisory team to perform this activity
Attitude
Supervision should not be a fault finding mission
Steps in supervision (1/2) : Steps in supervision (1/2) Prepare supervisory plan
Visit each reporting unit at least quarterly
Make a check list to help the team review most of the important activities
Review the previous supervisory visit report, so that supervisory team is apprised about field situation
Steps in supervision (2/2) : Steps in supervision (2/2) Activities during the visit
Use checklist
Observe
Review records
Conduct focus group discussions with staff
Provide feedback
Positive and negative
Recommend specific actions
Specific time frame
Monitoring : Monitoring Monitor all surveillance activities using standard performance indicators
District surveillance office monitor indicators of reporting on a regular basis
Integrated disease surveillance programme activities to be monitored : Integrated disease surveillance programme activities to be monitored Collection of data
Compilation of data
Analysis and interpretation
Follow-up action
Feedback
Weekly indicators of collection and compilation of data : Weekly indicators of collection and compilation of data Timeliness of reports
Completeness of reports
Number of reporting units providing regular/timely/complete reports
Number of sentinel private practitioners providing regular/timely/complete reports
Laboratory performance indicators : Laboratory performance indicators Proportion of laboratory specimens received in good condition
Proportion of laboratory specimens received with completed form
Proportion of results reported within seven days after receipt of specimen
Monthly/quarterly indicators for midterm review and correction of programme : Monthly/quarterly indicators for midterm review and correction of programme Annual indicators
Completeness & Timeliness
Analysis and interpretation of data : Analysis and interpretation of data Percentage of outbreaks detected by the system
Monthly and annually
Follow-up action indicators : Follow-up action indicators Percentage of outbreaks detected within one incubation period
Percentage of outbreaks that have been investigated
Percentage of outbreaks investigated within 48 hours of detection
Feedback indicators : Feedback indicators Number of monthly meetings at community health centre with surveillance staff, over last 6 months
Number of village health committee meetings attended by primary health centre staff every 3 months
Percentage and quality of newsletters published
Other indicators : Other indicators Percentage of positions filled
Percentage of staff at each level trained
Percentage of districts with functional rapid response team
Percentage of districts with functional laboratories
Central agencies responsible for quality control : Central agencies responsible for quality control Central surveillance office
National Institute of Communicable Diseases
Indian Council of Medical Research
Other agencies identified by the Ministry of Health and Family Welfare for external evaluation : Other agencies identified by the Ministry of Health and Family Welfare for external evaluation World Bank
World Health Organization
United States Centers for Diseases Control and prevention (CDC)
INDIACLEN
Potential activities to improve the quality of surveillance (1/2) : Potential activities to improve the quality of surveillance (1/2) Ensure that necessary resources and incentives identified in the programme have been provided to the functionaries
Identify the right person for the right task and change work responsibility to suit the individual
Conduct site visits to identify and supervise the activities of the functionaries
Identify weakness and help with additional training of personnel on site as required
Potential activities to improve the quality of surveillance (2/2) : Potential activities to improve the quality of surveillance (2/2) Keep personnel contact to understand problems associated with functionary
Discuss persisting problems to identify solution at the district surveillance monthly meetings and take appropriate actions specified by the group
Give written instructions on the solutions suggested by the group to the functionary
Points to remember (1/2) : Points to remember (1/2) Monitoring and evaluation is a continuous activity carried out at different levels by different persons as part of the quality assurance
The main objective of supervision and monitoring and evaluation is to encourage and improve the quality of work associated with surveillance and not to find fault with the individual and system
Supervision, monitoring and feed back maintain quality of surveillance activities
Points to remember (2/2) : Points to remember (2/2) Identify right person for the right task
Provide training, resources and incentives
Supervision and monitoring in private sector units has to be done with greater sensitiveness and with understanding the partnership role of voluntary agencies and communities