training module for medical officers primary health centre - NVBDCP

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IInd Fortnight- 13 th of following month4 Fortnightly Report of cases (District) Ist Fortnight- 30 th of the monthsIInd Fortnight- 15 th of following month5 Fortnightly Report of cases (State) Ist Fortnight- 5 th of the monthsIInd Fortnight- 10 th of following month6 IRS output (VC2) – Round wise PHC – 15 days of completion ofSpray7 Bednet Delivery and Impregnation form (VC 4) PHC – 15 days of completion ofactivitySupportive Supervision:Supportive supervision is a continuous process which aims to increase the knowledge, develop theskills, improve the attitude and enhance the motivation of the health care functionaries. Supportivesupervision is not an instrument for fault finding but aids in identification of problems, solving them andimproving performance. It provides an opportunity to the supervisor and health workers to identify andaddress weaknesses together, thus preventing poor practices from becoming routine. Progression fromtraditional to supportive supervision may require changes in attitudes, practices and perceptions on thepart of supervisors.The protocol of supervision for each level of staff is given in table below.Table 5 : Supervisory protocol for staff under NVBDCPLevel Staff FrequencySub Centre MPHW (F); MPHW(F) Visit 1 ASHA per village during their visit & 2 patients treated byher in the last one month (checked from her record)Supervise IRS rounds in their villages as per SupervisorySchedule for IRSPHC MPHS (F); MPHS(M) As per their supervisory schedule visit all subcentres in the PHCDuring visit to subcentres, try to visit remote villages andinterview ASHA and 2 patients treated by ASHA in the last onemonth (checked from her records)Supervise IRS rounds in their villages as per SupervisorySchedule for IRSMOVisit all subcenters in the PHC once a monthDuring visit to subcentres, try to visit remote villages andinterview ASHA and 2 patients treated by ASHA in the last onemonth (checked from her records)Supervise IRS rounds in their villages as per SupervisoryBlock PHCCHC/FRU/Sub Dist.Hosp.MPHS (F); MPHS(M);MOMOMalaria TechnicalSchedule for IRSAs described aboveVisit all PHCs & microscopy centres in the area of Block BHConce a monthMonitor sentinel sites once a monthVisit all Subcentres once in 2-3 monthsDuring visit to subcentres, try to visit remote villages andinterview ASHA and 2 patients treated by ASHA in the last onemonth (checked from her records)Supervision of IRS rounds in the area of Block PHCVisit all PHCs and microscopy centres in the Malaria Unit59
Level Staff FrequencySupervisor (wheredeployed)(MU)once a monthVisit all sentinel sites in the MU once a monthVisit all subcentres once in 2 months; visit all villages once in 6monthsDuring visit to subcentres, try to visit remote villages andinterview ASHA and 2 patients treated by ASHA in the last onemonth (checked from her records)Supervise IRS rounds in the area of MU, especially the remoteand operationally difficult areasFurther details are given in the Training Module of MalariaTechnical Supervisor (MTS), The Checklist to be used by theMTS is given in Appendix 4To Establish Supportive SupervisionA. Improve performance Use a protocol/standard operating procedure including a supervisory checklist for each typeof unit supervised. Conduct supportive supervisory visits also within health care facilities you are in charge of. Provide staff with updates on policies or new recommended practices. Undertake on-thejobtraining see above supported by guidelines, manuals, visual aids. Plan supervision schedule in advance and communicate it to all those, who need to know.Lesser performing health facilities should receive extra or lengthier visits, so make sure thatthe initially planned schedule has slack time for this. Plan these visits as much as possible, when it is possible to observe the staff and interviewpatients. Talk to patients about the quality of services, preferably away from the healthfacility. Plan to spend sufficient time (from several hours, to a full day or more) to conduct thesupervisory visit to each unit. Rushed visit with no time for dialogue are inefficient. Follow up on recommendations made during previous visits. Discuss progress with thehealth facility Check the stocks and the condition of equipment. Compare stocks with records. Arestorage conditions correct? If not, help find solutions. Carry materials, and supplies for thehealth facility according to requests made or needs identified at previous visit. Review health facility records. and provide feedback to the staff as well as MO in charge. Analyse programme indicators for the health facility to make the performance objective andmeasurable. Involve the community in the evaluation process. Ask community members how they aretreated when they visit the facility. Talk to community leaders during the visit to get theirfeedback and identify jointly, what the community can do. Find out, if the relationship between community and health workers is good; if not, find outwhat is wrong and remedy the situation. Discuss strengths and weaknesses, and actions to be taken (by whom and by when). Identify gaps and solve problems in positive ways60
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TRAINING MODULEFORMEDICAL OFFICERSP
Page 3 and 4:
Distribution of malariaSESSION - 1:
Page 5 and 6:
National Malaria Eradication Progra
Page 7 and 8:
1.2 : JOB RESPONSIBILITIES OF MO- P
Page 9 and 10: SESSION - 2: MALARIOLOGY2.1: EPIDEM
Page 11 and 12: 2.2: MORPHOLOGY, LIFE CYCLE AND TRA
Page 13 and 14: Table 2.1: Differentiation of chara
Page 15 and 16: 2.3: VECTOR MOSQUITOES AND THEIR BI
Page 17 and 18: Bionomics of vector species in Indi
Page 19 and 20: 2.4: EPIDEMIOLOGICAL AND ENTOMOLOGI
Page 21 and 22: Entomological parameters should be
Page 23 and 24: Cerebrospinal fluid (CSF) is clear
Page 25 and 26: 3.2: LABORATORY DIAGNOSIS OF MALARI
Page 27 and 28: Examination of blood films for mala
Page 29 and 30: Plate 1: Plasmodium falciparum thin
Page 31 and 32: 3.3: MALARIA CASE MANAGEMENTAntimal
Page 33 and 34: This ACT is highly effective agains
Page 35 and 36: within 72 hours of treatment. Such
Page 37 and 38: In pregnancy, malaria, especially P
Page 39 and 40: Advice to the patients / caretakers
Page 41 and 42: The choice between IRS and ITN/LLIN
Page 43 and 44: Deploy staff for active case detect
Page 45 and 46: Visit the PHCs, subcenters and vill
Page 47 and 48: The Rapid Diagnosis Test (RDT) is d
Page 49 and 50: It should also be ensured that the
Page 51 and 52: Common problems for reluctance to g
Page 53 and 54: 3. Programme management Monitoring
Page 55 and 56: Worker (SFW) to the PHC-MO where a
Page 57 and 58: The data collected through the syst
Page 59: Outcome - IRS Coverage - Population
Page 63 and 64: With improved access to quality cas
Page 65 and 66: If an epidemic is predominantly due
Page 67 and 68: 500@ 20-25 houses per pump per day
Page 69 and 70: 3.1.6 Name of Laboratory Technician
Page 71 and 72: 3. Therefore, unless the deceased h
Page 73 and 74: To accord priority for IRS in areas
Page 75 and 76: Consumption of insecticide as deter
Page 77 and 78: Step 9: Wash equipments (basin, mea
Page 79 and 80: ProgramComponentBed netimpregnation
Page 81 and 82: Benefit of indoor insecticidal spra
Page 83 and 84: The MO-PHC is expected to provide a
Page 85 and 86: Ensure that they have adequate supp
Page 87 and 88: 4.8: LOGISTICS MANAGEMENTPlanningPl
Page 89 and 90: Planning of LLIN coverage is compli
Page 91 and 92: communication among the community f
Page 93 and 94: Examine level of stocksLook for unr
Page 95 and 96: During planned bednet distribution
Page 97: How many of the individuals actuall
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