training module for medical officers primary health centre - NVBDCP

4.9: PROGRAM MANAGEMENTThe various roles of MO-PHC as program manager are as follows: As team leader and program manager, the MO-PHC is responsible for results Manage change from current to future program strategy Execute program implementation Monitor disease burden and outbreaks Monitor laboratory quality Monitor data quality Contribute to annual district program plan for malaria controlCase managementThe information from M-4 should be analyzed every fortnight by the MO-PHC and the staff and actiontaken accordingly:Fever case load and the number of those tested positive for malariaAge/sex/pregnancy/SC/ST wise break up of positive casesReferrals / deaths among test positive casesTime taken from dispatch of slides to receipt of report at the villagesStock-outs of supplies reported by village level providersVector controlWeekly, for IRS during spray seasonSeasonal for bednet distribution and re-impregnationLot Quality Assurance Sampling (LQAS)The LQAS is a well-established survey sampling method that uses very small sample sizes to assesswhether a certain target has been reached or not; it is being used for the first time at large scale inhealth programs in India. LQAS uses binomial statistics to give reasonably reliable results at very lowcost and the results are about 92% reliable.A sample of 19 households / fever cases will be drawn from each block (block PHC) in each surveyround. The MTS will do LQAS surveys periodically along with other duties. LQAS survey involves datacollection and tabulation to assess indicators mainly on early diagnosis, prompt treatment and bednetuse. The results of LQAS will be available to MO-PHC and to the DMO for every PHC from severalrounds of such surveys a year; these can be compared over rounds to assess progress, and to helpplan ahead.Field visitsThe MO-PHC and MPHWs may during their field visits make relevant observations on the following: Use LQAS tools for gathering information on case detection and management, bednet utilization IRS effectiveness Awareness of malaria Assessment of awareness and skills of ASHAs Examine records of ASHA / volunteers and health workers91