CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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SECTION 10: IN-DEPTH PROGRAMME REVIEWS GUIDELINES FOR USING CLINIC SUPERVISOR’S TB CHECKLIST DRUGS 8 Clinic Supervisor’s Manual Intent/Purpose Information source � Do TB drug stock outs ever occur This allows the opportunity to explore the reasons for stock outs if they do occur and to make plans to prevent such occurrences. • Clinic staff • Drug stock cards TREATMENT SUPPORT SYSTEMS (A variety of treatment support systems exist at clinic level – these include clinic-based DOTS, community based DOTS and self-supervision by patients. It is important to understand what treatment support system each clinic provides and how the clinic is performing in providing treatment. A clinic may provide one or more forms of treatment support, therefore you need to enquire about the presence or not of each form of support.) � How does the clinic provide treatment to TB patients • Daily clinic based dots To determine whether this form of treatment is provided from the clinic • Clinic Staff − Number of TB patients currently on daily clinic based To determine how many patients are on clinic based DOTS. • TB register DOTS • Blue Cards − How many of these patients have missed more than One needs to get an idea of how well the clinic is performing in • Blue cards of patients on clinic-based three consecutive days of treatment during the last month ensuring that these patients take their TB drugs DOTS − What has been done to improve the compliance of If the clinic is experiencing problems with clinic-based DOTS clients it • Clinic staff patients who are not regular is important to determine what is being done to solve these problems • Through a network of community based treatment supporters (community based DOTS) To determine whether this form of treatment is provided from the clinic • Clinic Staff − Number of patients currently supported by treatment To determine how many patients are on community- based DOTS. • TB register supporters • Blue Cards − Does the clinic keep a record of the performance of the Clinic staff should be aware of how treatment supporters are • Clinic record to be created treatment supporters performing. − Do clinic staff meet regularly with treatment supporters There should be some form of interaction between treatment • Clinic staff supporters and clinic staff. It is important to enquire whether • Treatment supporters interaction does take place. • Clinic record of such meetings • Patients own responsibility to take treatment To determine whether this form of treatment is provided from the clinic • Clinic Staff
SECTION 10: IN-DEPTH PROGRAMME REVIEWS GUIDELINES FOR USING CLINIC SUPERVISOR’S TB CHECKLIST TREATMENT SUPPORT SYSTEMS – continued � How does the clinic provide treatment to TB patients Intent/Purpose Information source − How regularly does the patient collect treatment Knowing the regularity at which a patient collects treatment is • important as it does give an indication of the compliance of the patient. A patient who collects treatment weekly and is regular in that is probably taking the drugs whilst this may not necessarily be the case for persons collecting drugs monthly. It is also easier to detect compliance problems in patients who collect their drugs weekly than it is for those who collect drugs monthly. Blue card − Does the clinic monitor the regularity at which the It is important to know whether clinic staff have a system whereby they • Blue Card patient should collect treatment can detect patients who do not come back for treatment. • Other form of attendance register � Does the clinic have any form of outreach service for TB It is important to determine what efforts the clinic is making to deal with • Clinic staff patients TB patients who have either problems in obtaining TB drugs or who have compliance problems. Outreach services might be in the form of sending messages to the patient, linkages with community health workers and clinic committees/traditional leaders and sending clinic staff out to support patients. TB RECORDING (Proper TB recording supports the proper management of the TBCP) Intent/Purpose Information Source � Is the TB register correctly completed and up to date The recording of sputum results and patient outcomes are often inadequately done. It is therefore worthwhile to verify that this is done. � Are the blue clinic retained patient records fully completed and up to date � Are the green patient retained cards correctly completed and up to date It is necessary to ensure that the Blue Card is adequately completed and kept up to date It is necessary to ensure that the Green Card is adequately completed and kept up to date • Take the register and look at a couple of pages to assess whether it is fully completed or not • Take a few Blue Cards and look through them • If possible, find a few Green Cards and look through them Clinic Supervisor’s Manual 9
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CLINIC SUPERVISOR’S MANUAL
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PREFACE The Clinic Supervisor’s M
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PREFACE Many of the manual’s sect
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INTRODUCTION GUIDELINES FOR THE PRE
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INTRODUCTION ELEMENTS OF THE SUPERV
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TABLE OF CONTENTS SECTION 1 HOW TO
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ABBREVIATIONS - ACRONYMS AA Alcohol
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SECTION 1: HOW TO USE THE CLINIC SU
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SECTION 1: HOW TO USE THE CLINIC SU
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SECTION 2 ORGANISING YOUR WORK AS A
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SECTION 3 SUPERVISOR’S SUPPORT LI
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SECTION 4 ADMINISTRATION AND MANAGE
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SECTION 5 INFORMATION SYSTEM GUIDEL
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SECTION 5: INFORMATION SYSTEM GUIDE
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HIV/AIDS: Prevention (cont.) � Du
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CONTRACEPTIVE SERVICES (cont.) �
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Checklist Counselling Contraceptive
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DRUG MANAGEMENT What is meant by "R
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