CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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SECTION 10: IN-DEPTH PROGRAMME REVIEWS CHECKLIST: HIV/AIDS [�] Tick appropriate box • Is counseling done in an area that ensures privacy Y N • Is HIV Rapid Testing available at this clinic (both rapid tests as per policy) Y N − Number of staff trained in HIV Rapid Testing Y N − Is testing done in an area that ensures privacy Y N − Is the result given to the client by the same counselor who did the pre-test counseling Y N − Is the quality assurance procedure followed Y N • If rapid testing not available – what is the turn around time for specimens sent to laboratories − Is this acceptable Y N � PMTCT • Are all pregnant women counseled and tested for HIV during routine ANC Y N • Are women appropriately counseled on taking Nevirapine at the appropriate times, where to deliver, the provision of Nevirapine to the baby and appropriate infant nutrition Y N • Is exclusive feeding of infants born to HIV positive mothers emphasized Y N • Where is the nearest “Mother to Child Transmission” treatment site • Does the referral hospital refer clients who have received Nevirapine during delivery back to the clinic Y N � HOME-BASED CARE • Is this facility linked to home based care services Y N How? • Does the facility provide and re-stock home care kits for Care Givers Y N • Are problems experienced with replenishing care kits Y N Comments: • Are there Volunteer Care Givers in catchment area of the facility Y N • Do facility staff supervise and support these Care Givers Y N Comments: � MANAGING THE HIV POSITIVE PERSON • Is contraception for HIV positive women promoted? Y N • Is dual protection for contraception emphasized Y N • Does the clinic provide information on “wellness management” Y N • Cotrimoxazole prophylaxis − Is Cotrimoxazole prophylaxis provided Y N − Are the indications for Cotrimoxazole prophylaxis followed Y N − Is there a register to track compliance Y N • TB and HIV − Are all TB patients offered VCT Y N • Do staff feel confident to deal with the range of opportunistic infections Y N • Is there update training required for managing opportunistic infections Comment: Y N • Do appropriate mechanisms exist to refer HIV positives for further medical care or social support? Is it functional Comment: Y N 30 Clinic Supervisor’s Manual
SECTION 10: IN-DEPTH PROGRAMME REVIEWS CHECKLIST: HIV/AIDS [�] Tick appropriate box � HIV OCCUPATIONAL HEALTH • Is this health facility practicing Universal precautions Y N − Are gloves routinely used for venesection and other invasive procedures Y N − Are needles correctly removed from syringes and correctly disposed Y N • Are staff members offered confidential counseling on STD and AIDS related issues Y N • Is there sufficient protective clothing available for maternity care, dressings, injections, etc Y N • Are clear guidelines available indicating the management of occupational injuries (needle stick injuries, contact with HIV positive bodily fluids) Y N • Where is the nearest supply of prophylactic treatment available for personnel Site: • Is it possible to access these anti-retroviral in the time prescribed by PEP guidelines Y N � DRUGS, EQUIPMENT AND SUPPLIES • Do stock outs of HIV related drugs occur (how often in last three months) Y N • Rapid Tests − Do stock outs of Rapid Tests or reagents occur (how often in last three months) Y N − Is the stock control procedure being followed Y N − Are there bin cards for test kits Y N − Are the bin cards correctly filled Y N − Are test kits stored properly Y N − Are test kits being used before expiry dates Y N � CONDOMS • Are condoms available at the clinic today Y N • Are condoms available in areas easily accessible to all persons visiting the clinic and in consulting rooms Y N • Are condoms stored in a cool and dry place Y N • Are there expired condoms in stock Y N • Are condoms supplied to community depots from this clinic Y N � RECORDING • Are all HIV Registers correctly completed and kept up to date Y N • Are clinic retained patient records correctly completed Y N • Are clinic retained patient records stored in a safe and confidential manner Y N • Is the PHC monthly report for HIV/AIDS correctly completed Y N • Are HIV/AIDS graphs correctly graphed and up to date Y N • Are there sufficient stocks of stationary for the HIV/AIDS programme Y N Clinic Supervisor’s Manual 31
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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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SECTION 6 REFERRAL SYSTEM GUIDELINE
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SECTION 6: REFERRAL SYSTEM GUIDELIN
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SECTION 7: GUIDE TO USE OF STG'S IN
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SECTION 8: COMMUNITY PARTICIPATION
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SECTION 9 NATIONAL NORMS AND STANDA
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Page 169: SECTION 11 CLINICAL TIPS • Introd
Page 172 and 173: COUNSELLING SKILLS Why do nurses ne
Page 174 and 175: Checklist for Interactive Counselli
Page 176 and 177: TUBERCULOSIS A thin and ill-looking
Page 178 and 179: ASTHMA What do I need to know about
Page 180 and 181: ASTHMA (cont.) Do I have the skills
Page 182 and 183: DIARRHOEA Why discuss managing acut
Page 184 and 185: DIARRHOEA (cont.) Counselling mothe
Page 186 and 187: HIV/AIDS: Prevention ACRONYMS FOR H
Page 188 and 189: HIV/AIDS: Prevention (cont.) � Du
Page 190 and 191: CONTRACEPTIVE SERVICES (cont.) �
Page 192 and 193: Checklist Counselling Contraceptive
Page 194 and 195: DRUG MANAGEMENT What is meant by "R
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CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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