CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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Checklist Counselling Contraceptive Service Clients on Choosing Methods 1. Did you: � Apply all the basic counselling steps (greeting, making the client comfortable, privacy, welcoming approach, encourage client to ask questions, etc.)? 2. Did you: � Ask the client if the aim is to wait and rest before next birth or to stop childbearing completely? 3. Did you: � Build on the client’s knowledge and what seem to be methods of interest? � Explain briefly all other methods available including emergency contraception? � Engage her/him in a dialogue that encourages questions and talking about any fears and doubts? � Ask about relevant medical conditions or if currently taking drugs, for example medications for TB or epilepsy? 4. Did your explanation of each method include: � How the method works if correctly used? � How to use (with samples of methods to show client, e.g. pills, injectables, condom, etc.) � Advantages/benefits and disadvantages � Possible side effects and complications and what to do if they occur? 5. Did you: � Tell the client that the choice is theirs, but offer information as a health expert and avoid making the decision for them? � Re-confirm that there are no medical conditions that would prevent use (i.e. take good history as per client record/card, check BP especially if they choose hormonal method, ask about STD risk particularly if they opt for IUD, and rule out pregnancy)? � If a method would not be safe, clearly explain why? � If there was need for increased dose or frequency of a method, explain why and how (e.g., persons on rifampicin for TB treatment)? � Ask the client if he/she knows how to prevent and protect against STDs, HIV/AIDS (need to talk briefly about safer sex, condom use, full treatment of STDs for self and partners etc.)? � Remind the client that condoms are the only contraceptive methods that offer reliable protection against STDs? 22 Clinic Supervisor’s Manual Always Sometimes Rarely or Never
6. Did you: � Make sure the client understands well about the method he/she has chosen and the importance of condoms as a protective method for STDs? � Explain the next step based on the method chosen (e.g., bi-manual or speculum exam if required)? � Supply the chosen method there and then? � Give a follow-up date for re-supply? � Invite the client to return any time if he/she has any concerns? � Refer to a method, or a service not available at this clinic? Comments: Clinic Supervisor’s Manual 23
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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 2: ORGANISING YOUR WORK AS
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SECTION 3 SUPERVISOR’S SUPPORT LI
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SECTION 3: SUPERVISOR’S SUPPORT L
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SECTION 4 ADMINISTRATION AND MANAGE
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SECTION 4: ADMINISTRATION AND MANAG
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SECTION 4: ADMINISTRATION AND MANAG
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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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SECTION 9: NATIONAL NORMS AND STAND
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SECTION 10: IN-DEPTH PROGRAMME REVI
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Page 169: SECTION 11 CLINICAL TIPS • Introd
Page 172 and 173: COUNSELLING SKILLS Why do nurses ne
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Page 176 and 177: TUBERCULOSIS A thin and ill-looking
Page 178 and 179: ASTHMA What do I need to know about
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Page 186 and 187: HIV/AIDS: Prevention ACRONYMS FOR H
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Page 190 and 191: CONTRACEPTIVE SERVICES (cont.) �
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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