CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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SECTION 5 INFORMATION SYSTEM GUIDELINES • Introduction • Guide for Reviewing the Monthly PHC Report • Adapted Guide to Monthly PHC Report - Elliot Health District • Monitoring Forms • Data Set Definitions • Information Manual
SECTION 5: INFORMATION SYSTEM GUIDELINES INTRODUCTION The information system provides the “brains” for primary health care, both to track services provided as well as guide managerial decisions. The quality of data provided from the clinics is the most critical factor in assessing the validity of the information system. If the monthly reports from the clinics are incorrect the entire system is mislead. A standard data form for PHC monthly data has been agreed to for each province, although individual districts can add additional information to this form if they desire. It is important that workers in the clinic understand the definitions of each data element and record it correctly. One of the most frequent errors is a misunderstanding of the definition of the data item. It is the supervisor’s job to understand the definitions and to scrutinize the monthly report each month to see that the information submitted is correct and valid. The District Health Information System - DHIS is the computer software that analyses this data. It provides not only for the validation of entry figures (detecting numbers which lie outside of a normal range described as the min and max of each data field and also does validity checks on certain figures to be sure that they are within the range of possibility). The computer automatically produces reports of the data for any desired period and calculates a whole set of indicators, many of which are described in this information section. It is important for people in the clinic to understand their own data and to use it for self analysis and decision making. For this reason clinic staff are encouraged to graph the data from their monthly reports. Supervisors are expected to assist and oversee in this graphing process. Each month the latest addition to the graphs should be discussed to decide whether or not progress is as expected. Some items such as immunisation coverage and family planning are best graphed in a cumulative graph. This shows the number for the month as well as the total numbers receiving the service since the beginning of the year to show the progress towards an annual objective. Other data is best graphed month by month to show differences according to season, such as cases of diarrhoea or acute respiratory illness. Sometimes data can be shown or traced on a locally drawn map. New cases of STD may cluster in a particular geographic area and will give hints on control. New cases of tuberculosis may show communities in particular need of intensified case finding and control of spread. The monthly review of the routine statistics is an important supervision activity and contributes to improved quality of both health services and management. Clinic Supervisor’s Manual 1
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Page 5 and 6: PREFACE Many of the manual’s sect
Page 7 and 8: INTRODUCTION GUIDELINES FOR THE PRE
Page 9 and 10: INTRODUCTION ELEMENTS OF THE SUPERV
Page 11 and 12: TABLE OF CONTENTS SECTION 1 HOW TO
Page 13 and 14: ABBREVIATIONS - ACRONYMS AA Alcohol
Page 15 and 16: SECTION 1: HOW TO USE THE CLINIC SU
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Page 20 and 21: SECTION 2 ORGANISING YOUR WORK AS A
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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 11 CLINICAL TIPS • Introd
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COUNSELLING SKILLS Why do nurses ne
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Checklist for Interactive Counselli
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TUBERCULOSIS A thin and ill-looking
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ASTHMA What do I need to know about
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ASTHMA (cont.) Do I have the skills
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DIARRHOEA Why discuss managing acut
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DIARRHOEA (cont.) Counselling mothe
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HIV/AIDS: Prevention ACRONYMS FOR H
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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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SECTION 12 PROBLEM SOLVING AND PRAC
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CLINIC SUPERVISOR'S MANUAL - Management Sciences for Health

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