Manual for Male Circumcision under Local Anaesthesia

More documents

Recommendations

Info

Male circumcision under local anaesthesia Version 3.1 (Dec09) The person responsible for the monitoring system must keep clinic staff informed about what needs to be recorded and reported. He or she must also adjust monitoring tools to reflect the information required. Monitoring performance in male circumcision programmes Fig. 9.1 is a graphic representation of how monitoring through routine data collection can help identify how programme performance (represented by the thick arrow) relates to programme objectives, using as an example the cumulative number of circumcisions performed per month. Programme objective: circumcisions performed Programme performance: circumcisions performed E E M M M M Start of programme Time End of programme Fig. 9.1. Monitoring and evaluation of programme performance in relation to programme objectives Evaluation Evaluation can be done by: • reviewing available records and reports (client record forms, clinic register, theatre register, adverse events forms, drug inventory forms, referral forms, etc.); • conducting supervisory assessments; • having staff conduct self-assessments; • conducting peer assessments; • obtaining feedback from clients (e.g. through exit interviews); • surveying community perceptions of the service; • comparing the clinic’s services with those of other facilities. Record keeping, monitoring, evaluation and supervision Chapter 9-3
Male circumcision under local anaesthesia Version 3.1 (Dec09) What are “good data” A monitoring system will provide useful information only if the data recorded are “good”. Clinic managers should ensure that staff are aware of the following: • Understanding the data. Staff responsible for keeping records should know exactly what information is needed, for example, adverse events associated with male circumcision. • Recording the data every time. Every time a staff member performs a procedure, sees a client, prescribes medication, receives a test result, or makes a referral, it should be recorded on the appropriate form. • Recording all the data. All the information requested on the monitoring forms should be completed. This might require noting when a particular treatment was not provided. • Recording the data in the same way every time. The same definitions, rules, and tests should always be used for reporting the same piece of information. In the long term, this may not be possible, as tests and definitions change, treatment evolves and new technologies are developed. When it is not possible to record data in the same way, a note should be made describing the change. It is not the role of clinicians (surgeons or medical, clinical and nursing officers) to develop a functional monitoring system for the facility. That is the role of the health planner or clinic manager. However, the clinicians need to know who is responsible for the monitoring system, to record data accurately and reliably, and to know how and when to report information related to the service or to patients. Clinicians can also help those responsible for the system by providing feedback about how the system is working, how information is shared with other clinicians, and how easy the various forms are for clinicians to complete accurately and reliably. In this way, the monitoring system to be as accurate and reliable as possible. Using monitoring information for intervention-related decisionmaking In the context of record-keeping and monitoring, information is good only if it can be used. Data that cannot be used should not be collected. QUALITY ASSURANCE Quality assurance is the assessment or measurement of the quality of care and services and the implementation of any necessary changes to either maintain or improve the quality of care rendered. Quality assurance has also been defined as a systematic process for closing the gap between actual performance and desirable outcomes. Record keeping, monitoring, evaluation and supervision Chapter 9-4
Page 1:
Male circumcision under local anaes
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13:
Page 16 and 17:
Page 18 and 19:
Page 20 and 21:
Page 22 and 23:
Page 24 and 25:
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124: Male circumcision under local anaes
Page 173: Male circumcision under local anaes
Page 185: Male circumcision under local anaes
Page 190: For more information, please contac
show all

Manual for Male Circumcision under Local Anaesthesia

Create successful ePaper yourself

Delete template?

Save as template?