training module for medical officers primary health centre - NVBDCP

Examine level of stocksLook for unreported outbreaksMonthly program reviewsThe MO-PHC should set aside one day in every month for a detailed program review. It should beensured that the MIS data of previous month, findings of last round of LQAS and observations from thefield visits are available during the review. All relevant staff of the PHC including the store keeper andthe lab technician should be present during the review.While reviewing the data, specific questions will be asked for each problem to find out the reasons andthen look for possible solutions. Once a solution has been arrived at, specific responsibilities will beassigned to the appropriate staff member for execution of the duty and a deadline set for its execution.For urgent issues, the deadline set is an earliest possible date / time, but for most other issues, the nextmonthly review should suffice.In between monthly reviews, the staff should be reminded during interactions about what they areexpected to do. The MTS should also be informed about the date of the next monthly review meeting,so that s/he can attend and constructively contribute.Questions which should be asked during the monthly program reviewsDoes every village / hamlet / cluster / home have easy access to a local provider?Is there any local provider who has not reported during the current month?Is there any village / hamlet / cluster for which information is not available this month?Was there any outbreak reported in the last month by a local provider that was not attended in timeby PHC staff?Was there any stock-out in RDT / ACT reported by any local provider? What was the reason? Whatwas the mechanism responsible for ensuring continuous supply and why did this fail?In the “slide” villages, what proportion of slides reports reached the village later than one day afterdispatch from the village? Review the reasons: has a mechanism for timely transport and reportingbeen established for every such village? Who are responsible for this mechanism? Which part ofthis mechanism is not working, why?How many slide reports did not reach the village level provider in time for making the monthlyreport? How can this number be reduced next month?In all villages, what proportion of fever cases were tested within a day of the start of fever? Is therea difference between MIS and last round of LQAS? What could be the reasons? Review examplesof cases, and find the reasons: Are people in the village aware of the presence of the local92