training module for medical officers primary health centre - NVBDCP

provider? Why do they not consult the provider on time? What additional inputs are needed to makethis happen?Are there any problems being reported in the use of RDT? If there are a lot of RDT negative fevercases, what is the likely cause – is it not malaria, or could it be a problem with the test?Are RDTs being stored and used properly? Is this being supervised by MPHW / MPHS?Have all local providers learnt to do RDT confidently? Who are the providers who need extrasupport? How best can such support or training be provided? Is it necessary to replace any localprovider?Are the trends of disease indicators (fever incidence, test positivity) along expected lines? Are thereany big changes since the last month, or since the same season the previous year?Are there cases of possible severe malaria or deaths from fever reported this month? Are allproviders being encouraged to report these? Are there any barriers to reporting these?Have all cases of death been investigated? Did all cases of death or severe malaria receiveattention in time? Were they tested in time? Referred in time? Was a dose of ACT given beforereferral in each case?Are ASHA / volunteers having problems with recording or reporting? Can they read and understandlab reports?In the villages planned to be covered with bednets, are there families that do not have sufficientbednets for household size? Are they poor families or affording ones? How can this gap be quicklyfilled? In any of these villages, is it time to re-impregnate?Are there any reports of resale of nets, or abuse of nets?What proportion of people sleep under the bednets? Is there a difference between perception ofhealth workers and LQAS findings? What could be the reasons? What planned steps have not yetbeen taken to inform and advise people to use bednets?Has the laboratory been able to cope with the load last month? If not, why not? Are there qualityissues with microscopy?What is the stock position in the PHC of RDT / ACT / other supplies?Are supplies being stored appropriately – particularly RDT (visit the store personally and observe)?What are the problems with storage? Can they be resolved locally?During spray season, hold brief weekly reviews and ask the appropriate questions93