Monitoring, supervision and �quality control

Monitoring, supervision and quality control IDSP

1. Monitoring, supervision and
quality control
IDSP training module for state and
district surveillance officers
Module 11

2. Learning objectives
•Categorize the components of surveillance activities
at the district level for which district surveillance
officer will be responsible
•List the subcomponents of each of the above
components for which district surveillance officer
will undertake quality assurance in IDSP
•Describe the role of state and central agencies for
supervision and quality control in IDSP
•Describe the objectives and steps in supervision of
activities

3. Supervision and monitoring
•Good supervision helps health staff to
perform their best
•Monitoring is also a vital component of any
surveillance programme

4. Prerequisites for supervision
•Job description
Should clearly describe the surveillance activity
to be performed by each category of health staff
•Resources
Required by supervisory team to perform this
activity
•Attitude
 Supervision should not be a fault finding mission

5. Steps in supervision (1/2)
•Prepare supervisory plan
•Visit each reporting unit at least quarterly
•Make a check list to help the team review
most of the important activities
•Review the previous supervisory visit report,
so that supervisory team is apprised about
field situation

6. Steps in supervision (2/2)
•Activities during the visit
Use checklist
Observe
Review records
Conduct focus group discussions with staff
•Provide feedback
Positive and negative
•Recommend specific actions
Specific time frame

7. Monitoring
•Monitor all surveillance activities using
standard performance indicators
•District surveillance office monitor indicators
of reporting on a regular basis

8. Integrated disease surveillance
programme activities to be monitored
•Collection of data
•Compilation of data
•Analysis and interpretation
•Follow-up action
•Feedback

9. Weekly indicators of collection and
compilation of data
•Timeliness of reports
•Completeness of reports
Number of reporting units providing
regular/timely/complete reports
Number of sentinel private practitioners
providing regular/timely/complete reports

10. Laboratory performance indicators
•Proportion of laboratory specimens received
in good condition
•Proportion of laboratory specimens received
with completed form
•Proportion of results reported within seven
days after receipt of specimen

11. Monthly/quarterly indicators for midterm
review and correction of programme
•Annual indicators
•Completeness & Timeliness

12. Analysis and interpretation of data
•Percentage of outbreaks detected by the
system
•Monthly and annually

13. Follow-up action indicators
•Percentage of outbreaks detected within one
incubation period
•Percentage of outbreaks that have been
investigated
•Percentage of outbreaks investigated within
48 hours of detection

14. Feedback indicators
•Number of monthly meetings at community
health centre with surveillance staff, over
last 6 months
•Number of village health committee
meetings attended by primary health centre
staff every 3 months
•Percentage and quality of newsletters
published

15. Other indicators
•Percentage of positions filled
•Percentage of staff at each level trained
•Percentage of districts with functional rapid
response team
•Percentage of districts with functional
laboratories

16. Central agencies responsible
for quality control
•Central surveillance office
•National Institute of Communicable Diseases
•Indian Council of Medical Research

17. Other agencies identified by the Ministry
of Health and Family Welfare for
external evaluation
•World Bank
•World Health Organization
•United States Centers for Diseases Control
and prevention (CDC)
•INDIACLEN

18. Potential activities to improve
the quality of surveillance (1/2)
•Ensure that necessary resources and incentives
identified in the programme have been provided to
the functionaries
•Identify the right person for the right task and
change work responsibility to suit the individual
•Conduct site visits to identify and supervise the
activities of the functionaries
•Identify weakness and help with additional training
of personnel on site as required

19. Potential activities to improve
the quality of surveillance (2/2)
•Keep personnel contact to understand problems
associated with functionary
•Discuss persisting problems to identify solution at
the district surveillance monthly meetings and take
appropriate actions specified by the group
•Give written instructions on the solutions suggested
by the group to the functionary

20. Points to remember (1/2)
•Monitoring and evaluation is a continuous activity
carried out at different levels by different persons
as part of the quality assurance
•The main objective of supervision and monitoring
and evaluation is to encourage and improve the
quality of work associated with surveillance and not
to find fault with the individual and system
•Supervision, monitoring and feed back maintain
quality of surveillance activities

21. Points to remember (2/2)
•Identify right person for the right task
•Provide training, resources and incentives
•Supervision and monitoring in private sector
units has to be done with greater
sensitiveness and with understanding the
partnership role of voluntary agencies and
communities