Monday, December 6, 2010

Supportive Supervision to Health Facilities



During this quarter, the project made a supportive supervision to health six facilities in PBF Rungwe pilot area.  The team involved CSSC PBF Coordinator- Ms. Madina Mukulu and Mr. Sule, T.Michael Zonal PBF Coordinator for Rungwe PBF Pilot Project.  In the the supervision, the team used for the first time the jointly developed Participatory Monitoring and Evaluation indicators; which were developed for performance assessment.  The visit took two days i.e. from 1st November to 2nd November 2010.  The facilities visited included the following:  Ntaba Dispensary, Kasyabone Dispensary and Itete Hospital.  Others were Tukuyu Health Centre, Rungwe Mission Dispensary and Igogwe Hospital.  From the questionnaire, it was found that the Health facilities are doing well with exception of the (Health Management Information System, famously called MTUHA Books.  There is a mix of stories.  First, the facilities are lacking one important book: Book 10, where they summarize the data for the quarter and send the original document to DMO.  Second, the majority of staff in the visited health facilities were not trained on filling MTUHA. Again, there was a problem on the ledger for the medicines and medical supplies- they are not updated regularly.  In addition to that, the issue of HRH was seen as quite overwhelming in most of the dispensaries visited.  Definitely, it was due to the fact that the staff personal files either remains at the employer office- in this case the General Secretary or at the hospital level to Doctor.  At least that was easy to rectify as we agreed upon facilities having the copies.
From the general assessment made, the management of the facilities visited understood the need to improve these jointly developed for participatory Monitoring and Evaluation indicators.  Most of these were in their capacities.  However, each part understood the need for improvement.

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