Formative Supervisions. Concerning the formative supervision, a total of 86 Health Workers that had been trained in FY17 Q4 on lab diagnosis by RDT and case management with ACT received formative supervision (on-job). Also, 39 Health Workers trained in FY17 Q4 on malaria prevention through IPTp were supervised. The table below gives more details on the formative supervisions that happened in Q1: Number of health workers supervised in the 6 PMI provinces between Oct-Nov-Dec 2017 Province ACT/RDT MiP/IPTp (ANC) Source Malanje 17 7 Supervision Forms (“Guiões”) Uíge 12 5 MENTOR Report for Q1 FY18 Total 85 28 • Strengths: o Approximately 90% of the supervised nurses, during clinical consultation with malaria suspect patients, followed correctly the initial procedures taught during case management trainings, collecting clinical history information (anamneses); o Up to 65% of the supervised health workers doing case management of malaria, performed differential diagnosis of patients through RDTs, referring negative for malaria patients to other health services for follow-up; o When probed, most (over 85%) of the supervised health workers were able to list main signs and symptoms of uncomplicated malaria; o All (100%) RDT positive patients were appropriately medicated with ACT, according to the national protocol for treatment of uncomplicated malaria. • Weaknesses: o Around 10% of the Health Units that were visited during the formative supervision did not have all tools for collection of statistical information about patients being assisted, such as: ▪ Registry book for patients at the general consultation room (screening) ▪ Registry book for patients at the laboratory ▪ Registry book for patients at ANC clinic ▪ Medicine stock record files and weekly medicine use registry ▪ Common delays in supply of RDTs and ACTs to Health Centers and Health Posts
Formative Supervisions. Methods To assess the impact of continuous training of health workers on malaria case management, supervision activities were conducted from April to June of the current year (2018), in four provinces of Angola (Malange, Kuanza Norte, Lunda Norte and Lunda Sul), covered by HFA project. A total of 40 health units received supervision. Province Total Nº of Health Units Malange 7 Kwanza Norte 16 Lunda Sul 8 Xxxxx Xxxxx 0 Total Nº of provincial health units 40 A survey tool developed by the NMCP was used for assessing the availability of diagnosis methods (microscopy and RDT). The scope of supervision covered the assessment of health workers knowledge and good practices for malaria case management, in 40 health units. The supervision was conducted using a checklist tool appropriated for tree sections representing the health areas supervised: prenatal care, pediatrics and adult medicine; health workers at the emergency room at each of these sections, where also supervised. In each section the checklist focused in the following aspects:
