Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and...
-
Upload
sabrina-reynolds -
Category
Documents
-
view
216 -
download
1
Transcript of Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and...
![Page 1: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/1.jpg)
Unit 10. Monitoring and evaluation
TB Infection Control Training for Managers
at the National and Subnational Levels
![Page 2: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/2.jpg)
Objectives
After this unit, the participant will be able to:
• Define monitoring and how it is essential to supervision
• List two indicators to use in monitoring infection control at the national level, and two for use at the facility level
2
![Page 3: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/3.jpg)
Outline
• Definitions: monitoring vs. evaluation
• Types of indicators: input, output, outcome and impact
• Choice of indicators
• Examples of indicators at global, national and facility levels
• Setting targets
3
![Page 4: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/4.jpg)
Lifecycle of IC plan
Develop the plan (to include goals and objectives)
Implement
Monitor,evaluate
Revise
4
![Page 5: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/5.jpg)
Monitoring is….
• The routine tracking and reporting of priority information about a programme or project, its inputs and intended outputs, outcomes, and impact
5
![Page 6: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/6.jpg)
Monitoring
• Uses data obtained through record keeping, regular reporting, surveillance systems, observation or surveys
• Helps managers determine which areas require greater effort
• Is essential for supervision
• Is also used to measure trends over time, so methods need to be consistent to ensure appropriate comparison
6
![Page 7: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/7.jpg)
Evaluation is…
• The rigorous, scientifically-based collection of information about the program activities, characteristics, and outcomes that determine the merit or worth of the programme
7
![Page 8: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/8.jpg)
Evaluation studies
• Provide credible information for use in improving programmes, identifying lessons learned, and information decisions about future resource allocation
8
![Page 9: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/9.jpg)
9
short and medium term effects of the outputs
long term, cumulative effect of the programme over timeImpact
Outcome
Output
M&E framework
products or deliverables of the programme’s interventions
Inputfinancial, human and material resources
![Page 10: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/10.jpg)
10
Coughing patients are rapidly identified, separated, and served
Fewer health care workers with TB Impact
Outcome
Output
Example of a results chain
HIV clinics have written triage procedures for coughing patients
InputInfection Control focal point staff identified and trained
![Page 11: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/11.jpg)
Indicators
• Provide useful tools for supervision at all levels– Are we doing the right things?– Are we doing them right?
• Help managers and supervisors determine:– What’s going well and should be reinforced
and replicated elsewhere?– What needs improvement and how can the
gaps be addressed?11
![Page 12: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/12.jpg)
Choose indicators that:
• Are able to measure performance• Provide strategic information needed to
make good decisions for managing and improving programme performance
• Are reliable and measurable on a regular basis
• Are clear, with well defined numerators and denominators using standard definitions
12
![Page 13: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/13.jpg)
Standardized IC indicators for collaborative TB/HIV activities
• Proportion of health-care facilities providing services for people living with HIV that have infection control practices that include TB control
• Proportion of health-care workers, employed in facilities providing care for people living with HIV, who developed TB during the reporting period
13
![Page 14: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/14.jpg)
Global IC indicators and targets
By 2012, 50% of countries should have• Developed a national TB infection control plan• Set up national surveillance of TB disease
among health workers• Assessed major health-care facilities and
congregate settings for TB IC• Reported on the implementation of TB infection
control
By 2013, all countries
14
![Page 15: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/15.jpg)
Examples of national IC indicators
• How many health care workers had TB in the past year?
• Have health care workers been trained in the past year?
• Of the country’s tertiary (referral) hospitals, how many have:– A person in charge of TB infection control?– A TB IC assessment done in the past year?– Training on TB IC conducted in the past year?
15
![Page 16: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/16.jpg)
Examples of facility level IC indicators
• Facility level plan in place• Person responsible for TB IC• Health facility assessment done• Training conducted• Triage and separation of TB patients
– # TB cases or suspects missed at intake • Adequate ventilation and/or UVGI• Use of respirators by HCWs in high risk
settings16
![Page 17: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/17.jpg)
17
Number of TB cases or suspects missed at intake to the facility
Number of health care workers with TB Impact
Outcome
Output
Facility-level indicators
Facility-specific, written triage procedure exists
InputInfection control focal person is identified and trained
![Page 18: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/18.jpg)
Setting targets
• Gap analysis: baseline compared to need not yet met
• Constraints to meeting the need
• Feasibility for scaling up
18
![Page 19: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/19.jpg)
Example of setting a target
By 2015, __ of the country’s HIV clinics will have a written policy for identification and separation of coughing patients
• Gap analysis: baseline is 0, need is 100%• Constraints: no template policy, limited
training capacity, few IC focal persons in the HIV clinics
• Feasibility: resources available to address the constraints and fill the gap
19
![Page 20: Unit 10. Monitoring and evaluation TB Infection Control Training for Managers at the National and Subnational Levels.](https://reader030.fdocuments.us/reader030/viewer/2022032605/56649e755503460f94b75b38/html5/thumbnails/20.jpg)
Summary• Monitoring is the routine tracking and
reporting of priority information about a programme
• Use global indicators to allow measurement of impact across countries
• Chose additional indicators that provide strategic information needed to make good decisions for managing and improving programme performance
• Adapt standardized IC indicators to your country context, and use them for supervision at each level 20