Monitoring, Supervision, Reporting and Evaluation

5 days ToT CMAM; Nutrition Cell, Health Department, Govt. of Sindh

OBJECTIVES OF THE SESSION:

Definition and Purpose of Monitoring, Supervision

& EvaluationNutrition Data Flow and NIS in PakistanData Collection & NISProgram Indicators or SPHERE Minimum Standards of CMAM SQUEAC Survey and its purposeReports using for improvement

Definitions and purpose of Monitoring, Evaluation &

Supervision•Monitoring= Observation & Quality check•Evaluation= Performance v/s Set of goals=impact

•Supervision= (Super+Vise) Supportive nurture to ensure Accuracy & Accept-ability.•PURPOSE: Prog. Effectiveness? Quality assurance? through (3As and E) -International agreed Indicators•=Accept-ability Compare With•=Accuracy Minimum SPHERE Standards.•=Appropriateness -Indicator Data collected from=

•=Efficiency Reporting System (NIS)

NIS Nutrition Data Flow in Pakistan

District Data Compilation

Community

TSFP

OTP NSC

National Data

Compilation

Provincial Data

Compilation

NIS Data Collection System • Numbering system

• Data collection - Individual Data, Caseload

data - New Admission OTP,TSFP,NSC as per

Protocol

- Moved In from other HF

- Discharges (Cured, Defaulter/Death, NC, SC, Med. Transf, TSFP, OTP, etc)

- Moved out to other HF SAM Discharges

• Program Indicators (Admissions & Min. International SPHERE Standards)

• Weight gain/coverage

Program Indicators (Admissions & Min. International SPHERE

Standards)•SPHERE: Standard Protection Humanitarian Education Response made by international NGO

coalition (HAP etc).•Cured Rate= >75% in all CMAM Components•Death Rate= <3% in OTP, TSFP & <10% in

SAM+SC•Default Rate= <15% in all CMAM Components

•FORMULA:Cured Rate= No. of Cures*100/Total Discharged

While as total d/c= Cured+Death+Def+NC+Med.T+TFP

Death Rate= No. of Death*100/Total DischargedDefault Rate= No. of Default*100/Total

Discharged

Coverage SPHERE Standards: Rural: >50% Urban: >70%

While as for any Emergency/Disaster Camp: >90

Weight Gain:Normally: Over 200g/week but if it’s >800g=

Improper!

Reports as Lesson-to improve ProgramCOVERAGE solves: Low coverage, High default or non-response rate and High Mortality (death rate

which may also be due to poor SC treatment) or late referral to SC (means not before medical

complication).

Coverage SQUEACQuantitative/Qualitative Social mapping &

outreach improves All Issues of coverage and other poor performance facts.

Length of Stay:High LoS indicates failure of program. As per

NIS the Maximum LoS is 120 Days.

Supervision

Monitoring improves:

Pre-Default. Tracing

improves:

Mid term Evaluation

For Superviso

rs

Tools: -Checklist-Reports-Output Tracker

LET’S FIGHT THE MALNUTRITIONLET’S FIGHT THE MALNUTRITION

Thank you!