Nutrition OTP SFP Technical Quality Checklist Yemen

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Part III: Random Spot-Check of OTP / SFP Treatment Cards

OTP / SFP Technical Monitoring Checklist


CARD 1 CARD 2 CARD 3
Yes (1) Yes (1) Yes (1)
Checklists are a simple tool for monitoring the quality of our activities. They
No (0) No (0) No (0)
enable us to monitor our performance against international standards and
19) Is there an ID # for each
highlight areas for improvement.
patient?
20) Have the target weights Methodology
been filled in?  This checklist is for nutrition technical specialists and should be used in
21) Are patients admitted on conjunction with the OTP / SFP General Quality Checklist.
the correct criteria?  Part II: Requires direct observation of 3 consultations
22) Is the follow-up history  Part III: Requires spot-checks of treatment cards
recorded completely?  Part IV: Requires observation and checking of referral records
 Comments: There is space for comments – please record as much detail
23) Are the follow-up physical as possible where standards are not met
exams filled in?
24) Is the prescription written Good Practice for Interviewing
on the card?  Always introduce yourself to beneficiaries – explain who you are, what
25) Are patients discharged you are doing and ask if they would like to be involved, explain that their
correctly? involvement is voluntary and their responses will be anonymous.

PART IV: Community Involvement & Record Keeping PART I: General Information
OBSERVATION / STAFF INTERVIEWS Yes (1)
No (0) Name of Person Monitoring
26) Is there a box file with separate sections for 1
admissions / defaulter / cured / death? 2
27) Is a tally sheet available and up to date for: 3
27.1) Screening? Names of Nutrition team 4
27.2) Health / hygiene / nutrition / IYCF education? members present at site 5
27.3) OTP? 6
27.4) SFP? 7
27.5) BSFP? 8
28) Is OTP / SFP / BSFP weekly and monthly reporting Date of Monitoring Visit
format available and up to date?
29) Have staff received training in the last 6 months? Location / Site Name
19) Are Nutrition Volunteers present on site?
20) Are Nutrition Volunteers involved in the work? SFP / OTP
21) Are referral slips for patients referred by community
volunteers available?
22) What number of patients today have been referrals?
23) What % of referrals received today have been %
incorrect?
PART II: Patient Management
PATIENT 1 PATIENT 2 PATIENT 3
Yes (1) Yes (1) Yes (1) Comment
No (0) No (0) No (0)
1) Is there a welcome word from the staff to
the caretaker?
2) Is the temperature taken for the patient
and read correctly?
3) Is the salter scale ready to use? (i.e. set
to Zero)
4) Is the weight read and recorded correctly?

5) Is the height taken and recorded


correctly? (i.e. laying a child up to 87 cm)
6) Is the MUAC taken and recorded
correctly? (i.e. left arm)
7) Is the Weight for Height correctly read?
(i.e. z score)
8) Is the bilateral Oedema assessed
correctly? (i.e. 3 sec pressure on both
feet)
9) Is the nutritional improvement or
deterioration communicated to the
caretaker?
10) Did caretaker bring the empty plumpy nut
/ sup sachet from the previous session?
11) Is the amount of sachets of plumpy nut /
sup given to the child correctly?
12) Is the measurement of oil and CSB given
to carers correctly?
13) Is the prescription correct?

14) Are the drugs given following the


prescription?
15) Is the first dose given under direct
observation?
16) Does the nurse explain the prescription to
the caretaker?
17) Are all patients with medical
complications / poor appetite / plus 3
odema referred to the stabilization
centre?
18) Is assessment and counseling of IYCF
taking place?
19) Is measles vaccination status checked
and patient referred if necessary?

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