Table 1 Supervision checklist and scorecard
From: Paying health workers for performance in Battagram district, Pakistan
S. No | Activity/Task | Observation | Total obtained |
|---|---|---|---|
1 | Centre functional | Open (5) Closed (0) | 5 |
2 | Out-look of the Centre | Poor (0) Satisfactory (1) Good (2) Excellent (3) | 3 |
3 | Cleanliness of the centre | I/C room (1) Pt. Waiting Area (1) LHV room(1) EPI room (1) Store (1) | 5 |
4 | Staff uniform | Yes (1) No (0) | 1 |
5 | Necessary information display | I/C (1) LHV (1) EPI (1) | 3 |
6 | Attendance register maintained | Yes (2) No (0) | 2 |
7 | Staff leave record maintained | Yes (1) No (0) | 1 |
8 | Absent staff report submitted | Yes No | If not, state reason |
9 | Sufficient office furniture | Available Not available | If not, state reason |
10 | Diagnostic set | Available Not available | If not, state reason |
11 | Registers HMIS maintained | OPD (1) EPI (1) Mother health (1) Child health (1) Birth register (1) Family planning (1) Stock register(1) Medicines register (1) | 8 |
12 | OPD tickets (properly used) | Yes (1) No (0) | 1 |
13 | Last month HMIS report | Complete (1) Incomplete (0) | 1 |
14 | DEWS reports | Submitted (1) Not submitted (0) | 1 |
15 | Monthly staff meeting held | Yes (1) No (0) | 1 |
16 | Cold chain equipments | Functional Non-functional | If not, state reason |
17 | Vaccine availability | Available Not available | If not, state reason |
18 | Vaccine properly placed | Yes (1) No (0) | 1 |
19 | EPI Tech. following Monthly Tour Program | Yes (1) No (0) | 1 |
20 | EPI motor-cycle Log-book Maintained | Yes (1) No (0) | 1 |
21 | Delivery table available & clean | Yes (1) No (0) | 1 |
22 | Delivery kit available & clean | Yes (1) No (0) | 1 |
23 | Baby weighing machine available & functional | Yes No | If not, state reason |
24 | Physical Store verification | Correct (1 No (0) | 2 |
25 | Bin cards display | Yes No | 1 |
26 | X-ray | Functional Non-functional | If not, state reason |
27 | Laboratory | Functional Non-functional | If not, state reason |
| Â | Total | Â | 40 |