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Central-level key informants confirmed that the necessary information would likely be available at the health facility level, and encouraged the team to conduct facility visits to triangulate information on SRH-HIV integration.
It might be possible that other supply-side issues could have also contributed to this level of dissatisfaction, but due to delay in obtaining permissions, we were unable to conduct facility assessment to identify the potential causes.
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Our experience in the DRC shows that smartphone technology can be applied effectively to conduct facility-based surveys, even in a low-resource setting with notable infrastructure constraints.
She also began attending community team meetings in addition to conducting facility visits.
We report that this novel approach using rapidly trained teams of locally-based teachers to conduct health facility assessments was able to access far more health facilities than the standard survey team for significantly lower cost per facility surveyed, offering a new method for conducting health systems surveys in areas of conflict.
These assessments are used to conduct health facility censuses to assess the capacity of the health system to deliver health care and to identify gaps in the coverage of health services.
The primary objective of this pilot study was to evaluate the ability of rapidly trained locally-based survey teams of primary and secondary school teachers to conduct health facility assessments and to assess the reliability of this data as compared to a standard survey team in Badghis province, Afghanistan.
The Centers for Medicare & Medicaid Services has instructed surveyors to evaluate the use of insulin pens when conducting facility inspections and to cite facilities that fail to follow safe practices (5).
We defined in advance prerequisites to conduct a facility-based MDR: select data collectors; establish a multidisciplinary audit committee including doctors, midwives, nurses and managers; obtain support and clearance from local health authorities; check for existing record or data systems (registers and medical charts); and check for available protocols for managing major obstetric complications.
Out of the 34 district M&E Officers interviewed during site visits, most were conducting facility visits to review data (27/34; 79%), comparing data sets over time (31/34; 91%), backing up data (32/34; 94%), and analyzing data (32/34; 94%).
This included conducting facility visits to review data (79%) as well as comparing new data with values previously received (31/34; 91%) and backing up data at regular intervals (32/34; 94%).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com