IMAM

MONITORING &
EVALUATION
for
DNO and supervisor of the IMAM centres
2018
Module 6
Version 2012 based upon protocol version 6.6.2
 LEARNING OBJECTIVES FOR
OTP/SC
At the end of this module, the participant should be able
to
• Define the different type & criteria of admission &
discharge, *
• Fill in the OTP/SC charts, register and tools,*
• Define the Scope/SAM-No, acronyms &
nomenclature ,*
• Fill in the OTP/SC monthly reports,
• Calculate the gain of weight and the length of stay of
the cures patients (6 to 59 mo.), and the needs
• Archive the charts according to the MOH.
*see Modules 1-2-3 – 4 - 5
 LEARNING OBJECTIVES FOR
DISTRICT
• Compile the monthly reports ;
• Analyse the admissions & discharges and indicators
and problems;
• Calculate the needs of the district from the available
data collected.
• Do regular supervision visits;
• Give feed back from the information collected
(Module 7);
• Map the OTP/SC of the district (Module 7)
 WHY?
Information/Data are required for
– Monitoring a programme: quality control with
quantitative and qualitative indicators
– Readjusting the programme :
• Opening/closure of TSFP/OTP/SC
• On the job training
– Planning order for products, drugs and material
- Triangulate the data with surveys
 HOW?

• Quantitative data collected using

- OTP & SC and TSFP monthly reports

• Qualitative data collected using

- Supervision forms
QUANTITATIVE
DATA
 TOOLS

• Individual data using

– OTP - SC Chart
– OTP - SC Register
– TSFP register
• Monthly data using
– OTP - SC – TSFP Monthly reports
 MONTHLY REPORTS

Data collected through the monthly reports

allow us to
• Evaluate the quality of the services
• Estimate the number of SAM in the district
• Give a feed back to the DNO and then,
back to the OTP/SC and TSFP
 EVALUATION REPORTS
Every year, data can be explored per centre
• Average gain of weight
• Average length of stay
• Desegregation by sex
• Mapping the centres
Every 3 years, an evaluation of the programme can
be undertaken in order to:
• Revise the tools, modules & training methods
• Quality of the supervision
• Evaluation of the staff and the organisation
• Audit on the cost of the programme
• Recommendations
 GAIN OF WEIGHT (G/KG/D)

[Discharge weight (g) – Minimum weight (g)]

divided by
[No of days between discharge day and day of
min weight * min. weight (kg)]

Calculate the gain of weight of Leila in OTP

and in SC
 LENGTH OF STAY (LOS)
= Date of Discharge – Date of Admission
Calculate Leila length of stay
 AVERAGE LOS & RWG
Average LOS =
sum of LOS/no. of LOS &
Average of RWG =
sum of RWG/no. of RWG

Average weight gain and average length of stay of severely wasted

(only for children 6-59 months cured)

Average weight gain g/kg/day #

Average length of stay day #

 NEEDS/MO: SC/OTP
SC: 20% of the patients go to SC
F75 (3days treatment) – RUTF (7days treatment) – F100
(1day treatment)
Information needed:
 No of admission per month
 Average weight of the patient
 Look up table for F75 &100 & ATPE / class of weight
OTP: 95% to 98% of the patients go to the OTP (not the less
than 6 month)
RUTF (30days treatment/mo)
Information needed:
 No of patient in charge per month
 Average weight of the patient
 Look up table for RUTF/class of weight
 CALCULATION OF THE NEEDS/MO
OTP
A No of patients in charge during the last mo A

B Average weight of the admitted patients B

C Monthly consumption of RUTF per patient C sachet (96g)
D Monthly carton per month (A*C)/150sachets
E Monthly net weight (13.8kg/carton) D*13.8/1000

F Monthly gross weight (14.9kg/carton) D*14.9/1000

Example
A No of patients in charge during the last mo 20

B Average weight of the admitted patients 7

C Monthly consumption of RUTF per patient 3*30=90 sachets

D Monthly carton per month (20*90)/150 = 12cartons

E Monthly net weight (13.8kg/carton) 13.8kg*12 = 165.6kg

 CALCULATION OF THE
NEEDS/MO SC
F75
A No of patients per mo A
B Average of weight of the admitted B
patients
C Number of days with F75 3
D Number of ml of F75 per month A*X ml/per patient per day* 3
E Number of canisters of F75 per month D/2500ml

RUTF
A No of patients per mo A
B Average of weight of the admitted B
patients
C Number of days with RUTF 7
D Number of RUTF per month A*B*7
E Number of carton per month D/150
NOTE For the less than 6 mo. Or 3 kg, use 100ml /day for30 d + 1day treatment
of F100 per child
 Example of SC needs
F75
A No of patients per mo 6
B Average of weight of the admitted 7
patients
C Number of days with F75 3
D Number of ml of F75 per month 6*125*8* 3=18.000
E Number of canisters of F75 per month 18.000/2500ml = 7,2 ~ 8 canisters

RUTF
A No of patients per mo 6
B Average of weight of the admitted 7
patients
C Number of days with RUTF 7
D Number of RUTF per month 6*3*7=126
E Number of carton per month 126/150 = 0.84 carton
 ARCHIVE THE CHARTS
• The charts of the patients in charge should be
checked after each visit,
• The charts should be verified: all the information
should be filled in and put in order in a box with the
register.
• Absence- Unconfirmed Defaulter – Transfer to
other structures should be written on the chart and
actions taken (i.e. home visit etc.)
• The charts of the discharged patients has to be
classified by Scope/SAM No. in a special box for
archive
 SOFTWARE TO ANALYSE THE
IMAM DATA AT DISTRICT LEVEL

• ONA software
• Flexible for option
• Based on the monthly report format
• Database should be able to be aggregate
to analyse the data of OTP/SC
• Database should be compiled from district
level to region and then national level