recorded in the register to determine if the recorded classification was correct. Denominator: Number of clients sampled from the health facility registers whose anthropometric measurements and nutritional status was recorded. Data Source 2: Observation Numerator: Number of (observed) clients during time the provider correctly classified the nutritional status of the client, based on the data collection team reviewing anthropometrics taken by the provider to determine if the provider’s classification was correct. Denominator: Number of clients observed in the facility whose anthropometric measurements and nutritional status was recorded by the provider (indicator 2). 4 Percent of clients of the health facility who were nutritionally assessed and to be clinically undernourished (during specified period), by client type Data Source 1: Register review or EMR This data source is an option where registers or the EMR contain anthropometric measures and classification. If an EMR system is in place, this indicator could be reported for all clients rather than a sample. Numerator: Number of registered clients sampled who were G
How nutritional classification determined (whether recorded in the register or determined by the data collection team based on anthropometric measurements) should be made explicit in any final reporting of findings. 13 If the country has a community health worker cadre, percent of facilities that engage community workers/ volunteers in and/or outside facilities for the provision of nutrition services Data Source: Interview of facility manager Numerator: Number of facility managers who report engaging community workers/volunteers in and/or outside facilities for the provision of nutrition services. Denominator: Number of facilities sampled/visited. B
IN ORDER TO COMPLETE THIS REVIEW IT MAY BE NECESSARY TO ALSO VISIT THE MALNUTRITION UNIT, WHERE THERAPEUTIC AND/OR SUPPLEMENTARY FOOD IS PROVIDED, TO ATTEMPT TO OBTAIN ANY INFORMATION WHICH IS NOT AVAILABLE IN REGISTERS. IF ANY OF THE ITEMS IS NOT INCLUDED IN THE ACTUAL REGISTER, CROSS OUT THE ENTIRE COLUMN BELOW. IF THE ITEM IS IN THE REGISTER, BUT NO INFORMATION IS PROVIDED FOR THE PARTICULAR CLIENT, RECORD “NA” FOR “NOT AVAILABLE” IN THE SPACE PROVIDED. UNIQUE ID AGE (IN MONTHS IF < 5 YEARS) AGE (IN YEARS IF ≥ 5 YEARS) GENDER 1= MALE 2= FEMALE HEIGHT (IN METERS) WEIGHT (IN KG) MUAC (IN CM) THERAPEUTIC OR SUPPLEMENTARY FOOD PROVIDED 1= YES 2= NO ANC/PRENATAL UNIT FOR PREGNANT WOMEN
HIV UNIT TO COMPLETE THIS FORM, ASK THE FACILITY MANAGER FOR PERMISSION TO REVIEW FACILITY REGISTERS IN THE PRENATAL, PEDIATRIC, AND HIV UNITS OF THE FACILITY. 205 I am interested in the data routinely collected in the facility. For this section, I need to review some of the registers from this facility. Would it be possible for me to do this? YES 1 NO, NOT AVAILABLE 2 NO, REFUSED 3 301 301 206 RANDOMLY SELECT TWO PAGES OF A RECENT REGISTER. RECORD THE TOTAL NUMBER OF ENTRIES FOUND ON THE TWO RANDOMLY SELECTED PAGES. AN ENTRY IS DEFINED AS A ROW WITH A CLIENT’S NAME AND IDENTIFICATION RECORDED. RECORD THE INFORMATION AVAILABLE FOR EACH ENTRY IN THE REGISTER. IN ORDER TO COMPLETE THIS REVIEW IT MAY BE NECESSARY TO ALSO VISIT THE MALNUTRITION UNIT, WHERE THERAPEUTIC AND/OR SUPPLEMENTARY FOOD IS PROVIDED, TO ATTEMPT TO OBTAIN ANY INFORMATION WHICH IS NOT AVAILABLE IN REGISTERS. IF ANY OF THE IS NOT INCLUDED IN THE ACTUAL REGISTER, CROSS OUT THE ENTIRE COLUMN BELOW. IF THE ITEM IS IN THE REGISTER, BUT NO INFORMATION IS PROVIDED FOR THE PARTICULAR CLIENT, RECORD “NA” FOR “NOT AVAILABLE” IN THE SPACE PROVIDED. UNIQUE ID AGE (IN MONTHS IF < 5 YEARS) AGE (IN IF ≥ 5 YEARS) GENDER 1= MALE 2= FEMALE 3= PREGNANT WOMAN HEIGHT (IN METERS) WEIGHT (IN KG) MUAC (IN CM) THERAPEUTIC OR SUPPLEMENTARY FOOD PROVIDED 1= YES 2= NO
NO 2 Q408 DK 8 Q408 NO 2 NO, CARD 9 NO 2 NO, STOCK CARD 9 NO 2 DK 8 Product YES 1 NO 2 Q409 DK 8 Q409 B. OBSERVE: IS THERE AN ENTRY IN THE STOCK CARD FROM [SPECIFIED REPORTING PERIOD]? C. REVIEW CARD: IS STOCK OF [PRODUCT] ON HAND? D. Have you had any of [PRODUCT] in the [SPECIFIED REPORTING PERIOD]? Vitamin A A. Is [PRODUCT] managed at this facility? YES 1 NO 2 NO, CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8 Multivitamins YES 1 NO 2 Q410 DK 8 Q410 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8 Albendazole YES 1 NO 2 Q411 DK 8 Q411 YES 1 NO 2 NO, CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8 Mebendazole YES 1 NO 2 Q412 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8
DK 8 Q412 IPT for malaria YES 1 NO 2 Q413 DK 8 Q413 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 NO, CARD 9 YES 1 NO 2 DK 8 RUTF F-75 YES 1 NO 2 Q414 DK 8 Q414 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8 Product YES 1 NO 2 Q415 DK 8 Q415 B. OBSERVE: IS THERE AN ENTRY IN THE STOCK CARD FROM [SPECIFIED REPORTING PERIOD]? C. REVIEW STOCK CARD: IS STOCK OF [PRODUCT] ON HAND? D. Have you had any stock-out of [PRODUCT] in the [SPECIFIED REPORTING PERIOD]? RUTF F-100 A. Is [PRODUCT] managed at this facility? YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8 RUSF YES 1 NO 2 Q416 DK 8 Q416 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 NO, STOCK CARD 9 YES 1 NO 2 DK 8