Evaluation of Post-Training Monitoring of CHWs in Community-Based Epidemiological Surveillance Activities (SEBAC): Case of the Districts of Kadiolo, Kati and Kangaba in Mali from 2020 to 2021
Abstract:
The post-training follow-up of actors
is undeniable for an effective and efficient implementation of community surveillance
activities (SEBAC). We evaluated the supervision data from the three SEBAC health
districts (Kadiolo, Kati and Kangaba). The variables analyzed are as follows: The
percentage of CHWs mastering the case definitions: in Kati (100%), Kangaba (82.87%)
and Kadiolo (71.97%). Next, knowledge of coding: at Kati 99.18%, Kadiolo 95.62%
and Kangaba 84.08%. Regarding the number of notified cases: in Kadiolo 124 cases
(36%), Kati 123 (35.8%) cases and Kangaba 97 cases (28.2%). Also, for the filling
of the notification and score registers: at Kati 99.18% and 100%, Kadiolo 86.18%
and 86.18% and Kangaba 82.12% and 80%. As for investigations, the three districts
have a parity rate of 100%; for home visits, Kati has a rate of 100%, followed by
Kadiolo 95.23% and Kangaba 92.80%. Also, for the number of CHWs having sent at least
one SMS: Kati 100%, Kadiolo 98.52% and Kangaba 91.50%. Finally, for data completeness,
Kangaba district has 85.68%, Kadiolo 71.56% and Kati 48.91%. Post-training supervision
is an effective
means for building capacity in the implementation of activities, correcting shortcomings,
and a source of motivation for actors.
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