1. Monitoring, Supervision,
Reporting and Evaluation
5 days ToT CMAM; Nutrition Cell, Health Department, Govt. of Sindh

2. OBJECTIVES OF THE SESSION:
Definition and Purpose of Monitoring, Supervision
& Evaluation
Nutrition Data Flow and NIS in Pakistan
Data Collection & NIS
Program Indicators or SPHERE Minimum
Standards of CMAM
SQUEAC Survey and its purpose
Reports using for improvement

3. Definitions and purpose of Monitoring,
Evaluation & Supervision
•Monitoring= Observation & Quality check
•Evaluation= Performance v/s Set of goals=impact
•Supervision= (Super+Vise) Supportive nurture
to ensure Accuracy & Accept-ability.
•PURPOSE: Prog. Effectiveness? Quality assurance?
through (3As and E) -International agreed Indicators
•=Accept-ability Compare With
•=Accuracy Minimum SPHERE Standards.
•=Appropriateness -Indicator Data collected from=
•=Efficiency Reporting System (NIS)

4. NIS Nutrition Data Flow in Pakistan
District Data
Compilation
Community
TSFP
OTP NSC
National Data
Compilation
Provincial
Data
Compilation

5. NIS Data Collection System
• Numbering system
• Data collection
- Individual Data, Caseload data
- New Admission OTP,TSFP,NSC as per Protocol
- Moved In from other HF
- Discharges (Cured, Defaulter/Death, NC, SC, Med.
Transf, TSFP, OTP, etc)
- Moved out to other HF SAM Discharges
• Program Indicators (Admissions & Min.
International SPHERE Standards)
• Weight gain/coverage

6. Program Indicators (Admissions & Min.
International SPHERE Standards)
•SPHERE: Standard Protection Humanitarian Education
Response made by international NGO coalition (HAP etc).
•Cured Rate= >75% in all CMAM Components
•Death Rate= <3% in OTP, TSFP & <10% in SAM+SC
•Default Rate= <15% in all CMAM Components
•FORMULA:
Cured Rate= No. of Cures*100/Total Discharged
While as total d/c= Cured+Death+Def+NC+Med.T+TFP
Death Rate= No. of Death*100/Total Discharged
Default Rate= No. of Default*100/Total Discharged
Coverage SPHERE Standards: Rural: >50% Urban: >70%
While as for any Emergency/Disaster Camp: >90

7. Weight Gain:
Normally: Over 200g/week but if it’s >800g= Improper!
Reports as Lesson-to improve Program
COVERAGE solves: Low coverage, High default or
non-response rate and High Mortality (death rate
which may also be due to poor SC treatment) or late
referral to SC (means not before medical
complication).
Coverage SQUEAC
Quantitative/Qualitative Social mapping & outreach
improves All Issues of coverage and other poor
performance facts.
Length of Stay:
High LoS indicates failure of program. As per NIS the
Maximum LoS is 120 Days.
Supervision
Monitoring
improves:
Pre-Default. Tracing
improves:
Mid term
Evaluation
For
Supervisors
Tools:
-Checklist
-Reports
-Output
Tracker

8. LET’S FIGHT THE MALNUTRITIONLET’S FIGHT THE MALNUTRITION

9. Thank you!

10. Thank you!