Teams broken in to central level and regional level teams-about 20-30 days in place for each team, examined between 64 and 272 structures, most around 100
Teams in place during duration of sampling, CDC provided supervisory support in roughly 3 day intervals throughout
Seemed as though the focus of the MOH and CDC were on the 3rd and 4th objectives.
It seemed as though the 2 separate questionnaires were either harmonized in to the ATLAS questionnaire of the databases were combined, or there were concurrent listing exercises.
Wasn’t sure how specific to be so I’ll provide a general overview.
Show distribution by level and region, as well as what the level designations mean
Few directives rather broad policy or specific procedures were available-they were entirely absent at reference and central level, but were reported more at peripheral levels, so where are they coming from?
Supervision sporadic at best, with the MOH most frequently providing supervision
Referrals are supposed to go up the pyramid, but they seem to go wherever and are poorly documented
Also many report referring specimens elsewhere that they believe they should be handling but cannot-mostly due to either a shortage of reagents or broken equipment
Point out the disconnect with the tests particularly with respect to HIV confirmation
Identified equipment that we felt would indicate general capacity (we would expect that all facilities have microscopes and pipettes, and for the most part peripherals facilities only need these equipment, also analyzed presence of CD4 analyzers which we would expect all regional facilities and most district facilities to have, the presence of these equipment at peripheral levels might indicate either a misunderstanding of the equipment or perhaps punching above their weight class, or perhaps they just have more equipment due to investment from previous outbreaks
Most facilities regardless of level indicated having at least one of the key pieces of equipment identified, and a substantial (about 80%) reported they were functional, but very few reported having maintenance contracts
Few reported basic QA procedures such as tracking refrigerator temps, almost none had biosafety officers-again these get back towards a lack of supervision
Few facilities had a separate area dedicated to laboratory activities apart from clinical activities, or storage dedicated specifically for reagents
Difficult to assess personnel capacity-data collection based on the Francophone system which was not directly translatable. Most of what was collected were years of education. Also certain qualifications like BS were classified as Masters of Engineering. So it was difficult to assess the issues here.
2 SIMS checklists-quite long
Both near Duala-no GPS points-estimated based on District-for demonstration purposes
Entered all the section 1 information for each facility
Uploaded all the information same as before
The template is the same as before….
But what if you have a brand new facility that you want to add data for?
Now we have the same image but no second facility
I have now enabled our edit tool to create new features
Click where the new point goes and then enter all the information
As an editor you can enable x and y points to be fields in the attribute table so that they can be edited later if you misplaced them
I recently discovered that you can add drop downs to the fields, this version does not have these