Monitoring, supervision, and evaluation are important parts of nutrition programs to ensure quality and effectiveness. Data is collected through the Nutrition Information System (NIS) and flows from communities to districts and provinces to assess key indicators like cure, death, and default rates against SPHERE standards. SQUEAC surveys help evaluate coverage and identify issues like low participation, high default rates, or mortality to improve programs. Regular reporting and review of data allows supervisors to monitor performance and make improvements through tools like checklists, reports, and output trackers.

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!