(1993; 92 pages) [French] [Spanish]
Reporting results at the facility
When all data have been collected and the results calculated, a meeting should be held with staff of participating facilities to report the results. If the prescribing indicator form was used, results can be reported back to the health workers at the end of the day when data were collected.
Discuss the results in a non-judgmental way. Circulate the result sheet and ask participants to comment. Highlight any positive aspects of the assessment when comparing results with the national norms or previous performance. Ask participants for suggestions as to why there may be differences, or what makes their health facility different. If results are better than the national norms, ask for suggestions as to how the national situation could be improved. Where the results from the facility are worse, ask how the situation at the health facility could be improved. Make sure that all staff members participate in the discussion. Sometimes it is difficult to get junior staff to raise issues in front of superiors. In this case, go round the group asking for one suggestion from each group member. Record any suggestions or decisions on the back of the record sheet and leave the sheet in the facility. When a follow-up visit is made, the record sheet can be used as the basis for discussion.
CAUTIONARY NOTE: Remember that a sample of 30 prescriptions has a significant margin of error as an individual result. To obtain a more reliable result in one facility, a sample of 100 prescriptions should be examined. Examining additional encounters may be a good activity in which to involve facility staff, since self-assessment is a powerful long-term strategy to improve performance.