Baig L A, Thaver I
Faculty of Health Sciences, Baqai University, Karachi.
J Pak Med Assoc. 1997 Aug;47(8):208-10.
The role of supervisors in diarrhoea case management at the Oral Rehydration Therapy (ORT) corners of Sindh was assessed by a random sample of 62 ORT corners in rural and urban areas of Sindh. The supervisors at each facility included, Medical Superintendents, District Health Officers, Senior Medical Officers, Civil Surgeons and Medical Officers. In 65% cases the supervisors were working at the same facility and in 35% the supervisors were based elsewhere. In 33.7% cases, there had been no meeting with the supervisor in the past 3 months which incidently was the diarrhoea season. In 6.5% cases there had been only 1 meeting, in 8.5% there had been 2-3 meetings and in the remaining 41.3% cases there had been more than 3 meetings with the supervisor. In majority of the cases the supervisors did not do anything related to improvement of diarrhoea case management. Supervisors had given some importance to case management in the urban areas and the Diarrhoea Training Units (DTU). The supervision at ORT facilities was found to be at a rudimentary level and it is suspected that this might be adversely affecting the quality of diarrhoea case management.
通过对信德省农村和城市地区62个口服补液疗法（ORT）点的随机抽样，评估了监督员在信德省ORT点腹泻病例管理中的作用。每个机构的监督员包括医务主任、地区卫生官员、高级医务官员、民事外科医生和医务官员。65%的情况下，监督员在同一机构工作，35%的监督员在其他地方工作。在33.7%的情况下，过去3个月没有与监督员会面，而这恰好是腹泻季节。6.5%的情况下只进行了1次会面，8.5%的情况下进行了2 - 3次会面，其余41.3%的情况下与监督员进行了3次以上的会面。在大多数情况下，监督员没有采取任何与改善腹泻病例管理相关的措施。监督员在城市地区和腹泻培训单位对病例管理给予了一定重视。发现ORT设施的监督处于初级水平，怀疑这可能对腹泻病例管理质量产生不利影响。
