| Registration, Group Education and IEC Standard: Group Education Delivered with Correct Information |
Lack of knowledge by health educators about the content of group education and no information on number of clients that attend the health education sessions. |
Facility teams were supported to develop lists of talking points for group education to ensure that all key points were covered. Staff gained understanding of the importance of group education and key messages covered during these sessions. Notebooks were introduced to register all clients who attend group education, including noting presence of clients’ partners and parents/guardians who come to provide consent for minors. |
| Management Systems Standard: Relevant VMMC Policies, Guidelines and Standards are Available and Staff Are Aware of Them |
Lack of key reference documents: VMMC Policy, HCT guidelines, QI framework and Strategic plan, STI syndromic management guidelines. |
The teams identified a common place where reference documents would be kept and assigned a member of staff to take charge of the mini library. Sessions were organized in which the team would jointly peruse the documents to ensure they all have a common understanding of the key points in the guidelines. |
| Monitoring & Evaluation Standard: Availability of Relevant Tools in VMMC Clinic |
Absence of standard M&E tools at national level. |
USAID ASSIST worked with the MOH to expedite the process of developing standard M&E tools. Once draft tools were available, USAID ASSIST shared them with IPs and sites to use as they were being developed. This not only solved the challenge of poor M&E, but site teams were able to pilot and provided useful feedback which was used to refine the tools. |
