Third Party Monitoring Relief and Resilience Programming Funded by ECHO

Client: Relief International

Middle Eastern Relief and Resiliency Program, OFDA Funded.

Approach and Methodology

This third-party monitoring used the RI needs assessment of health facilities in Middle East as a proxy baseline. i-APS then collected data using a mixed-methods approach. In order to harvest information on patient experiences of care, i-APS implemented focus groups with current facility patients6 and an exit survey. Two FGDs were held at each facility, one with men and one with women. Both tools focused on patient satisfaction with care. Focus group participants were selected in cooperation with facility management and local councils. For the facility perspective, i-APS used a facility observation checklist to determine what equipment was available at facilities, what supplies and pharmaceuticals were available, and to observe human resource, management and patient care processes. The checklist was complemented by key informant interviews with facility staff members. At each facility, four personnel were selected for interviews: one guard, cleaner or driver, one physician, one nurse or midwife, and one administrative staff member. Staff members to interview were chose at random by position from the facility staff roster provided by RI.

Finally, the TPM team collected quantitative data by conducting patient exit interviews (surveys) covering eight of the health facilities supported under LEAP II, Kinana hospital, Haritan hospital, Salam PHC, Binnish hospital, Heish PHC, and the three mobile clinics. The structured questionnaires covered both Health and WASH components and were tailored to the type of facility: hospital, PHC clinic, or mobile facility. Based on the survey data collected, facility profiles have been generated that provide a comprehensive picture of patient experience at each surveyed facility.