Third Party Monitoring Relief and Resilience Programming

Client: Relief International

Middle Eastern Relief and Resiliency Program, OFDA Funded.

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 collect information on patient experiences of care, i-APS implemented both focus groups with current facility patients 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, supplies and pharmaceuticals were available, and to observe human resource, management and patient flow processes. Based on the observation checklists, facility profiles were created to provide a comprehensive picture of the facilities’ equipment, supplies, staff attendance, cleanliness and waste management procedures, among other things.

The checklist was complemented by key informant interviews with facility staff members. At each facility, four personnel were selected for interviews: one guard or cleaner, one physician, one nurse or midwife, and one administrative staff member or board member. Staff members to interview were chosen at random by position from the facility staff roster provided by RI.

Finally, the TPM team collected quantitative data by conducting 1,680 patient exit interviews (surveys) covering 15 facilities: Talmenes MCH Hospital, Southern Al-Ghab Valley (SGV) Hospital, Rahma Hospital, Nour MCH Hospital, Maland Hospital, Khan Shaykhun PHC, Middle East Internal Medicine Hospital, Green Middle East Emergency Center & PHC, Ehsem PHC, Bab Al-Hawa Hospital, Arrahman MCH Hospital, Salqin PHC, Qalaat Al-Madiq PHC, Qastun PHC, and Masaraan PHC. The structured questionnaires covered both Health and WASH components and were tailored to the type of facility: hospital or PHC clinic. Based on the survey data collected, facility profiles have been generated that provide a comprehensive picture of patient experience at each surveyed facility.