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Abstract: Introduction: PCIMA Surge is a new innovative approach applied in
the management of acute malnutrition peaks in care centers. It was implemented
for the first time in the Kayes health district in 2018. Monitoring of
activities highlighted a difference between nutrition supervision in the surge
centers and the usual one. It is in this context that this work intervenes to
describe the mechanism for monitoring nutrition activities in the context of
the implementation of the surge approach. Methodology:
This is a retrospective cross-sectional study on the monitoring of 30 surge
centers in the Kayes health district in 2019. Results: Two types of monitoring were developed as part of the
approach (Remote monitoring and organization of supervision missions). Remote
monitoring has been shown to be promising and applicable to various health
programs. The process of supervising nutrition activities at the level of the
surge centers was distinguished by the involvement of local officials, namely
the sub-prefects and mayors. The observation on the implementation of
activities was characterized by a favorable trend concerning performance
indicators, community activities. The actors interviewed had favorable opinions
on the PCIMA Surge approach. Also, the supervisors reported much strength. Conclusion: Monitoring nutrition
activities as part of the surge approach differs from that usually carried out.
Remote monitoring through telephone calls coupled with supervision missions
served as an anchor to better monitor the implementation of the approach in the
district. Regarding the importance of monitoring in the success of the
implementation of the approach, vigorous efforts must be dedicated to it in
order to achieve the objective of surge which is the strengthening of the
health system.
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