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Rationale Frontline functionaries are the interface of service system with community on crucial behaviours related to health, nutrition, water and sanitation. Hence, both their capacity building and quality of exchange with communities and families are critical determinants in ensuring families’ receptivity for adoption of essential health practices and willingness to access and demand services. There is broad agreement in the development sector, about rapid developments in the profile and responsibilities of frontline functionaries. This has clearly necessitated an assessment of their skills, capacities and enabling tools to help them perform their tasks well. Coupled with this, the current discourse on HR development in the health sector provides an opportunity for a complete revamp of the supervisory cadres and systems in Health Departments and ICDS. Given this context, even though Supportive Supervision is the weakest process in the management of health and related services, there still are opportunities that can be leveraged to strengthen this mechanism as a tool to improve motivation and performance of frontline workers. Objectives of the Consultation • y To build a common understanding of Supportive Supervision as an effective capacity building/performance improvement tool for frontline workers. • y To share and document good practices on Supportive Supervision. • y To identify opportunities to incorporate it into existing systems. • y To list concrete options/steps to address challenges discussed. • y To provide a broad roadmap and action points towards implementation. • y To collate inventories of tools, aids and technologies to facilitate Supportive Supervision. 12 Consultation on Supportive Supervision to Strengthen Capacity of Frontline Workers and Service Providers
Proceedings of the Consultation The consultation began with an overview of the agenda and the objectives of the two-day consultation provided by Ms Geeta Sharma, Communication for Development Specialist, UNICEF, New Delhi. She informed that there would be a skype call with Dr. Jon Rohde from South Africa, Ex-Country Representative, UNICEF, India, outlining a Theoretical Framework for Supportive Supervision within the context of India. It would briefly capture discussions and interactions amongst participants on different aspects of Supportive Supervision. This would be followed by presentation of seven case studies from states where Supportive Supervision was carried out successfully. Groupwork activity would entail discussants taking up aspects related to facility-based and community-based supervision to develop a set of suggestions/recommendations and roadmap with clearly articulated action points within the short, medium and long-term. SESSION 1: Welcome and Introduction Setting the Context Dr. Henri Van Den Hombergh, Chief, Health Section, UNICEF welcomed participants and apprised them of the current scenario relating to Supportive Supervision and the motivation behind holding a two-day consultation on the subject. He informed that at several preparatory meetings, UNICEF along with Women and Child Development Department (WCD) had agreed to address Supportive Supervision. They were of the view that this would impact ICDS which in turn would affect outcomes of NRHM. By enhancing efficacy of frontline health workers such as ASHAs, ANMs, AWWs and LHVs, rates of neonatal and child mortality would see a dramatic dip, amongst other things. According to him, in the past too, there had been talk of Supportive Supervision at multiple forums, such as project meetings, studies, planning workshops and PIP meetings, but not enough had been done on the field in a structured and organised manner. There wasn’t much clarity over the role and job description of frontline workers. However, in places where they were supervised and given importance, they were more visible, motivated and effective, creating an overall atmosphere of goodwill and trust. Consultation on Supportive Supervision to Strengthen Capacity of Frontline Workers and Service Providers 13
Page 1: Consultation on Supportive Supervis
Page 5 and 6: Acknowledgments UNICEF is grateful
Page 7: RI : Routine Immunization SHRC : Sy
Page 11 and 12: Introduction & Background Defining
Page 13: In the corporate world, this approa
Page 17 and 18: Key Features of ICDS ICDS was a wel
Page 19 and 20: AWC. This included representation f
Page 21 and 22: “I have been to the field and fou
Page 23 and 24: These supervisory checklists should
Page 25 and 26: Title of Project: Mitanin Programme
Page 27 and 28: District Coordinators: They are app
Page 29 and 30: Medical Officers. They aimed to inc
Page 31 and 32: Results “If ASHAs could not fill
Page 33 and 34: Learnings • y Functional overlap
Page 35 and 36: Key Incentives to Support Supervisi
Page 37 and 38: Leveraging Support through Communit
Page 39 and 40: contributed to slowing down of the
Page 41 and 42: • y Absence of performance benchm
Page 43 and 44: Discussion • y When the process w
Page 45 and 46: UNICEF operates in Karnataka, West
Page 47 and 48: SESSION 6: Supportive Supervision f
Page 49 and 50: ecords and data collection); assess
Page 51 and 52: There were things that did not impr
Page 53 and 54: • y Joint supervision of Block He
Page 55 and 56: Key challenges in providing support
Page 57 and 58: Annexure 1: Programme Agenda Consul
Page 59 and 60: DAY 2 - 23 nd Nov 2012 Time Topic F
Page 61 and 62: 31. Anagha Khot, Project Management
Page 63 and 64: Importantly, supportive supervision
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Participants The workshop participa
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