Download the complete report - Unicef

More documents

Recommendations

Info

Objectives • y To improve maternal, newborn and child health and nutrition by providing strategic technical assistance. • y To generate evidence on effective, efficient and expandable MNCHN approaches. • y To advocate for scale-up of successful MNCHN approaches. Triggers for Mainstreaming Supportive Supervision • y Improve health and nutrition outcomes dependent on performance of frontline workers. • y Supervisors play a key role in helping frontline workers perform to expected standards and ensuring better quality. • y Prevailing scenario where supervisors were provided one-time training ignoring other areas; role of supervisors not defined clearly; absence of regular and structured supervision; lack of sufficient resources (transport, essential supplies, guidelines); supervisors acting as inspectors rather than facilitators, educators and problemsolvers; limited or inconsistent use of checklists and feedback by supervisors. Intervention Design Strengthening Supportive Supervision included a multipronged approach comprising of: Capacity building: Creating knowledge, skills and attitudes for effective supervision. Training: Supervisors provided training for technical competence in critical areas of work to support frontline workers. Supervisor interactions: Utilisation of monthly meetings and VHNDs to increase supervisory interactions. Data management: Routine collection and use of data to improve performance. Strengthening Supervision SBA performance Designing 3-day training for MOs to clarify performance expectations from SBAs and supervisory responsibilities Developing competency in technical areas such as plotting partographs, AMTSL, etc Strengthening concepts of Supportive Supervision, including communication and problem solving skills AWW performance Reviewing existing guidelines and directives Conducting performance needs assessments Developing a 3-day supervision training for Mukhiya Sevikas and CDPOs Introducing a supervisory checklist Strengthening monthly meetings to complement field visits including VHNDs Promoting use of data to make programme and performance improvements Undertaking capacity building, feedback and problem-solving Strengthening supervisory skills of ANMs and LHVs for onsite support/guidance to ASHAs Forming and building capacity of Technical Resource Groups 28 Consultation on Supportive Supervision to Strengthen Capacity of Frontline Workers and Service Providers
Results “If ASHAs could not fill the registers, we too could not help them since we ourselves did not know how to do it. Now, with training and experience, we can help them solve this and other related problems.” Ramvati, ANM, Jharkhand As a result of the intervention 99% ANMs reported having a copy of the job description in writing at endline compared to 32% at baseline; 200 MOs were trained on Supportive Supervision; over 2600 supervision checklists were filled by trained MOs to ensure standardised and systematic supervision; 75 SBAs were awarded appreciation certificates at monthly meetings in Deoghar over a 9- month period. 95% AWWs reported interacting with their Supervisor 3-4 times in the last quarter. Nearly 95% interaction took place during sector meetings; 62% AWC routine visits or 39% on VHNDs. About 89% reported that Mukhya Sevikas howed them how to fill the register and use job-aids correctly. Learnings • y Performance can improve with clarity on performance expectations, linking tasks directly to outcomes. • y Training cannot be a one-time activity; systematic post training follow-up is critical. • y Performance improves when supervision is an extension of training and supports training content. • y Providing supervisory skills and tools to supervisors can help address essential support needs of frontline workers. • y Supervisory interactions can be increased by using field visits, VHNDs and monthly meeting platforms. • y Adequate in-house capacity can be built within the system to facilitate and sustain ongoing capacity building, feedback and problem-solving in routine monthly meetings. • y Costs of these efforts is minimal and requires substantial time of government staff. • y District-level ownership needs to be backed by support at state and national level for sustainability. Integrated Family Health Initiative: Early Experiences, CARE Dr. Shreedhar from CARE, in his presentation focused on organizing supervision of MCH interventions and insights gained from CARE’s work with the health and ICDS departments. Background and Fact File Initial research of the existing scenario revealed that existing programmes were capable of achieving substantial results. Frontline workers were willing to learn and be led and main reasons for failure included being poorly focused on results at operational Consultation on Supportive Supervision to Strengthen Capacity of Frontline Workers and Service Providers 29
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 and 14: In the corporate world, this approa
Page 15 and 16: Proceedings of the Consultation The
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: Medical Officers. They aimed to inc
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
Page 65: Participants The workshop participa

Download the complete report - Unicef

Create successful ePaper yourself

Delete template?

Save as template?