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Demand
Generation
Quality
care
Quality
assurance
Supply
adequacy
Children Investment Fund Foundation: Providing overall support.
Objectives
• y To strengthen training component for supervisors and go beyond the one-time
training effort.
• y To identify gaps in the programme and address motivation levels of frontline
functionaries.
Implementation Strategy
State level training: This covered field experience, clarity of ASHA/AWW roles,
introduction to checklists, making the most of field visits and finalising action plans,
demonstration of ORS/Zinc preparation and compliance level of caregivers to diarrhoea
treatment.
Enabling factors: These included support from State Health Society; mobility support;
state-level training; data analysis and feedback.
Challenges: Human resource issues and complexity that an MoICs faced when
dealing with an OPD rate of 250-300 a day made it difficult for them to supervise
ASHAs in places where there were more than 200 in a block. Absence of continuous
engagement; reviews at Block level; Supervisors KAP; collection, authentification
and payment of mobility support; data analysis and feedback issues; and ensuring
adherence were part of their charter.
A near absence of a supportive environment; low priority accorded to diarrhoea
management; facility-level issues; difficulty in coordination and frequent staff turnover
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Consultation on Supportive Supervision to Strengthen
Capacity of Frontline Workers and Service Providers