LHW Punjab and ICT Report - Oxford Policy Management

SUPERVISION OF LADY HEALTH WORKERS AND THEIR SUPERVISORSFigure 6-4 Percentage of LHSs with Full or Partial Access to a Vehicle in the Past Month% of supervisors with full or partial access tovehicles in past month100806040200Punjab & ICTSindhNWFP &FATABalochistanAJK & NAsPartial access 31 30 6 5 32Full time access 36 27 72 41 28KEY POINTS• Supervisors in Punjab and ICT manage, on average, twenty-eight LHWs - similar to thenational average. Five percent of LHWs in Punjab and ICT do not currently have aSupervisor.• Of those who had supervisors, ninety-three percent of LHWs in Punjab and ICT hadreceived at least one visit in the past month and essentially all LHWs in Punjab and ICThad attended a monthly meeting at the health facility in the past two months. These aregood results• Supervisors in Punjab and ICT reported working on average twenty-three days in the pastmonth with most of their time spent in field supervision. However insufficient access tovehicles and lack of sufficient POL allowance is hindering good supervision. Only sixtysevenpercent of LHSs in Punjab and ICT reported having full-time or partial access to aLHWP vehicle in the month preceding the survey. LHSs who did not have vehicles diduse public transport but this is not a perfect substitute for vehicle access.• Lady Health Supervisors in Punjab and ICT are not getting as much opportunity to meetwith their supervisors as LHSs across the country. Only sixty-four percent had had such ameeting in the past month though this rises to eighty-six percent if we look at the past twomonths. These meetings should be an opportunity to provide the LHS with the supportneeded to deal with the poor performing LHWs and to provide better on-the-job coaching.33