There are significant challenges in effective implementation of the HMIS including lack of human resources and the capacity for supervision and monitoring of data collected by different vertical programs [ 11].
In many developing countries, decentralization has confused supervision responsibility, diminished technical supervision capacity, and reduced the number of supervision visits [ 17, 18].
(APE, 28 years old, male) Both supervisors and APEs agreed on the potential of supervision for capacity strengthening of the APEs.
Interviews identified several barriers to implement the MC policy, such as inadequate health financing, low laboratory capacity, lack of human resources, poor treatment and management capacities, and lack of supervisions from county TB dispensaries.
Based on the existing management capacity and supervision scope of NRCMS, AEP is the most effective regulatory tool.
An impact assessment will usually include information not only for publications and academic research outputs but on less visible outputs such as building workforce capacity, supervision of PhD and masters students, patent applications, leveraged funds, evidence of health policy changes, wider clinical practice changes and so forth.
In addition to the lack of supervisory capacity, other staff members have a limited understanding of supervision.
(FGD, NSA) Additionally, NSAs engage in capacity building and support: As NSAs, we do a lot of supervision.
8 However, integration of TBAs with the formal health system may require the capacity development and supervision of TBAs, collaboration skills for health workers, involvement of TBAs at health facilities and improved capacity on communication and referral systems.
A strategy involving simple structural improvements, in-service training opportunities, effective team-based mentoring and supervision could strengthen the capacity of providers to care for newborns.
