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Continuous, supportive supervision, through learning coordinators or otherwise, of teacher's teaching methods and student's learning assessment is recommended.
All private practitioners should receive continuous supportive supervision and should be provided with high quality information about the DOTS program and referral forms for TB suspects.
Although the authors identify the need for "continuous supportive supervision" as a lesson learned, they unfortunately do not offer any insights on how that could be achieved.
The overall intervention evaluated in this study consisted of a package of activities, which included development of supportive supervision guidelines for district immunization managers, district-level training in continuous supportive supervision, monitoring and evaluation of performance, and funding for district CPH to carry out the package of interventions (travel and communication costs).
One key message from the Global Health Workforce Alliance consultative meeting on CHWs emphasizes the need to "ensure a positive practice environment, including regular and continuous supportive supervision, health and safety issues, CHW's information and communication needs, a clean environment, a manageable workload, and the availability of drugs, supplies, and equipment" [ 18].
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In the project discussed here, this is ensured through a package consisting of continuous training, mentoring, supportive supervision and regular meetings, all provided within a professional association with support from an NGO.
This was reported to be convenient by the health care workers but continuous onsite monitoring and supportive supervision after the 2 weeks IMCI training would be more efficient since the health care worker will learn more and better at the clinical site with support from mentors.
At the end of 6 months, the trained CHEWs were linked to the state and local government area (LGA) integrated supportive supervision team for continuous service improvement.
Future programs ought to include training of service providers on PE/E management and ensure regular post-training supportive supervision, assure the continuous availability of MgSO4 and functioning equipment needed for the management of PE/E in all facilities.
The vehicle and 16 motorbikes are made available to support monitoring and supportive supervision".
For example, we are training CHWs on nutrition counseling for pregnant and lactating women in Bangladesh, Ghana, Haiti, India, Nigeria and the Kyrgyz Republic — and following up with supportive supervision and coaching, knowing that providing continuous support helps CHWs retain nutrition knowledge and put their new skills into practice.
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