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Secondary sources used included surveys reports, policy documents, supervision and monitoring and evaluation reports as well as written conference papers.
In practice, as highlighted by many respondents and policy documents, supervision has been poor: "Poor supervision and support, particularly at the most peripheral levels, conditions the quality of services provided to this important level of health care, which often represents the first and only contact for those who seek health care" (Ministério da Saúde, 2014a, p. 77).
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The SSGWEP collects and validates surveillance and performance data through regular documented supervision at all program levels.
Tools available to all sites included: templates for documenting supervision, a presentation on supervision and management, two self directed learning modules on supervision of assistants, a detailed list of standard tasks appropriate for each level, an orientation package and clinical documentation guidelines for assistants.
Documentation provided by course leaders included hand-books, timetables, teaching staff details and documents concerning supervision and assessment.
Even members of the US Congress were only allowed to view selected portions of the documents under supervision.
Secrecy around the TPP has seen so intense that even members of US Congress were only allowed to view selected portions of the documents under supervision.
Robert Jay, counsel to the inquiry, wanted to know if Andy Coulson's predecessors had been subjected to so-called developed vetting (DV), the level of scrutiny which allows people to see top secret documents without supervision.
The agency added that Maluwa, one of the most senior women within UNAids, was not allowed to enter the office or access the agency's servers or documents without supervision.
While skill retention was not systematically assessed, this was documented in supervision notes.
In some evaluations that have documented weak supervision in national CHW programmes, the CHWs do not even know who their supervisors are or what they can expect from them [ 37].
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