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This is illustrated by a quotation from a staff member of a preventive health team at district level: " During supervision of the provincial program such as malaria, the supervisor comes and looks at the record books.
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Despite heavy emphasis on registers during supervision, quality of record keeping was poor and the performance indicators measured were not optimal for tracking the timing of service delivery.
The camera position was only adapted during the supervision of manual skills (for example the use of the camera zoom during IV cannulation) to show some aspects of the skill in more detail.
Much of the improvement came during state supervision of the city's spending under the state's "distressed cities" program, which provides additional aid in exchange for a host of reforms.
The hearing was inspired by complaints from the whistleblower Carmen Segarra, a former Fed bank examiner who has claimed she was silenced by her bosses at the New York Fed during her supervision of Goldman Sachs.
Routine validation of data is carried out during quarterly supervision of all sites, through cross-checking of master cards and ART registers, resulting in relatively high data quality.
Other challenges were identified during supportive supervision of the two systems.
What providers actually practice in all 3 countries is unknown as documentation of findings during supervision visits was not available.
While the Kenya CHS (2006) describes use of a multidisciplinary supervision team including regular performance appraisals based on checklists to measure performance, there are no guidelines provided on frequency, supervision avenues or how to use data collected, resulting in limited use of data during supervision.
We attribute half of this time solely to the data cleaning process and reducing the time for data cleaning can translate into budget savings for the ART program or, perhaps more importantly, into reallocation of time during supervision visits to more crucial activities such as mentoring or discussing difficult cases.
Skills learned during the modules were implemented during the practicum, under supervision of a senior doctor, individual priority needs being defined jointly by the trainee and his supervisor.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com