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Action plans were shared with the facility supervisor, provincial public health director, NGO manager, facility and community councils, and posted in the health facility.
Data was collected using paper based study collection tools by trained data collectors (nurse) and checked by a Facility Supervisor for completeness and later verifications were made by regional supervisors.
To our knowledge, providers did not identify simulated clients during their visit, although they may have been made aware of the potential for a simulated client visit by their facility supervisor, who consented to participate in the study.
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The APE programme has established protocols for programmatic supervision involving interaction between the province and district supervisors, district and health facility supervisors and health facility supervisors and APEs.
These included APEs, health facility supervisors, district APE supervisors and community leaders.
Both district supervisors were selected for inclusion and they, in turn, identified health facility supervisors.
Assuring data quality became a regular job function of facility supervisors.
Among facility providers, supervision occurred nearly universally every month and was complemented by visits by facility supervisors to CHWs in the community every other month.
To ensure the anonymity of respondent quotations, district and health facility supervisors were grouped into a single category called "APE managers".
(Supervisor, 34 years old) Districts supervisors may be in a better position in terms of supervision skills than health facility supervisors, as they are full-time APE programme managers at the district level.
Despite the fact that APE supervisors should be trained according to the manual, it was found that training of health facility supervisors was overly focused on how to complete checklists.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com