> Community reproductive health workers (CRHWs) in Uganda found supervision increased credibility and recognition, it made them feel part of the team (Martinez et al. 2008).
As a supervisee, particularly one with a responsibility for dealing with patient complaints at my practice, I have found supervision from my peers highly supportive.
Approximately 2/3 (62%, n = 69/111) of health staff found supervision visits helpful for reasons including bringing supplies, identifying expired drugs, following up on policy implementation, helping to identify problems and provide solutions, and provision of on the job training.
We find that supervision produces an improvement that is statistically significant but practically insignificant (< 0.0001% improvement in squared correlation, P < 2.2 × 10−16 in a one-sided paired t-test).
Find expert supervision for these processes if possible, as success rate can be low for beginners.
This is also in contrast to the findings of other studies that have found weak supervision at PHC level [ 51, 61], and that supervisors in LMICs lack leadership and management skills [ 62, 63].
Despite the recognized role that supportive supervision can play in performance and motivation, numerous studies from a range of countries and programs have found that supervision often has low coverage; low administrative focus; is irregular, unsupportive, and demotivating; and lacks adequate training for supervisors and problem solving or feedback mechanisms for providers (11, 16, 27– 327.
Use of force had increased dramatically at the site for boys, inspectors found, although supervision of, and accountability for, use of force was deemed good.
Development agencies found that supervision of Sites-and-Services projects were costlier and more complex (i.e., they had more conditionality leading to policy change and needing coordination across municipal agencies and utility companies) than single infrastructure portfolios.
