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The guidelines for supervision should include a list of supervisory activities.
Articles that described general barriers to supervision were excluded as the review focused on barriers to specific supervision strategies; guidelines for supervision were also excluded.
It is often not seen as a priority and there is often a lack of structure and guidelines for supervision [ 1, 2, 12– 12].
Focus on improving patient care was in line with the ministry's vision of "providing comprehensive service with quality and care", however this goal had not been operationalized in guidelines for supervision.
Liberia budgeted for monitoring and supervision support; Lesotho proposed to establish a Secretariat within an HIV/AIDS cross-sectoral program, and Serbia sought to develop guidelines for supervision within their HIV/AIDS program.
They also found that their workload was not clearly defined; that supervisors often prioritised facility-based responsibilities over community work and had no clear guidelines for supervision; that there are few incentives (beyond community recognition) for their work; and that CHWs were sometimes forced to use their own resources to subsidise services.
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An assessment by the Center for National Health Development in Ethiopia from May 2006 found that good guidelines for team supervision exist and that a lot of attention was given to the supervision of HEWs at all levels.
At the same time, the benefits of supervision have been lauded in numerous publications on medical education [ 6, 7] and various guidelines for effective supervision in both undergraduate and postgraduate settings have been published [ 8].
The implementation of the common guidelines for risk supervision was a very ambitious initiative designed to address a variety of risks.
Guidelines and tools for supervision included instructions for conducting supervision, namely rules of conducting supervision meetings, checklists for supervisory visits, work planning action sheets, do's and don'ts of supervision, self-assessments of supervisors' competencies, tips on delegation, a feedback mechanism, and conflict resolution.
SS, which was the focal point of the package of interventions, was based on 1) introducing updated job descriptions with documented lines of supervision; 2) improving communication lines and skills; 3) introducing guidelines and tools for supervision, performance review, and monitoring; and 4) evidence-based action planning.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com