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Variation in the implementation of supervision seemed to play a more important role.
However, similar to provision of drug supplies, implementation of supervision visits was delayed in most districts.
Monitoring, Evaluation, and Supervision Almost all Public Health Institutes and health centers responded positively when asked about the implementation of supervision, monitoring and evaluation activities at different levels.
This study showed how the implementation of supervision was shaped by the mechanism of supervisors' approach to their role and view of the health worker.
This led to the identification of the mechanism of supervisors' orientation as the key factor shaping the implementation of supervision activities and their impact.
Ultimately, the implementation of supervision systems at the national level requires commitment and support from leadership to promote supervision and remove impediments to its implementation [ 48].
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Supervision incorporates interventions primarily focussing on the delivery of a supervision programme or the implementation of a supervision strategy.
For now, it is not clear that PEC, focused on diagnosis and management of eye conditions, will result in quality care for patients or that will it result in decreased prevalence of vision loss in the population, even with the implementation of enhanced supervision and oversight.
Although the provision of supportive supervision falls under the mandate of the AARHB, there are currently no formal guidelines for the implementation of supportive supervision at the health center level.
Understanding the influences shaping the different approaches observed in this study can indicate directions for strengthening implementation of supportive supervision.
This paper examines the implementation of training, supervision, drug supply, and job aids during the scale-up of a national CCM program in Malawi.
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