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Essentially all (95%; N = 145) of the CHEWs who received training on contraceptive implants at baseline also received supervisory and monitoring visits in the post-training time frame.
However, only 52.5% of HEWs in Tigray and 33.7% in SNNPR reported having received supervisory visits in the past one month, and some reported never receiving any supervisory visits (5.0% in Tigray and 10.8% in SNNPR).
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In addition, most HEWs had received one supervisory visit from the Woreda Health Office.
10% said they had not received any supervisory visit after training in IMCI.
Supervision visits occur frequently, according to respondents: 94% of providers had received a supervisory visit during the previous 6 months.
Most HIS departments (19/22, 86%) had received one supervisory visit in the 12 months prior to the survey.
In the control districts, none of the supervisors were trained in supportive supervision or received the supervisory guidelines.
Prior to data collection, all site-level teams received a supervisory visit from one of the counseling instructors and/or technical advisors.
(Supervisor, 26 years old) Roughly 2 years since the beginning of the programme, some communities and APEs had only received two supervisory visits.
Finally 35.7% of outpatient health workers had received a supervisory visit in 6 months prior to the survey, and only 19.4% received a visit that included any activity on malaria case-management (Table 2).
Though questions related to performance factors were asked with a retrospective connotation (e.g. "in the past 6 months, have you received any supervisory visit?"), memory recall and rationalization may curtail providers' recollection of factors affecting their performance.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com