One element of a successful staff-led supervision programme was to ensure that all supervisors and supervisees received external training in supervision [ 33, 34].
In the late 1980's, even some of the therapists trying hardest to get the church authorities to weed out abusers were also saying that with successful therapy, proper supervision and continuing support, priests could be returned to many forms of pastoral work -- and that this was better than simply cutting such individuals loose to become anonymous predators.
Applicants have to have had a break of at least two years before applying for a fellowship – if successful, they receive training, supervision and help with finding research funding.
Despite revitalization of the APE programme, considerable challenges remain regarding its successful implementation, including the supervision system.
Regardless of the incentive model selected, we suggest that VHW programs are unlikely to be successful without providing frequent supervision.
There is a requirement for regular re-training of health workers with effective supportive supervision if successful implementation of the PCT approach is to be sustained.
Indeed, successful implementation of professional supervision relies on organization time and resources [ 19], since organizational issues, such as lack of choice around a supervisor, have been found to be key barriers to effective supervision [ 20].
Careful selection and training, continued support including monetary and non-monetary incentives, establishing routine contact with families in the community, and monitoring are critical for a successful FLW program., – Supportive supervision is also recognized to improve work productivity of FLWs providing preventive or curative services.
For collaborative supervision to be successful, and considering the current state of supervisory practice, community leaders and their health system partners may need to start afresh.
