His supervision was considered "unreliable" by all the national agencies and the Orthodox leadership.
The supervision of research is highly important, and the frequent lack of supervision is considered problematic [ 4, 9].
Supervision was considered by most respondents in the hospitals sufficient to cope with work (91percentnt in hospital A, 76 77 per cent in hospitals B, C and D, NS).
Supervision is considered a key, pedagogical and quality assurance tool in treatment delivery (Bernard & Goodyear, 2009; Schoenwald, Mehta, Frazier, & Shernoff, 2013; Waltz, Addis, Koerner, & Jacobson, 1993).
Moreover, when the IHC or GH belongs to a private actor, supervision is considered intrusive and unnecessary and is usually absent.
Supportive supervision is considered best practice and usually contains elements of record reviews, observations, performance monitoring, constructive feedback, provider participation, problem solving, and focused education.
Adequate supervision is considered key to ensure that CHWs perform well, are motivated, and have well-defined roles in the community and in relation to the health system (2– 6).
Other studies indicate that adequate supervision is considered key to ensure that health workers perform well, are motivated, and have well-defined roles in the community and in relation to the health system (7– 10).
Although it is not possible to make quantitative conclusions because of differences in intervention details and study design, qualitative analysis suggests that when supervision is considered by CHWs to be sufficiently frequent and supportive, this factor can encourage higher CHW motivation and performance.
Supervision and support are considered crucial to the success of programmes using CHWs [ 15, 16].
