Common supervision challenges cited by manager informants included supervisors' busy schedules, lack of transportation, and the coordination required to undertake supervision in teams (teams often included Pharmacy Technicians, Environmental Health Officers, and Malaria Coordinators).
Children are often more computer savvy than their parents, making supervision a challenge.
They were asked to bring forth experiences on examination supervision, the challenges they face and how they deal with these challenges with the view of overcoming them.
He also questioned Andy and Tammy's supervision, and challenged them to be accountable for what goes on under their roof.
The themes discussed included the role of VHTs within iCCM; newborn care offered by VHT members to sick and well newborns; key messages related to newborn care; record keeping; supervision; motivation; challenges faced within the iCCM program; and perceptions about the overall iCCM program.
However, supervision remains a challenge.
The difficulties we encountered with training and supervision underscore the challenges of scaling up even the most basic components of a quality improvement intervention.
Focus Group 1, GE student, MaleIn one focus group, when school leaver students put forward the view that they were not ready for the responsibility of engaging with PAL without tutor supervision, this was challenged by a graduate student.
They felt that more frequent support and supervision for technical challenges was desirable and may aid their local credibility but identified the distance to their supervisors and the health facility as representing an obstacle to this occurring.
In total, three FGDs were conducted, two in the Internship Stage 1 and one at the end of Pilot Stage 2. Using a guided semi-structured interview, an experienced qualitative researcher (SS) asked the lay therapists involved in the current study about their experiences of the two types of supervision formats, the challenges and difficulties and how these could be addressed.
The technician chart (Exhibit IV-C) appears to reflect greater frustrations and hence greater challenge to supervision than do the charts for scientists, engineers, and manufacturing supervisors.
