The SPEC method, that authors contribute to develop since several years, takes into account uncertainty inherent to this primary stage in order to propose supervision indicators (in terms of satisfactions and risks) and redesign/optimization means based upon a system/project stakeholders' satisfaction model.
11 Although such progress is noteworthy, nationally, Malawi is not reaching the 80% benchmarks for supply and supervision indicators set by the MOH.
Overall, Kasungu was the most consistently high-scoring district for the core implementation strength elements including proportion of iCCM-trained HSAs providing services as well as the supply and supervision related indicators.
The questionnaire included the following topics: (1) sociodemographic profile, (2) motivations for accepting the contract, (3) working conditions, (4) opinions about supervision and indicators employed, and (5) opinion of user satisfaction at their health unit.
However, we were able to aggregate data across all the supervision areas and compare indicators.
Indicators on supervision aimed to determine the frequency and content of supervision visits received by the CHWs.
Integrated 'implementation package' to empower front-line facility teams to continually improve care with respect to shared objectives (on-site simultaneous clinical/improvement/data management training; monthly calculation and analysis of common indicators, supportive supervision, regular shared learning).
The composition of these networks, where formal and informal care takes place, and the lack of guidelines and quality and risk indicators make supervision complicated in the current situation.
Our gold standard for indicators of supervision and stock-outs was based on inspection of monitoring records at the health centers, which were incomplete and may have data quality issues.
Relevant newborn indicators are captured through the VHT registers and the supervision checklists, and one core indicator specific to newborn care is captured at the national level (proportion of newborns visited at home on day 1, 3, and 7).
