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Allocating resources to supervision is likely to result in improved performance of health workers.
Allocating resources to supervision is likely to result in improved performance of health workers with regard to the rational use of essential drugs, resulting in improved efficiency and effectiveness [ 11].
Improved supervision is likely to require timely disbursement of funds, sufficient staff, prior notification of visits, appropriate training for supervision and improved supervision of CHMTs by regional and national level staff.
Depending on the purpose and current need, supervision is likely to focus on: skills training; theorising and case conceptualisation; clinical, professional, and ethical reflection; mentoring; professional development; and personal support [ 8, 9, 12- 14].
At the local level involvement of the DHTs and health facility staff in monitoring and supervision is likely to have increased sustainability of the intervention, and having DHTs involved in dissemination and speaking in various fora provided a sense that the package was not wholly led by researchers but owned by the whole community.
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After briefly discussing the current state of driverless vehicle technology, we suggest that systems that rely upon human supervision are likely to be dangerous when used by ordinary people in real-world driving conditions and are unlikely to satisfy the desires of consumers.
Community-monitoring or supervision are likely to be important approaches to improve APE performance, given that they work in communities, are selected by them and feel responsive and responsible to them.
Reductions in maintenance, medicines or other operating expenditures related to disease surveillance or supervision are likely to have a more damaging and immediate effect on quality and quantity of health service delivery [ 7].
In addition, health system challenges which the National Leprosy and Skin Control Programme was facing (inadquate financial resources, trained health workers, transport to follow up patients, supportive supervision) were likely to contribute to under-reporting and under-diagnosis of leprosy cases [ 6].
The project's integration of supportive supervision into the government-run supervision system is likely to increase the sustainability of such a support system for CHEWs.
Also, although health worker training, alone, might not be effective, training plus supervision strengthening is likely to improve healthcare worker performance, motivation, and satisfaction [ 20].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com