After the 3-day program, imagers serve a probationary period with senior imager supervision and ongoing quality improvement and assurance.
Furthermore, such ineffective performance has variously been attributed to the lack of monetary incentives, appropriate supervision, or ongoing training [ 8- 10].
Their work was supported through regular supervision and ongoing training given by MoH health workers with MSF support.
Supportive supervision and ongoing clinical mentoring is essential whenever task shifting is employed and should be done by competent health workers that have the appropriate supervisory skills.
Supervision is ongoing at all levels of the study and regular meetings provide the opportunity to trouble shoot problems and respond to issues in a timely manner.
Adequate resources, good program management, supervision and ongoing evaluation are urgently needed to ensure successful scale up and sustainability of these programs.
After pharmacists and traditional healers received training, we followed up with supportive supervision, including ongoing analysis of referrals made by these providers and received at the DOTS facilities.
The team also found that not all staff assigned to ANC and labor wards had received PMTCT training; supervision and ongoing training was limited; and training manuals needed to be updated and substantially improved.
The five items adapted for this study included: receiving orientation upon placement, experiencing good clinical supervision, receiving ongoing mentorship, finding clinical leadership accessible, and feeling that concerns were addressed.
Kemp and colleagues suggest that to meet the additional and complex needs of families with low English-fluency, service improvements require an increase in workforce numbers, adequate provision of clinical supervision, additional ongoing professional development and planning for future education needs [ 19].
