Future programs ought to include training of service providers on PE/E management and ensure regular post-training supportive supervision, assure the continuous availability of MgSO4 and functioning equipment needed for the management of PE/E in all facilities.
The vehicle and 16 motorbikes are made available to support monitoring and supportive supervision".
A key characteristic of supportive supervision is that support should extend beyond face-to-face meetings.
This evidence supports the need for systematic supportive supervision.
These included: the "existence of a clear format for providing supportive supervision", "providers' recognition of the importance of supportive supervision", "the availability of resources to conduct supportive supervision", and "immunization managers' knowledge of how to conduct supportive supervision".
Insight into the contribution of humanized support and professional ethos to implementation of supportive supervision for MLHWs was gained from the operation of supervision in one health post.
Among immunization managers, the intervention independently contributed to improved knowledge of supportive supervision, and helped remove self-perceived barriers to supportive supervision such as availability of resources to supervisors, lack of a clear format for providing supportive supervision, and lack of recognition among providers of the importance of supportive supervision.
However, several areas for improvement need to be addressed, including improving availability of information, education, and communication (IEC) materials, providing more frequent supportive supervision, and providing immediate feedback after each supervision visit.
The findings also point to the need for an enabling practice environment that includes supportive supervision and management, and addressing other concerns such as staff shortages, safety, infrastructure and availability of functioning equipment.
Addressing systemic issues, such as the availability of essential logistics, supply chain management, timely indenting, and financial resources, could complement the supportive supervision strategy in improving immunization service delivery.
