Systemically also, the HWs should receive regular supportive supervision, supplies of and orientation on fANC guidelines.
Nurse-midwives lacked supportive supervision, supplies and also seemed to lack motivation.
CHW productivity is influenced by a complex interplay of the four elements that comprise an enabling work environment workload, supportive supervision, supplies and equipment, and respect.
The work environment or working conditions encompass four key elements workload, supportive supervision, supplies and equipment, and respect [ 15] that affect the productivity of CHWs.
We present a model in which the work environment encompasses four essential elements workload, supportive supervision, supplies and equipment, and respect from the community and the health system that affect the productivity of CHWs.
Several authors have promoted a set of HRM practices (for example, using coordinated mix of HRM practices including supervision, incentives, recruitment and training [ 31]) or, with more focus on productivity, paying attention to workload, supportive supervision, supplies and equipment and respect from the community and the health system [ 32].
These should include strategies for improved referral transportation, training of health workers, supportive supervision, provision of supplies, and sensitization.
Given the serious financial and human resources constraints in developing countries, CHWs are expected to do more although they may not always receive the necessary support to do their jobs well, such as supportive supervision, and supplies and equipment.
The government is highly supportive saying new supplies of shale gas could eventually drive down the price of energy in Britain but local communities remain wary and many activists are implacably opposed.
This study revealed that nurse-midwives working in the labour wards lacked supportive supervision and supplies that are critical in executing their duties.
