What recommendations can be made to ensure quality supervision via videoconferencing?
The further development of NIRS will serve to strengthen quality supervision and control of TCM products and regulate markets.
Both full-time and volunteer CHWs can become demotivated if they do not have access to adequate training, quality supervision, community acceptance or appreciation or if they are expected to work longer hours than they can realistically manage while fulfilling their other commitments.
And with the huge pressures on services at the moment, finding workers to provide high quality supervision is increasingly difficult.
Hermann and colleagues [ 23] have reported that community support programmes often devote insufficient attention to CHW retention, quality supervision and continuous training, which jeopardises the quality of these programmes over time.
Yet we contend that the apparently insufficient attention to issues such as quality supervision and continuous training will lead to decreasing quality of the programmes over time.
But they have not confirmed a single case of Ebola, according to the General Administration of Quality Supervision, Inspection and Quarantine.
Point-of-care, handheld cellphone based treatment algorithms can extend the clinics' points of contact into the community, allowing for real-time gathering of information and the ability to provide feedback and quality supervision.
The CBSWs identified the need for good quality supervision to increase retention: 'Even if there is no money in it you would feel that you are being supervised and that would motivate you to do the work well' (Hill et al. 2008, p. 43).
Based on lessons from the past, we contend that while an adequate and competitive salary may prevent a high turnover of CHWs, the apparently insufficient attention to other issues such as quality supervision and continuous training will lead to decreasing quality of the programmes over time.
