6. Key Findings
SUPERVISORS CHANGED
APPROACH
“…when you are supervising you
are like a mentor. You also
mentor those you are
supervising...”
TRAINING WAS HELPFUL
“That training was good because it
taught us supervision. This is
something we didn’t understand
before…”
SUPERVISORS WERE MORE
SUPPORTIVE
“…..so she encouraged me to continue
doing the things that I had done the
right way and also corrected me..”
SUPERVISION TOOLS WERE
USEFUL
“The supervision tool is systematic it
has a way of reminding me what to
take when am in the process of…”
7. Lesson 1: Leadership
• Leadership is required to drive
supervision
– Supervision is not just a job
– Supervision has to be part of QI agenda
• Leadership needed in Human
Resource Management
– Staff motivation
– Staff development Community leaders engaging with
community about their health priorities
8. Lesson 2: Investment
• Evidence shows supervision
improves health outcomes
• Supervision works when there is
investment in:
– Supervision tools
– Logistical support
– Building capacity of supervisors
Supervisors’ require logistical support
9. Lesson 3: Engage all Health
System Actors
• Engage senior managers in the health
systems for:
– Accountability
– Work planning
– Resource allocation
• Identify champions at all levels
– National
– County
– Community
Prof. Miriam Were
Community Health Service Goodwill
Ambassador, Kenya
10. Next steps (QI cycle 2)
• Embed Quality Improvement (QI) approaches in Health system
• Activities:
1. Building QI capacity of community level supervisors
2. Formation of QI teams at community and sub-County level
3. Measure embedment, supervision, data quality
11. In summary…
• Community Health systems are complex and in flux
• For supportive supervision to work, its important to:
– Provide leadership in the health system
– Invest in Capacity and operations support
– Engage stakeholders at all levels
Dhonno baad
Asante sana
Community Health Systems are complex and in flux
Example – Kitui county minister leadership for success of community strategy
Evidence shows supervision improves health outcomes e.g. referral, uptake of services, retention
REACHOUT provision of tools in units improved approach and frequency of supervision and action planning
Its not enough to build the capacity of CTC supervisors at community level
E.g. prof Miriam Were,
MoH level champions are engaged in the process of scaling up QI work