An example of data use displays for CCM supervision coverage at health facility level in Malawi. Photo by Tanya Guenther, courtesy of Save the Children.


Supervision is the glue that holds different stakeholders together: parents, community health workers (CHWs), health-facility staff, and district managers. It is impossible to ensure good quality in iCCM without regular supervision. Supervision is particularly important soon after CHWs are initially deployed — ideally within the first few weeks after the training. Quality monitoring should be a routine activity, ideally initiated through competency-based training and CHW certification. To ensure that CHWs are providing quality services, supervisors might evaluate CHWs based on their practices in assessment, classification, treatment, counseling and communication, medicine storage, and recording. This allows program staff not only to collect data on quality but also to assess reasons for lapses, anticipate future problems, and put solutions in place; it is also a mechanism to reinforce CHWs’ training, boost their confidence, and increase their morale. Supervision can be a challenge for many programs, because the providers to be supervised are often dispersed in remote locations.


Related Documents