Tools and Techniques

Items for Selective Supervision

Assessment of Clinic Facility

1. Client reception area: cleanliness, adequacy of seating, availability of educational materials.
2. Client registration area: effectiveness of marking, materials available for making appointments.
3. Client interview area: privacy, lighting, ventilation, educational materials.
4. Client examination area: privacy, lighting, access to sink, cleanliness.
5. Running water.
6. Electricity.
7. Garbage properly and regularly disposed of.
8. Toilet/latrine is properly maintained.

Service Indicators

1. Courteous reception.
2. Average waiting time for new acceptors is less than __ minutes.
3. Average waiting time for resupply is less than __ minutes.

Quality of Client Education

1. Service provider gives correct and relevant information, using language and visual aids appropriate for clients.
2. Service provider encourages and responds to all client's questions.

Quality of Client Examination

Service provider:

1. Maintains privacy as much as possible.
2. Takes an appropriate history.
3. Obtains and records all necessary information concerning client's health.
4. Makes client comfortable and gives information and feedback during and after physical exam.
5. Follows correct steps in conducting physical examination.
6. Uses aseptic technique when necessary.

Quality of Counseling

Service provider:

1. Prescribes contraceptive method according to results of client history, physical examination, and client's preference. Respects client's right to informed choice.
2. Correctly informs client of side effects, complications, and danger signals of chosen method and of appropriate action to take. Verifies client's understanding.

Quality of Client Follow-up

Service provider:

1. Follows established protocol for family planning follow-up.
2. Encourages clients to come back if they are having problems, even if they do not have an appointment scheduled.
3. Follows up on people who have discontinued family planning.

Assessment of Equipment and Materials

1. Standard family planning equipment and materials are available and functioning correctly. Note any equipment requiring repair.
2. Family planning equipment and materials are kept clean and properly maintained.
3. Materials needed for aseptic technique are sterilized and sorted according to standard nursing protocols.

Assessment of Commodities and Supply Systems

1. Commodities ordered on schedule.
2. Requisition and balancing of commodities as per protocol.
3. Commodity register reflects current inventory.
4. Commodities properly stored and secure.
5. First-to-Expire/First-out system of commodity dispensing used.
6. Adequate supply of stocks; commodities that had stock-outs last month; commodities whose supplies are low.

Provider Skills

Provider performs or demonstrates adequate:

Assessment of Supervisory Activities

1. Jobs are assigned according to current job description, capability, interest, and clinic need.
2. Staff supervision is carried out in the form of guidance and assistance.
3. Staff meetings are held regularly for the purposes of planning, problem solving, and sharing information.
4. Supervisor shows recognition for good work done by staff.
5. Performance objectives are established for the month/year.
6. Performance objectives are met for the month/year.
7. Performance objectives are understood by staff.
8. Activities are planned by clinic staff according to service objectives.

Indicators of Clinic Activity and Staffing

1. Average number of cases seen per session.
2. Number of clinic sessions per week.
3. Number of hours per session.
4. Number of family planning-trained physicians in attendance at sessions.
5. Number of family planning-trained nurses in attendance at sessions.
6. Number of family planning-trained auxiliaries in attendance at sessions.