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Identify the Problem

Describe the Problem

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Tools for Describing the Problem

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Supervision Guide

  

Supervision Guide

What is it?

A Supervision Guide provides a list of questions for orienting supervision, and a list of indicators for observing service delivery. It is a direct observation technique.

Who uses it?

The team, the manager - anyone providing supervision at any level.

Why use it?

A Supervision Guide gives you a solid framework that you can refer to during the supervisory session, to help you assess clinical dexterity, knowledge, interpersonal skills, and the clinical judgment of staff.

When to use it?

You use the guide during a supervisory visit.

How to use it:

  1. Before making a supervisory visit, determine all the activities that you will observe and all the information you will collect during the supervisory session. Your Supervision Guide should cover:
    • Core tasks: activities that are so important that they should be observed during every supervisory session
    • Supplementary tasks: important activities that are covered less frequently or on a rotating basis

  2. Develop the guide: The guide requires brevity (refer only to the most important points), ease of use (to allow you to write your observations in a quick and efficient way), and objectivity (use of binomial (yes/no) indicators and direct observation). The guide needs to refer to the selected activities and contain:
    • questions to observe the quality of the service with binomial answers and a space for comments
    • questions to the external users to assess their degree of satisfaction with the service
    • a space for the priority problems for the supervisor, personnel, and users
    • a space for individual and collective alternative solutions
    • a space for commitments, decisions, and recommendations

  3. In defining the questions, you should respond to:
    • how the activity is being performed by the supervisee
    • verification of compliance with protocols and standards
    • optimization of available resources
    • treatment of the user
    • good communication of the health worker with the user

  4. In addition, the guide can list the program support activities that need to be performed during each visit, such as replenishment of supplies, checking records, collecting information, and delivering paychecks. Include a list of the forms, supplies, official announcements, and notebooks that you will need to take with you on every visit.

Example:

Here is an example of a Supervision Guide that is used at an outpatient department to examine client waiting time.


         
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The Guide to Managing for Quality Copyright 1998 MSH and UNICEF

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