The Visiting Supervisor Model What’s the evidence?

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The Visiting Supervisor Model What’s the evidence?

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The Visiting Supervisor Model What’s the evidence?. Kinds of evidence. What we know What’s in the literature. What do we know?. How many planned/actual visits? What usually happens during a visit? What helped to make it effective?. What’s in the literature?. Do supervisors visit? - PowerPoint PPT Presentation

Transcript of The Visiting Supervisor Model What’s the evidence?

Page 1: The Visiting Supervisor Model What’s the evidence?

The Visiting Supervisor Model

What’s the evidence?

Page 2: The Visiting Supervisor Model What’s the evidence?

Kinds of evidence• What we know• What’s in the literature

Page 3: The Visiting Supervisor Model What’s the evidence?

What do we know?• How many planned/actual

visits?• What usually happens

during a visit?• What helped to make it

effective?

Page 4: The Visiting Supervisor Model What’s the evidence?

What’s in the literature?• Do supervisors visit?• What happens during a visit?• What makes it effective?

Page 5: The Visiting Supervisor Model What’s the evidence?

Do supervisors visit?• DR Congo• Nepal• Niger• Sudan• Peru

Page 6: The Visiting Supervisor Model What’s the evidence?

DR Congo• Planned visits: 12/year

Page 7: The Visiting Supervisor Model What’s the evidence?

DR Congo• Planned visits: 12/year• Actual: 3-4/year

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Nepal• Planned visits: 6 per 6

months

Page 9: The Visiting Supervisor Model What’s the evidence?

Nepal• Planned visits: 6 per 6

months• Actual: 1.5 per 6 months

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Niger% scheduled visits completed

Page 11: The Visiting Supervisor Model What’s the evidence?

Niger

0102030405060708090100

1996 1997 1998 1999

% scheduled visits completed

?????????

Page 12: The Visiting Supervisor Model What’s the evidence?

Sudan• Proportion of sites receiving

1 or more visits per 6 months:

Page 13: The Visiting Supervisor Model What’s the evidence?

Sudan• Proportion of sites receiving

1 or more visits per 6 months: less than 50%

Page 14: The Visiting Supervisor Model What’s the evidence?

Peru• Average annual supervisory

visits:

Page 15: The Visiting Supervisor Model What’s the evidence?

Peru• Average annual supervisory

visits: 0.19

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Effective supervision

Set Expectations

Identify problemsand opportunities

Take action Monitor and assessperformance

Page 17: The Visiting Supervisor Model What’s the evidence?

What happens-Congo• Overall error rate of 58.7%:

• Incomplete documentation• Lack of follow-up• Poor controls over equipment

and supplies

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What happens-Botswana• Ask about problems: 65%• Examine clinic records:

50%• Observe service delivery:

43%• Make suggestions for

improvement: 38%

Page 19: The Visiting Supervisor Model What’s the evidence?

What happens-Sudan• Supervision book found:

26%• Supervision records found:

15%• Observation of case

management: 21%

Page 20: The Visiting Supervisor Model What’s the evidence?

What makes it effective?• Increasing freq or duration

of visits not effective• Relationship most

important for effect• Direct (on-site) supervision

works best

Page 21: The Visiting Supervisor Model What’s the evidence?

What’s in the literature?• Do supervisors visit?• What happens during a visit?• What makes it effective?


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