Wednesday 29 May 2013

Bhadrak's Response to Theme- Supportive Supervision


What according to you is Supervision?

The word ‘supervision’ can be read as over-seeing, looking over someone’s shoulder to check on them; and also ‘it means outstanding or special, helping someone to extend their professional skills and understanding. This will be relevant to varying degrees in supervision, depending on the context. It can be helpful to think about supervision both in terms of development and performance.

How do you plan and implement your visits for supportive supervision

  • Be clear about why there is a need for supervision and who has asked for it.
  • Set a time frame for the supervision session; even a few minutes of focused time can be worthwhile.
  • Protect the time and space where possible and appropriate; try to ensure there will be no interruptions and that there is privacy.
  • Ensure that there is confidentiality; this means working in a place where the supervision cannot be overheard, and sharing identifiable personal details of patients only with those people who really need to know.
  • Be transparent about the extent to which the supervision is about development or performance; this may need to be renegotiated or stated during the session.

What should DAPCU keep in mind while undertaking supervision?

Through field visits, DAPCU verify all the registers of service delivery points and cross check the reports and the registers. DAPCU also identify the staff position, vacancies training needs, consumables status (HIV testing kits/condoms/formats and registers/IEC materials etc.)  Co-ordinate with the NRHM unit to ensure HIV testing is a part of ANC. Identify gaps in the ANC HIV testing and address them with support of NRHM personnel in the      district.

Monitor referral linkages among various facilities ICTC to STI Clinic and vice versa, ICTC to RNTCP and vice versa, ICTC to ART Centre, ART centre to STI Clinic, TI to ICTC, RNTCP, ART, Linkages with the govt. Facility for getting social benefit scheme etc.
Follow-up with various facility centers for submission of statement of expenditure and utilization certificates and reports to OSACS. Follow-up with various facility centers for submission of Audits statement  and compliance report to SACSs.
Co-ordinate with the Medical Officer I/c, District Health Officials about facilitating positive deliveries co-ordinate and liaise with NRHM and other line departments for including HIV related messages/issues in their campaign.
Join various meeting at field level like ASHA sector meeting, monthly staff meeting at block level for demand generation as well as awareness purposes.

Cross Baitarani river for supervision of ICTC-Chandbali (JD-STD& DPM)











While supervising, the DAPCU should verify the previous visit gaps and compliances made by the staff till date and update all the information to the Medical officer I/c for better improvement and co-ordination purpose.

Lastly, the supervision is purely a supportive supervision and there is requirement of such an environment that the staff of a service delivery point encourages to do all the necessary works for the facility.
                                                                                                                                                                                       List of Do’s 

  1. Share the documents to the staff.
  2. Write the gaps at the time of supervision in visiting register.
  3. Provide hand holding training to the staffs.
  4. Ensure to update all the necessary reports and registers and submit the correct report to OSACS in time.
  5. Ensure the job responsibility.
  6. Do check documents carefully; do follow the rules and process. Do raise concerns with the contracting authority.


List of Don’ts

  1. Never write baseless allegation about staffs.
  2. Do not collect the staff’s personal information.
  3. Never disclose any PLHA status without his/her consent.
  4. Never deny to provide the service to a client.
  5. Do not submit false or misleading information.


Supervision of LAC, Bhadrak by M & E Asst.

Supervision of ICTC- Dhamnagar by DPM

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