North Delhi's Response to Theme- Supportive Supervision

What according to you is supervision?

A way of ensuring staff competence, effectiveness and efficiency through observation, discussion, support and guidance.

Supervision is concerned with encouraging the members of a work unit to contribute positively toward accomplishing the organizations goal and objectives.

Supervision methods:

A)  Indirect           

• by analyzing records & reports and (Quantitative) providing feedback

B)  Direct 

• by observing the performance of health (Qualitative) worker / medical
• officers while on job doing clinical assessment, counseling etc.                                       
• by observing / verifying, IEC material displayed, Drug position,
• by discussion with service providers & beneficiaries.
• by validating cases

Activities of Supervision:

• Preparing checklist for supervision
• Preparing route chart for visits
• Analyzing data collected
• Specifying training needs assessed 
• Problem solving / decision making

How do you plan and implement your visits for supportive supervision?

• First of all we have to make a tentative visit plan of all HIV/AIDS related facilities at the beginning of every month and take approval from DACO and share the plan with SACS.
• As per the plan, we do supportive supervision visits at various HIV/AIDS facilities.
• Before going on visit, we review the data and performance of the center for previous quarter from where we are going to make visit.
• After the review of the data and performance we come to know that what are the gaps and what we have to do and discuss at the centre.
• Then we visit the related HIV/AIDS facility with previous quarter data and a check list format in which data related indicators were filled by us before going on visit.
• We verify the data filled in Check list format from records, registers and monthly reports of the Center to ensure accuracy.\
• The observations and issues were discussed by DAPCU staff with Medical Officer In-charge of the facility and DACO.
• Preparing of visit report and sharing the same with SACS/NACO.

What should DAPCUs keep in mind while undertaking supervision? 

The following things should keep in mind while undertaking supervision:

• Review of data of the facility for previous quarter before going on visit.
• Conduct field visit according to check list format provided by NACO in which data related indicators should already filled by us before going on visit.
• Verify the data of check list format from records and registers of the facility.
• Identification of the gap between Positive detected and Pre ART registration, Cross referral made by the facility and discussion of the same with facility staff and MOI/C of the facility.
• Verification of Stock availability and stock requirements of the facility.
• Verification of Equipments status of the facility.
• Observing the improvement in performance of the facility as per the observations and suggestions of last visit conducted by DAPCU staff.
• 
  

List a few Dos and Don’ts.

Dos:

• Do field visit according to the Check List format.
• Praise what is done well and encourage.
• Verification of data from records and registers.
• Identification of Gaps in Positive detected and Pre-ART Regd., Cross referrals etc.
• Do physical verification of consumables and non consumables and fixed assets of the facility during the visit.
• Guiding the facility staff for better documentation, record keeping and reporting.
• Give feedback and suggestions for improvement in a respectful way.
• Write the suggestions in the visitor register of the facility.
• Preparing a visit report and share the same with SACS/NACO.

Don’ts:

• Don’t visit the facility without any review of data and necessary preparation of visit.
• Don’t discourage and demotivate the facility staff.