Table 4 HSA supervisor responsibilities related to vaccination

Supply chain:

• Ensure availability of vaccines for HSAs (place vaccine supply orders and manage inventory)

• Organize transport for outreach visits

• Provide oversight to ensure vaccine fridges are working, make alternative plans in event of a power outage, ensure cold chain is maintained from static to outreach clinics

• Consolidate monthly reports from HSAs on services provided and commodities used

Vaccine safety:

• Observe HSAs vaccinating to make sure vaccines are administered correctly

• Provide oversight on vaccine quality and potency checks, including checking VVMs and expiry dates

• Ensure safety of HSAs while vaccinating (e.g., practicing injection safety, wearing masks, etc.)

Admin/general management:

• Provide performance feedback while observing HSAs

• Hold monthly review meetings at the health facility with HSAs

• Organize other supplies (e.g., uniforms, airtime, paper forms, boots, rain coats, backpacks, etc.)

• Prepare work plans for HSAs

• Maintain regular contact with HSAs and answer questions via phone/WhatsApp