Table 1 Intended roles of supervisors and village leaders, adapted from programme documents [29]
|  | Facility supervisors | MOHSW district, regional, national teams + MAISHA | Village leaders |
|---|---|---|---|
Location | At the facility where the CHW supervisor was based (PHC or dispensary) | PHC | PHC and village |
Frequency | Monthly | Quarterly | Quarterly (as part of district/regional supervision) + other ongoing informal supervision within the village |
Key responsibilities | â–ª Maintain a record of CHWs working in the catchment area | â–ª Develop supervision standards and tools, in collaboration with key stakeholders | â–ª Enable community sensitization, mobilization, and organization |
â–ª Develop a monthly supervision plan | â–ª Train CHWs and CHW supervisors | â–ª Strengthen village health committees | |
â–ª Provide technical support to CHWs to facilitate community mapping and household census | â–ª Provide CHW working tools and stipends | â–ª Participate in selection of CHWs | |
â–ª Coordinate and collaborate with village government, district-level staff, and partners and develop an inventory of stakeholders within the service area | â–ª Conduct quarterly meetings to discuss implementation of planned activities by CHWs, provide technical support accordingly | â–ª Develop a mechanism for supporting CHWs including motivation and retention | |
â–ª Provide support for CHWs in planning monthly activities | â–ª Collect data from facility supervisors, compile data within quarterly reports | â–ª In collaboration with CHWs, organize health promotion activities in the community | |
â–ª Provide support to CHWs in the process of conducting household visits and other community MNCH health promotion activities | â–ª Facilitate alignment or inclusion of CHW activities in Council Comprehensive Health Plans (district) | â–ª Identify and discourage risky behaviours | |
â–ª Conduct monthly meetings to discuss implementation of planned activities by CHWs and provide technical support accordingly | â–ª Facilitate availability of essential commodities and supplies | â–ª Promote and support early attendance at ANC, birth preparedness, and importance of facility delivery and follow-up after delivery | |
â–ª Collect data from CHWs in the catchment area, compile data within monthly reports | â–ª Facilitate care-seeking and provision of transport for referral | â–ª Implement community management information system | |
â–ª Manage referrals made by CHWs to health facilities | Â | â–ª Support immunization services | |
â–ª Collaborate with village government in selecting CHWs | Â | â–ª Ensure registration of pregnancies, births, and deaths | |
â–ª Provide support for referrals to health facilities in case of emergencies | |||
â–ª Plan and implement village health days |