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Table 4 Supervisory performance of lady health supervisors

From: Does supportive supervision intervention improve community health worker knowledge and practices for community management of childhood diarrhea and pneumonia? Lessons for scale-up from Nigraan and Nigraan Plus trials in Pakistan

Skills Nigraan (Badin) Nigraan Plus (MPK)
Performed correctly
Pre-intervention
Performed correctly
Mid-intervention
Performed correctly
Post-intervention
Performed correctly
Pre-intervention
Performed correctly
Mid-intervention
Performed correctly
Post-intervention
Intervention
n = 12
No. (%)
Control
n = 11
No. (%)
Intervention
n = 16
No. (%)
Control
n = 16
No. (%)
Intervention
n = 16
No. (%)
Control
n = 16
No. (%)
Intervention
n = 16
No. (%)
Control
n = 16
No. (%)
Intervention
n = 16
No. (%)
Control
n = 16
No. (%)
Intervention
n = 16
No. (%)
Control
n = 16
No. (%)
Clinical mentorship
 Asks LHW to describe case history and findings 12 (100) 6 (54) 16 (100) 13 (81) 14 (88) 13 (81) 15 (94) 15 (94) 15 (94) 9 (56) 15 (94) 13 (81)
 Probes for inconsistencies and missing information 5 (42) 2 (18) 14 (88) 10 (63) 12 (75) 9 (56) 11 (69) 11 (69) 15 (94) 6 (38) 15 (94) 11 (69)
 Reviews diagnosis with LHW and correlates it with the child findings 3 (25) 1 (9.1) 13 (81) 6 (38) 11 (69) 5 (31) 13 (81) 13 (81) 15 (94) 7 (44) 15 (94) 7 (44)
 Demonstrates correct method for clinical examination to the LHW 1 (8) 0 (0) 12 (75) 3 (19) 12 (75) 9 (56) 11 (69) 11 (69) 10 (63) 6 (38) 10 (62) 2 (13)
 Reviews treatment suggested by LHW 6 (50) 2 (18) 5 (31) 2 (13) 15 (94) 11 (69) 6 (38) 9 (56) 15 (94) 12 (75) 15 (94) 2 (13)
 Discusses indication present in the sick child for suggested management with LHW 7 (58) 3 (27) 11 (69) 4 (25) 13 (81) 10 (63) 11 (69) 9 (56) 14 (88) 7 (44) 14 (88) 3 (19)
Supervisory performance
 Explains the purpose of the supervisory visit to the LHW and clearly spells out her expectations from LHW 8 (67) 5 (46) 14 (88) 11 (69) 12 (75) 7 (44) 13 (81) 11 (69) 16 (100) 9 (56) 16 (100) 6 (38)
 Provides LHW with verbal feedback of performance for given child 3 (25) 0 (0) 14 (88) 11 (69) 14 (88) 14 (88) 13 (81) 12 (75) 16 (100) 7 (44) 16 (100) 9 (56)
 Provides written performance feedback to the LHW during the visita 0 (0) (0) 14 (88) 1 (6) 8 (50) 0 (0) 4 (25) 5 (31) 12 (75) 0 (0) Not applicable Not applicable 0
 Demonstrates encouraging and appreciative attitude towards the LHW 3 (25) 0 (0) 14 (88) 6 (38) 13 (81) 13 (81) 4 (25) 3 (19) 12 (75) 2 (13) 12 (75) 6 (38)
  1. aWritten feedback card distribution was not assessed post-intervention as they were not available