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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