experience sharing hautl supervision

Supervising

Health System Strengthening Activities

U Htun Lwin Health Assistant

Ngaphyugalay RHCThayawaddy Township

During the process of CTHP in Thayarwaddy in November 2011 the supervision visits were drawn for township, station and RHC levels

Eg: Ngaphyugalay RHC- 4 Subcenters & 43 villages, 10 V under main, 33 villages to be visited by HA & LHV(Letpankon, Myitkyo, Kanyintabin & Kyungalay)

Farthest - Myitkyo, Kanyintabin- 15miles from RHC situated at other side of Myitmakha river - Letpankon SC- 12 miles from RHC

- Kyungalay SC – 10 miles from RHC 

Supervision visits for the supervisors

Previously –we could visit to the SC from other side of river, 2-3 times/yearThose on the same side of river bank could be visited 4 times/year

-Plan to visit to one SC six times per year in CTHP by HA & LHV--With HSS support from Jan to June 2012 – already visited to a total of 12 Supervision visits by HA & LHV Kanyintabin- HA 3 times, LHV 1 timeMyitkyo - HA 1 time, LHV 1 time Kyungalay - HA 2 times, LHV 2 times Letpankon - LHV 2 times

Supervision visits for the supervisors

SUPERVISION IN NGAPHYUGALAY RHC SUPERVISION IN NGAPHYUGALAY RHC FOR FIRST QUARTER FOR FIRST QUARTER

S/N RHC Jan Feb March

1 NgaphyugalayRHCHA

LHV

Kanyintabin SC(13.1.12)

Kyungalay SC(1.1.12)

Myitkyo SC(10.2.12)

KanyintabinSC(9.2.12)

KyungalaySC(9.3.12)

Myitkyo SC(14.3.12)

SUPERVISION IN NGAPHYUGALAYSUPERVISION IN NGAPHYUGALAYFOR SECOND QUARTER FOR SECOND QUARTER

S/N RHC April May June

1 NgaphyugalayRHCHA

LHV

Kanyintabin SC(6.4.12)

Kyungalay SC(4.4.12)

Kyungalay SC(11.5.12)

Letpankon SC(10.5.12)

Kanyintabin SC(8.6.12)

Letpan kon SC(7.6.12)

Check list for supervision

1.Infrastructure2.Water and Sanitation3.Map / Organization Chart4.Community Participation – committee meeting5.Health Profile6.Health Posters & Pamphlets7.Drug store / Lab / Maternity room8.CHW/AMW collaboration9.Report and Returns10.Equipment11.Medicines12.Activities and Findings13.Give Suggestions at the end

Supervision

Myitkyo SCprevious condition in 2011

Discussion with community to rebuild the subcenter

Forming a committee to refurbish the Myitkyo SC

Become better in 2011

Myitkyo SC in 2012 July with new roof and fencing

No midwife appointed as yet

Jan, Feb, March –visited 5 HTR villages April, May, June- visited 7 HTR villages, including 5 villages from first roundObservations:

Impression: Community appreciates team of BHS coming and delivering package of service

Supervision cum participation in the package tours

First round of visit Second round of visit

• Requested to construct sanitary latrines • 9 new latrines were constructed• Community interest and attendant was less

• Many people attended the package session

• CHW/AMW coordination was not satisfactory

• More collaboration by CHW/AMW in the second package session

Suggestions given by InspectorTo improve filling in the reports / registers correctly and on    timeInfrastructure –inspection notes to be taken care of by the     villagersTo emphasize on prevention and complication of AbortionTo give information on Malaria, DHF, other infectious    diseases to the communityTo provide Quality ANC To set up health care fund, Emergency Plan for referral at     village levelTo provide early referral of high risks AN to hospital by     village health committee

Strengths  Midwives become more motivated due to frequent   supportive supervision  Improvement in data quality  Improvement in service quality  Provision of on-the-job training   Self motivated

Weakness Cannot travel according to plan for supervision   Technical competency in supervision need to be      strengthened   Follow up checking for some request/order being      implemented or not  Lack of feed back to the midwives

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