Epidemiology module of practical skills for mbbs student

Controlling Supervision versus Supportive Supervision

Control approach	Supportive approach
ƒ Focus on finding faults with individuals. ƒ Supervisor is like a policeman. ƒ Episodic problem-solving. ƒ Little or no follow-up. ƒ Punitive actions intended.	ƒ Focus on improving performance and building relationships. ƒ More like a teacher, coach, mentor. ƒ Use local data to monitor performance and solve problems. ƒ Follow up regularly. ƒ Support provided.

Step 1: Set Up a Supportive Supervision System
The three main "Rs" for an effective supportive supervision system are as follows.
Right Supervisors:
a core set of supervisors, well-trained on supportive supervision techniques and with updated information and skills on immunization issues. As the supervisors will be providing on-the-job training to health workers, it is important that the supervisors are themselves well informed and trained. As an initial step, provide refresher training for the core supervisors. The training could be on new policies or reporting procedures, changes to the immunization schedule etc or on supportive supervision techniques and participatory approaches.
Right Tools: availability of Supervisory checklists and forms (for recording observations, recommendations and follow up) and training materials and job aids (to update skills of health workers during supervision visits).
Right Resources: sufficient mobility, time allocated for supervision and follow-up.