When to conduct visits: Once you have prioritized areas to be visited over the next quarter/year, prepare a Plan for supervision (See Table 3.3 in Unit 3) with at least 4-8 visits planned per month. Consider the following issues:
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ƒ Plan visits on immunization session days.
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ƒ Supervise both fixed as well as outreach sessions.
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ƒ Inform the health worker about the scheduled supervision visit and never go without informing.
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ƒ Prepare the supervision plan taking into account the distance, transportation difficulties, or constraints due to weather and travel conditions.
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ƒ Schedule enough time to visit the site fully, and if possible provide on-site training; for example it may take two hours or more to meet the needs of a single supportive supervision visit.
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ƒ Carry checklists and practical tools/Job aids to provide onsite training.
Conduct the visit according to the plan, otherwise inform the health worker in advance. Analyze your planned visits versus held visits and record the reasons for not holding any visit as planned (e.g. lack of transport, competing priorities). The frequency of supervisory visits will vary and poorly-motivated staff, new health centers, new staff or new responsibilities will require more frequent supervision.
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