Problem-solve and provide feedback:
Describe the problem and its impact
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ƒ Focus on the problem and not individuals.
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ƒ Tackle one problem at a time.
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ƒ Explain the long-term and short-term impact of the problem.
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ƒ Be specific in explaining the problem. If possible, back it up with facts, rather than judgment alone.
Discuss the causes of the problem with health staff
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Identify the cause of the problem by asking “why” repeatedly and having open dialogue with the staff. Is it due to lack of skills or to an external factor?
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ƒ Do not blame others or blame the system.
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ƒ It may sometimes be necessary to seek explanation from other sources (e.g. community members, data, etc.).
Implement solutions and monitor regularly
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ƒ Develop, through common consensus, an implementation plan that details what, how, who and when.
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ƒ Implement those solutions that can be implemented immediately e.g. training on how to use hub cutter.
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ƒ Follow up on progress.
Provide feedback to the health staff concerned
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ƒ If you have some bad behaviour to comment on, begin with the positive, and be specific about weaknesses, rather than simply saying” that was not well done”.
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ƒ Give health workers reasons for their success or failure. Don’t just say “well done”. Give a reason saying, well done. You correctly read the VVM and took the appropriate action”. Don’t say “you are wrong” but rather “there may be problem. The data from your telly sheet do not match the data in the UIP reporting format. How can this can be corrected?”
Provide on-the-job training: by following the main steps when teaching a skill:
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Explain the skill or activity to be learned.
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Demonstrate the skill or activity using an equipment, model, or role-play.
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Allow health workers to practice the demonstrated skill or activity.
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Evaluate the health workers’ ability to perform the skill according to the correct procedure and give constructive feedback.
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