A Mixed Method Study on Supportive Supervision of Community Health Workers From Central India
G Revadi1, Ankur Joshi2, Abhijit P Pakhare2
1Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Summary
Supportive supervision by facilitators significantly impacts Community Health Worker (CHW) performance. However, CHW facilitators face challenges like inadequate CHW education and resources, necessitating strong motivation to improve CHW functionality.
Area of Science:
- Public Health
- Health Systems Research
- Community Health
Background:
- Supportive supervision is crucial for Community Health Worker (CHW) effectiveness in health programs.
- ASHA Sahyogini act as facilitators supervising CHWs in India.
- Understanding the facilitator-CHW relationship is key to improving healthcare delivery.
Purpose of the Study:
- Investigate the link between CHW facilitator knowledge/skills and CHW performance.
- Identify challenges faced by CHW facilitators in supporting CHWs.
- Assess CHW perceptions of their facilitators' supportive supervision.
Main Methods:
- Mixed-method explanatory study in rural Madhya Pradesh, India.
- Categorized CHWs into high and low performing groups.
- Utilized questionnaires, skill assessments, and focus group discussions.
Main Results:
- Facilitator's supportive supervision score correlated significantly with CHW performance.
- Facilitators faced issues including CHW education gaps, low incentives, and logistical problems.
- Some CHWs reported good support, while others operated independently.
Conclusions:
- CHW performance is not solely dependent on facilitator performance.
- Unmodifiable challenges require facilitators to strongly motivate CHWs.
- Enhanced support and motivation are vital for improving CHW functionality.
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