The importance of training and supervision in quality of care

Training of family planning service providers requires identification and selection of service providers, knowledge of their functions in the overall health team, provision of job descriptions and assessment of training needs. These can assist in the definition of training objectives and the establishment of program content. Varied teaching methodologies and aids can enrich the program and maximize learning and the venue and facilities provided for training should be accessible, appropriate in setting (using primary, secondary or tertiary facilities as necessary) and should provide an adequate standard of care. Evaluation of training performance should be regular and ongoing, with final assessment leading to recognition of training. The program should be evaluated by trainers and trainees to assist in improving the quality of the training and competence of the trainers. Finally, supervision and monitoring of performance in the workplace can be achieved by direct internal or external supervision, by indirect supervision using standing orders or guidelines, and by evaluation by managers, service providers and clients.