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Supervising
Health System Strengthening Activities
U Htun Lwin Health Assistant
Ngaphyugalay RHCThayawaddy Township
During the process of CTHP in Thayarwaddy in November 2011 the supervision visits were drawn for township, station and RHC levels
Eg: Ngaphyugalay RHC- 4 Subcenters & 43 villages, 10 V under main, 33 villages to be visited by HA & LHV(Letpankon, Myitkyo, Kanyintabin & Kyungalay)
Farthest - Myitkyo, Kanyintabin- 15miles from RHC situated at other side of Myitmakha river - Letpankon SC- 12 miles from RHC
- Kyungalay SC – 10 miles from RHC
Supervision visits for the supervisors
Previously –we could visit to the SC from other side of river, 2-3 times/yearThose on the same side of river bank could be visited 4 times/year
-Plan to visit to one SC six times per year in CTHP by HA & LHV--With HSS support from Jan to June 2012 – already visited to a total of 12 Supervision visits by HA & LHV Kanyintabin- HA 3 times, LHV 1 timeMyitkyo - HA 1 time, LHV 1 time Kyungalay - HA 2 times, LHV 2 times Letpankon - LHV 2 times
Supervision visits for the supervisors
SUPERVISION IN NGAPHYUGALAY RHC SUPERVISION IN NGAPHYUGALAY RHC FOR FIRST QUARTER FOR FIRST QUARTER
S/N RHC Jan Feb March
1 NgaphyugalayRHCHA
LHV
Kanyintabin SC(13.1.12)
Kyungalay SC(1.1.12)
Myitkyo SC(10.2.12)
KanyintabinSC(9.2.12)
KyungalaySC(9.3.12)
Myitkyo SC(14.3.12)
SUPERVISION IN NGAPHYUGALAYSUPERVISION IN NGAPHYUGALAYFOR SECOND QUARTER FOR SECOND QUARTER
S/N RHC April May June
1 NgaphyugalayRHCHA
LHV
Kanyintabin SC(6.4.12)
Kyungalay SC(4.4.12)
Kyungalay SC(11.5.12)
Letpankon SC(10.5.12)
Kanyintabin SC(8.6.12)
Letpan kon SC(7.6.12)
Check list for supervision
1.Infrastructure2.Water and Sanitation3.Map / Organization Chart4.Community Participation – committee meeting5.Health Profile6.Health Posters & Pamphlets7.Drug store / Lab / Maternity room8.CHW/AMW collaboration9.Report and Returns10.Equipment11.Medicines12.Activities and Findings13.Give Suggestions at the end
Supervision
Myitkyo SCprevious condition in 2011
Discussion with community to rebuild the subcenter
Forming a committee to refurbish the Myitkyo SC
Become better in 2011
Myitkyo SC in 2012 July with new roof and fencing
No midwife appointed as yet
Jan, Feb, March –visited 5 HTR villages April, May, June- visited 7 HTR villages, including 5 villages from first roundObservations:
Impression: Community appreciates team of BHS coming and delivering package of service
Supervision cum participation in the package tours
First round of visit Second round of visit
• Requested to construct sanitary latrines • 9 new latrines were constructed• Community interest and attendant was less
• Many people attended the package session
• CHW/AMW coordination was not satisfactory
• More collaboration by CHW/AMW in the second package session
Suggestions given by InspectorTo improve filling in the reports / registers correctly and on timeInfrastructure –inspection notes to be taken care of by the villagersTo emphasize on prevention and complication of AbortionTo give information on Malaria, DHF, other infectious diseases to the communityTo provide Quality ANC To set up health care fund, Emergency Plan for referral at village levelTo provide early referral of high risks AN to hospital by village health committee
Strengths Midwives become more motivated due to frequent supportive supervision Improvement in data quality Improvement in service quality Provision of on-the-job training Self motivated
Weakness Cannot travel according to plan for supervision Technical competency in supervision need to be strengthened Follow up checking for some request/order being implemented or not Lack of feed back to the midwives
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