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Initial experiences and innovations in supervising community health workers for maternal, newborn, and child health in Morogoro region, Tanzania

Journal Article
(Published April, 2015)
Roberton, T. (Author),
Cooper, C. (Author),
Applegate, J. (Author),
Lefevre, A. (Author),
Mosha, I. (Author),
Silverman, M. (Author),
Feldhaus, I. (Author),
Chebet, J. (Author),
Mpembeni, R. (Author),
Semu, H. (Author),
Killewo, J. (Author),
Winch, P. (Author),
Baqui, A.H. (Author),
George, A. (Author)
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Evaluation of the effectiveness of facility health workers training to offer supportive supervision for volunteer CHWs, supported by regional and district staff, with village leaders' further encouraging CHWs.  CHWs met with these facility-based supervisors an average of 1.2 times per month.  CHWs do value supervision and appreciate the supervisors' infrequent visits to their villages (averaging only every 2.8 months) but too much emphasis was occuring to check reports only rather than offer performance improvement motivation.  The study points to a need for supervisors to focus on CHW problem-solving and skills development with more training for village-based monitoring to lessen the supervision burden for busy clinical health worker/supervisors.

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Citation: 
Roberton T, Applegate J, Lefevre AE, Mosha I, Cooper CM, Silverman M, et al. Initial experiences and innovations in supervising community health workers for maternal, newborn, and child health in Morogoro region, Tanzania. Hum Resour Health. 2015;13(1):19.