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Supportive Supervision (SS)

Supportive Supervision (SS). By Prof. Dr. Ahmed Fathy Hamed Professor of Public Health and Community Medicine Faculty of Medicine - Sohag University. Objectives:. By the end of this session participants should be able to:

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Supportive Supervision (SS)

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  1. Supportive Supervision (SS) By Prof. Dr. Ahmed FathyHamed Professor of Public Health and Community Medicine Faculty of Medicine - Sohag University

  2. Objectives: By the end of this session participants should be able to: • Define supportive supervision and compare it to traditional supervision. • Identify the role of supportive supervision in improving staff performance. • Describe the SS roles and skills. • Describe the approach to ensure proper use of the guidelines through supportive supervision.

  3. Definition: • Supportive supervision is a process that promotes quality at all levels of the health system by strengthening relationships within the system focusing on the identification and resolution of problems and helping to optimize allocation of resources , promoting high standard and better two way communication.

  4. SS: SS is also called facilitative supervision. It is a system of management whereby: • Supervisors at all levels focus on the needs of the staff they oversee. • Enable the staff to manage the quality improvement process. • Emphasizes monitoring coaching and two way communication.

  5. SS is a participatory process. • It is a problem solving process that leads to continuous quality improvement. • It considers the needs of staff for training: • On-the job training. • Whole site training.

  6. What is whole site training (WST)? • Needs are identified through self assessment approaches. • Needs are met through different levels of training, with instructions at the service site whenever possible. • Emphasis is placed on the development and training of teams at the service delivery site.

  7. TS External staff Periodic visits Inspection Focus on individuals One way comm. Reactive Not continuous Punitive SS Self ass, internal &external Continuous as needed Focus on process Participatory Proactive, training Continuous & CQI Coaching Comparison between traditional supervision and Supportive supervision

  8. Types of supervision • Self or peer supervision. • Internal supervision. • External supervision. • Supervision of supervisors.

  9. Levels of supervision • Unit level: • Self or peer supervision • Internal Supervision • District level • External supervision • Governorate level • External supervision • Supervision of supervisors • Central level • Supervision of supervisors

  10. What is self or peer supervision? • Personal & team responsibility • Professional standards • Job aids • Job expectations • Motivation is critical

  11. What is internal supervision? Self / Peer supervision + • Onsite guidance from the person in charge • Performance monitoring • Support for personal & team responsibility • Continuous quality improvement (CQI)

  12. What is external supervision? Self / Peer + internal supervision + • Facilitation for self & internal supervision • Technical updates • On-the-job training • Reinforcing priorities • Facilitating communication within the system

  13. Supervision of Supervisors Why? To assess quality What? Efficiency and effectiveness How? Reports, independent visits, joint visits

  14. Supervision of Supervisors (cont.) • Site supervisors enable staff to implement quality improvement process / guidelines • Supervisors of supervisors train them to help the site staff implement the quality improvement process / guidelines

  15. Characteristics of a good supervisor • Creates trust and develop a system of two way communication • Respects others and values their inputs • Holds staff accountable and rewards excellence • Motivate / challenge without being punitive • Supports staff and assist in participatory problem solving

  16. Role of supervisor: • Facilitator • Trainer • Couch

  17. Basic skills: • Leadership skills. • Mobilization of staff to implement new approaches. • Communication and facilitation skills. • Problem solving. • Liaison skills.

  18. Coaching: • Coaching is a training process that seeks to achieve continuous improvement through motivation, modeling, practice, constructive feedback and gradual transfer of skills.

  19. Coaching involves: • Motivation. • Modeling: demonstrate new behavior, use training & communication skills. • Practice: trainees demonstrate their ability to perform. • Constructive feedback from the supervisor

  20. Coaching involves ( cont. ) Feedback should be: • Positive, supportive, creating good feelings • Constructive, focusing on problem solving Should not be: • Negative, causing hurt feeling • Punitive, focusing on assigning blame

  21. Moving towards SS • Make supervisors part of the training process. • Work with supervisors to plan and conduct SS. • Stay motivated. • Build sustainability.

  22. Thank You Thank You

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