Supervision of Program Staff. A supervision system is in place to assess performance of health personnel, management of the information system, technical quality, equipment, supplies and infrastructure. Two types of supervision are done, one by the MOH District (every 6 months), and another by CSRA (each quarter). The three Area Health Centers supervise Health Posts (Sectors) on a quarterly basis. The Health Sector AN supervises HVs. The supervision system is adequate, however areas that need improvement include: completion of planned supervisory activities; greater emphasis on follow-up of the results; improved feedback to staff; ways to reduce barriers to effective supervision; update and review job descriptions and clarify roles, especially in the case of field supervisors; and improve supervision of health volunteers and link the results to capacity building. Since there are two supervision systems, it would be useful to assess how these could be joined into a single system. Although the supervision system is functioning, it should be streamlined and adopted by the MOH and MHBs in order to merit expansion to other MOH districts and municipalities.
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Sources: Cooperative Agreement, Cooperative Agreement