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National guidance and district-level practices in the supervision of community health workers in South Africa: a qualitative study

机译:南非社区卫生工作者监督中的国家指导和区级实践:定性研究

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摘要

BackgroundSupportive supervision is considered critical to community health worker programme performance, but there is relatively little understanding of how it can be sustainably done at scale. Supportive supervision is a holistic concept that encompasses three key functions: management (ensuring performance), education (promoting development) and support (responding to needs and problems). Drawing on the experiences of the ward-based outreach team (WBOT) strategy, South Africa’s national community health worker (CHW) programme, this paper explores and describes approaches to supportive supervision in policy and programme guidelines and how these are implemented in supervision practices in the North West Province, an early adopter of the WBOT strategy. Outreach teams typically consist of six CHWs plus a nurse outreach team leader (OTL).
机译:背景技术支持性监督被认为对社区卫生工作者计划的绩效至关重要,但是对如何大规模地进行可持续性监督的了解相对较少。支持性监督是一个整体概念,包含三个关键功能:管理(确保绩效),教育(促进发展)和支持(响应需求和问题)。借鉴南非全国社区卫生工作者(CHW)计划的病房基础外展团队(WBOT)战略的经验,本文探讨并描述了政策和计划指南中支持性监督的方法,以及如何在南非的监督实践中实施这些方法。西北省,WBOT战略的早期采用者。外展团队通常由六个CHW和一名护士外展团队负责人(OTL)组成。

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