Supervision Models Used at Health Centers and CHW Sites, Southwest Mali
| Biannual Supervision | Quarterly Supervision | Monthly Supervision | Nutrition-Specific Supervision | |
|---|---|---|---|---|
| Bafoulabé: Basic level of supervision | ||||
| Target | Health centers and CHW sites | CHW sites | CHW sites | N/A |
| Approach | Approximately 8 days of supervision, including 3 days for problem sites, 1 day report writing/presentation and 2 for travel | Three sites visited during each supervision (12 sites over year) | Conducted with standard iCCM supervision checklist | |
| Team composition | 3 people from national and regional Ministry of Health | 3 people from district-level Ministry of Health | Team from health center and community health association | |
| Kayes: Medium level of supervision | ||||
| Target | Health centers and CHW sites | Health centers and CHW sites | CHW sites | N/A |
| Approach | Approximately 8 days of supervision, including 3 days for problem sites, 1 day report writing/presentation and 2 for travel | Approximately 15 sites visited during each supervision (60 over the year) | Conducted with standard iCCM supervision checklist | |
| Team composition | 3 people from national and regional Ministry of Health | 3 people from the district-level Ministry of Health, including chief doctor, and community health and social development focal points | Health center technical directors, a member of community health association, and 1 Action Against Hunger supervisor, who covers 10–12 CHW sites each (1 site per day) | |
| Kita: High level of supervision | ||||
| Target | Health centers and CHW sites | Health centers and CHW sites | CHW sites | CHW sites |
| Approach | Approximately 8 days of supervision, including 3 days for problem sites, 1 day report writing/presentation and 2 for travel | Team visits 1 health center and 1 CHW site per day—approximately 30 sites visited during each supervision (120 over the year) | Conducted with standard iCCM supervision checklist | Conducted with community-based management of acute malnutrition supervision checklist |
| Team composition | 3 teams of 3 people including individuals from national and regional Ministry of Health | 3 teams of 2–4 people, including district’s chief doctor, nutrition, community health, and social development focal points of the district level Ministry of Health | Health center technical directors, a member of community health association, and an Action Against Hunger supervisor. Each of the 6 Action Against Hunger supervisors covers 15 sites/month (1 site/day). | 3 Action Against Hunger doctors supervised by district’s nutrition focal point conduct nutrition-specific supervisions, with each doctor covering 30 CHW sites with the aim to visit 2 sites/day and spend 1 week/month supporting the nutrition and community health focal points |
Abbreviations: CHW, community health worker; iCCM, integrated community case management; N/A, not applicable.