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11.experience sharing hautl supervision
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11.experience sharing hautl supervision

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  • 1. Super vising Health System Strengthening Activities U Htun Lwin Health Assistant Ngaphyugalay RHC
  • 2. Supervision visits for the supervisors During the process of CTHP in Thayarwaddy in November 2011 the supervision visits were drawn for township, station and RHC levels Eg: Ngaphyugalay RHC- 4 Subcenters & 43 villages, 10 V under main, 33 villages to be visited by HA & LHV (Letpankon, Myitkyo, Kanyintabin & Kyungalay) Farthest - Myitkyo, Kanyintabin- 15miles from RHC situated at other side of Myitmakha river - Letpankon SC- 12 miles from RHC - Kyungalay SC – 10 miles from RHC  
  • 3. Supervision visits for the supervisors Previously –we could visit to the SC from other side of river, 2-3 times/year Those on the same side of river bank could be visited 4 times/year -Plan to visit to one SC six times per year in CTHP by HA & LHV --With HSS support from Jan to June 2012 – already visited to a total of 12 Supervision visits by HA & LHV Kanyintabin- HA 3 times, LHV 1 time Myitkyo - HA 1 time, LHV 1 time  Kyungalay - HA 2 times, LHV 2 times  Letpankon LHV 2 times
  • 4. SUPERVISION IN NGAPHYUGALAY RHC FOR FIRST QUARTER S/N RHC 1 Ngaphyugalay RHC Kanyintabin HA SC Feb March (13.1.12) LHV Jan Myitkyo SC (10.2.12) Kyungalay SC (9.3.12) Kyungalay SC (1.1.12) Kanyintabin SC (9.2.12) Myitkyo SC (14.3.12)
  • 5. SUPERVISION IN NGAPHYUGALAY FOR SECOND QUARTER S/N RHC April May 1 Ngaphyugalay RHC Kanyintabin HA SC June (6.4.12) LHV Kyungalay SC (11.5.12) Kanyintabin SC (8.6.12) Kyungalay SC (4.4.12) Letpankon SC (10.5.12) Letpan kon SC (7.6.12)
  • 6. Supervision Check list for supervision 1.Infrastructure 2.Water and Sanitation 3.Map / Organization Chart 4.Community Participation – committee meeting 5.Health Profile 6.Health Posters & Pamphlets 7.Drug store / Labour room 8.CHW/AMW collaboration 9.Report and Returns 10.Equipment 11.Medicines 12.Activities and Findings 13.Give Suggestions at the end  
  • 7. Myitkyo SC previous condition in 2011 Discussion with community to rebuild the subcenter Forming a committee to refurbish the Myitkyo SC
  • 8. Become better in 2011 Myitkyo SC in 2012 July with new roof and fencing No midwife appointed as yet
  • 9. Supervision cum participation in the package tours Jan, Feb, March –visited 5 HTR villages April, May, June- visited 7 HTR villages, including 5 villages from first round Observations: First round of visit Second round of visit • Requested to construct sanitary latrines • 9 new latrines were constructed • Community interest and attendant was less • Many people attended the package session • CHW/AMW coordination was not satisfactory • More collaboration by CHW/AMW in the second package session Impression: Community appreciates team of BHS coming and delivering package of service
  • 10. Suggestions given by Inspector To improve filling in the reports / registers correctly and on time Infrastructure –inspection notes to be taken care of by the villagers To emphasize on prevention and complication of Abortion To give information on Malaria, DHF, other infectious diseases to the community To provide Quality ANC To set up health care fund, Emergency Plan for referral at village level To provide early referral of high risks AN to hospital by
  • 11. Strengths Midwives become more motivated due to frequent supportive supervision  Improvement in data quality  Improvement in service quality  Provision of on-the-job training  Self motivated  Weakness     Cannot travel according to plan for supervision Technical competency in supervision need to be strengthened Follow up checking for some request/order being implemented or not Lack of feed back to the midwives
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