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The Role of Team Leaders & Supportive Supervision in the Campaign. National EPI. Objectives. Basic guiding principles in campaign supervision Define key components to be supervised Familiarise participants with the immunisation post check list

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The Role of Team Leaders & Supportive Supervision in the Campaign

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The Role of Team Leaders & Supportive Supervision in the Campaign

National EPI


Objectives

  • Basic guiding principles in campaign supervision

  • Define key components to be supervised

  • Familiarise participants with the immunisation post check list

  • Familiarise participants with the supervision checklist/tool


Immunisation Posts

  • Posts can be:

    • Permanent: Hospital, Health Care Facility or CHC

    • Temporary: Crèches, Schools, Churches, shopping centres, taxi ranks

    • Mobile: Dedicated vehicle moving from one point to another

  • Permanent posts normally act as depots (vaccines, tallies, syringes & equipment) for temporary posts & mobile services

  • Posts should be open at convenient times and be accessible to the community

  • Community members should be involved in planning the posts: location and the times


Responsibilities of the Teams

  • Team Leader & Supervisor must facilitate the involvement of communities in campaign

  • Hospitalised children should also be immunised, except for those in incubators, oncology and pre-operatively

  • Team Leader must collate, double check & report the data to the supervisor on a daily basis

  • Team Leader must ensure proper management of vaccine stock, including cold chain

  • Team Leader must report AEFIs and provide emergency care, as appropriate

  • Team Leaders & Supervisors must to ensure that Consent Forms are distributed timeously to crèches & similar facilities


Responsibilities of Teams

Administrative person at the Post

  • Verify the age of children

  • Maintain order around the post

  • Tally and record doses

  • Mark the fingers of immunised children

  • Refer children who have missed routine

    Social Mobilisation Person

  • Mind and keep order in the queue

  • Provide information about the campaign

  • Remind mothers about the importance of keeping up routine immunisation

  • Social mobilisation activities with loud hailer and door to door visits

  • Assist with tally and finger marking as appropriate


Polio

Measles


Check List for Immunisation Post: Morning

  • Cooler box / Carrier with ice packs

  • Vaccine: Polio & equal number of droppers

  • Vaccine: Measles & cold diluent

  • Dial thermometer

  • For reconstitution: 5ml syringes & 19 gauge needles

  • For injection: 2ml syringes & 23 gauge needles

  • Sharps disposal & waste disposal

  • Hand disinfectant

  • Emergency tray

  • Administrative items: Stock card/record sheet, tallies, summary sheets, markers

  • Travel Log sheet for kms traveled (budgetary purposes)


Process in the Afternoon

  • The team holds a brief review of the day & readjusts the process and strategies. Learns from the day’s setbacks

  • Transfers the vaccines back into the fridge and enters all returned items onto their relevant stock cards

  • Totals the doses given per antigen (measles/polio/ Vit A/ deworming)

  • Double checks the totals daily and completes on the daily tally sheet

  • Gives the tallies to the Clinic coordinator /supervisor so as to ensure that each daily tally sheet is included on the daily summary sheets (keep copies to verify data)

  • Reports to supervisor/ coordinator, noting the main constraints & major achievements

  • Team Leader should praise the good work of team members


Basic Principles of Supervision

  • Supervision should ideally cover all levels: province, district, sub–district & facility

  • Campaign success will depend on work & motivation of supervisors

  • Same as general supervision

    • Supportive vs. fault finding/policing

    • On site training

    • Aim to ensure service quality & friendliness

  • Focus on facility/ Immunisation Post supervision

  • Should be well planned: Pre & Intra campaign supervision

  • At least four weeks before the campaign, supervisors must pay visits to selected sites todetermine andensure state of readiness:

    • plan for stock delivery, cold chain capacity, waste disposal, consent forms, transport, Soc mob, IEC Material, personnel & teams, volunteers & their training etc. part of micro-planning


Responsibilities of a Supervisor

  • Supervision is an important part of the campaign

  • Districts/ sub-districts must identify supervisors for the campaign

  • Supervisors must be responsible for a specified number of facilities and must plan to visit all their posts during the campaign

  • Supervision must focus on Quality, Effectiveness & Safety

  • Supervisors must motivate, inspire and support teams

  • Promptly respond to the requirements and problems faced by teams

  • Ensure Community involvement and participation in planning & conducting the campaign

  • Motivate to senior managers for the resources

  • Support & facilitate involvement of other units, e.g. Transport, Education, DHIS, Health Promotion, etc


Requirements of a Supervisor

  • Supervisor needs transport – supplies & conduct visits

  • Should be at a higher level of authority: to arrange for additional stock, call for transport & act on bad behaviour

  • Should have a mobile phone and be accessible 24 hrs a day

  • Ability to motivate, inspire and support the teams

  • Must have good problem solving skills & sense of urgency to promptly respond to urgent demands

  • Able to work under pressure

  • Give praise where it is due

  • Be able to act as an effective link between higher and lower levels; giving feedback to each side as appropriate


Supervisory Check List (see Annexure)

  • Divide the areas to supervise into the 5 categories

    • Social Mobilisation: establish if people are aware (pre–campaign)

    • Stock (vaccines, & other consumables) supply & cold chain

    • Post order & flow

    • Clinical Practices

    • Data: Double check with figures you have

  • Intra-Campaign: Ensure that each team is visited by second day of the campaign

  • Provide additional support & ensure well being and acknowledgement of volunteers

    Youwill need them next time


Based on the Field Guide -Use it. Thank You For your Attention!!


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