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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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objectives
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
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
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
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
slide7

Polio

Measles

check list for immunisation post morning
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
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
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
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
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
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

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