The Role of Team Leaders & Supportive Supervision in the Campaign - PowerPoint PPT Presentation

The Role of Team Leaders & Supportive Supervision in the Campaign

National EPI

• 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

• 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

• 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

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

• 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)

• 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

• 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

• 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

• 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

• 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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