1. The Role of Team Leaders & Supportive Supervision in the Campaign National EPI

2. 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

3. 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

5. 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

6. 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

7. Polio Measles

9. 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)

10. 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

11. 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

12. 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

13. 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

14. 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

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