Behavior Profile: Vihiga SCHMs Supportively Supervise
Improved health worker performance and leadership in ghe context of life course immunization; improved service experience
Vihiga Sub-County Health Managers conduct monthly supportive supervision and mentorship
Number of mentorship sessions incorporated into supervision sessions (target?). Planned vs. conducted?

Behavior Analysis

Strategy

BEHAVIOR AND STEPS

What steps are needed to practice this behavior?

Sub-County Health Managers conduct monthly supportive supervision and mentorship

  1. Develop proficiency on modalities of supportive supervision and mentorship
  2. Develop or adapt a supervision and mentorship tool
  3. Make a supervision and mentorship schedule
  4. Mobilize resources to carry out supervision and mentorship activities
  5. Carry out supervision and mentorship, including clarification of staff roles and responsibilities and incorporation of community feedback
  6. Review the findings at the sub-county level
  7. Give feedback to the facilities during the monthly data review meetings

FACTORS

What factors may prevent or support practice of this behavior?
Structural
Accessibility: Inadequate and inconsistent resources, including funding, logistics, and human resources
Accessibility: The absence of a supervision schedule impedes managers from conducting supervisions
Accessibility: Staff shortages reduces managers' availability and time to conduct supportive supervision and mentorship
Internal
Self-Efficacy: Consistent training and capacity-building in supervision can empower manager to conduct supportive supervision
Self-Efficacy: Feedback and continuous improvement can motivate managers to conduct their supervisory duties
Skills: Tools for supervision (if updated with user input) can facilitate managers in their supervisory duties
Skills: A lack of formal and refresher training for new and experienced managers in conducting supportive supervision and mentorship

SUPPORTING ACTORS AND ACTIONS

Who must support the practice of this behavior, and what actions must they take?
Institutional
County and Supporting Partners: The county and partners to financially support subcounty managers' ability to conduct supportive supervision
County Health Department: Provide training and capacity-building opportunities for SCHMs in supportive supervision, mentoring techniques, and scheduling supervisions
County Health Department: Increase the frequency of supportive supervision
County Health Department: Support SCHMs with logistical support (transportation/utility vehicle, meals) for supervision

POSSIBLE PROGRAM STRATEGIES

What strategies will best focus our efforts based on this analysis?

Strategy requires Communication Support

Enabling Environment
Financing: Budget and provide funds for fuel, meals, and other transportation-related costs tied to supervision
Systems, Products and Services
Products and Technology: Update data collection tools, incorporating input from users
Health Data Systems: Provide SCHMT KHIS user rights to enable them to follow up on immunization data
Demand and Use
Skills Building: Provide training and capacity-building in supportive supervision, mentoring techniques, and scheduling supervisions