A new tool to measure approaches to supervision from the perspective of community health workers: a prospective, longitudinal, validation study in seven countries.

ABSTRACT:

Background

The global scale-up of community health workers (CHWs) depends on supportive management and supervision of this expanding cadre. Existing tools fail to incorporate the perspective of the CHW (i.e. perceived supervision) in terms of supportive experiences with their supervisor. Aligned to the WHO's strategy on human resources for health, we developed and validated a simple tool to measure perceived supervision across seven low and middle-income countries.

Methods

Phase 1 was carried out with 327 CHWs in Sierra Leone. Twelve questions, informed by the extant literature on health worker supervision, were reduced to six questions using confirmatory factor analysis. Phase 2 employed structural equation modelling with 741 CHWs in six countries (Bangladesh, Ethiopia, Ind

SUBMITTER: Vallieres F 

PROVIDER: S-EPMC6196473 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature