The role of supportive supervision using mobile technology in monitoring and guiding program performance: a case study in Nigeria, 2015–2016

Tegegne, Sisay G.; Shuaib, Faisal; Braka, Fiona; Mkanda, Pascal; Erbeto, Tesfaye; Aregay, Aron Kassahun; Rasheed, Oyaole D.; Ubong, Akpan G.; Alpha, Njie; Khedr, Ahmed M.; Isameldin, Mirghani A.; Yehushualet, Yared G.; Warigon, Charity; Adamu, Usman; Damisa, Eunice; Okposen, Bassey; Nsubuga, Peter; Vaz, Rui G.; Alemu, Wondimagegnehu

doi:10.1186/s12889-018-6189-8

Cited by 14 publications

(17 citation statements)

References 16 publications

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“…The team coordinated and provided various national and sub-national level trainings including OJT on VPDs surveillance, routine immunization, and programmatic data management. Supportive supervisions has been found to be effective methods in improving not only AFP surveillance system, but also other public health programs [16]. It helped the local health workforce to consistently improve their performance, share knowledge and skills, and solve other systematic problems that contribute to suboptimal programmatic performance [17].…”

Section: Discussionmentioning

confidence: 99%

The role of the Stop Transmission of Polio (STOP) program in developing countries: the experience of Kenya

Tesfaye¹,

Makam

Sergon³

et al. 2020

BMC Public Health

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Background: In 1988, the 41 st World Health Assembly (WHA) marked the launch of the Global Polio Eradication Initiative (GPEI) for the eradication of polio. A key component of the GPEI has been the development and deployment of a skilled workforce to implement eradication activities. In 1989, the Stop Transmission of Polio (STOP) was initiated to address skilled human resource gaps and strengthen poliovirus surveillance. This paper describes the role of the STOP 52 team in technical capacity building and health system strengthening in the implementation of polio eradication strategies in Kenya following the outbreak of Circulating Vaccine-derived Poliovirus type 2 (cVDPV2). Methods: Overview of the STOP program, deployment, and the modality of support are described. Descriptive analysis was conducted using data collected by the STOP 52 team during integrated supportive supervisory visits conducted from July 2018 to September 2019. Analyses were carried out using Epi-Info statistical software (Version 7.0) and maps were developed using Quantum Geographic Information System (Q-GIS) (version 3.12.0). Results: The STOP 52 team supportively supervised 870 health facilities on Expanded Program on Immunization (EPI), and Acute Flaccid Paralysis (AFP) and other Vaccine-Preventable Diseases (VPDs) surveillance in 16 (34.1%) of the 47 counties during the study period. AFP surveillance was conducted in all health facilities supervised leading to the detection and investigation of 11 unreported AFP cases. The STOP 52 team, as part of the outbreak response, provided technical support to five successive rounds of polio Supplementary Immunization Activities (SIAs) conducted during the study period. Moreover, in addressing programmatic data needs, the STOP 52 Data Manager played a valuable role in enhancing the quality and use of data for evidence-based planning and decision-making. The STOP 52 team contributed to the development of operational plans, guidelines and training manuals, and participated in the delivery of various Training of Trainers (TOT) and On-the-Job Training (OJT) on EPI, AFP and other VPDs surveillance including data management. Conclusion: The STOP 52 team has contributed to polio eradication efforts in Kenya by enhancing AFP and other VPDs surveillance, supporting polio SIAs, strengthening EPI, use of quality EPI, AFP and other VPDs data, and capacity building of Frontline Health Workers (FLWs). The use of Open Data Kit (ODK) technology during supportive supervision, and AFP and other VPDs surveillance was found to be advantageous. A national STOP program should be modeled to produce a homegrown workforce to ensure the availability of more sustainable technical support for polio eradication efforts in Kenya and possibly other polio-affected countries.

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Section: Discussionmentioning

confidence: 99%

The role of the Stop Transmission of Polio (STOP) program in developing countries: the experience of Kenya

Tesfaye¹,

Makam

Sergon³

et al. 2020

BMC Public Health

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“…Poor supervision of health care services under the schemes by those responsible for such is an enormous deficit. Although, there are controversies about the effectiveness and efficiency of supervision of health care services deliveries (Bosch-Capblanch and Garner, 2008), however, more evidences back the claim that supportive supervision could improve performance of health systems (Tegegne et al, 2018). As it has been employed in several other contexts, supportive supervision could be a viable managerial tool to improving health systems performance and in programs such as the MSS/SURE-P MCH (Adejumo et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of midwives services scheme in a southwest Nigeria state: Policy implication for maternal and child health care programs

Adewole¹,

Adebayo²,

Obembe³

et al. 2019

Int. J. Nurs. Midwifery

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Midwives services scheme was implemented as an intervention program to mitigate maternal and child health care related challenges especially in the rural areas of Nigeria. This study was carried out to explore stakeholders' perception of the scheme with a focus on perceived facilitators and barriers to its objective. Interviews conducted among health care workers were audio-recorded, transcribed verbatim, coded, and analyzed using Nvivo software version 11 through thematic approach. Most participants opined that the scheme had the potential to minimize the challenges facing maternal and child health care in Nigeria and similar other settings. However, the most cited constraint, among others, was poor funding of the scheme. It is suggested that the scheme be re-packaged and re-launched in the efforts to address poor maternal and child health indices in the country.

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“…Among the various electronic data collection platforms, the Open Data Kit (ODK) application have been the most reliable and cost-effective for AFP surveillance (28). ODK is a free and open source set of tools to build a data collection form or survey, collect the data on a mobile/ android device, synchronizes, submit and aggregates collected data to a centrally managed server automatically, analyzes and visualizes the data in various formats (29). In addition, increased popularity and accessibility of mobile android phones, improved infrastructure, and the development of user-friendly applications made ODK most preferred platform (30) not only in disease surveillance also other public health programs (28).…”

Section: Open Data Kit (Odk) Technologymentioning

confidence: 99%

“…Supervision is an excellent opportunity and effective strategy to identify knowledge gaps and provide further training to the health workforce to consistently improve performance, share knowledge and skills, and solve other systematic problems that contribute to suboptimal programmatic performance (31). Supportive supervisions are found to be effective tools in improving not only AFP surveillance system, but also other public health programs (29). However, there is scarce evidence on the application of real-time electronic data collection tools for quality supervision (29,32).…”

Section: Integrated Supportive Supervision (Iss) Tool In Odkmentioning

confidence: 99%

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How has the Stop Transmission of Polio Program consultants and Open Data Kit technology contributed towards polio eradication efforts in Kenya?

Tesfaye¹,

Sowe²,

Makam³

2020

Preprint

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Background: Polio eradication efforts in Kenya include the development of a skilled local workforce and the application of innovative technologies. This paper describes the role of Stop Transmission of Polio Program (STOP) consultants and the use of Open Data Kit (ODK) technology in strengthening polio eradication efforts in Kenya.Methods: Overview of the STOP program, deployment, and the modality of support is described. The application of innovative ODK technology was examined. Descriptive analysis was conducted on data collected by the STOP consultants during supportive supervisions using Statistical Package for Social Sciences (SPSS) (version 22) and maps were developed using Quantum Geographic Information System (GIS) (version 3.4.1).Results: STOP consultants supportively supervised eight hundred seventy health facilities both on routine immunization (RI) and on Acute Flaccid Paralysis (AFP) surveillance system in 16 (34.1%) counties during the study period. Active surveillance for AFP was conducted in all health facilities supervised, and 11 unreported cases of AFP were detected and investigated. STOP consultants, as part of an outbreak response, provided technical support on five successive rounds of polio Supplementary Immunization Activities (SIAs) conducted during period studied. Moreover, addressing programmatic data needs, the STOP data manager has played a valuable role in enhancing the quality and use of data for evidence-based decision-making, both routine immunization and AFP surveillance. ODK technology was used in AFP surveillance, routine and supplementary immunization activities being a part of the package of electronic tools available in the country. Conclusion: STOP consultants have contributed extensively to polio eradication efforts in Kenya, through enhancing active case search, supporting outbreak response, strengthening routine immunization program, training/ capacity building of Frontline Health Workers (FLW), data analysis, interpretation and supportive supervision. The application of ODK technology has contributed to generating real-time quality data for informed decision making including spatial data, even in resource-limited hard to reach settings where the likelihood of poliovirus transmission is higher. A national STOP program should be modeled to produce homegrown qualified personnel who are able to support eradication and response activities in Kenya.

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The role of supportive supervision using mobile technology in monitoring and guiding program performance: a case study in Nigeria, 2015–2016

Cited by 14 publications

References 16 publications

The role of the Stop Transmission of Polio (STOP) program in developing countries: the experience of Kenya

The role of the Stop Transmission of Polio (STOP) program in developing countries: the experience of Kenya

Evaluation of midwives services scheme in a southwest Nigeria state: Policy implication for maternal and child health care programs

How has the Stop Transmission of Polio Program consultants and Open Data Kit technology contributed towards polio eradication efforts in Kenya?

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