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MANIFEST Issue Brief 2: Focussed Consistent Supportive Supervision Improves Management and Performance at Facility Level

Future Health Systems

In many countries including Uganda, supervision visits to health facilities traditionally take on an authoritarian inspection and fault-finding approach instead of problem-solving to improve staff performance. Consequently, health workers often receive little advice or guidance on how to improve their outcomes. In fact, in many settings health workers are unsupervised and have no clear work objectives.

In order to enhance quality of maternal and newborn care, the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study team championed a support supervision programme in Kamuli, Kibuku and Pallisa Districts. This MANIFEST Issue Brief outlines the issue, the MANIFEST experience and the results.