• Facilitative• Onsite corrections• Onsite training on new technologies

Information collection for managerial decisions

• Helps correct practices• Focus on BCC & Motivation

Supportive supervision is different from routine supervision

Action points/feedback/

Analysis and revisit To PHC, DIST. & STATE

Action planM

OD

EL

LE

D B

Y:

CA

RE

Jh

ark

han

d

Observe PHC &1/2 sessions a day

1. On-site correction,training

2. Collection of critical information

State

DistrictTrained supervisors

Parameters observed in the PHC visit

Round-1 & 2

100%100%100%

50%

100%

50% 50%

100%100%

75% 75% 75%

100%100%100%100%

75%

100%100%100%

75%

100%

50% 50%

0%

100%

40%

60%

40%

0% 0% 0%

100%

80%

60% 60%

80% 80%

60%

100%100%100%

60%

100%

80%

100%

20%

60%

40%

0% 0%

100%

0%10%20%30%40%50%60%70%80%90%

100%

1. V

accin

es is

sued

from

PHCs

acco

unte

d for

2. N

o m

issed

are

as in

Micr

oplan

3. M

icrop

lan

is up

dated

and

app

ropr

iate

4. M

icro

plan

disp

laye

d at

facil

ity

5. P

lan fo

r sup

ervis

ion

avail

able

at P

HC

6. W

HO Monit

orin

g Cha

rt (d

ropo

uts -

DPT1 t..

.

7. S

essio

ns co

nduc

ted

as p

lanne

d (m

ore t.

..

8. D

PT-Dro

pout

Rat

es A

ccep

table

? (les

s th

..

11. C

old

chain

equ

ipmen

t pla

ced

proper

ly

12. I

LR / DF

tem

pera

ture

reco

rd p

rope

rly m

a...

13. I

LR tem

pera

ture

+2

C to +

8 C

14. C

orre

ct st

orag

e of v

accin

es in

ILR

15. A

bsen

ce o

f ice

mor

e th

an 5

mm

in IL

R or D

F

16. C

orre

ct st

ate

of fr

eeze

-sen

sitive

vacc

in..

17. A

bsen

ce o

f use

d m

easle

s an

d BCG

vial.

..

18. A

bsen

ce o

f vac

cines

with

exp

ired

date

s

19. A

bsen

ce o

f med

icine

s and

oth

er ite

ms i

n...

20. D

F tem

pera

ture

-15 C

to –

20

C AND/O

R...

21. C

orre

ct p

lacem

ent o

f ice

pack

s in

DF

22. V

VM s

tage

usa

ble

on O

PV

37. A

ctual v

accin

e st

ocks

& o

ther

logis

tics .

..

38. U

se o

f saf

ety

box

for c

ollec

tion

of use

d...

39. E

viden

ce o

f corre

ctly

hand

ling

used

syr

...

40. C

orre

ct u

se o

f saf

ety p

its, i

f pro

vided

41. C

orre

ct u

se o

f nee

dle

rem

overs

, if p

rov.

..

42. B

lock l

evel m

eetin

g co

nduc

ted

with H

ealt.

.

Yes-2

Yes-1

Session Observation

Immunization Sessions

100%100%100%100%

40%

100%100%

80%

100%100%100%100%100%100%100%100%100%100%100%100%100%

60%

80%

100%100%100%100%100%

0%

80%

100%100%

80%

60%

100%

40%

0%

40%

100%

0%

100%

0%

80%

0%

40%

0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%0%

10%20%30%40%50%60%70%80%90%

100%

1. S

essio

n held

in th

e villa

ge/m

ohall

a s..

.

3. U

se o

f vacc

ine ca

rrier

s with

4 ice

pac

ks

5. C

onditio

ning of

ice p

acks

prio

r to

put...

7. A

ll vac

cines a

long w

ith d

iluents

ava

il...

9. P

rese

nce of

free

ze-s

ensit

ive va

ccine

s ..

11. A

ll the

vacc

ines a

t ses

sion

within

u...

13. C

lean p

lace av

ailab

le fo

r im

munizatio

n

15. R

econ

stitu

ted

vacc

ines u

sed w

ithin

...

17. U

se o

f AD sy

ringe

s 0.1

ml fo

r BCG

19. C

orre

ct se

lectio

n of

injec

tion

route

21. In

jectio

n su

rface

is cl

eane

d with

cl...

23. C

orre

ct ag

e of a

dmini

strat

ion of

me.

..

25. S

afety

boxes i

n use

for c

ontain

ing ..

.

27. U

se o

f sep

arate

nee

dle a

nd syr

inge

...

29. C

orre

ct us

e of

Hub

cutte

rs, if

pro

vided

31. N

ew ca

rds a

nd co

unte

rfoils

bein

g fill

..

33. P

rope

r filin

g of

coun

terfo

ils (i

nclu

din...

35.V

erific

ation of

ben

eficiar

ies fo

und

co...

37. A

ctive

trac

king

for d

ropo

uts

39. In

fants

with

mino

r pro

blems

like

Fev..

41. P

rese

nce o

f Ang

anwad

i worke

r/ Oth

..

43. A

WW

/Help

er/ Oth

er M

obilis

er vi

site...

45. IE

C/BCC m

ater

ials

displa

yed at

site

Round-2

Round-1

Round 1 & 2

0

3

4

1

0 00

1

2

3

4

5

Round 1 Round 2

Good Avg Poor

Improvement seen in subsequent visit • Secretary Health Jharkhand requested to implement in 10 dist.• Follow up visits• Second round - after 10 months

Advantages at a glance

• District information collected & analyzed in 3 days

• Grading of PHCs done • Feed back to

– Health worker & MO PHC– District Officials – State officials

• Informs gaps at each level & facilitates corrective actions

• Monitoring improvement in subsequent visits