Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda

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dc.contributor.authorKisakye, Angela N.
dc.contributor.authorMuhumuza Kananura, Rornald
dc.contributor.authorEkirapa-Kiracho, Elizabeth
dc.contributor.authorBua, John
dc.contributor.authorAkulume, Martha
dc.contributor.authorNamazzi, Gertrude
dc.contributor.authorNamusoke Kiwanuka, Suzanne
dc.date.accessioned2022-08-25T05:04:54Z
dc.date.available2022-08-25T05:04:54Z
dc.date.issued2017
dc.description.abstractSupport supervision is one of the strategies used to check the quality of services provided at health facilities. From 2013 to 2015, Makerere University School of Public Health strengthened support supervision in the district of Kibuku, Kamuli and Pallisa in Eastern Uganda to improve the quality of maternal and newborn services. Objective: This article assesses quality improvements in maternal and newborn care services and practices during this period. Methods: District management teams were trained for two days on how to conduct the supportive supervision. Teams were then allocated particular facilities, which they consistently visited every quarter. During each visit, teams scored the performance of each facility based on checklists; feedback and corrective actions were implemented. Support supervision focused on maternal health services, newborn care services, human resources, laboratory services, availability of Information, education and communication materials and infrastructure. Support supervision reports and checklists from a total of 28 health facilities, each with at least three support supervision visits, were analyzed for this study and 20 key-informant interviews conducted. Results: There was noticeable improvement in maternal and newborn services. For instance, across the first, second and third quarters, availability of parenteral oxytocin increased from 57% to 75% and then to 82%. Removal of retained products increased from 14% to 50% to 54%, respectively. There was perceived improvement in the use of standards and guidelines for emergency obstetric care and quality of care provided. Qualitatively, three themes were identified that promote the success of supportive supervision: changes in the support supervision style, changes in the adherence to clinical standards and guidelines, and multi-stakeholder engagement. Conclusion: Support supervision helped district health managers to identify and address maternal and newborn service-delivery gaps. However, issues beyond the jurisdiction of district health managers and facility managers may require additional interventions beyond supportive supervision.en_US
dc.identifier.citationAngela N. Kisakye, Rornald Muhumuza Kananura, Elizabeth Ekirapa-Kiracho, John Bua, Martha Akulume, Gertrude Namazzi & Suzanne Namusoke Kiwanuka (2017) Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda, Global Health Action, 10:sup4, 1345496, DOI: 10.1080/16549716.2017.1345496en_US
dc.identifier.other10.1080/16549716.2017.1345496
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4422
dc.language.isoenen_US
dc.publisherGlobal Health Actionen_US
dc.subjectSupport supervisionen_US
dc.subjectImplementation scienceen_US
dc.subjectHuman resourceen_US
dc.subjectHealth workersen_US
dc.subjectMaternal and newborn servicesen_US
dc.titleEffect of support supervision on maternal and newborn health services and practices in Rural Eastern Ugandaen_US
dc.typeArticleen_US
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