TY - JOUR
T1 - Measuring the quality of supervisor-provider interactions in health care facilities in Zimbabwe
AU - Tavrow, Paula
AU - Kim, Young Mi
AU - Malianga, Lynette
N1 - Funding Information:
This work was undertaken by the Quality Assurance Project with funding from the United States Agency for International Development (contract No. HRN-C-00-96-90013) with the Center for Human Services, the non-profit affiliate of University Research Co., LLC. The authors are grateful to Margaret Nyandoro of the Ministry of Health and Child Welfare for her support, and Sithokozile Simba, Alasford Phiri, Perpetua Gumbo (consultant), and Josephine Jingura of the Zimbabwe National Family Planning Council for their assistance in conducting this study.
PY - 2002/12
Y1 - 2002/12
N2 - Objective. Measuring performance is the first step on the road to improving it. This report presents the results of an exploratory study sponsored by the Quality Assurance (QA) Project to describe and quiantify the quality of supervisor-provider interactions in health care facilities in Zimbabwe in 1999. Supervisors were district and municipal nursing officers who are responsible for guiding, assisting, and motivating health providers at government and missionary health facilities. Design. The study's design was qualitative. It involved the triangulation of data from various sources: structured observations of supervisors, audiotaping of supervisor-provider interactions, recording of all supervisory activities, and interviews with supervisors and supervisees. A team composed of current and past supervisors, along with Study Participants. Sixteen district-level government, municipality, and Zimbabwe National Family Planning Council supervisors from four provinces participated in the study. Results. The study found that supervisors devoted <5% of their time to patient care issues. The supervisors' main strengths were in giving feedback on technical standards, discussing and analyzing data, and developing a rapport with the providers. They were most deficient in making suggestions, seeking client input, problem solving with the providers, and building on previous (and future) supervisory visits. None of the supervisors observed achieved the threshold set in advance by the team for exemplary performance. Conclusion. The study concludes with recommendations to the Ministry of Health and Child Welfare on how the quality of supervision in Zimbabwe could be improved.
AB - Objective. Measuring performance is the first step on the road to improving it. This report presents the results of an exploratory study sponsored by the Quality Assurance (QA) Project to describe and quiantify the quality of supervisor-provider interactions in health care facilities in Zimbabwe in 1999. Supervisors were district and municipal nursing officers who are responsible for guiding, assisting, and motivating health providers at government and missionary health facilities. Design. The study's design was qualitative. It involved the triangulation of data from various sources: structured observations of supervisors, audiotaping of supervisor-provider interactions, recording of all supervisory activities, and interviews with supervisors and supervisees. A team composed of current and past supervisors, along with Study Participants. Sixteen district-level government, municipality, and Zimbabwe National Family Planning Council supervisors from four provinces participated in the study. Results. The study found that supervisors devoted <5% of their time to patient care issues. The supervisors' main strengths were in giving feedback on technical standards, discussing and analyzing data, and developing a rapport with the providers. They were most deficient in making suggestions, seeking client input, problem solving with the providers, and building on previous (and future) supervisory visits. None of the supervisors observed achieved the threshold set in advance by the team for exemplary performance. Conclusion. The study concludes with recommendations to the Ministry of Health and Child Welfare on how the quality of supervision in Zimbabwe could be improved.
KW - Developing countries
KW - Measuring performance
KW - Quality
KW - Supervision
KW - Zimbabwe
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U2 - 10.1093/intqhc/14.suppl_1.57
DO - 10.1093/intqhc/14.suppl_1.57
M3 - Article
C2 - 12572788
AN - SCOPUS:12244304897
SN - 1353-4505
VL - 14
SP - 57
EP - 66
JO - International Journal for Quality in Health Care
JF - International Journal for Quality in Health Care
IS - SUPPL. 1
ER -