ArticleGlobal health action2017
Effect of support supervision on maternal and newborn health services and practices in Rural Eastern Uganda.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Maternal and neonatal implementation for equitable systems. A study design paper.Global health action · 2017Trial
- Protocol for the Implementation of a Targeted Maternal and Newborn Service Delivery Bundle in Sierra Leone.Methods and protocols · 2026Article
- Enhancing health professional clinical performance through supervision strategies: from 5311 facilities across eight countries in sick child healthcare.Journal of global health · 2026Article
- Coincidence analysis: Identifying factors contributing to frontline health workers' confidence to face future pandemics across Honduras, Syria, and South Sudan.PLOS global public health · 2026Article
- Challenges and coping practices of frontline health workers in newly created districts in Uganda: an exploratory qualitative study.BMJ open · 2025Article
- Neonatal resuscitation knowledge and its determinants among healthcare professionals at Asella referral and teaching hospital, Southeast Ethiopia.BMC pediatrics · 2025Article
- Effectiveness of dissemination strategies of maternal clinical guidelines: A narrative review.African journal of primary health care & family medicine · 2024Review
- Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda.Infection prevention in practice · 2024Article
- Article
- Barriers Towards Obstetric Care Service Utilization in Ethiopia: An Explorative Qualitative Study.Ethiopian journal of health sciences · 2023Article
- Health services supervision in a protracted crisis: a qualitative study into supportive supervision practices in South Sudan.BMC health services research · 2022Article
- Health Care Workers' Experiences, Challenges of Obstetric Referral Processes and Self-Reported Solutions in South Western Uganda: Mixed Methods Study.Risk management and healthcare policy · 2022Article
- Determinants of malaria testing at health facilities: the case of Uganda.Malaria journal · 2021Article
- Healthworker preparedness for COVID-19 management and implementation experiences: a mixed methods study in Uganda's refugee-hosting districts.Conflict and health · 2021Article
- Stakeholders perceptions regarding implementing maternal and newborn health care programs in Rwanda.BMC health services research · 2021Article
- The Effect of Real Time Integrated Supportive Supervision Visits on the Performance of Health Workers in Zambia.Journal of immunological sciences · 2021Article
- Factors that influence ethical competence among nurses in health facilities in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
- Neonatal care practices in Buikwe District, Uganda: a qualitative study.BMC pregnancy and childbirth · 2021Article
- A qualitative study of the perspectives of health workers and policy makers on external support provided to low-level private health facilities in a Ugandan rural district, in management of childhood infections.Global health action · 2021Article
- Facilitators and barriers to effective supervision of maternal and newborn care: a qualitative study from Shinyanga region, Tanzania.Global health action · 2021Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSupport 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.
objectiveThis article assesses quality improvements in maternal and newborn care services and practices during this period.
methodsDistrict 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.
resultsThere 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.
conclusionSupport 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.
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