ArticleThe American journal of tropical medicine and hygiene2019
Effect of Supportive Supervision on Competency of Febrile Clinical Case Management in Sub-Saharan Africa.
Article in The American journal of tropical medicine and hygiene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 19 citations in OpenAlex.
- Patterns and trends in antimalarial dispensing practices in Ghana: a retrospective analysis of outreach training and supportive supervision data (2018-2022).Malaria journal · 2025Observational
- How, why, and under what circumstances can supportive supervision programs improve malaria case management? A realist program theory.Health policy and planning · 2025Article
- Clinical Outreach Training and Supportive Supervision Quality-of-Care Analysis: Impact of Readiness Factors on Health Worker Competencies in Malaria Case Management in Cameroon, Mali, and Niger.The American journal of tropical medicine and hygiene · 2024Article
- Can Outreach Training and Supportive Supervision Improve Competency in Malaria Service Delivery? An Evaluation in Cameroon, Ghana, Niger, and Zambia.The American journal of tropical medicine and hygiene · 2024Article
- The U.S. President's Malaria Initiative's Support for Improving the Quality of Malaria Case Management Services: Fifteen Years of Progress and Learning.The American journal of tropical medicine and hygiene · 2024Article
- Experiences in Improving the Quality of Community-Based Fever Management from Three Malaria-Endemic African Countries.The American journal of tropical medicine and hygiene · 2024Article
- How Outreach Training and Supportive Supervision (OTSS) Affect Health Facility Readiness and Health-Care Worker Competency to Prevent and Treat Malaria in Niger: A Secondary Analysis of OTSS Data.The American journal of tropical medicine and hygiene · 2024Article
- Outreach Training and Supportive Supervision for Quality Malaria Service Delivery: A Qualitative Evaluation in 11 Sub-Saharan African Countries.The American journal of tropical medicine and hygiene · 2024Article
- Measuring quality of facility-based ITN distribution in Ghana.Malaria journal · 2023Article
- An overview and visual analysis of research on government regulation in healthcare.Frontiers in public health · 2023Review
- Adherence to malaria management guidelines by health care workers in the Busoga sub-region, eastern Uganda.Malaria journal · 2022Article
- 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
- What do malaria program officers want to learn? A survey of perspectives on a proposed malaria short course in Nigeria.PloS one · 2021Article
- Quality of clinical management of children diagnosed with malaria: A cross-sectional assessment in 9 sub-Saharan African countries between 2007-2018.PLoS medicine · 2020Article
- Does frequency of supportive supervisory visits influence health service delivery?-Dose and response study.PloS one · 2020Article
- Evaluation of malaria microscopy diagnostic performance at private health facilities in Tanzania.Malaria journal · 2019Article
- Perspectives on Implementation Considerations and Costs of Malaria Case Management Supportive Supervision.The American journal of tropical medicine and hygiene · 2019Article
- Introduction and Evaluation of an Electronic Tool for Improved Data Quality and Data Use during Malaria Case Management Supportive Supervision.The American journal of tropical medicine and hygiene · 2019Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since 2010, the WHO has recommended that clinical decision-making for malaria case management be performed based on the results of a parasitological test result. Between 2015 and 2017, the U.S. President's Malaria Initiative-funded MalariaCare project supported the implementation of this practice in eight sub-Saharan African countries through 5,382 outreach training and supportive supervision visits to 3,563 health facilities. During these visits, trained government supervisors used a 25-point checklist to observe clinicians' performance in outpatient departments, and then provided structured mentoring and action planning. At baseline, more than 90% of facilities demonstrated a good understanding of WHO recommendations-when tests should be ordered, using test results to develop an accurate final diagnosis, severity assessment, and providing the correct prescription. However, significant deficits were found in history taking, conducting a physical examination, and communicating with patients and their caregivers. After three visits, worker performance demonstrated steady improvement-in particular, with checking for factors associated with increased morbidity and mortality: one sign of severe malaria (72.9-85.5%), pregnancy (81.1-87.4%), and anemia (77.2-86.4%). A regression analysis predicted an overall improvement in clinical performance of 6.3% (
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.