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A systematic review of supportive supervision as a strategy to improve primary healthcare services in Sub-Saharan Africa

Bailey, Claire and Blake, Carolyn and Schriver, Michael and Cubaka, Vincent Kalumire and Thomas, Tisa and Martin Hilber, Adriane. (2016) A systematic review of supportive supervision as a strategy to improve primary healthcare services in Sub-Saharan Africa. International journal of gynecology & obstetrics, 132 (1). pp. 117-125.

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Official URL: http://edoc.unibas.ch/41986/

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Abstract

It may be assumed that supportive supervision effectively builds capacity, improves the quality of care provided by frontline health workers, and positively impacts clinical outcomes. Evidence on the role of supervision in Sub-Saharan Africa has been inconclusive, despite the critical need to maximize the workforce in low-resource settings.; To review the published literature from Sub-Saharan Africa on the effects of supportive supervision on quality of care, and health worker motivation and performance.; A systematic review of seven databases of both qualitative and quantitative studies published in peer-reviewed journals.; Selected studies were based in primary healthcare settings in Sub-Saharan Africa and present primary data concerning supportive supervision.; Thematic synthesis where data from the identified studies were grouped and interpreted according to prominent themes.; Supportive supervision can increase job satisfaction and health worker motivation. Evidence is mixed on whether this translates to increased clinical competence and there is little evidence of the effect on clinical outcomes.; Results highlight the lack of sound evidence on the effects of supportive supervision owing to limitations in research design and the complexity of evaluating such interventions. The approaches required a high level of external inputs, which challenge the sustainability of such models.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Swiss Centre for International Health > Sexual and Reproductive Health (Zahorka)
UniBasel Contributors:Martin Hilber, Adriane
Item Type:Article, refereed
Publisher:Harper
ISSN:0020-7292
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:30 Jun 2016 11:03
Deposited On:21 Apr 2016 08:20

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