Last Updated: 18/05/2022

Evaluation of PMI supported supportive supervision for malaria case management

Objectives

The primary objective of this study is to evaluate how, why, where and for whom models of supportive supervision work to improve health worker performance and the correct management of children with suspected uncomplicated malaria.

The specific objectives are to:

  1. Define which model and specific components of SS work in what context and why.
  2. Assess how context influences the effectiveness of SS and identify the mechanisms through which it does so.
  3. Develop and validate a framework that can be used as a tool to characterize and evaluate SS in diverse contexts.
Principal Investigators / Focal Persons

Fatuma Manzi
Jean-Paul Dossou
Jayne Webster

Rationale and Abstract

Supportive supervision is an intervention that aims to improve health workers’ capacity to deliver quality services. Substantial investments have been made in supportive supervision and other quality improvement interventions in an effort to strengthen and maintain high quality malaria case management. However, to date, there is a dearth of evidence on the effectiveness of supportive supervision in improving malaria case management.

Through the PMI Insights project, the Centre de Recherche en Reproduction Humaine et en Démographie (CERRHUD), Ifakara Health Institute (IHI), and the London School of Hygiene and Tropical Medicine (LSHTM) are conducting a program evaluation of supportive supervision in Benin and Tanzania. The evaluation aims to evaluate how, why, where, and for whom models of supportive supervision work to improve health worker performance and the correct management of children with suspected uncomplicated malaria. Ultimately, findings from this evaluation will enable PMI to support national malaria programs in deciding which supportive supervision model will work best in their setting, given their context including that of their health workers, facilities, and systems.

Study Design

Case study using a realist evaluation approach.

Methods include:

  1. A scoping review of relevant literature and project documents.
  2. Analysis of routine monitoring data from the projects within which the SS intervention was implemented.
  3. Two rounds of in-depth interviews (IDIs) with key stakeholders, and
  4. A case study of four health centres.
Date

Oct 2021 — Oct 2023

Total Project Funding

$895,000

Project Site

Benin
Tanzania

Parent Project

PMI Insights

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