Does frequency of supportive supervisory visits influence health service delivery?—Dose and response study

Desta, Binyam Fekadu; Beshir, Ismael Ali; Tefera, Bekele; Argaw, Mesele Damte; Demeke, Habtamu Zerihun; Kibret, Mengistu Asnake

doi:10.1371/journal.pone.0234819

Cited by 9 publications

(14 citation statements)

References 16 publications

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“…This is substantiated by a recent study that assesses the frequency of supportive supervision and its dose-response relationship. The study found that an optimum number of regular supportive supervision has an incremental effect on service delivery improvements (29).…”

Section: Discussionmentioning

confidence: 91%

Availability of Medical Oxygen and its Clinical Practice in Thirty Two Public Hospitals of Ethiopia: A Cross-Sectional Time-Series Design

Tolla

Asemere

Desale

et al. 2021

Preprint

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Background: Oxygen is an essential medicine that saves many children dying of hypoxemia from pneumonia. Nearly more than 95% of deaths occur in developing countries. Similarly, the prevalence of pneumonia is high in Ethiopia. Oxygen therapy is a lifesaving treatment, however, the appropriate use and administration of oxygen in clinical practice is often challenging without knowledge of its potential risks and benefits. Therefore, the study aims to assess the functional availability of oxygen devices and its clinical practice in public hospitals of Ethiopia.Methods: A facility-based cross-sectional time-series design was conducted from December 2015 to December 2019. Primary data was collected from 32 public hospitals bi-annually. Similarly, medical record charts were reviewed retrospectively biannually using interviewer-administered structured questionnaires. A chi-square test that claimed P<0.05 used to assess the statistical significance differences.Results: The study was conducted in thirty-two public hospitals of Ethiopia, where capacity building and technical support interventions implemented. Of which, 15 (46.9%) were General hospitals, and the remaining 10 (31.2%) and 7 (21.9%) were Referral and Primary hospitals respectively. Multifaceted approaches such as on-site and off-site capacity building of healthcare workers, regular mentorship, technical assistance, development of guideline/manuals, oxygen device procurement and maintenance were provided to healthcare workers and health facilities. Functional availability of oxygen has shown a statistically significant increase from 62% to 100% in Pediatric In-patient Department of general and referral hospitals (p-value < 0.001). Similarly, functional availability of Pulse Oximetry has shown statistically significant increased from 45% to 96%. With regard to the clinical practice, SpO2 measurement at diagnosis and admission has increased from 10.2% to 75% and 20.5% to 83% respectively.Conclusions: Based on the intervention results, we can conclude that multifaceted approaches targeting healthcare workers capacity, increased device procurement and on-site device maintenance with on-site mentorship can improve the availability of medical oxygen and pulse oximetry and clinical practice of oxygen therapy in health facilities. Therefore, ensuring device availability along with regular technical support and close follow-up of healthcare workers and facilities are key and the initiative needs to be scaled-up.

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Section: Discussionmentioning

confidence: 91%

Availability of Medical Oxygen and its Clinical Practice in Thirty Two Public Hospitals of Ethiopia: A Cross-Sectional Time-Series Design

Tolla

Asemere

Desale

et al. 2021

Preprint

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“…The existence of periodic supervision activities tends to maintain service quality in high standard, with the ability to pay attention to service users' characteristics. [13][14][15][16] Superiors or supervisors act as part of the first level of management in charge of controlling performance as well as the quality of health service. [17][18][19] In this study, knowledge significantly affects the quality of medical records.…”

Section: Resultsmentioning

confidence: 99%

The Influence of Knowledge and Perceptions of Doctors on the Quality of Medical Records

Ismawati

Supriyanto

Haksama

et al. 2021

Journal of Public Health Research

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Background: Medical record reflects the quality of health services provided, which is influenced by existing resources, such as the doctors in charge. This study aims to determine whether doctors' knowledge and perceptions affect the quality of the medical record.Design and Methods: This is a quantitative and cross-sectional study carried out at Dr. Soetomo's general and academic hospital Surabaya, Indonesia, in September and October 2020. Data were purposively obtained from a total of 45 doctors working at the hospital's inpatient service surgery ward using the questionnaire and checklist medical record quality. Furthermore, ethical clearance and doctors’ informed consent were obtained, with the data statistically processed and analyzed by multiple linear regressions.Results: The results and conclusion showed that doctors' knowledge and perceptions of the quality of medical records were influence to medical record quality (p<0.05).Conclusions: Hospital management needs to regularly increase doctors' knowledge and perceptions by socializing and monitoring medical records.

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“…This is substantiated by a recent study that assessed the frequency of supportive supervision and its dose-response relationship. The study found that an optimum number of regular supportive supervision has an incremental effect on service delivery improvements [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in the availability of medical oxygen and its clinical practice in Ethiopia during a national scale-up program: a time series design from thirty-two public hospitals

Tolla¹,

Asemere²,

Desale³

et al. 2021

BMC Pediatr

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Background Oxygen therapy is a lifesaving treatment, however, in Ethiopia, oxygen is not readily available in many healthcare facilities. In 2015, the Federal Ministry of Health launched a national roadmap to increase access to oxygen. This study aims to evaluate whether availability of oxygen and its clinical practice in public hospitals of Ethiopia changed during the time the roadmap was being implemented. Methods Between December 2015 and December 2019, a multifaceted approach was undertaken to increase access to oxygen in public facilities in Ethiopia. The activities included formation of new policies, development of guidelines, procurement and maintenance of oxygen equipment, and training of healthcare workers. To evaluate whether access and use of oxygen changed during this period, facility-based surveys were conducted between December 2015 to December 2019. Primary data, including medical record reviews, were collected from 32 public hospitals bi-annually. A chi-square test that claimed P < 0.05 used to assess the statistical significance differences. Results The study was conducted in 32 public hospitals of Ethiopia, where capacity building and technical support interventions implemented. Of these 32 facilities, 15 (46.9%) were general hospitals, 10 (31.2%) were referral hospitals, and 7 (21.9%) were primary hospitals. Functional availability of oxygen has shown a statistically significant increase from 62 to 100% in the pediatric in-patient departments of general and referral hospitals (p-value < 0.001). Similarly, functional availability of pulse oximetry has shown a statistically significant increase from 45 to 96%. With regard to clinical practices, the blood oxygen saturation (SpO2) measurement at diagnosis increased from 10.2 to 75%, and SpO2 measurement at admission increased 20.5 to 83%. Conclusions Based on the intervention results, we conclude that multifaceted approaches targeting policy, healthcare workers’ capacity, increased device procurement, and device maintenance programs with on-site mentorship, can improve the availability of medical oxygen and pulse oximetry, as well as clinical practice of oxygen therapy in health facilities. Therefore, ensuring device availability along with regular technical support and close follow-up of healthcare workers and facilities are critical, and these interventions should be scaled further.

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Does frequency of supportive supervisory visits influence health service delivery?—Dose and response study

Cited by 9 publications

References 16 publications

Availability of Medical Oxygen and its Clinical Practice in Thirty Two Public Hospitals of Ethiopia: A Cross-Sectional Time-Series Design

Availability of Medical Oxygen and its Clinical Practice in Thirty Two Public Hospitals of Ethiopia: A Cross-Sectional Time-Series Design

The Influence of Knowledge and Perceptions of Doctors on the Quality of Medical Records

Changes in the availability of medical oxygen and its clinical practice in Ethiopia during a national scale-up program: a time series design from thirty-two public hospitals

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