Supervision At The Primary Health Care Level In Nigeria
Akande, A. (2014) Supervision At The Primary Health Care Level In Nigeria, no. 60.
Supervision of primary health care in many low and middle income countries including Nigeria is recognized as a means of providing support to often isolated human resources for health and to make certain that the services provided are of an acceptable quality. Still, these prospects are not being achieved owing in part to the approach employed in carrying out supervision. In most health systems of developing countries, supervision is thought to follow the traditional methods which dwell on inspection and control and does not lead to any improvement in service quality and staff empowerment. But evidence now favors the contrasting approach of supportive supervision. This dissertation studied the supervision of primary health care in Nigeria by specifically examining the supervisors' understanding of supervision, the approach in use for supervising malaria services, its impact on the management of malaria and the challenges that impede effective supervision. The study's findings reveal a fragmented supervisory system utilizing a mixed method of supportive and non supportive supervision approaches. These findings have implications for the way supervision of primary health care should be organized in Nigeria and tasks policy makers at all levels (national, state and local) to adequately resource and support the shift to a systematic and structured way of supervision. Keywords: Supervision, Primary Health Care, Malaria, Nigeria, Traditional supervision, Supportive supervision.