27(a)Define supportive supervision. b.ln a tabular form,outline differences between controlling and supportive supervision. Explain functions of a health facility supervisor?

a) Supportive supervision is a management approach that involves providing guidance, feedback, and resources to staff in order to improve their performance and achieve organizational goals. It focuses on building a positive relationship between supervisors and staff, fostering a supportive work environment, and promoting continuous learning and improvement.

b)

| Controlling Supervision | Supportive Supervision |
|------------------------|-----------------------|
| Focuses on monitoring and enforcing compliance with rules and regulations | Focuses on providing guidance, feedback, and resources to support staff in achieving their goals |
| Emphasizes authority and hierarchy | Emphasizes collaboration and teamwork |
| Can create a negative work environment and lead to resistance from staff | Creates a positive work environment and fosters motivation and engagement |

c) The functions of a health facility supervisor include:

1. Planning and organizing: Supervisors are responsible for planning and organizing the activities of the health facility, including setting goals, developing schedules, and allocating resources.

2. Staff management: Supervisors are responsible for managing the staff at the health facility, including hiring, training, and evaluating employees, as well as addressing any performance issues that may arise.

3. Quality assurance: Supervisors are responsible for ensuring that the health facility meets quality standards and provides high-quality care to patients. This includes monitoring performance, conducting audits, and implementing quality improvement initiatives.

4. Communication: Supervisors are responsible for communicating with staff, patients, and other stakeholders to ensure that everyone is informed and engaged in the operations of the health facility.

5. Problem-solving: Supervisors are responsible for identifying and addressing any problems or challenges that may arise in the health facility, including staffing issues, resource constraints, and patient complaints.

6. Continuous improvement: Supervisors are responsible for promoting a culture of continuous improvement within the health facility, encouraging staff to learn and grow, and implementing changes to improve efficiency and effectiveness.

27.(a) Defnition of Supportive Supervision

Supportive supervision is a method of improving health worker performance through regular on-site visits, mentorship, and coaching that focus on providing guidance, support, and constructive feedback.

27.(b) Differences between Controlling and Supportive Supervision

| Feature | Controlling Supervision | Supportive Supervision |
|---|---|---|
| Purpose | To ensure compliance and control | To improve performance and build capacity |
| Focus | On rules, regulations, and adherence | On problem-solving, mentorship, and skill development |
| Communication | Top-down, directive | Two-way, collaborative |
| Motivation | Based on fear and punishment | Based on trust, support, and intrinsic motivation |
| Outcome | Conformity and compliance | Improved performance and job satisfaction |

27.(c) Functions of a Health Facility Supervisor

- Provide mentorship and coaching: Guide and support health workers in their roles and responsibilities.
- Set clear expectations: Establish and communicate performance standards and goals.
- Conduct regular site visits: Observe work practices, provide feedback, and identify areas for improvement.
- Provide in-service training: Conduct workshops, training sessions, and other learning opportunities to enhance staff skills.
- Facilitate problem-solving: Assist health workers in identifying and addressing challenges they face in their work.
- Monitor and evaluate performance: Track progress towards goals, identify areas for improvement, and make recommendations for support.
- Provide recognition and incentives: Acknowledge and reward health workers for their efforts and achievements.
- Build a positive work environment: Create a supportive and empowering work culture that fosters teamwork and continuous learning.
- Liaise with other stakeholders: Collaborate with external partners, such as community leaders and referral facilities, to ensure effective coordination and service delivery.