Professional Documents
Culture Documents
• Scoring System
• 0 Not Done
• 1 Poor
• 2 Satisfactory
• 3 Good
The Supervisory Checklist
• Level of knowledge:
– Do the HCWs understand the need for three
sputum smears?
• Attitude / Perception
– Do they care? Are they interested in complete,
quality data?
• Seeking guidance
– Do they have questions?
Checklist: The TB Register
Is the Register Complete?
Level of knowledge:
Do the HCWs understand what each
column is for?
Attitude / Perception
Do they care? Are they interested in
complete, quality data?
Seeking guidance
Do they have questions?
Checklist: The TB Register
Level of knowledge:
Are the HCWs familiar with 1+, 2+ etc.?
Attitude / Perception
Do they know that microscopy is essential
for diagnosis?
That follow-up is essential for patient
monitoring and documenting cure?
Seeking guidance
What do they need to understand to do their
job better?
The comments column:
Why is this important?
Task Scor Comment
e
1. All suspected Dropped from 95% in last supervision to
cases have three 1 20% in this supervision.
sputum investigation
2. Patient’s DOT Workers report that they do not
compliance is understand how to use the form and are
1 too busy to do it.
correctly recorded
learn
Give the person space
and time to answer DONT’s:
Be tactful and discrete Don’t “lead the witness” –
Talk to as many people as ie don’t try to get the
possible (at all levels) answer you want to hear
Don’t overreact to a
negative verbal report. First
check against the data,
then form an opinion.
Planning the supervision
visit
Logistics
DO’s:
given
Report back on what
Follow any lead you are
DONT’s:
Don’t dismiss anyone’s
steps can / should be taken concerns
Encourage internal Don’t worry if you don’t
discussion and try to have an immediate answer.
“facilitate” a solution You might need to talk to
Identify experienced lots of people.
people and draw from their Don’t take anything at
experience face value. Check against
the data!
Exercise 9.1