Clinical Supervision for Quality Reproductive Health Services in Primary Health Care in Egypt: A Qualitative Analysis
DOI:
https://doi.org/10.3889/oamjms.2021.5603Keywords:
Clinical supervision, Reproductive health, Egypt, Ministry of Health and Population, Primary health careAbstract
OBJECTIVES: The objectives of the study were to assess clinical supervision (CS) role in quality family planning/reproductive health services (FP/RHS) in Ministry of Health and Population-primary health care (MOHP-PHC) facilities through objective analysis.
METHODS: Settings: MOHP and five Egyptian governorates. Design: A qualitative study with objective analysis that covers strengths and sustainability. Sampling: Random sample of 25 districts and 250 health units (one physician and one nurse from each unit) from five governorates. Data collection: Focus group discussions (FGDs) (n = 21) for clinical supervisors at central, governorate, and district levels.
RESULTS: FGDs raised vital roles of CS in FP/RHS. Clinical supervisors were dissatisfied because they are not partners in decision making in MOHP training programs.
CONCLUSION: CS in FP/RHS is important for sustainable capacity building of the service providers teams in PHC facilities.
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Milne DL, Watkins CE. Defining and understanding clinical supervision. In: The Wiley International Handbook of Clinical Supervision. New York: John Wiley and Sons; 2014. p. 1-19. https://doi.org/10.1002/9781118846360.ch1
Dilworth S, Higgins I, Parker V, Kelly B, Turner J. Examining clinical supervision as a mechanism for changes in practice: A research protocol. J Adv Nurs. 2013;70(2):421-30. https://doi.org/10.1111/jan.12211 PMid:23865463
Haines A, Horton R, Bhutta Z. Primary health care comes of age looking forward to the 30th anniversary of AlmaAta: Call for papers. Lancet. 2007;370:911-3. https://doi.org/10.1016/s0140-6736(07)61423-8 PMid:17869618
Kemer G, Pope AL, Colburn AA. Expert site supervisors’ cognitions when working with counselor trainees. Clin Supervisor. 2017;36(2):241-58. https://doi.org/10.1080/073252 23.2017.1305937
Central Department of Technical Support and Projects. MOHP: 2 Version, Strategies Future and Analysis Sector Health Egypt: MOHP-Central department of Technical Support and Projects; 2003.
Health Information Office HIO-MOHP Annual Reports; 2005-2018.
Snowdon DA, Leggat SG, Taylor NF. Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review. BMC Health Serv Res. 2017;17(1):786. https://doi.org/10.1186/s12913-017-2739-5 PMid:29183314
Kilminster SM, Jolly BC. Effective supervision in clinical practice settings: A literature review. Med Educ. 2000;34(10):827-40. https://doi.org/10.1046/j.1365-2923.2000.00758.x PMid:11012933
Snowdon DA, Hau R, Leggat SG, Taylor NF. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4):447-55. https://doi.org/10.1093/intqhc/mzw059 PMid:27283436
Buscari JO, Weggelaar NM, Knottnerus AC, Greidanus PM, Scherpbier AJ. How medical residents perceive the quality of supervision provided by attending doctors in the clinical setting. Med Educ. 2005;39(7):696-703. https://doi.org/10.1111/j.1365-2929.2005.02190.x PMid:15960790
Abdel-Razik MS, Abdel-Hai R, Ibrahim H Causes of decrease in contraception Coverage Rate in Egypt 2002-2007. National Population Council; 2008.
Family Health Facility Implementation Manual. MOHP and Central Department for Technical Support and Projects. Quality Improvement and Accreditation Program, Version 2. Ch. 5. Family Health Facility Implementation Manual; 2004.
Gupta S, Moosa D, Macpherson A, Allen C, Tamari IE. Effects of a 12-month multi-faceted mentoring intervention on knowledge, quality and usage of spirometry in primary care: A before-and-after study. BMC Pulm Med. 2016;16(1):56. https://doi.org/10.1186/s12890-016-0220-6 PMid:27103316
Brook RH, McGlynn EA, Shekelle PG. Defining and measuring quality of care: A perspective from US researchers. Int J Qual Health Care. 2000;12(4):281-95. https://doi.org/10.1093/intqhc/12.4.281 PMid:10985266
Eddy K, Jordan Z, Stephenson M. Health professionals’ experience of teamwork education in acute hospital settings: A systematic review of qualitative literature. JBI Database System Rev Implement Rep. 2016;14(4):96-137. https://doi.org/10.11124/jbisrir-2016-1843 PMid:27532314
Martino S, Paris M Jr., Añez L, Nich C, Canning-Ball M, Hunkele K, et al. The effectiveness and cost of clinical supervision for motivational interviewing: A randomized controlled trial J Subst Abuse Treat. 2016;68:11-23. https://doi.org/10.1016/j.jsat.2016.04.005 PMid:27431042
Martino S, Ball SA, Gallon SL, Hall D, Garcia M, Ceperich S, et al. Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency. Salem, OR: Northwest Frontier Addiction Technology Transfer Center, Oregon Health and Science University; 2006.
Davis D, O’brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: Do conferences, workshops rounds and other traditional continuing education activities change physician behavior or health care outcomes? JAMA. 1999;282(9):867-74. https://doi.org/10.1001/jama.282.9.867 PMid:10478694
Snowdon DA, Millard G, Taylor NF. Effectiveness of clinical supervision of allied health professionals: A survey. J Allied Health. 2016;45(2):113-12. PMid:27262469
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Copyright (c) 2021 Ghada Wahby, Madiha Said Abdel-Razik, Fayrouz El Egizy, Marwa Rashad Salem (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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