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Table 5 Frequency and type of supervision received by surveyed HSAs

From: Health systems supports for community case management of childhood illness: lessons from an assessment of early implementation in Malawi

Indicator

n*

All Districts

Kasungu

Lilongwe

Mzimba

Nsanje

Ntcheu

Phalombe

p-value

Proportion of HSAs who received ANY supervision visit in the last month (95% CI)

127

27.6 (20.0, 36.2)

47.6 (25.7, 70.2)

19.0 (5.4, 41.9)

54.5 (32.2, 75.6)

22.7 (7.8, 45.4)

9.1 (1.1, 29.2)

10.5 (1.3, 33.1)

0.001

Proportion of HSAs who received ANY supervision visit in the last 3 months (95% CI)

128

58.6 (49.6, 67.2)

61.9 (38.4, 81.9)

45.0 (23.1, 68.5)

68.2 (45.1, 86.1)

45.5 (24.4, 67.8)

63.6 (40.7, 82.8)

66.7 (43.0, 85.4)

0.439

Proportion of HSAs who received a follow-up supervision within 6 weeks of CCM training (95% CI)

128

23.4 (16.4, 31.7)

10.0 (1.2, 31.7)

28.6 (1.3, 52.2)

38.1 (18.1, 61.6)

9.1 (1.1, 29.2)

31.8 (13.9, 54.9)

22.7 (7.8, 45,4)

0.136

Proportion of HSAs who received a supervision visit specific to CCM in the previous 1 month (95% CI)

127

15.3 (9.6, 22.6)

14.3 (3.0, 36.3)

5.0 (0.1, 24.9)

36.4 (17.2, 59.3)

13.6 (2.9, 34.9)

22.7 (7.8, 45.4)

0 (0, 16.1)**

0.018

Proportion of HSAs who received a supervision visit specific to CCM in the previous 3 months (95% CI)

128

38.3 (29.8, 47.3)

23.8 (8.2, 47.2)

10.0 (1.2, 31.7)

59.1 (36.4, 79.3)

27.2 (10.7, 50.2)

40.9 (20.7, 63.6)

66.7 (43.0, 85.4)

0.001

Proportion of HSAs who received a CCM supervision in the previous 3 months that included observation of case management (95% CI)

128

15.6 (9.8, 23.1)

0 (0, 16.1)**

4.5 (0.1, 22.8)

22.7 (7.8, 45.4)

13.6 (2.9, 34.9)

9.1 (1.1, 29.2)

40.9 (20.7, 63.6)

0.002

Proportion of HSAs who discussed their CCM work with a supervisor at the health facility (95% CI)

129

44.2 (35.5, 53.2)

61.9 (38.4, 81.9)

23.8 (8.2, 47.2)

50.0 (28.2, 71.8)

18.2 (5.1, 40.3)

42.9 (21.8, 66.0)

68.2 (45.1, 86.1)

0.003

  1. *Among the 131 HSAs included in the sample, observations for these indicators are excluded in the cases where the HSA reports not being in the community during part or all of the study period, responds “don’t know,” or data was missing from the survey form.
  2. **One-sided 97.5% confidence interval.