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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.