A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries
This article was published in the BMC Health Services Research [© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) ] and the definite version is available at: https:...
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10361-164432022-03-22T05:11:47Z A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries Vallières, Frédérique Hyland, Philip McAuliffe, Eilish Mahmud, Ilias Tulloch, Olivia Walker, Polly Taegtmeyer, Miriam Brac James P. Grant School of Public Health Community health workers Motivational Outcomes Perceived supervision scale Scale validation Supervision This article was published in the BMC Health Services Research [© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) ] and the definite version is available at: https://doi.org/10.1186/s12913-018-3595-7 The Journal's website is at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3595-7#citeas Background: The global scale-up of community health workers (CHWs) depends on supportive management and supervision of this expanding cadre. Existing tools fail to incorporate the perspective of the CHW (i.e. perceived supervision) in terms of supportive experiences with their supervisor. Aligned to the WHO's strategy on human resources for health, we developed and validated a simple tool to measure perceived supervision across seven low and middle-income countries. Methods: Phase 1 was carried out with 327 CHWs in Sierra Leone. Twelve questions, informed by the extant literature on health worker supervision, were reduced to six questions using confirmatory factor analysis. Phase 2 employed structural equation modelling with 741 CHWs in six countries (Bangladesh, Ethiopia, Indonesia, Kenya, Malawi, Mozambique), to assess the factorial validity, predictive validity, and internal reliability of the questions at three time-points, over 8-months. Results: We developed a robust, 6-item measure of perceived supervision (PSS), capturing regular contact, two-way communication, and joint problem-solving elements as being critical from the perspective of CHWs. When assessed across the six countries, over time, the PSS was also found to have good validity and internal reliability. PSS scores at baseline positively and significantly predicted a range of performance-related outcomes at follow-up. Conclusion: The PSS is the first validated tool that measures supervisory experience from the perspective of CHWs and is applicable across multiple, culturally-distinct global health contexts with a wide range of CHW typologies. Simple, quick to administer, and freely available in 11 languages, the PSS could assist practitioners in the management of community health programmes. Published 2022-03-13T04:32:18Z 2022-03-13T04:32:18Z 2018 2018-10-22 Journal Article Vallières, F., Hyland, P., McAuliffe, E., Mahmud, I., Tulloch, O., Walker, P., & Taegtmeyer, M. (2018). A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries. BMC Health Services Research, 18(1) doi:10.1186/s12913-018-3595-7 http://hdl.handle.net/10361/16443 https://doi.org/10.1186/s12913-018-3595-7 en_US https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3595-7#citeas BMC Health Services Research application/pdf BMC |
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Brac University |
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Institutional Repository |
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en_US |
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Community health workers Motivational Outcomes Perceived supervision scale Scale validation Supervision |
spellingShingle |
Community health workers Motivational Outcomes Perceived supervision scale Scale validation Supervision Vallières, Frédérique Hyland, Philip McAuliffe, Eilish Mahmud, Ilias Tulloch, Olivia Walker, Polly Taegtmeyer, Miriam A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries |
description |
This article was published in the BMC Health Services Research [© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) ] and the definite version is available at: https://doi.org/10.1186/s12913-018-3595-7 The Journal's website is at: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3595-7#citeas |
author2 |
Brac James P. Grant School of Public Health |
author_facet |
Brac James P. Grant School of Public Health Vallières, Frédérique Hyland, Philip McAuliffe, Eilish Mahmud, Ilias Tulloch, Olivia Walker, Polly Taegtmeyer, Miriam |
format |
Journal Article |
author |
Vallières, Frédérique Hyland, Philip McAuliffe, Eilish Mahmud, Ilias Tulloch, Olivia Walker, Polly Taegtmeyer, Miriam |
author_sort |
Vallières, Frédérique |
title |
A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries |
title_short |
A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries |
title_full |
A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries |
title_fullStr |
A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries |
title_full_unstemmed |
A new tool to measure approaches to supervision from the perspective of community health workers: A prospective, longitudinal, validation study in seven countries |
title_sort |
new tool to measure approaches to supervision from the perspective of community health workers: a prospective, longitudinal, validation study in seven countries |
publisher |
BMC |
publishDate |
2022 |
url |
http://hdl.handle.net/10361/16443 https://doi.org/10.1186/s12913-018-3595-7 |
work_keys_str_mv |
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