Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1 (Dec09)
• the goal of providing high-quality health services;
• a style of encouraging, inclusive and supportive interaction; and
• a process of continuous performance and quality improvement.
The goal
The goal of supervision is to promote and maintain the delivery of
high-quality health services. In a traditional system of supervision, this
goal is often lost, or at least is not apparent to those being supervised.
By clearly stating that the goal of supervision is the delivery of highquality
health care services, the supervisor can transform the
sometimes negative impression of supervision into a positive one.
The style
Supervision for performance and quality improvement should be done
in a style that involves as many stakeholders as possible, achieves
results through teamwork, and provides constructive and useful
feedback. The underlying assumption is that people work better when
they actively participate and are listened to, treated well, encouraged
to do a good job, and recognized for a job well done.
The process
Supervisors can use the step-by-step process of performance and
quality improvement presented here to help achieve a high-quality
service. The process is illustrated in Fig. 9.2.
The process involves a cycle of logical steps, which are repeated until
the desired performance is achieved. The cycle can be used to solve
any type of performance problem, for instance involving infection
prevention practices, management of stocks, or counselling.
Record keeping, monitoring, evaluation and supervision Chapter 9-6