Table 4.

HSA supervisor responsibilities related to vaccination

Supply chain:

• Ensure availability of vaccines for HSAs (place vaccine supply orders and manage inventory) • Organize transport for outreach visits • Provide oversight to ensure vaccine fridges are working, make alternative plans in event of a power outage, ensure cold chain is maintained from static to outreach clinics • Consolidate monthly reports from HSAs on services provided and commodities used Vaccine safety: • Observe HSAs vaccinating to make sure vaccines are administered correctly • Provide oversight on vaccine quality and potency checks, including checking VVMs and expiry dates • Ensure safety of HSAs while vaccinating (e.g., practicing injection safety, wearing masks, etc.) Admin/general management: • Provide performance feedback while observing HSAs • Hold monthly review meetings at the health facility with HSAs • Organize other supplies (e.g., uniforms, airtime, paper forms, boots, rain coats, backpacks, etc.) • Prepare work plans for HSAs • Maintain regular contact with HSAs and answer questions via phone/WhatsApp