3. Outcomes for the comparison between supervision and less intensive supervision.
Outcomes | Outcome measurement | Arms | N | Pre | Change | P‐values | Review Authors' Interpretation | Comments |
Quality of care | ||||||||
Foreit 1984 ‐ I: monthly supervision. C: quarterly supervision. | ||||||||
New clients per quarter (health‐facility‐based posts) | Daily log completed by the supervisor reporting activities of providers | I | 124 posts in intervention group and 123 in control group. Numbers in health‐facility or community‐based posts not stated. | NA | +5.6 | All differences P > 0.05 (I vs C) | No evidence that reducing the frequency of supervision from quarterly to monthly affects the number of new clients or the number of visits | No statistically significant differences in recruitment of new clients or number of visits undertaken between the comparison groups (P > 0.05). Study also compares new clients and number of visits for sub‐set of new providers recruited for the study (n = 31) and found no significant differences (P > 0.05). |
C | NA | +3.5 | ||||||
New clients per quarter (community‐based posts) | I | NA | +4.16 | |||||
C | NA | +0.76 | ||||||
Average number of revisits per quarter (health‐facility‐based posts) | I | NA | +9.9 | |||||
C | NA | +10.6 | ||||||
Average number of revisits per quarter (community‐based posts | I | NA | +16.3 | |||||
C | NA | +1.4 | ||||||
Other | ||||||||
Foreit 1984 ‐ I: monthly supervision. C: quarterly supervision. | ||||||||
Health worker attrition in health‐facility‐based posts (% drop out at 9 months) | (see above) | I | (see above) | 7 | Not reported | No evidence that reducing the frequency of supervision affects worker attrition. | ||
C | 8 | |||||||
Health worker attrition in community‐based posts (% drop out at 9 months) | I | 3 |
C: Control; I: Intervention.