South Africa National Department of Health
Publication Date: October 1, 2009
2009 guidance from the South Africa National Department of Health aimed at creating a supportive environment in which planning, monitoring, and evaluation are conducted jointly between management and staff, through the use of structured supervision in their collective quest toward improving the quality of primary healthcare (PHC). The tools included in the manual enable management, supervisors, and staff to regularly identify critical areas that need urgent action. The tools also measure the overall progress that is being made towards the delivery of quality PHC. Topics addressed include: national norms and standards for PHC facilities; how to use the supervision manual; quality supervision, including purposes and objectives, guiding principles, PHC facility supervision work as processes and systems, problem solving at the PHC facility level, and monitoring quality improvements; supervisors’ support lists, including red flag, regular review list, notes, and quarterly supervision support; in-depth programme reviews, including women’s reproductive health, integrated management of childhood illness, diseases prevented by immunisation, sexually transmitted infections, comprehensive management and treatment of HIV and AIDS, tuberculosis, mental health and substance abuse, school health services, oral health, victims of abuse and violence, chronic diseases and geriatric care, rehabilitation services, and health promotion; District Health Information System for PHC facilities; and PHC facility committee.