1. Super vising
Health System Strengthening
Activities
U Htun Lwin
Health Assistant
Ngaphyugalay RHC

2. Supervision visits for the supervisors
During the process of CTHP in Thayarwaddy in November
2011 the supervision visits were drawn for township, station
and RHC levels
Eg: Ngaphyugalay RHC- 4 Subcenters & 43 villages, 10 V
under main, 33 villages to be visited by HA & LHV
(Letpankon, Myitkyo, Kanyintabin & Kyungalay)
Farthest - Myitkyo, Kanyintabin- 15miles from RHC situated
at other side of Myitmakha river
- Letpankon SC- 12 miles from RHC
- Kyungalay SC – 10 miles from RHC

3. Supervision visits for the supervisors
Previously –we could visit to the SC from other side of river,
2-3 times/year
Those on the same side of river bank could be visited 4
times/year
-Plan to visit to one SC six times per year in CTHP by HA &
LHV
--With HSS support from Jan to June 2012 – already visited
to a total of 12 Supervision visits by HA & LHV
Kanyintabin- HA 3 times, LHV 1 time
Myitkyo
- HA 1 time, LHV 1 time
 Kyungalay - HA 2 times, LHV 2 times
 Letpankon LHV 2 times

4. SUPERVISION IN NGAPHYUGALAY RHC
FOR FIRST QUARTER
S/N
RHC
1
Ngaphyugalay
RHC
Kanyintabin
HA
SC
Feb
March
(13.1.12)
LHV
Jan
Myitkyo
SC
(10.2.12)
Kyungalay
SC
(9.3.12)
Kyungalay
SC
(1.1.12)
Kanyintabin
SC
(9.2.12)
Myitkyo
SC
(14.3.12)

5. SUPERVISION IN NGAPHYUGALAY
FOR SECOND QUARTER
S/N RHC
April
May
1
Ngaphyugalay
RHC
Kanyintabin
HA
SC
June
(6.4.12)
LHV
Kyungalay
SC
(11.5.12)
Kanyintabin
SC
(8.6.12)
Kyungalay
SC
(4.4.12)
Letpankon
SC
(10.5.12)
Letpan kon
SC
(7.6.12)

6. Supervision
Check list for supervision
1.Infrastructure
2.Water
and Sanitation
3.Map / Organization Chart
4.Community Participation – committee meeting
5.Health Profile
6.Health Posters & Pamphlets
7.Drug store / Labour room
8.CHW/AMW collaboration
9.Report and Returns
10.Equipment
11.Medicines
12.Activities and Findings
13.Give Suggestions at the end

7. Myitkyo SC
previous
condition
in 2011
Discussion with community to
rebuild the subcenter
Forming a committee to
refurbish the Myitkyo SC

8. Become better in 2011
Myitkyo SC in 2012 July with
new roof and fencing
No midwife appointed as yet

9. Supervision cum participation in the
package tours
Jan, Feb, March –visited 5 HTR villages
April, May, June- visited 7 HTR villages, including 5 villages
from first round
Observations:
First round of visit
Second round of visit
• Requested to construct sanitary latrines • 9 new latrines were constructed
• Community interest and attendant was
less
• Many people attended the package
session
• CHW/AMW coordination was not
satisfactory
• More collaboration by CHW/AMW in
the second package session
Impression: Community appreciates team of BHS coming
and delivering package of service

10. Suggestions given by Inspector
To improve filling in the reports / registers correctly and
on
time
Infrastructure –inspection notes to be taken care of by the
villagers
To emphasize on prevention and complication of Abortion
To give information on Malaria, DHF, other infectious
diseases to the community
To provide Quality ANC
To set up health care fund, Emergency Plan for referral at
village level
To provide early referral of high risks AN to hospital by

11. Strengths
Midwives become more motivated due to frequent
supportive supervision

Improvement in data quality

Improvement in service quality

Provision of on-the-job training

Self motivated

Weakness




Cannot travel according to plan for supervision
Technical competency in supervision need to be
strengthened
Follow up checking for some request/order being
implemented or not
Lack of feed back to the midwives

12. 12