Implementation of Performance Support Approaches in Central America and
The Capacity Project worked with governments and partners in Central America
and Uganda to test approaches for strengthening supervision systems in the
health sector, as one component of the Project's workforce performance support
strengthening. These experiences demonstrate that supervision makes sense when
it follows the local performance improvement processes, and when supervisors
pay attention to the needs derived from local action plans to close identified
performance gaps. Local health workers feel more connected to the organization;
they feel that the organization is finally responsive to their needs, and their
feelings of invisibility, isolation and abandonment are reduced. Supervisors
feel that their visits are useful and appreciated by local staff; they feel
that performance support creates a link among the different levels of the
organization. All of them find themselves playing different and complementary
roles of a common task: improving performance and quality of service delivery.
Evidence collected from the performance support approach test sites shows that
in addition to improving adherence to good practices and performance standards,
the intervention was strong enough to produce changes in the structure and
behavior of the participating organizations.
The Capacity Project's report
describes the most important lessons learned during the Project's eight
performance support implementation experiences.
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