Living Goods, Uganda.
Living Goods Global office.
Afr Health Sci. 2022 Jun;22(2):647-656. doi: 10.4314/ahs.v22i2.74.
Living Goods operates a Community Health Worker (CHW) program in 19 districts of Uganda, where CHWs are supervised by full time Community Health Supervisors. This model is effective, but expensive. Evidence indicates that peer supervision can be a substitute and cheaper model for CHW supervision. We describe our experience and outcomes while implementing peer supervision among CHWs in Mayuge district.
Internal organizational records from January to December 2019 were reviewed. Focus group discussions and in-depth interviews with participating CHWs were also conducted. Qualitative analysis was performed using thematic content analysis. Quantitative data was summarized to generate averages, percentages and graphs.
CHWs under the peer supervision performed better than those under standard supervision against all key performance indicators. The total cost to maintain the peer supervision model for 1 year was USD $176 per CHW versus USD $273 among CHWs under the standard supervision model. Peer supervision thus resulted in overall cost savings of 36%. There was lower attrition among CHWs under peer supervision compared to standard supervision (10% versus 17%).
Peer supervision is a feasible and more affordable model of supervising CHWs.
Living Goods 在乌干达的 19 个地区开展社区卫生工作者（CHW）项目，由全职社区卫生监督员监督 CHW。这种模式是有效的，但成本高昂。有证据表明，同伴监督可以替代 CHW 监督，而且成本更低。我们描述了在马尤盖地区实施 CHW 同伴监督的经验和结果。
审查了 2019 年 1 月至 12 月的内部组织记录。还对参与的 CHW 进行了焦点小组讨论和深入访谈。使用主题内容分析对定性数据进行分析。对定量数据进行总结，生成平均值、百分比和图表。
在所有关键绩效指标方面，在同伴监督下的 CHW 比在标准监督下的 CHW 表现更好。维持 1 年同伴监督模式的总成本为每名 CHW 176 美元，而标准监督模式下的 CHW 为 273 美元。因此，同伴监督总体上节省了 36%的成本。在同伴监督下的 CHW 比在标准监督下的 CHW 流失率更低（10%对 17%）。
同伴监督是一种可行且更经济实惠的监督 CHW 的模式。
