Making community health worker supervision supportive: - Insights from an implementation research pilot

• We assessed the impact of the interventions on the perceptions and performance of ASHAs and their relationship with their supervisors (ASHA facilitators) across three blocks in Vaishali, Bihar • We also present broad context specific learnings looking into the feasibility of rolling out an SS training approach alongside a coaching and mentoring component. [...] [Treatment blocks are 18% and 16% more likely to have met supervisor in the past week] ASHAs reported greater comfort in communicating with AFs [ASHAs mapped to coached and mentored AFs were 5% more likely to report comfortable communication and 12% more likely to report that they sit with the AF] and higher problem-solving abilities. [...] The problem- solving support offered by AFs was also observed in the qualitative insights indicated peer communication and team-work Quantitative and qualitative insights indicate more encouraging and less punitive [9% amongst ASHAs of the trained AFs and 9% amongst the ASHAs of trained and coached AFs] this was supported with qualitative insights indicating that trained and coached supervisors of. [...] Qualitative insights point to higher support in working with the community, especially during COVID-19 management and response efforts, and greater supervisory support in working with harder to convince beneficiaries © Oxford Policy Management 5 Key Takeaways What Worked? - We observed a marked change in AF and ASHA relationship; multidimensional change in comfort and ease of communication, - We o. [...] • Many of the insights discussed resonate with the broader supervision literature, and strengthen the basis for training CHW supervisors in critical management and supervisory skills Tangible software Management, accountability and governance processes, • We present measurable insights and rigorous evidence on what it takes to Capacity, Structures empower CHWs; in doing so, we offer insights for t.