Lack of supportive supervision
Lack of supportive supervision and follow-up decreased the care suppliers’ accountability and a spotlight to the service because the TB focal individuals are offering the service as per their understanding and conscience. A TB focal individual defined this as: “There isn’t a accountability. Due to this fact, whether or not you’re employed or not, it’s in your conscience. The upper-level leaders haven’t any know-how about what we’re offering relating to evaluation. What they know is as we give plumpy nut. It is a barrier as a result of to work it with consideration, accountability is essential along with your conscience. However there isn’t any supervision from facility managers and higher-level supervisors. Due to this fact, we’re doing what we imagine is correct” (P10).
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