The Effect of Supportive Supervision on Improving the Health Indices of Health Centers in Khomeinishahr, Iran

Background: This study investigated the effect of supportive supervision on improving the health activity index. Methods: The present interventional study was conducted to investigate the control and headquarters level in the organization to increase and improve ۸ health indicators. Ten experts from the headquarters stationed in Khomeini Shahr communicated with the personnel of ۱۰ health centres. The population covered by health centres was ۴۰,۰۰۰ people. The health indicators of the centres were compared before and after ۳ months of the supervisory intervention of staff experts from SIB system (Integrated health system). Paired t-test and Kolmogorov-Smirnov test were used to test the items and to check for normality of data distribution. SPSS۱۹ was used for data analysis (P<۰/۰۰۱). Results: The results showed that all indices except health care activity had a significant increase. Indicators were: child care activity from ۷۱.۵ to ۸۳.۶%, activity of pregnant mothers from ۶۵.۱ to ۷۷.۲۹%, medical care coverage from ۱۴۹.۵ to ۱۸۷.۶%, death rate reports from ۱۰.۹ to ۲۰.۴%, mental health care from ۷.۹ to ۱۱.۱%, post-natal care from ۷۵.۰ to ۸۴.۹%, and the percentage of the covered population from ۶۶.۲ to ۸۰.۶%. Only the health care activity index did not improve significantly and increased from the average of ۱۸۰.۶ to ۲۰۰.۳%. We saw the lowest growth of the index in health care, which increased from ۱۸۰.۶ to ۲۰۰.۳% Conclusion: Considering the significant impact of the intervention on the indicators, it is predicted that supportive monitoring training will improve the health quality of the country's health system.

کلیدواژه ها:

Supervision ، monitoring ، health promotion