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

Abstract

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 8 health indicators. Ten experts from the headquarters stationed in Khomeini Shahr communicated with the personnel of 10 health centres. The population covered by health centres was 40,000 people. The health indicators of the centres were compared before and after 3 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. SPSS19 was used for data analysis (P<0/001). Results: The results showed that all indices except health care activity had a significant increase. Indicators were: child care activity from 71.5 to 83.6%, activity of pregnant mothers from 65.1 to 77.29%, medical care coverage from 149.5 to 187.6%, death rate reports from 10.9 to 20.4%, mental health care from 7.9 to 11.1%, post-natal care from 75.0 to 84.9%, and the percentage of the covered population from 66.2 to 80.6%. Only the health care activity index did not improve significantly and increased from the average of 180.6 to 200.3%. We saw the lowest growth of the index in health care, which increased from 180.6 to 200.3% 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.