Supportive supervision (SS) is an effective approach to improving the performance of healthcare workers by providing knowledge and skills to health workers to improve quality and efficiency in their work functions, addressing problems onsite, optimising resource allocation, and promoting teamwork and communication among the facility health team and their counterparts from higher levels.   Under the leadership of the National Primary Health Care Development Agency (NPHCDA), Nigeria has implemented a supportive supervision strategy for routine immunization through the National Routine Immunization Supportive Supervision (RISS) framework. This framework assesses health facility performance, identifies bottlenecks, and imparts knowledge to health workers during supervisory visits. However, issues such as inadequate numbers and poor motivation of supervisors, non-standardized protocols, and gaps in goal setting and tracking have led to suboptimal outcomes.   To address these challenges, a team of technical partners, including the Solina Centre for International Development and Research (SCIDaR), supported the six Memorandum of Understanding (MoU) states to implement innovations to enhance performance management through supportive supervision.   Read more