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When Community Health Supervision Goes Digital

For Jacqueline Khasandi Wafula, effective community health supervision starts with timely information and meaningful support.

As a Community Health Assistant (CHA) serving Misikhu Ward in Webuye West Sub-County, Bungoma County, Jacqueline oversees Community Health Promoters (CHPs), manages malaria commodities, and monitors performance through Kenya’s Electronic Community Health Information System (eCHIS).

Jackline Kasandi Wafula, Community Health Assistant, Mukhe Ward,Misikhu, Webuye West Sub-County,Bungoma.
Jackline Kasandi Wafula, Community Health Assistant, Mukhe Ward,Misikhu, Webuye West Sub-County,Bungoma.

The digital platform has transformed how she supports frontline workers. Rather than relying on delayed reports, Jacqueline can now access near real-time data to identify trends, monitor performance, and provide targeted support where it is needed most.

“Every morning, I log into the system to review performance data and identify CHPs who may need additional support,” she explains. “I then follow up with them in the field to understand the challenges they are facing and work together to find solutions.”

Using data to guide supervision has helped make routine management more proactive and responsive. Jacqueline follows a structured weekly work plan that helps her prioritize visits to Community Units and ensure that support reaches frontline workers consistently.

Weekly review meetings also play an important role. Every Friday, supervisors and CHPs come together to review performance, discuss challenges, and set targets for the coming week.

“These meetings help us understand how each Community Unit is performing and where we need to focus our efforts,” she says.

Like many digital health systems, eCHIS has faced challenges, including occasional system disruptions that can affect access to information. However, ongoing investments in digital infrastructure and local technical capacity by Living Goods have helped strengthen system reliability and ensure frontline teams receive the support they need.

Community Health Promoter, Carolyne Nanjala Wafula accompanied by her supervisor, Mukhe Ward, Community Health Assistant Jackline Kasandi Wafula with a client, Harriet Anjela Nelima at her home
Community Health Promoter, Carolyne Nanjala Wafula accompanied by her supervisor, Mukhe Ward, Community Health Assistant Jackline Kasandi Wafula with a client, Harriet Anjela Nelima at her home

The availability of timely performance data has contributed to stronger accountability and improved coordination across Community Units. Jacqueline shares daily performance updates with CHPs through a WhatsApp group, creating greater visibility and encouraging peer learning and continuous improvement.

“When everyone can see their progress, it motivates us to perform better and support one another,” she says.

For Jacqueline, digital supervision is about more than technology. It is about helping frontline health workers succeed and ensuring families receive the care they need.

As counties continue to strengthen community health systems, tools that equip supervisors with timely data and actionable insights can help improve performance, support decision-making, and ultimately contribute to better maternal and child health outcomes.

 

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