Accompaniment, technical assistance, and supervision

Accompaniment, technical assistance, and supervision
2019. Workshop for the creation and construction of the Indigenous and Intercultural Health System, community of Ceima Cachivera, Department of Vaupés, Colombia Photo: Pablo Montoya © Sinergias ONG

Accompaniment, technical assistance, and supervision

Working in intercultural contexts and in dispersed rural communities with limited resources, without public services and without access to the comforts of urban contexts is a great opportunity and a great challenge. It is a priority for the institutions to generate the conditions so that the people who assume the responsibility of representing them in rural territories can carry out the tasks entrusted to them with the expected quality and respond to the expectations and needs of the population.

To approach this topic, it is necessary to understand the health teams and ask: what is known about the territory and the population, what do health professions mean in this context, how are they received, what do health personnel require to perform their work in the best way and feel supported? There are also questions regarding society and communities about the development of activities to guarantee their rights in intercultural contexts: how well do they know the programs to be implemented, how is the relationship between the population and the institutions, how can health personnel be supported to identify and overcome the difficulties encountered? By addressing these concerns, it is possible to analyze the sustained process and project increasingly satisfactory results for all parties.  

To answer these questions and generate processes in a participatory and territorially appropriate manner, it is essential to generate coordinated processes among the relevant actors. In addition, the dispersion of health personnel in the communities and the difficulties of communication in the context make the development of accompaniment, technical assistance and semi-personalized supervision processes indispensable. They should also be planned, continuous and progressive, based on territorial programmatic priorities, the analysis of the results of the work developed and the needs and interests of each team and individual identified in these evaluations.