case Study Illustrating the Application of the Steps ;n Supervisory p/onn;ng Unda. a Public Hea Jlh Z--:ursc of Municipali ty o( Son. Ju:m. has fhe midwi. ve. < under her sopen-ision. They are :S:ona. '. \lildred. Letty. Celia.-. nd. Jane. \\'hile Linda was doing her annual e,:ahmlioo nf mi Jwhe-:. '<he fnund oul lhat their targets,...-ere not being met. She conducted ~uper,.,..,_ory visit~ to a II midh-ivc;; and found the fo Uo,~;ng : Sometimes. logii:tics and supplies come 1:He and in;id CQu ale: reqtii~tion not submitted on lime Target client lists. tall J i:h~ts/n. :portin J< fonn-. ;ind I nnlmrnt n-cord. " weru nol propedy filled up an J updo le<l. Reasons i,ti,-. ;n by the live midw1vcs nre the follo,dng: ",,Tong compurntion of 1ar,tct": don·, know updalc<l )!11ldeline-in target-set1. ing » inadequ ate reporting and n:cnrdin~ fonns 1) con fusion in lhe use of FH IS form » t. lifficult terrain affect Lhe perform:mn· of l"dia :ntll !Sonn » inadc..'Qutltc lv\S of Jnnc who ii-new in 1hc :,;l'n·in· Based on the above situation. l. indn makei-n plnn. Folln";ni lhc slrp~ in plannini. sht! identified the priority problem that is poor recnrdini: an J n·por1i11 g whii-11 is cnmmon to the five mid"ives under her supervi,-;ion. Poor ncordini: and n·1"1rtin~ an. · dt1L' to: \~Tong computa tion of t;irgets: they do n~,t h:w,· tlw u1xlak(l r. uidclincs in target-setting confusion in the new Fl:11S form inade. quate recording and reportin~ forms l\ sample supervisory plan is shown on Table 9. 1. ·n,c supcn·i~ory.-;trn tei;tics/ncth;ties are directed at achieving the identified learning objectives and the cvnluntion indicotors as learning outcome s in supervision. CASELOAD MANAGEMENT An important function of Lhe nurse in community selling is tu providl. ' health care services for groups of individuals with similar hcnlth prnhh. :ms ur comlitions. A caseload refers to the number of clients being served in a :::pcdtic pro~ram or sen'ice. Caseload manag ement differs from case mnnagcmcnl hccnusc it fuc LL-. cs on the common problems of aggregates or groups. Case mnnai:;emcnt is dircctl)d to the individual client. It takes into account lhe client":< characteristics and specific responses to its health condition from which the nur'<c huild-s her nursinµ. cnrc plan for. Caseload manageme nt however, is consistent with the epidcmiolo~ ic apprv:Jch bcc. 'luse olht::r than personal variables, it considers envirvrunental variable.., as important influences in the aggregate's vulnerability to certain disease conditions. The nurse therefore highlights in her plan of care variou. s intervention slrategics that will diminish lbe population group's vulnerabilities and in1prove t J1cir competencies in health care management. Caseload can be identified from the different health scn;ce registries of the henlth center. In the Ph Hippines, the Department of Hen Ith put emphns L, on several programs that need to be given attention to. Examples of these proi;rams that the nurse ca. n obtain a case load from are the National Tuberculosis l'rogram-Dire<:t Observed Treatment Short Course (NTP-DOTS), lategratcd Management of Childhood lllaess 241 