Created for supervisors of health care facilities, this manual is based on the performance improvement approach to enhancing the quality of services. It will help supervisors learn how to work with staff and members of the community to set and communicate standards, determine whether or not standards are being met, identify reasons why standards are not being met, and design and implement ways to improve performance to meet those standards. Most appropriate for supervisors of medium to large facilities and district-level supervisors, the manual is included in the PEPFAR guide to best practices for voluntary medical male circumcision (VMMC) site operations.