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Context: Supervision activity is a privileged way for the development of identification tools of needs for training and assessment, based on a situational approach of competences. Objectives: To present results in terms of a construction pro- cess, development of tools and first applications of an innovating research centred on the logic of a competence-based approach for health professionals' continuing development; to illustrate the links between expertises in engineering competences from the world of education and those from public health sector. Subject/material: A referential framework for the formative supervi- sion was based on: 1) a field of research action in the Diourbel medical region in Senegal; 2) a systemic modelization of the pro- blem setting; 3) the use and the adaptation of a competence-based approach to the health sector. Results: referential of compe- tences and assessment of competences were elaborated for two functions: the District Head Medical Officer and the Head of post Nurse. The Supervision is used to develop a competence-based approach related on the logic of formative evaluation in professio- nal situations. Discussion: The referential of competences assures a global and as exhaustive as possible integration of activities and tasks expected from the analysed specific professional profile. The referential allows a coherent and continuous "didactic transposition" through the training and learning process. The potential of these elaborated tools is multiple and the framework of action research in terms of pedagogical innovation should be reinforced.

Utilisation originale de l’approche par compétences en supervision formative en Afrique subsaharienne