A review on supportive forms of supervision in sub-Saharan Africa described its success as relying on the formation of trusting, collaborative supervisory relationships characterised by open, two-way communication.3 In contrast, abusive supervisory relationships discourage supervisees and may harm performance.7,8 It has been suggested that even supportive supervision forms will not be successful, unless there is a good understanding of the human interactions involved.5 Meaningful work relations, including engaging in trusting professional relationships, has been described as a basic human need that determines work motivation.9