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USAID Applying Science to Strengthen and Improve Systems Project

Improving Performance
District Management Level
Allison ...
BACKGROUND

• Quality Improvement: A Science
• Applying Science to Strengthen and
Improve Systems
• Health Workforce Perfo...
HEALTH WORKFORCE DEVELOPMENT

INDICATOR

% of HIV-Positive
patients assessed
for active TB

BEGINNING LEVEL

MOST RECENT
L...
Role of District
Management

4

4
SIX DOMAINS OF DISTRICT LEVEL

•
•
•
•
•
•
5

Management Roles
Supply Chains
Information Streams
District Planning
Quality...
FLOW OF SUPPLIES - IMPROVEMENTS

The % of facilities that
submitted supply
orders on time
increased from 76% in
March 2011...
HUMAN RESOURCES FOR
HEALTH

• Recruitment
• Retention of new Staff
• Performance Support in
Improving HIV indicators
• Sup...
IMPROVEMENTS IN RETENTION
INDICATOR

% of newly recruited
staff that received a
technical orientation
package within two
w...
LESSONS LEARNED
• Empowerment aligns with
leadership and governance efforts
and yet is different.
• District Management is...
NEXT STEPS
• CONTINUE TO MONTOR HIV
INDICATORS
• STRENGTHEN TEAMS IN
QUALITY IMPROVEMENT AT
FACILITY LEVEL
• EXPLORE ROLE ...
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Empowering Health Workers_Alison Annette Foster_10.17.13

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  • In 2011, HCI/ ASSIST began a District Health Management Performance improvement intervention with the aim of building the capacities of Regional and Council (District) Health Management Teams in district management - meaning to effectively manage and coordinate health human resources, monitoring and evaluation through better management of district health information systems, and supply chains (supplies and logistics), and Council health planning, which will ultimately improve care services and health outcomes for HIV/AIDS patients. In the Lindi region are six districts, including 192 facilities (district hospitals, health centers, and dispensaries). Those districts are: Kilwa (41facilities), Lindi DC (41 facilities), Lindi Municipal (15 facilities), Nachingwea (36 facilities), and Ruangwa (29 facilities), and Liwale (30 facilities)
  • Notice that we have the ordering because they are not able to effect the outcome.
  • Job Fairs and Stage support
    Welcome Package
    Using the time they go to
  • Job Fairs and Stage support
    Welcome Package
    Using the time they go to
  • Transcript of "Empowering Health Workers_Alison Annette Foster_10.17.13"

    1. 1. USAID Applying Science to Strengthen and Improve Systems Project Improving Performance District Management Level Allison Annette Foster, URC 1
    2. 2. BACKGROUND • Quality Improvement: A Science • Applying Science to Strengthen and Improve Systems • Health Workforce Performance: Key to all Quality Improvement Efforts • Engagement: Leads to Sustainability, Retention and Increased Improvement in Care Delivery – Tanzania • Performance Factors impact Engagement USAID Applying Science to Strengthen and Improve Systems
    3. 3. HEALTH WORKFORCE DEVELOPMENT INDICATOR % of HIV-Positive patients assessed for active TB BEGINNING LEVEL MOST RECENT LEVEL July 2010: 35% Dec 2011: 99% July 2010: 13% Dec 2011: 94% % of exposed children under 18 months receiving daily cotrimoxazole prophylaxis USAID Applying Science to Strengthen and Improve Systems
    4. 4. Role of District Management 4 4
    5. 5. SIX DOMAINS OF DISTRICT LEVEL • • • • • • 5 Management Roles Supply Chains Information Streams District Planning Quality Improvement Human Resources Management USAID Applying Science to Strengthen and Improve Systems
    6. 6. FLOW OF SUPPLIES - IMPROVEMENTS The % of facilities that submitted supply orders on time increased from 76% in March 2011 to 94% in June 2013. 6 USAID Applying Science to Strengthen and Improve Systems
    7. 7. HUMAN RESOURCES FOR HEALTH • Recruitment • Retention of new Staff • Performance Support in Improving HIV indicators • Supervision 7 USAID Applying Science to Strengthen and Improve Systems
    8. 8. IMPROVEMENTS IN RETENTION INDICATOR % of newly recruited staff that received a technical orientation package within two weeks of reporting BEGINNING LEVEL MOST RECENT LEVEL March 2011: 53% March 2013: 89% March 2011: 69% March 2013: 89% % of newly recruited staff that are retained at 6 months 8 USAID Applying Science to Strengthen and Improve Systems
    9. 9. LESSONS LEARNED • Empowerment aligns with leadership and governance efforts and yet is different. • District Management is where Health Workforce Development Really intersects with Health Systems Strengthening. • There is always a solution. 9 USAID Applying Science to Strengthen and Improve Systems
    10. 10. NEXT STEPS • CONTINUE TO MONTOR HIV INDICATORS • STRENGTHEN TEAMS IN QUALITY IMPROVEMENT AT FACILITY LEVEL • EXPLORE ROLE AS CHANGE AGENTS 10 USAID Applying Science to Strengthen and Improve Systems
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