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Ccih2019 strive-to-thrive-peterson


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E. Anne Peterson, MD, MPH, Senior Vice President of Global Programs, Americares explores the organizations Strive to Thrive Program, a pilot project for local health system strengthening in eight countries.

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Ccih2019 strive-to-thrive-peterson

  1. 1. Embedding “Care” into Health System Strengthening
  2. 2. 2 “Our strategy is built on this singular idea: when local health centers thrive, so do people in their communities; they have better health, more opportunity and increasingly productive lives.”
  3. 3. 3 Example: El Salvador CIAF Mission “Nuestra Misión Institucional es Proporcionar Atención Médica Integral basada en los principios básicos de la Atención Primaria en Salud: Promoción, Prevención, Curación y Rehabilitación con calidad y calidez, para la población en general, contribuyendo a mejorar sus condiciones de salud.” “Our institutional mission is to provide integral medical care based on the basic principles of primary health care: promotion, prevention, healing, and rehabilitation, with quality and warmth for everyone, contributing to bettering health conditions.”
  4. 4. 4 Strive to Thrive (STT) Initiative
  5. 5. 5 Strive to Thrive Pilot Plan • Begun FY2018 • Develop tool & define metrics • Do assessments in >5 diverse sites Accomplished • Rapid Assessment (RA) designed • US version uses PCMH • 22 assessments done* • Gap & programming options identified • Implementation in progress • Funding model developed
  6. 6. 6 STT Dashboard Clinic: WHO building blocks • Services • Health workers • Supplies & Logistics • Health data system • Financing • Governance Care • Felt by patient • Priority to HCW Connection • Referral pathway to health system • Policies/resources from HS to site Community • Trust & oversight from community • Services to the community
  7. 7. 7 Measuring “Care” Health care workers • “Do you understand patients’ rights and their expectation of services with respect and care?” • “Do you agree that your colleagues listen to patients’ concerns and provide clear instructions?” Community • “Do you feel that the facility staff listen to your needs and answer any questions regarding your treatment plan?” • “Are people in your community satisfied with the quality of services provided by the health center? If yes, why? If no, why not?” Patients • “Do you feel that the facility cares about your privacy?” • “Do you feel healthcare provider was respectful to you and your needs?”
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  10. 10. 10 Where else does Americares embed/promote “care”? • Health worker safety • Protecting HCws • Better engagement & retention when they feel valued • Mental Health Psycho-social MHPSS: • Health Care Workers – Resiliency • Patients – Fistula (Liberia, Tanzania) • Emergency Programs • Embedding psychologists within medical teams • Taking on GBV (Colombia)
  11. 11. Thank you Pregunta?