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Empowering Health Workers_Alison Annette Foster_10.17.13

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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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