A presentation given by Dr Joanna Raven of the PERFORM2Scale consortium and Liverpool School of Tropical Medicine. Entitled 'How do you effectively facilitate health systems interventions?' the presentation was given at the Sept 2019 European Congress on Tropical Medicine and International Health.

1. How do you effectively facilitate health systems
interventions?
Lessons from a management strengthening intervention
in Uganda, Ghana and Malawi
Joanna Raven, Hastings Banda, Kaspar Wyss,
Mairead Finn and Tim Martineau

2. PERFORM2Scale
www.ectmih2019.org
Scaling-up a tested management strengthening intervention – PERFORM to PERFORM2Scale
Funded by Horizon 2020
2017-21
Ghana, Malawi and Uganda

3. Management
Strengthening
Intervention
www.ectmih2019.org
Situation Analysis
MSI Workshop 1:
problem analysis
Further problem
analysis in district
MSI Workshop 2:
develop strategies
and workplan
Implement
strategies
Observe & reflect:
2 visits by CRT
2 inter-district
meetings
Total length of
time for one
MSI cycle:
approximately
10 months
Initial engagement
MSI Cycle

4. Methods to support facilitation
www.ectmih2019.org
• Electronic toolkit
• Short videos
• Workshop with role play
• Webinars
• Shadowing and team work to facilitate the
workshops, meetings etc
• Timely reflection

5. www.ectmih2019.org
Evaluation data sources
• Evaluations of e-learning support and webinars
• Interviews with DHMT members and facilitators
• Reports of workshops and follow-up meetings
• Documentation of the process including real
time reflections

6. Successes
www.ectmih2019.org

7. www.ectmih2019.org
Active participation of the DHMTs in the MSI
• New approach
• Structured design
• Supportive materials

8. www.ectmih2019.org
Adapting the MSI to context and changing needs of participants
• Hybrid workshop for problem analysis and
strategy development
• Supporting meetings with wider stakeholders
to improve strategies
• Using DHMTs members to be facilitators
• Bringing in “experts” to help with strategy
development
“We can bring on board
the programme officers
to give them that
technical guidance”
(Facilitator, Ghana)

9. Government officials taking on facilitation
• In Ghana they are leading the workshops
• In Uganda leading many sessions
• Moving from being directive to facilitating
• Benefiting from important insights that support
their work

10. Challenges
www.ectmih2019.org

11. www.ectmih2019.org

12. www.ectmih2019.org
Conclusion
• Effective facilitation is key to the success of the MSI
• Adapting materials and approach where necessary
• Multiple approaches are needed to develop capacity in facilitation
• Facilitation skills developed can be applied to support implementation of
other interventions

13. Thank you
Funded by the European Union’s Horizon 2020
research and innovation programme under grant agreement no. 733360
www.perform2scale.org
@PERFORM2scale
Joanna.raven@lstmed.ac.uk